A project to improve the quality of abortion services in Moldova.

Abstract:

:Abortion has been available legally in Moldova since 1955, and since then the abortion rate has gradually declined. The quality of abortion care remains low, however, and there is a high level of maternal mortality related to unsafe abortion. The goals of the 2005-2015 National Reproductive Health Strategy are to reduce unwanted pregnancy, reduce abortion-related morbidity and mortality, improve access to and quality of abortion care, including the methods of vacuum aspiration and medical abortion. This paper presents information on the current abortion law, policy and services in Moldova. It describes a project whose aim is to improve the quality of abortion services, including the introduction of medical abortion through training of service providers and community education. Manual vacuum aspiration has also recently been introduced. The drugs for medical abortion are officially approved, a clinical study evaluating the efficacy and acceptability of medical abortion in a low-resource setting has been completed, and training of providers has been carried out. However, institutionalisation of medical abortion faces many problems in relation to organisation of service delivery, the higher cost of medical than aspiration abortion, and doctors' reluctance to use new methods.

journal_name

Reprod Health Matters

authors

Comendant R

doi

10.1016/S0968-8080(05)26206-7

subject

Has Abstract

pub_date

2005-11-01 00:00:00

pages

93-100

issue

26

eissn

0968-8080

issn

1460-9576

pii

S0968-8080(05)26206-7

journal_volume

13

pub_type

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