The Past, Present and Future of Safe Abortion Care in MSF OCB

The Past, Present and Future of Safe Abortion Care in MSF OCB The Past, Present and Future of Safe Abortion Care in MSF OCB a multi-centric sequential mixed-methods analysis, 2018 - 2020 Isabel Corthier/MSF OPERATIONAL RESEARCH DAY, Brussels – 4 June 2021 Unsafe abortions persist A yearly burden of: ❖22,800 deaths* ❖7 million hospitalizations* * Source: Guttmacher Institute Isabel Corthier/MSF OPE. [...] OPERATIONAL RESEARCH DAY, Brussels – 4 June 2021 “I am so proud of MSF… Theme 1: and how far we have come as an organization” Key Trends and Achievements in 23515 SAC Requests 18528 1621 3274 6 not pregnant Provided by MSF Referred to Partner not provided 86 not recorded 78.9% 6.9% 13.9% 50.3% over GA limit used in project but <22 weeks 38.3% not recorded 11.0% mix other reasons 100% Theme 1: 90%. [...] [Later in the interview] I feel comfortable… because there are materials available…” Provider, NS Theme 3: HR for health “Anyone can provide – as long as they are trained” Theme 4: • 8 incidents with impact on Operational Implications for project or service users SAC • Impact: • Change of patient flow, • reduced access to SAC services (e.g. [...] implementing criteria related to gestational age and maximum numbers of SAC/day), • temporary suspension of provision • reverting from provision by national staff to international staff 40 SAC provided in Country ATheme 4: Operational 35 Implications for 30 SAC 25 20 15 10 5 0 SAC provided Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19 Apr-. [...] • Include non-medical staff in SAC • Operational recommendations • Start providing 2nd trimester abortions • Embrace innovative models of care for SAC OPERATIONAL RESEARCH DAY, Brussels – 4 June 2021 Thank you very much Questions? Isabel Corthier/MSF Contact: safe-abortion-care@msf.org OPERATIONAL RESEARCH DAY, Brussels – 4 June 2021.