Category

Subcategory

Strategies and facilitators

Ref.

Law and health system

Abortion laws and justice system.

Political will regarding abortion.

Equality of the access to the laws to all women.

Creation of laws to improve social barriers for the access to abortion and gender inequality.

Laws to facilitate the access to abortion (transportation of women, reduction of the number of visits required). Legislation for increasing the availability of abortion services and supplies. Approval of abortion medication (misoprostol and mifepristone). Adolescents’ autonomy for decision making.

[27]

[16]

[16]

[13] [30]

[16] [29]

[29]

[18]

Health system norms and standards

Consultation of women and general population about their acceptance of abortion. Supervision of the quality of abortion services.

Creation of national abortion provision standards and protocols. Ensure privacy and confidentiality of women during all steps of abortion care.

Strengthen pre and post abortion counselling.

[12]

[20] [27]

[18] [24] [27]

[18]

[21] [24] [29]

Access to safe abortion services.

Providers’ attitudes.

Task shifting from specialized to mid-level providers (also increases availability).

[16] [21]

Normalizing abortion as a health service.

[24] [27]

Values clarification workshops.

[21] [24] [27]

Provider training and support.

Education about the abortion legislation for health managers.

[27]

Greater advocacy of legal abortion in the health system and to the society.

[27]

Education of health personnel including: legislation, requirements to access to abortion, surgical and medical abortion procedures.

[13] [20] [21] [24] [26] [27] [28] [29]

Expose providers to the international abortion standards and declarations.

[27]

Training about pre and post abortion counselling.

[24] [30]

Training of pharmacists on how to deal with women looking for abortion services.

[24]

Abortion-specialized centers.

[21]

Availability.

Promotion of facilities that provide abortion (e.g. abortion logo for facilities in

Vietnam).

[27]

Increase the involvement of the public sector in provision of the service.

[31]

Abortion provision on weekends and after work hours.

[30]

Reduce waiting times.

[30]

Distribution.

Increasing the number of abortion providers, especially in rural areas.

[16] [24]

Affordability.

Reduction and standardization of costs.

[13]

Lower cost for poor women.

[13] [16]

Promote the use of medical abortion.

[31]

Reimburse for unused medication on follow up.

[29]

No charge for follow up visits.

[29]

Women’s abortion care seeking behavior.

Attitudes towards looking for services.

Empowerment of women (increase economic and decision independence).

[13] [31]

Increase awareness about unsafe abortion.

[31]

Knowledge of services.

Education of general population about: abortion legislation, providers, methods and risks.

[14] [19] [20] [29] [31]

Clarification of misconceptions about abortion to the general population.

[19] [24]

Design of educational material that is understandable for all population (including illiterate women).

[31]