Respectful Abortion Care initiative: How a large-scale virtual training for providers in India increased knowledge of the new 2021 Medical Termination of Pregnancy Act

被引：2

作者：

Kumari, Shantha ^{[1
]}

Sharma, Kandala Aparna ^{[2
,6
]}

Ghosh, Sumita ^{[3
]}

Suman, Barru Aruna ^{[1
]}

Bhardwaj, Ajey ^{[1
]}

Puri, Manju ^{[4
]}

Chaudhary, Pushpa ^{[5
]}

Chatterjee, Tapas ^{[5
]}

Dubey, Sapna ^{[5
]}

Karna, Priya ^{[5
]}

机构：

[1] Federat Obstet & Gynaecol Soc India, Mumbai, India

[2] All India Inst Med Sci, Dept Obstet & Gynecol, New Delhi, India

[3] Govt India, Minist Hlth & Family Welf, New Delhi, India

[4] Lady Hardinge Med Coll & Hosp, Dept Obstet & Gynecol, New Delhi, India

[5] WHO, Country Off India, New Delhi, India

[6] All India Inst Med Sci AIIMS, Dept Obstet & Gynaecol, New Delhi 110029, India

来源：

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS | 2024年 / 164卷

关键词：

abortion; India; legal changes; obstetricians/gynecologists; respectful care; training; BIHAR;

D O I：

10.1002/ijgo.15335

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Background In a historic move to ensure comprehensive abortion care, India amended the 1971 Medical Termination of Pregnancy (MTP) Act in 2021, creating an unprecedented opportunity for accelerating safe, respectful, and rights-based abortion services. The Federation of Obstetric and Gynecological Societies of India (FOGSI), together with World Health Organization (WHO) India and the Ministry of Health and Family Welfare, set up a flagship initiative "Respectful Abortion Care" (RAC) to provide training to obstetricians and gynecologists on the new Act, and also address their values and biases. Methods Virtual training sessions were organized during the COVID-19 pandemic to disseminate the amendments made under the MTP Act and address provider values and biases. The primary focus was on private providers as they account for more than half of all abortion services in India (52.9%). The RAC modules were systematically designed and delivered by 690 Master Trainers, trained by FOGSI and WHO. Results A total of 9051 FOGSI members (22%, with 50% from private clinics) completed the RAC trainings. Pretests and post-tests were conducted for impact assessment. Significant improvement was seen on knowledge of criteria for termination of pregnancy for significant birth defects (52%-83%). The post-training survey showed a high level of commitment to promote RAC: >95% were strongly motivated to perform or assist in abortion; 89% reported that the WHO value clarification exercises were helpful in facilitating open discussions on sensitive topics in a comfortable manner; 96% expressed a strong commitment to addressing the issue of respect and confidentiality in abortion care. Conclusion RAC was a unique initiative around the MTP Act amendment 2021 in India, which demonstrated that collaboration and leadership by professional associations can help motivate providers and lead to improved knowledge and commitment from public and private sector providers.

引用

页码：42 / 50

页数：9