Annual Report for 2018 January 2019
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The Fight Hidden in Plain Sight
THE FIGHT HIDDEN IN PLAIN SIGHT SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS IN CENTRAL AND EASTERN EUROPE AND CENTRAL ASIA Table of contents: Introduction 5 Albania 6 Armenia 14 Belarus 22 Bosnia and Herzegovina 32 Bulgaria 38 Croatia 44 Georgia 52 Kazakhstan 60 Attribution-NonCommercial-NoDerivatives 4.0 International Latvia 64 Introduction: Antonina Lewandowska North Macedonia 68 Proof reading: Joel Henderson Cover and layout design: Julia Karwan-Jastrzębska, Joanna Meuś Moldova 76 ISBN 978-83-88-568-67-1 Published by: ASTRA Network Secretariat Poland 82 Nowolipie 13/15, 00-150, Warsaw, Poland Warsaw, Poland, 2020 Romania 92 Publication of this report was possible due to financial support of International Women’s Health Coalition. Russia 100 Introduction The year 2019 marked ASTRA Network’s 20th international attention, just like Polish Black anniversary of existence. For two decades, we Protest or Slovak Nebudeme Ticho to name have been monitoring the situation of sexual the latest ones, have had the power to stop and reproductive health and rights in Central draconian laws and keep the legislature intact. and Eastern Europe and Central Asia. Our However, Poland and Slovakia are not the only work focuses on supporting grassroot organ- ones that can mobilize the people – similar isations in the region and providing them initiatives, often organized or coordinated with opportunities to forward their work by ASTRA Network member organisations, even further – including the international were attended by tens of thousands in differ- arena. Our members are amazing actors in ent countries of the region as well. Activists their home countries, who do game-chang- defending human rights are fighting relent- ing grassroot work on community organizing, lessly to not let the far-right and religious providing healthcare and education, mobiliz- fundamentalists alter the system. -
MEDICATION ABORTION Overview of Research & Policy in the United States
MEDICATION ABORTION Overview of Research & Policy in the United States Liz Borkowski, MPH Julia Strasser, MPH Amy Allina, BA Susan Wood, PhD Bridging the Divide: A Project of the Jacobs Institute of Women’s Health December 2015 CONTENTS INTRODUCTION ................................................................................................................... 2 OVERVIEW OF MEDICATION ABORTION ...................................................................... 2 MECHANISM OF ACTION .............................................................................................................................. 2 SAFETY AND EFFICACY ................................................................................................................................. 4 FDA DRUG APPROVAL PROCESS ....................................................................................... 6 FDA APPROVAL OF MIFEPREX ................................................................................................................... 6 GAO REVIEW OF FDA APPROVAL PROCESS FOR MIFEPREX ................................................................ 8 MEDICATION ABORTION PROCESS: STATE OF THE EVIDENCE ............................ 9 FDA-APPROVED LABEL ............................................................................................................................... 9 EVIDENCE-BASED PROTOCOLS FOR MEDICATION ABORTION ........................................................... 10 Dosage ....................................................................................................................................................... -
Self-Assessment of the Outcome of First Trimester Medical Abortion Compared to Routine Clinic Follow-Up: a Systematic Review
Faculty of Health Science. Department of Community Medicine Self-assessment of the outcome of first trimester medical abortion compared to routine clinic follow-up: A systematic review Nikita Baiju Master’s Thesis in Public Health, HEL-3950 Supervisor: Professor Rigmor C. Berg. Department of Community Medicine. UiT-The Arctic University of Norway Co-Supervisor: Professor Dr. Ganesh Acharya. Women's Health and Perinatology Research Group. Department of Clinical Medicine. UiT-The Arctic University of Norway May 15, 2017 ACKNOWLEDGEMENT The entire process of this research project, starting from topic selection to the point of writing the report, was not an easy task. It would not have been possible without the help and support of numerous individuals, professors, friends, and family. I am privileged to have the opportunity to work on this dissertation. Therefore, I would like to express my sincere gratitude to the Department of Community Medicine, UiT-The Arctic University of Norway, for entrusting me with this project. I would like to express my sincere thanks and indebtedness to my supervisor, Professor Rigmor C. Berg, for her expert guidance and constant supervision, ever-abiding encouragement and timely help. Her tactful suggestions and her belief in me that this review is completely doable within this short time period have encouraged me to complete this review successfully. I would also like to thank my co-supervisor, Professor Dr. Ganesh Acharya, for his guidance and unconditional support in this thesis work. I cannot thank enough the search experts Eirik Reierth and Grete Overvåg from UiT-The Arctic University of Norway and Lien Nguyen from National Institute of Public Health for their expert advice and indispensable help in developing the search strategy for this systematic review. -
Integrating Self-Managed Medication Abortion with Medical Care: a Briefing Paper
INTEGRATING SELF-MANAGED MEDICATION ABORTION WITH MEDICAL CARE: A BRIEFING PAPER April 26, 2021 EXECUTIVE SUMMARY This briefing document about self managed medication abortion (SMMA) offers a framework that emphasizes context and integration of SMMA with medical care. It was written in 2020 by Global Doctors for Choice, an international network of physicians who advocate for reproductive health care and rights. Its primary goal is to provide physicians and other healthcare providers with a synthesis of evidence from around the world to inform their clinical practice and their advocacy. The advent of medication abortion has enabled some women to end their pregnancies with little or no clinician involvement. There are a range of perspectives on self-managed medication abortion. Some emphasize the liberatory advances for women’s autonomy, others are concerned about possible adverse health consequences. Since Global Doctors for Choice supports doctors working in different contexts around the world, this document highlights clinical concerns and advocacy opportunities for clinicians in both low- and high-resource settings, and in places with varying legal and administrative restrictions on abortion. Several recent global developments are salient. During to the Covid-19 pandemic, access to abortion care has been compromised, pushing health systems to adopt more self-managed care options. Over the past several years, medical standard setting bodies have endorsed “patient centered care,” which is respectful and responsive to patient preferences, needs and values, and supports patient participation in their own care, be it diabetes, asthma, or labor and delivery. Concurrently, distrust and dismissal of science and scientists has surged across a wide range of issues, from climate change, to vaccines, to wearing masks during the Covid-19 pandemic. -
University of Southampton Research Repository Eprints Soton
University of Southampton Research Repository ePrints Soton Copyright © and Moral Rights for this thesis are retained by the author and/or other copyright owners. A copy can be downloaded for personal non-commercial research or study, without prior permission or charge. This thesis cannot be reproduced or quoted extensively from without first obtaining permission in writing from the copyright holder/s. The content must not be changed in any way or sold commercially in any format or medium without the formal permission of the copyright holders. When referring to this work, full bibliographic details including the author, title, awarding institution and date of the thesis must be given e.g. AUTHOR (year of submission) "Full thesis title", University of Southampton, name of the University School or Department, PhD Thesis, pagination http://eprints.soton.ac.uk UNIVERSITY OF SOUTHAMPTON Faculty of Social and Human Sciences School of Social Sciences NATURAL CONTRACEPTIVE USE IN A MODERN POPULATION: CORRELATES, FERTILITY TIMING AND EFFICACY AMONG USERS IN MOLDOVA Mark James Lyons-Amos Thesis for the degree of Doctor of Philosophy April 2012 i Abstract This thesis investigates the dynamics of natural contraceptive method use in a low fertility setting in contemporary Eastern Europe. Natural contraception was one of the key drivers of European fertility transition and still accounts for a large proportion of current method use in the developing world as well as in the Eastern Europe. Nonetheless, little systematic research on natural method use exists in contemporary demographic literature. This thesis focuses on the post-Socialist republic of Moldova- the poorest country in Europe. -
The FIAPAC Newsletter, April 2019 Editorial. Table of Content
The FIAPAC Newsletter, April 2019 Table of content 2 Executive Committee, Membership, Official seat 3 2020 Conference Berlin 4 SheDecides 5 Interesting links, MyBodyMyLife exhibition 6 Cochrane fertility regulation 7 News from FIAPAC (board)members Editorial. Dear FIAPAC Members, colleagues and friends, The new FIAPAC board met in Brussels on 9 March 2019 and I am pleased to report that the recent congress in Nantes in September 2018, was not just a huge success but also a small financial success. As part of the board business the new executive committee was established and essentially will provide the same stable team for the next two years. FIAPAC is now looking forward to the next congress and the board voted overwhelming that this be held in Berlin in the autumn 2020. Berlin is a vibrant city with excellent conference and leisure facilities. In addition, there is increasing pressure from providers, policy makers and civil rights groups to improve reproductive rights for women in Germany and so hosting FIAPAC in Berlin will give support to future developments in this area. The exact dates for the 2020 confer- ence remain to be confirmed (pending availability and cost of a sufficiently large venue that can meet the requirements of a conference of our size and diversity). We will of course send news of dates to all members as soon as dates are secured. In the meantime we are about to prepare the scientific programme and so we are asking mem- bers to send us ideas for topics, speakers, workshops or other formats for the congress that they feel may be of interest - by the end of May. -
Strengthening Medical Abortion in South Africa
Strengthening medical abortion in South Africa By Deborah Constant CNSDEB001 B.Sc (Phys), B.Sc Hons (Anat), M.Sc (Anat), MPH Thesis presented for the degree of Doctor of Philosophy in the School of Public Health and Family Medicine Faculty of Health Sciences UNIVERSITY OF CAPE TOWN August 2016 University of Cape Town Main Supervisor: Co-supervisor: Associate Professor Jane Harries Professor Landon Myer School of Public Health and Family Medicine School of Public Health and Family Medicine University of Cape Town University of Cape Town i The copyright of this thesis vests in the author. No quotation from it or information derived from it is to be published without full acknowledgement of the source. The thesis is to be used for private study or non- commercial research purposes only. Published by the University of Cape Town (UCT) in terms of the non-exclusive license granted to UCT by the author. University of Cape Town DECLARATION I, Deborah Constant, hereby declare that the work on which this thesis is based is original research and that neither the whole work nor any part of it has been, is being, or is to be submitted for another degree in this or any other university. The contents of this thesis are entirely the work of the candidate, or, in the case of multi- authored published papers and manuscripts prepared for publication, constitutes work for which the candidate was the lead author. The contribution of the candidate to multi- authored works is outlined in the preface to the thesis and in the introduction to each included paper and manuscript. -
Simplified Medical Abortion Screening: a Demonstration Project☆,☆☆,★ ⁎ Elizabeth G
Contraception xx (2017) xxx–xxx Original research article Simplified medical abortion screening: a demonstration project☆,☆☆,★ ⁎ Elizabeth G. Raymonda, , Yi-Ling Tana, Rodica Comendantb, Irina Sagaidacb, Stelian Hodorogeab, Melissa Grantc, Patricio Sanhuezad, Emigdio Van Prattd, Ginger Gillespiee, Christy Boraasf, Mark A. Weaverg, Ingrida Plataisa, Manuel Bousiegueza, Beverly Winikoffa aGynuity Health Projects, New York, NY 10010, USA bReproductive Health Training Center, Moldova cCarafem, Chevy Chase, MD dSecretariat of Health, Mexico City eInstitute for Family Health, New York fPlanned Parenthood Minnesota, North Dakota, South Dakota, Minneapolis, MN gUniversity of North Carolina at Chapel Hill, NC Received 16 August 2017; revised 6 November 2017; accepted 11 November 2017 Abstract Objectives: The objectives were to evaluate the safety and acceptability of outpatient medical abortion in selected women without a pretreatment ultrasound or pelvic examination. Study design: We conducted a prospective case-series study to estimate the incidence of serious adverse events (death, life-threatening event, hospitalization, transfusion or any other medical problem that we judged to be significant), surgical completion of the abortion and satisfaction in women provided with medical abortion without a pretreatment ultrasound or pelvic examination. We enrolled 406 women requesting medical abortion in Moldova, Mexico and the United States. To be eligible, a woman must have been certain that her last menstrual period started within the prior 56 days, have had regular menses before the pregnancy, not have used hormonal contraceptives in the prior 2 months (in the United States and Mexico) or 3 months (in Moldova), have no risk factors for or symptoms of ectopic pregnancy, and not have had an ultrasound or pelvic exam in this pregnancy. -
Randomized Trial Assessing Home Use of Two Pregnancy Tests For
CORE Metadata, citation and similar papers at core.ac.uk Provided by Elsevier - Publisher Connector Contraception 94 (2016) 115–121 Original research article Randomized trial assessing home use of two pregnancy tests for determining early medical abortion outcomes at 3, 7 and 14 days after mifepristone☆ ⁎ Jennifer Bluma, , Wendy R. Sheldona, Nguyen Thi Nhu Ngocb, Beverly Winikoffa, Nguyen Thi Bach Ngac, Roxanne Martina, Le Van Thanhd, Paul D. Blumenthala aGynuity Health Projects, New York, NY bCenter for Research Consultancy in Reproductive Health, Ho Chi Minh City, Vietnam cHung Vuong Hospital, Ho Chi Minh City, Vietnam dHocMon General District Hospital, Ho Chi Minh City, Vietnam Received 20 October 2015; revised 1 April 2016; accepted 4 April 2016 Abstract Objective: To evaluate the accuracy, feasibility and acceptability of two urine pregnancy tests in assessing abortion outcomes at three time points after mifepristone administration. Study design: This randomized trial enrolled women seeking early medical abortion at two hospitals in Vietnam. Investigators randomly allocated participants to at-home administration of a multilevel urine pregnancy test (MLPT) or a high sensitivity urine pregnancy test (HSPT) to assess their abortion outcomes. A baseline test was administered on the same day as mifepristone. Participants performed and interpreted results of pregnancy tests taken 3, 7 and 14 days after mifepristone. Ultrasound exam determined continuing pregnancy. Results: Six hundred women enrolled, and 300 received each test. A percentage of 97.4 (584) had follow-up, of whom 13 women had continuing pregnancies. The specificity of MLPT at detecting absence of continuing pregnancy was 63.9%, 90.4% and 97.1% at study day 3, 7 and 14. -
Togo) : Évolution, Facteurs Associés Et Perceptions
Université de Montréal Recours à l’avortement provoqué à Lomé (Togo) : évolution, facteurs associés et perceptions Par Afiwa N’BOUKE Département de démographie Faculté des arts et des sciences Thèse présentée à la Faculté des études supérieures et postdoctorales en vue de l’obtention du grade de Philosophiae Doctor (Ph. D.) en Démographie Juillet 2011 © Afiwa N’BOUKE, 2011 Library and Archives Bibliothèque et Canada Archives Canada Published Heritage Direction du Branch Patrimoine de l'édition 395 Wellington Street 395, rue Wellington Ottawa ON K1A 0N4 Ottawa ON K1A 0N4 Canada Canada Your file Votre référence ISBN: 978-0-494-81054-5 Our file Notre référence ISBN: 978-0-494-81054-5 NOTICE: AVIS: The author has granted a non- L'auteur a accordé une licence non exclusive exclusive license allowing Library and permettant à la Bibliothèque et Archives Archives Canada to reproduce, Canada de reproduire, publier, archiver, publish, archive, preserve, conserve, sauvegarder, conserver, transmettre au public communicate to the public by par télécommunication ou par l'Internet, prêter, telecommunication or on the Internet, distribuer et vendre des thèses partout dans le loan, distrbute and sell theses monde, à des fins commerciales ou autres, sur worldwide, for commercial or non- support microforme, papier, électronique et/ou commercial purposes, in microform, autres formats. paper, electronic and/or any other formats. The author retains copyright L'auteur conserve la propriété du droit d'auteur ownership and moral rights in this et des droits moraux qui protege cette thèse. Ni thesis. Neither the thesis nor la thèse ni des extraits substantiels de celle-ci substantial extracts from it may be ne doivent être imprimés ou autrement printed or otherwise reproduced reproduits sans son autorisation. -
Abortion Issue in Croatia
“GREY AREA”: ABORTION ISSUE IN CROATIA ABSTRACT: This paper involves analysis and mapping of relevant stakeholders, legislation, policy and practice of the issue of abortion on demand in the Republic of Croatia in year 2014, with the aim of obtai- ning better insights and contributing to the understanding of the overall situation. Data collection methods that were used included focus group discussion, individual semi-structured interviews, written submissions and statements. Questions and problems related to the abortion issue belong to the “grey area”, thus characterized by: inadequate state regulation, deficiencies in the aborti- on records, cases of medical corruption and official misconduct, variability of medical treatment (high) cost on regional and hospital level and the incidence of conscientious objection. With all of the above, as well as with traditional, patriarchal stigmatization of women who voluntarily termi- nate pregnancy, along with current neoconservative threats - the accessibility and safety of legal abortions in Croatia is difficult. Further difficulties are the result of the indifference of managing structures of the health care system that do not accept responsibility for the failures in regulation and supervision. In the current situation, it is essential that the Ministry of Health and other rele- vant stakeholders in the health sector take affirmative actions to promote the options for materia- lisation of women’s reproductive rights. Given the findings of this study, with the aim of achieving the accessibility and safety of abortion on demand, it is necessary to ensure the accessibility of the procedure in all qualified institutions - regulate cases of conscientious objection, sanction abortion procedures in private gynaecological practices, standardize procedures and costs, and make all information (on procedures, costs ...) available on the Internet. -
Covid- 19 Pandemic and the Protection of the Right to Abortion
UDK 34-055.2: 616-036.21 Original scientific article COVID- 19 PANDEMIC AND THE PROTECTION OF THE RIGHT TO ABORTION Ivana Tucak, PhD, Associate Professor Josip Juraj Strossmayer University of Osijek, Faculty of Law Stjepana Radića 13, Osijek, Croatia [email protected] Anita Blagojević, PhD, Associate Professor Josip Juraj Strossmayer University of Osijek, Faculty of Law Stjepana Radića 13, Osijek, Croatia [email protected] ABSTRACT The COVID - 19 pandemic that swept the world in 2020 and the reactions of state authorities to it are unparalleled events in modern history. In order to protect public health, states have limited a number of fundamental human rights that individuals have in accordance with national constitutions and international conventions. The focus of this paper is the right of access to abortion in the Member States of the European Union. In Europe, the situation with regard to the recognition of women’s right to abortion is quite clear. All member states of the European Union, with the exception of Poland and Malta, recognize the rather liberal right of a woman to have an abortion in a certain period of time after conception. However, Malta and Poland, as members of the European Union, since abortion is seen as a service, must not hinder the travel of women abroad to have an abortion, nor restrict information on the provi- sion of abortion services in other countries. In 2020, a pandemic highlighted all the weaknesses of this regime by preventing women from traveling to more liberal countries to perform abortions, thus calling into question their right to choose and protect their sexual and reproductive rights.