Women’s Health and Reproductive Rights Organization Sierra Leone (WHRRO) is a women-led, community-based non-governmental organization that was founded in 2013.
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Women’s Health and Reproductive Rights Organization Sierra Leone (WHRRO) is a women-led, community-based non-governmental organization that was founded in 2013.
This research highlights results from surveys and in-depth interviews conducted with maternal and child healthcare providers in Afghanistan to explore their perceptions of changes in working conditions, quality of care, and health outcomes since the Taliban takeover in August 2021.
These materials are designed for use by clinical trainers conducting brief face-to-face refresher training workshops on uterine evacuation with medications and manual vacuum aspiration (MVA). The target audience for these trainings is healthcare workers who will provide first-trimester uterine evacuation in crisis settings and have previous experience with intrauterine procedures including MVA.
This unit explains why uterine evacuation is an essential part of reproductive health services in crisis settings; explores comfort levels in discussing, advocating, and providing uterine evacuation services; and reviews the current abortion law in the setting and how it relates to what and how services are provided.
This unit explains the various uterine evacuation options and why manual vacuum aspiration (MVA) and medical methods are especially useful in crisis settings; the safety, effectiveness, and possible complications of MVA and medical methods; and the importance of uterine evacuation with MVA as a backup to uterine evacuation with medications. Additionally, it reviews medical eligibility for select methods of postabortion contraception; how to provide method options counseling and contraceptive counseling, and how to obtain informed consent prior to uterine evacuation.
This unit describes how to conduct a clinical assessment before uterine evacuation with medicines and/or MVA, including for postabortion care. Additionally, it reviews medical eligibility, contraindications, and precautions for uterine evacuation with medicines and/or MVA.
This unit explains recommended mifepristone and/or misoprostol regimens, the essential information to provide, and the expected effects, side effects, and warning signs of uterine evacuation with mifepristone and/or misoprostol. Additionally, it describes the potential complications of uterine evacuation with mifepristone and/or misoprostol and complications management as well as post-procedure care and follow-up.
This unit discusses the facts and features of the Ipas MVA Plus® and Ipas EasyGrip Cannulae® and how to process MVA instruments in accordance with local regulations and with locally available products/systems. Additionally, it reviews the steps of providing uterine evacuation with Ipas MVA Plus®, how to resolve common technical problems, and how to develop a pain management plan with the woman that is sensitive to her situation. Lastly, the unit discusses elements of post-procedure care and referrals to other reproductive health services.
This unit describes how to identify signs and symptoms of severe abortion-related complications, including shock and management for complications.
This unit describes monitoring and its importance in improving abortion-related services; the general steps for integrating abortion-related services into existing sexual and reproductive health programs; and developing a work plan to ensure effective supply management, the sustainability of uterine evacuation services, and ongoing training/mentoring needs.
This unit analyzes how the training met participants’ expectations and the course objectives.
Participants of Uterine Evacuation in Crisis Settings Using Medications and Manual Vacuum Aspiration should review this list of resources and references from IAWG and our external partners.
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