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Increasing Access to Safe, Comprehensive Abortion Care Services in Northern and Upper East Region of Ghana: The Pathfinder International Community Approach
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Saving Young Lives: Pathfinder International’s Youth-Friendly Postabortion Care Project
Full text linkAs many as 2.5 million adolescent women seek abortion each year, and nearly 70,000 women
die from complications related to unsafe abortion, of which almost half are women under the
age of 25. A further 5 million women suffer disability due to unsafe abortion yearly. In most
developing countries, abortion is legally restricted or highly inaccessible, which leads young women
to seek services from unskilled practitioners often leading to incomplete, septic abortions and
massive bleeding, which can result in permanent injury, infertility, and death.
Based on our deeply held belief that all people, including adolescents, have a right to sexual and
reproductive health services and the importance of addressing adolescent needs within Postabortion
Care (PAC) services, Pathfinder used private funds to initiate a Youth-Friendly Postabortion Care
(YFPAC) program in eight sub-Saharan African countries. Implemented between June 2007 and
May 2008, the YFPAC program offered an opportunity to apply the PAC Consortium’s Technical
Guidance on Youth-Friendly PAC, generating promising approaches and lessons learned.
The goal of the YFPAC initiative was to increase access to PAC services that are responsive to
adolescent needs in sub-Saharan Africa. While outcomes varied according to the country, the
overall outcomes included:
Increased community support for services and activities that prevent unwanted pregnancy,
decreased stigma around abortion, and awareness of the issue of unsafe abortion among
adolescent women: 311 peer educators reached almost 17,487 youth and other community
members; 171 stakeholders (e.g., religious and traditional leaders, health officials, and local
government officials) were sensitized on YFPAC, resulting in a positive shift in communities’
attitudes toward youth in need of PAC services.
125 service providers were trained to deliver YFPAC services and three doctors in Ghana were
provided with a technical update on YFPAC.
YFPAC services are available in Angola, Ghana, Nigeria, Mozambique, Tanzania, Uganda,
Ethiopia, and Kenya. Pathfinder introduced YFPAC services into 25 facilities (in 27 service
delivery points), and provided more than 3,800 clients with YFPAC services throughout the
eight countries. The number of adolescent PAC clients seen at the project facilities increased—
710 clients were seen in the first quarter, 1,144 were seen in the fourth.
The number of adolescent PAC clients who adopt a contraceptive method to prevent future
unintended pregnancies has increased. Statistics show an average postabortion contraceptive
acceptance of 69%, with the highest acceptance being 83% and the lowest being 44%.
Evidence-based approaches, tools, and lessons learned are being disseminated and used for
scale-up or replication of YFPAC interventions
Assessment of Youth-Friendly Postabortion Care Services: A Global Tool for Assessing and Improving Postabortion Care for Youth
Full text linkThis tool is designed to help assessment teams, project managers, supervisors, and providers collect detailed information on the quality of
Postabortion Care (PAC) services provided to adolescents at a given facility in order to make services more youth-friendly. It can also be used
before PAC services have been established to see how best to design PAC services to meet youth’s needs. The assessment process facilitates the
development of action plans for quality improvement that can help facilities address policy, operations, training, and other program areas needing
adjustments and change. The tool also provides essential baseline information, allowing for repeated applications to measure changes and the impact
of program interventions. Although the tool is primarily for use by a team, it may also be used by an individual
Pathfinder International: a global leader in sexual and reproductive health
No full textEn más de 25 países en el mundo en desarrollo, Pathfinder ofrece a las mujeres, hombres, niñas y adolescentes con una gama de servicios de salud de calidad, desde la anticoncepción y el cuidado maternal a la prevención del VIH y el SIDA, la atención y el tratamiento. Pathfinder se esfuerza por fortalecer el acceso a la planificación familiar, asegurar la disponibilidad de servicios de aborto seguro, abogar por unas políticas de salud reproductiva, y, a través de todo nuestro trabajo, mejorar los derechos y las vidas de las personas a las que servimo
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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