Sexual and reproductive health

Midlevel health-care providers can provide safe abortion services

Auxiliary nurse midwife, Nepal, counsels client
The Advocacy Project
Auxiliary nurse midwife, Nepal, counsels client

March 2011 - A multicentre trial in Nepal showed that, where permitted by law, appropriately trained midlevel health-care providers can provide safe, low-technology medical abortion services for women independently from doctors. Task-shifting to midlevel health-care providers and upgrading of their skills to provide safer care in pregnancy and reproductive health could be key to achieving MDG 5.

Unsafe abortion: Estimates and prevention

Woman who attempted abortion waiting to get medical attention, with husband, Gandhi gynecological hospital. Addis Ababa, Ethiopia.
UNFPA/Marie Dorigny
Woman who attempted abortion waiting to get medical attention, with husband, Gandhi gynecological hospital. Ethiopia.

Unsafe abortion and deaths due to complications of unsafe abortion continue to afflict the lives of many women, mostly in developing countries. Unsafe abortion is the cause of serious complications and disability for millions of women each year and is a prominent cause of maternal death. Despite efforts to achieve Millennium Development Goal 5 Target 5A – reduce by three quarters the maternal mortality ratio between 1990 and 2015 – the percentage of maternal deaths due to unsafe abortion remains unchanged at 13%.

New estimates and trends regarding unsafe abortion mortality

31 August 2011- Important gains have been made in reducing maternal deaths attributable to unsafe abortion. However, 1 in 8 maternal deaths globally and 1 in 5 maternal deaths in Eastern Africa continue to be attributable to unsafe abortion. Averting these preventable deaths can contribute to achieving Millennium Development Goal number 5 of improving maternal health.

Research

HRP* conducts and supports research to map and generate policy relevant evidence, tests interventions and their impact, and improves technologies for safe abortion and post-abortion care.

*UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP)

Monitoring

An estimated 21.6 million unsafe abortions took place worldwide in 2008, almost all in developing countries. These unsafe abortions are carried out by untrained persons under poor hygiene conditions. Deaths due to unsafe abortion remain close to 13% of all maternal deaths.