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Chapter 32 - Abortion Training and Integration of Legal Services in the Public Health System of Mexico City

from Section IV - Reproductive Health Services & Abortion Training: Global Examples

Published online by Cambridge University Press:  30 July 2021

Uta Landy
Affiliation:
University of California, San Francisco
Philip D Darney
Affiliation:
University of California, San Francisco
Jody Steinauer
Affiliation:
University of California, San Francisco
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Summary

We describe a collaborative training program aimed at improving access to and quality of integral abortion care, with a focus on the legally induced termination of pregnancy (ToP) program (ILE in Spanish) in Mexico City, after its decriminalization in 2007.Where legal framework is altogether or severely restricted, formal teaching and training for medical and nurse students is extremely poor, and access to recommended surgical and medical technologies is limited. On the contrary, where the law favors ample access to the procedure, updated, evidence-based guidelines and protocols usually ensue. In Mexico City, training health professionals immediately followed, and even preceded, legal changes, with in-service person-to-person trainings up to a mentoring and a Training of Trainers (ToT) modality, which presently assure that 100% of ILEs are done with recommended technologies. Training in abortion and related care, should ideally be integrated in pre-service curricula, to assure its sustainability and eliminate related stigma.

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Chapter
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Advancing Women's Health Through Medical Education
A Systems Approach in Family Planning and Abortion
, pp. 321 - 330
Publisher: Cambridge University Press
Print publication year: 2021

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References

Raymond, EG, Grimes, DA. The comparative safety of legal induced abortion and childbirth in the United States. Obstet Gynecol. 2012;119(2 Pt 1):215219.Google Scholar
Schiavon, R, Troncoso, E, Polo, G. Use of health system data to study morbidity related to pregnancy loss. In Singh, S, Remez, L, Tartaglione, A (Eds.), Methodologies for Estimating Abortion Incidence and Abortion-Related Morbidity and Mortality: A Review. New York and Paris: Guttmacher Institute, IUSSP; 2010:147163. www.guttmacher.org/pubs/compilations/IUSSP/IUSSP-Chapter11.pdfGoogle Scholar
Schiavon, R, Troncoso, E, Polo, G. Analysis of maternal and abortion-related mortality in Mexico in the last two decades, 1990–2008. Int J Obst Gynecol. 2012;118(Suppl 2):S78–86.CrossRefGoogle ScholarPubMed
Darney, BG, Fuentes-Rivera, E, Polo, G, Saavedra-Avendaño, B, Alexander, LT, Schiavon, R. Con la ley y sin la ley/With and without the law: utilization of abortion services and case fatality in Mexico, 2000–2016. Int J Gynecol Obstet. 2020;148(3):369374. doi:10.1002/ijgo.13077CrossRefGoogle Scholar
Schiavon, R, Troncoso, E. Inequalities in access to and quality of abortion services in Mexico: can task-sharing be an opportunity to increase legal and safe abortion care? Int J Gynecol Obstet. 2020;(Suppl). doi:10.1002/ijgo.13002Google Scholar
WHO. Clinical Practice Handbook for Safe Abortion. Geneva: World Health Organization; 2014. www.who.int/reproductivehealth/publications/unsafe_abortion/clinical-practice-safe-abortion/en/Google Scholar
Turner, KL, Huber, A. (Eds.). Woman-Centered, Comprehensive Abortion Care: Reference Manual, 2nd ed, Chapel Hill, NC: Ipas; 2013. https://ipas.azureedge.net/files/ACREFE16-WomenCenteredCACReferenceManual.pdfGoogle Scholar
Turner, KL, Page, KC. Abortion Attitude Transformation: A Values Clarification Toolkit for Global Audiences. Chapel Hill, NC: Ipas.; 2008. https://ipas.azureedge.net/files/VALCLARE14-VCATAbortionAttitudeTransformation.pdfGoogle Scholar
Rogers, C, Dantas, JAR. Access to contraception and sexual and reproductive health information post-abortion: a systematic review of literature from low- and middle-income countries. J Fam Plann Reprod Health Care. 2017; 43(4):309318. doi:10.1136/jfprhc-2016-101469)Google Scholar
Official Diary of Federal District. Notice to Inform about the Second Update of Essential and Institutional Drug List of Federal District Ministry of Health; August 16, 2011 [in Spanish]. www.ordenjuridico.gob.mx/Documentos/Estatal/Distrito%20Federal/wo64068.pdfGoogle Scholar
Turner, KL, Börjesson, E, Huber, A, Mulligan, C. 2011. Abortion Care for Young Women: A Training Toolkit. Chapel Hill, NC: Ipas. www.ipas.org/resources/abortion-care-for-young-women-a-training-toolkitGoogle Scholar
Renner, RM, de Guzman, A, Brahmi, D. Prestación de Servicios de Aborto Para Adolescentes y Jóvenes: Revisión Sistemática Ipas Bolivia; 2014.Google Scholar
Ipas NC. The Clinical Updates in Reproductive Health. www.ipas.org/clinical-updates/Google Scholar
Aspiración manual endouterina: ¡aprende el procedimiento! Online video clip. https://youtu.be/JOzVIc8G1T0 https://www.ipasmexico.org/recursos/Google Scholar
Turner, KL, Huber, A. Clinical Mentoring and Provider Support for Abortion-Related Care. Chapel Hill, NC: Ipas; 2014. www.ipas.org/resources/clinical-mentoring-and-provider-support-for-abortion-related-careGoogle Scholar
Becker, D, Diaz-Olavarrieta, C. Decriminalization of abortion in Mexico City: the effects on women’s reproductive rights. Am J Public Health. 2013;103(4):590593.Google Scholar
Mexico City Ministry of Health. Legal Termination of Pregnancy. Statistics April 2007–September 2019 [in Spanish]. http://ile.salud.cdmx.gob.mx/wp-content/uploads/Interrupcion-Legal-del-Embarazo-Estadisticas-2007-2017-26-de-septiembre-2019.pdfGoogle Scholar
Saavedra-Avendano, B, Schiavon, R, Sanhueza, P, Rios-Polanco, R, Garcia-Martinez, L, Darney, BG. Who presents past the gestational age limit for first trimester abortion in the public sector in Mexico City? PLoS ONE. 2018;13(2):e0192547. https://doi.org/10.1371/journal.pone.0192547Google Scholar
Alexander, L., Fuentes, E, Saavedra-Avendaño, B., et al. Utilisation of second-trimester spontaneous and induced abortion services in public hospitals in Mexico, 2007–2015. BMJ Sex Reprod Health. 2019;45:283289. DOI:10.1136/bmjsrh-2018-200300Google Scholar
RamaRao, S, Townsend, JW, Diop, N, Raifman, S. Postabortion care: going to scale. Int Perspect Sex Reprod Health. 2011;37(1):4044.Google Scholar
National Academies of Sciences, Engineering, and Medicine. Strengthening the Connection between Health Professions Education and Practice: Proceedings of a Joint Workshop. Washington, DC: The National Academies Press; 2019. doi.org/10.17226/25407Google Scholar

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