Advocacy regarding induced abortion

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Mukesh Mishra

Health & Medicine

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THE FRAMEWORK Action Evaluation Situation Analysis Strategies Mobilization Continuity / Expansion PEAP

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ACTION : Slogans & Text Messages Developed Appropriate non threatening advocacy messages and slogans developed in Nepali :

ACTION: Medium of Communication & Dissemination Identified Printed Communication & Dissemination Media Press Electronic Community - Posters - Brochures - Banners - Policy Briefs - Advocacy Papers - Photo story - Articles - Advertisement - Press Conference - Journalists Forum - Radio Program - Web-site - Advocacy workshops - Educational Workshop - Street Drama - NGO Empowerment

Target Audience for PEAP Advocacy - Parliamentarians - Political Parties - Policy Makers/ Administrators - Lawyers - Women Associations - Journalists - NGO/INGOs Education - Women Groups - Social Workers - Community Health Providers - Pharmacists - Community Leaders - School Teachers / High School Students

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This short presentation was made at the Zambia Medical Association 2014 Annual General Meeting. It was given by one of the members of the project team, Dr Bellington Vwalika who is Head of the Obstetrics & Gynaecology Department at the University Teaching Hospital, Lusaka. It's a short (10 minute) summary of the pregnancy termination law in Zambia and the headline findings from our study of the costs and consequences of unsafe abortion for women, their households and others and for the Zambian health system.

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Leone, T., E. Coast, D. Parmar & B. Vwalika "The socio-economic burden of unsafe abortion for women and households in Zambia" Paper presentation at BSPS Annual Conference, University of Winchester, 8-10 September, 2014 Zambia has permitted terminations of pregnancy, under a range of conditions, since 1972. Despite this, levels of unsafe abortion are alarmingly high. Although it’s widely understood that unsafe abortion is both a cause and a consequence of poverty, there is a lack of economic evidence around the experiences of women and their households. The aim of the study is to compare the socio-economic burden of those who seek safe abortion (SA) with those who seek post-abortion care (PAC) after an unsafe procedure. We use hospital based data collected in the University Teaching Hospital in Lusaka over a period of 12 months in 2013. Information on women’s demographic and socio-economic characteristics, and direct and indirect costs incurred have been collected and triangulated using medical notes and qualitative information. To the best of our knowledge this is the first study to look at the economic burden of abortion on women in Zambia. Results show that a quarter of the women interviewed (n=114) had attempted to terminate the pregnancy unsafely, and were more likely to have a poorer socio-economic background. The burden is considerably higher for PAC than SA: the equivalent of 2 day’s wages. The policy implications of this study are relevant for the implementation and scaling up of safe abortion services in Zambia.

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A presentation given at a small, closed, high-level discussion workshop on unsafe abortion in Zambia organised by Marie Stopes Zambia and Ipas with support from the ESRC-DFID funded Pregnancy termination trajectories in Zambia: the socio-economic costs study. The presentation estimates and compares the costs to the Zambian health system of providing post abortion care following an unsafe abortion rather than safe abortion services. It finds that the Zambian healthcare system spends 2.5 times more treating complications arising from unsafe abortion than would be spent on providing safe abortion for these cases.

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