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适应国家环境的世卫组织关于安全堕胎中卫生工作者角色的建议:来自印度的案例研究。

Adapting the WHO recommendations on health worker roles for safe abortion to a country setting: A case study from India.

机构信息

Ipas Development Foundation, New Delhi, India.

UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Geneva, Switzerland.

出版信息

Int J Gynaecol Obstet. 2020 Jul;150 Suppl 1(Suppl 1):55-64. doi: 10.1002/ijgo.13001.

Abstract

In 2015, the World Health Organization (WHO) published a guideline on the role of health workers in providing safe abortion and postabortion contraception, with evidence-based recommendations on the range of providers who can perform interventions to provide safe abortion, postabortion care, and postabortion contraception. The WHO guideline is global in nature and must be contextualized to individual country settings. The present paper compares the scenario in India, including the legal and policy frameworks, with the WHO guidelines. It provides legal and policy recommendations that are needed to improve access to comprehensive abortion care in India, with a focus on expanding the provider base. The process used to develop these recommendations was a combination of empirical evidence gathering and multistakeholder consultations. An outcome of this exercise was a policy brief entitled "Improving access to comprehensive abortion care in India with focus on expanding provider base," which is used as an advocacy tool.

摘要

2015 年,世界卫生组织(世卫组织)发布了一份关于卫生工作者在提供安全堕胎和堕胎后避孕方面作用的指南,其中提出了一系列有证据支持的建议,涉及可以实施干预措施以提供安全堕胎、堕胎后护理和堕胎后避孕的提供者范围。世卫组织的指南具有全球性,必须结合个别国家的情况进行调整。本文比较了印度的情况,包括法律和政策框架与世卫组织指南的情况。本文提供了必要的法律和政策建议,以改善印度全面堕胎护理的可及性,重点是扩大提供者基础。制定这些建议所使用的方法是结合实证证据收集和多方利益攸关方协商。这项工作的成果是一份题为“通过扩大提供者基础改善印度全面堕胎护理的可及性”的政策简报,该简报被用作宣传工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a59c/7540050/0509a1139bd7/IJGO-150-55-g001.jpg

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