In-country availability of medical abortion medicines: a description of the framework and methodology of the WHO landscape assessments

作者：Ulrika Rehnström Loi, Ndola Prata, Amy Grossman, Antonella Lavelanet, Natalie Williams, Bela Ganatra · 发表于：Reproductive Health · 年份：2023 · DOI：10.1186/s12978-022-01530-7 · 被引用次数：8 · 研究领域：Reproductive Health and Contraception、Pharmaceutical Quality and Counterfeiting、Global Maternal and Child Health

BACKGROUND: Availability of quality-assured medical abortion medicines plays a crucial role in providing comprehensive abortion care. However, access to these medicines is still restricted for many abortion seekers. Increasing availability of affordable, quality-assured mifepristone and misoprostol is important to improve access to safe medical abortion services. Driven by the outcomes of a global consultation hosted by the World Health Organization and the Swedish International Development Cooperation Agency in 2018, we decided to holistically examine access to medical abortion medicines from supply to demand. The overarching principle of the national landscape assessments was to generate evidence to support policy dialog and policymaking that is contextual to the needs of the country. This paper aims to describe the framework and methodological approach used in the World Health Organization landscape assessments of medical abortion medicines at country-level. METHODS: A country assessment protocol was developed to guide the methodology of the World Health Organization landscape assessments. The assessment protocol included adaptation of an existing availability framework, an online desk review and literature review for existing data available for the country of interest, country-level key informant interviews, and analysis of the data to identify barriers and opportunities to improve medical abortion availability. CONCLUSION: The availability framework and methodology will ...