Research Project: Task sharing to improve post abortion care and contraceptive counselling at primary health care level- randomized control trial in Uganda and Kenya.
Project leader
Elisabeth Faxelid, INHCAR Karolinska Institutet
Project Members
Marie Klingberg Allvin Christina Danielsson-Gemzell, Kvinnor och barns hälsa Karolinska Institutet
Project Period
-
Project Status
Completed
Description
The aim is to study the safety, efficacy and effectiveness of misoprostol treatment of incomplete abortion provided to women by physicians or midlevel providers in Uganda and Kenya. Also to study women’s acceptance and experiences of the method and the outcome of post abortion contraceptive (PAC) counselling. One randomised controlled trial (RCT) among 979 women and follow-up interview study among around 400 women who have received post-abortion contraceptive counselling are planned. Women seeking treatment for incomplete spontaneous or induced abortion at six District Health Centres in central Uganda and six in Kenya are included. The main outcome for the RCT is complete abortion and for the follow-up study it is adherence to contraceptive method. Uganda has high fertility rate, 6.7 per women and low contraceptive use. Unwanted pregnancy is common and induced abortion is illegal. Unsafe abortion is responsible for significant morbidity and mortality among women in Uganda. A problem related to post-abortion care is lack of physicians in rural area and task shifting to mid level providers (MLP) could mitigate the shortage of trained health care providers. It is however important to determine if MLP can provide appropriate, safe, and cost effective PAC in rural areas. The long-term goal of this project is to provide evidence based information to develop strategies to increase women’s access to PAC at the lowest effective level in the health care system.
Keywords
Research Profile
Health and Social Welfare
Subject
Caring Science/Nursing
Financiers
Högskolan Dalarna Nationella forskarskolan i vård och omsorg, Karolinska Institutet Nationella forskarskolan i vårdvetenskap, Karolinska Instittet SIDA Vetenskapsrådet WHO
To improve our users’ experience, we use cookies on the du.se website for analytical purposes. By choosing to surf our website, you also accept the use of cookies.
