Applying the WHO Strategic Approach to Strengthening First and Second Trimester Abortion Services in Mongolia

Abortion was made legal on request in Mongolia in 1989, following the collapse of the socialist regime, and later bound by a range of regulations. Concerned about the high number of abortions and inadequate quality of care in abortion services, the Ministry of Health applied the World Health Organiz...

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Main Authors:	Tsogt, B., Seded, K., Johnson, B. R., Strategic Assessment Team
Format:	Journal Article
Language:	EN
Published:	2012
Online Access:	http://hdl.handle.net/10986/5367

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recordtype	oai_dc
spelling	okr-10986-53672021-04-23T14:02:22Z Applying the WHO Strategic Approach to Strengthening First and Second Trimester Abortion Services in Mongolia Tsogt, B. Seded, K. Johnson, B. R. Strategic Assessment Team Abortion was made legal on request in Mongolia in 1989, following the collapse of the socialist regime, and later bound by a range of regulations. Concerned about the high number of abortions and inadequate quality of care in abortion services, the Ministry of Health applied the World Health Organization's Strategic Approach to issues related to abortion and contraception in 2003. The aim was to develop policies and programmes to reduce unintended pregnancies, mitigate complications from unsafe abortion, and improve the quality of abortion and contraception services for all socio-economic groups, including adolescents. This paper describes the changes that arose from a strategic assessment, highlighting the introduction of mifepristone-misoprostol for second trimester abortion. The aim was to replace mini-caesarean section and intra-uterine injection of Rivanol (ethacridine lactate), so that second trimester abortions could take place earlier than at 20 weeks gestation. Notional standards and guidelines for comprehensive abortion core were developed, the national pre-service training curriculum was harmonised with the new guidelines, at least one-third of the country's obstetrician-gynaecologists were trained in manual vacuum aspiration and medical abortion, and three model comprehensive abortion care units were established to provide high quality services to women, high quality training for providers and serve as nodes for further scaling up. (c) 2008 Reproductive Health Matters. All rights reserved. 2012-03-30T07:32:30Z 2012-03-30T07:32:30Z 2008 Journal Article Reproductive Health Matters 0968-8080 http://hdl.handle.net/10986/5367 EN http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Journal Article Mongolia
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	EN
geographic_facet	Mongolia
relation	http://creativecommons.org/licenses/by-nc-nd/3.0/igo
description	Abortion was made legal on request in Mongolia in 1989, following the collapse of the socialist regime, and later bound by a range of regulations. Concerned about the high number of abortions and inadequate quality of care in abortion services, the Ministry of Health applied the World Health Organization's Strategic Approach to issues related to abortion and contraception in 2003. The aim was to develop policies and programmes to reduce unintended pregnancies, mitigate complications from unsafe abortion, and improve the quality of abortion and contraception services for all socio-economic groups, including adolescents. This paper describes the changes that arose from a strategic assessment, highlighting the introduction of mifepristone-misoprostol for second trimester abortion. The aim was to replace mini-caesarean section and intra-uterine injection of Rivanol (ethacridine lactate), so that second trimester abortions could take place earlier than at 20 weeks gestation. Notional standards and guidelines for comprehensive abortion core were developed, the national pre-service training curriculum was harmonised with the new guidelines, at least one-third of the country's obstetrician-gynaecologists were trained in manual vacuum aspiration and medical abortion, and three model comprehensive abortion care units were established to provide high quality services to women, high quality training for providers and serve as nodes for further scaling up. (c) 2008 Reproductive Health Matters. All rights reserved.
format	Journal Article
author	Tsogt, B. Seded, K. Johnson, B. R. Strategic Assessment Team
spellingShingle	Tsogt, B. Seded, K. Johnson, B. R. Strategic Assessment Team Applying the WHO Strategic Approach to Strengthening First and Second Trimester Abortion Services in Mongolia
author_facet	Tsogt, B. Seded, K. Johnson, B. R. Strategic Assessment Team
author_sort	Tsogt, B.
title	Applying the WHO Strategic Approach to Strengthening First and Second Trimester Abortion Services in Mongolia
title_short	Applying the WHO Strategic Approach to Strengthening First and Second Trimester Abortion Services in Mongolia
title_full	Applying the WHO Strategic Approach to Strengthening First and Second Trimester Abortion Services in Mongolia
title_fullStr	Applying the WHO Strategic Approach to Strengthening First and Second Trimester Abortion Services in Mongolia
title_full_unstemmed	Applying the WHO Strategic Approach to Strengthening First and Second Trimester Abortion Services in Mongolia
title_sort	applying the who strategic approach to strengthening first and second trimester abortion services in mongolia
publishDate	2012
url	http://hdl.handle.net/10986/5367
_version_	1764394796637487104

Applying the WHO Strategic Approach to Strengthening First and Second Trimester Abortion Services in Mongolia

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