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Uterine Evacuation in Crisis Settings Using Medications


The Uterine Evacuation in Crisis Settings Using Medications outreach refresher training is designed for clinical facilitators leading an introductory or refresher course for clinicians with reproductive health backgrounds. This includes midwives, nurses, general practice physicians, obstetrician/gynecologists, and others who will provide first-trimester uterine evacuation in crisis settings, but may not be trained in the use of mifepristone and/or misoprostol for uterine evacuation. Participating health care workers will learn the knowledge and skills to provide uterine evacuation with medications.

This course focuses on the use of medications, rather than comprehensive abortion or postabortion care. It does not cover the use of manual vacuum aspiration (MVA) for uterine evacuation unless combined with the Uterine Evacuation in Crisis Settings using Manual Vacuum Aspiration training for a combined course in both technologies. For broader training materials on comprehensive abortion care and comprehensive postabortion care, refer to the Ipas Woman-Centered, Comprehensive Abortion Care Facilitator’s Manual (2nd ed.) and other Ipas curricula on the Ipas website.

Additionally, the training includes discussions and activities that promote the sustainability of services and address ongoing training needs where there is high staff turnover. The course is designed for in-person training workshops in crisis settings with limited resources. The training can take place onsite or offsite in a nearby referral facility.

Course Materials


Course components include:

  1. Presentation slides
  2. Case studies
  3. Interactive activities
  4. Pre- and post-tests
  5. Skills checklists and other job-aids

Options to Download Course Materials

You can access the materials for planning and managing the Clinical Management of Sexual Violence Survivors in Crisis Settingsoutreach refresher training using the following links:

Course Units

The training is divided into seven units.

Feedback on the Training Materials

The IAWG Training Partnership Initiative is interested in hearing from you. Please share any questions or feedback to info.iawg@wrcommission.org regarding the training materials and their use in your context.

Sexual and reproductive health services remain critical during COVID-19

IAWG members and partners are producing clinical and programmatic guidance, assessments, policy papers, and statements to ensure continued prioritization of sexual and reproductive health and rights throughout COVID-19 response in humanitarian settings.