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The impact of post-abortion care family planning counselling and services in low-income countries: a systematic review of the evidence

Tripney, J; Bird, K; Kwan, I; Kavanagh, J; (2011) The impact of post-abortion care family planning counselling and services in low-income countries: a systematic review of the evidence. (EPPI Reports 1906 ). Institute of Education, University College London: London. Green open access

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Abstract

Unsafe abortions account for around 70,000 deaths each year, almost all of them in the developing world. Millions of women suffer permanent injury or chronic illness, adding a high cost to both individual families and health systems. Since the mid 1990s, post-abortion care has become a central part of the international strategy to address this problem. Although most attention has been paid to improving emergency treatment of abortion complications, the other elements of post-abortion care, including providing family planning counselling and services, have also been promoted and can be found in many health-care settings around the world. Although greater use of contraception will not produce direct, immediate effects on maternal mortality or morbidity, over time it should reduce women's recourse to unsafe abortion by preventing unplanned pregnancies, thereby putting women at less risk of lifelong injury or death. In 2010, the UK government strengthened its commitment to family planning as a strategy to reduce maternal mortality, marking a significant shift in the UK‟s approach to addressing the most off-track Millennium Development Goal: to improve material health. Addressing the unmet need for post-abortion family planning counselling and services to prevent repeat unplanned pregnancies remains a key part of the new developments in policy. It is therefore both vital and timely to increase understanding of the impacts of such programmes, in order to ensure that they are effective in delivering positive outcomes for women and provide value for money. This systematic review aimed to identify and synthesise the relevant research literature, thereby contributing to what is a relatively unexamined field. It addressed the question: What is the impact of post-abortion care family planning counselling and services in low-income countries on maternal mortality or morbidity, repeat induced abortions or unplanned pregnancies, or acceptance or use of contraception?

Type: Report
Title: The impact of post-abortion care family planning counselling and services in low-income countries: a systematic review of the evidence
ISBN-13: 9781907345111
Open access status: An open access version is available from UCL Discovery
Publisher version: http://eppi.ioe.ac.uk/cms/Default.aspx?tabid=3062
Language: English
Additional information: © Copyright The Authors 2011. Authors of the systematic reviews on the EPPI-Centre website (http://eppi.ioe.ac.uk/) hold the copyright for the text of their reviews. The EPPI Centre owns the copyright for all material on the website it has developed, including the contents of the databases, manuals, and keywording and data extraction systems. The centre and authors give permission for users of the site to display and print the contents of the site for their own non-commercial use, providing that the materials are not modified, copyright and other proprietary notices contained in the materials are retained, and the source of the material is cited clearly following the citation details provided. Otherwise users are not permitted to duplicate, reproduce, re-publish, distribute, or store material from this website without express written permission.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Research Institute
URI: https://discovery.ucl.ac.uk/id/eprint/1472752
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