Department of Obstetrics and Gynecology, Makerere University College of Health Services, Kampala, Uganda.
Int J Gynaecol Obstet. 2010 Jul;110 Suppl:S25-9. doi: 10.1016/j.ijgo.2010.04.006. Epub 2010 May 7.
This article describes the goals and activities included in the national plans of action for the prevention of unsafe abortion. With broad variability, all were in line with the initiative's purpose of contributing to reduce the number of women who have unplanned pregnancies and induced abortions, as well as the maternal mortality and morbidity associated with unsafe abortion. The interventions proposed can be classified in 5 groups: (1) to work toward better national policies through obtaining and disseminating accurate evidence-based data on abortion and to sensitize policy makers and health professionals on issues pertaining to unsafe abortion; (2) to reduce the number of unplanned/unwanted pregnancies by increasing the use of modern contraceptive methods, introducing or improving sex education, and improving adolescent-friendly reproductive health services; (3) to make induced abortion safer by making adequate abortion services available, within the full extent of the national laws, and promoting access to safe abortion; (4) to improve postabortion care, including postabortion contraception; and (5) to reduce the need to resort to abortion by working on facilitating the process of adoption. The proportions of plans that include each of these interventions are described, as well as some regional differences.
本文描述了预防不安全人工流产的国家行动计划中的目标和活动。尽管存在广泛的差异,但所有计划都符合该倡议的宗旨,即有助于减少意外怀孕和人工流产的妇女数量,以及与不安全人工流产相关的孕产妇死亡率和发病率。所提出的干预措施可以分为 5 组:(1)通过获取和传播有关堕胎的准确循证数据,努力制定更好的国家政策,并使政策制定者和卫生专业人员了解与不安全堕胎有关的问题;(2)通过增加现代避孕方法的使用、引入或改进性教育以及改善青少年友好型生殖健康服务,减少意外/不想要的怀孕数量;(3)通过在国家法律允许的范围内提供充分的堕胎服务,并促进安全堕胎的获得,使人工流产更安全;(4)改善流产后护理,包括流产后避孕;(5)通过努力促进收养过程,减少对堕胎的需求。本文描述了这些干预措施中的每一项在计划中所占的比例,以及一些区域差异。