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Safe abortion care at MSF | Collections | MSF Science Portal
Safe abortion care at MSF

Safe abortion care at MSF

Unsafe abortion is a major cause of maternal death, and the only one that is completely preventable. Yet over 30 million unsafe abortions occur each year, leading to at least 29,000 deaths and millions of serious complications—nearly all in low- and middle-income countries. MSF teams see these tragic consequences first-hand, treating thousands of patients every year with severe, potentially life-threatening effects from unsafe abortion.


To mark International Safe Abortion Awareness Day (28 September 2024), this Collection presents highlights of MSF’s work on safe abortion care (SAC) as a way to reduce maternal death and injury. By re-assessing and reshaping how our projects deliver SAC in fragile and conflict-affected settings, we have been able to significantly expand services in those contexts and across MSF projects globally. In parallel, we also conducted in-depth studies of abortion complications and their contributing factors in fragile settings, where a dearth of evidence limits understanding of women's needs in accessing comprehensive care. These findings are helping to identify gaps in service delivery and inform operational decision-making.

Collection Content

Journal Article
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Research

Self-managed abortion as a humanitarian revolution: Accounts of a telehealth pilot in the Middle East

Lasserre L, Staderini N, Hasan M, Rossi V
2025-02-11 • Conflict and Health
2025-02-11 • Conflict and Health

BACKGROUND

Access to safe abortion care (SAC) should be improved in fragile and humanitarian settings, and the implementation of interventions in that regard ar...

Journal Article
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Research

Assessing post-abortion care using the WHO quality of care framework for maternal and newborn health: a cross-sectional study in two African hospitals in humanitarian settings

Pasquier E, Owolabi OO, Powell B, Fetters T, Ngbale R,  et al.
2024-08-05 • Reproductive Health
2024-08-05 • Reproductive Health

BACKGROUND

Abortion-related complications remain a main cause of maternal mortality. There is little evidence on the availability and quality of post-abortion c...

Journal Article
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Research

Reasons for delay in reaching healthcare with severe abortion-related morbidities: Qualitative results from women in the fragile context of Jigawa state, Nigeria (AMoCo)

Moore AM, Fetters T, Williams T, Pasquier E, Kantiok J,  et al.
2023-12-01 • SSM - Qualitative Research in Health
2023-12-01 • SSM - Qualitative Research in Health
Maternal near-miss events are a key measure of maternal health; abortion-related complications are one source of near-miss events. To understand the pathway to care of women with severe ...
Technical Report
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Evidence Brief

The magnitude and severity of abortion-related complications: Referral Hospital in Jigawa State, a fragile setting - Results of the AMoCo study

Fotheringham C, Moore AM, Owolabi OO, Fetters T, Chen H,  et al.
2023-08-01
2023-08-01

A dearth of evidence on abortion complications in fragile settings limits the understanding of women’s needs in access to comprehensive abortion care in contexts like Jigawa state. Th...

Journal Article
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Pre-Print

Lessons learned conducting abortion research in fragile contexts: Reflections from a mixed methods study in Africa (the AMoCo study)

Moore AM, Pasquier E, Williams TN, Fetters T, Powell B,  et al.
2023-03-20 • Research Square
2023-03-20 • Research Square
BACKGROUND
Conducting abortion research in fragile settings presents challenges, many of which are present in other low-resourced settings to various degrees but when appearing all t...
Journal Article
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Research

High severity of abortion complications in fragile and conflict-affected settings: a cross-sectional study in two referral hospitals in sub-Saharan Africa (AMoCo study)

Pasquier E, Owolabi OO, Fetters T, Ngbale RN, Adame Gbanzi MC,  et al.
2023-03-04 • BMC Pregnancy and Childbirth
2023-03-04 • BMC Pregnancy and Childbirth
BACKGROUND
Abortion-related complications are one of the five main causes of maternal mortality. However, research about abortion is very limited in fragile and conflict-affected set...
Journal Article
|
Research

Catalyst for change: Lessons learned from overcoming barriers to providing safe abortion care in Médecins Sans Frontières projects

Kumar M, Schulte-Hillen C, De Plecker E, Van Haver A, Marques SG,  et al.
2022-10-23 • Perspectives on Sexual and Reproductive Health
2022-10-23 • Perspectives on Sexual and Reproductive Health
CONTEXT
Despite instituting a policy in 2004, Médecins Sans Frontières (MSF) continuously struggled to routinely provide safe abortion care (SAC). In 2016, the organization launched ...
Conference Material
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Poster

Provision of safe abortion care: a multicentre descriptive mixed-methods analysis, MSF OCB 2018-2020

Van Haver A, Lagrou D, Van der Bergh R, Lynen M, Vaquero M,  et al.
2021-05-18 • MSF Scientific Days International 2021: Research
2021-05-18 • MSF Scientific Days International 2021: Research
Journal Article
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Commentary

Now is the time: a call for increased access to contraception and safe abortion care during the COVID-19 pandemic

Kumar M, Daly M, de Plecker E, Jamet C, McRae M,  et al.
2020-07-20 • BMJ Global Health
2020-07-20 • BMJ Global Health
SUMMARY BOX

• The COVID-19 pandemic has begun to severely limit access to sexual and reproductive healthcare, including contraception and safe abortion care (SAC), which have h...
Conference Material
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Video

Overcoming barriers to provision of safe abortion care in MSF projects: Task Force approach

Kumar M
2019-05-10 • MSF Scientific Days International 2019
2019-05-10 • MSF Scientific Days International 2019
Journal Article
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Letter

Why Médecins Sans Frontières (MSF) provides safe abortion care and what that involves

Schulte-Hillen C, Staderini N, Saint-Sauveur JF
2016-09-21 • Conflict and Health
2016-09-21 • Conflict and Health
MSF responds to needs for the termination of pregnancy, including on request (TPR); it is part of the organization's work aimed at reducing maternal mortality and suffering; and preventi...

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Expanding access to lifesaving new TB tools

Expanding access to lifesaving new TB tools
Many settings with a high burden of drug-resistant tuberculosis (DR-TB) lack access to advanced diagnostics and to groundbreaking new treatments. The Collection linked below spotlights work by MSF and collaborators to analyze barriers, identify gaps, and accelerate the roll-out of these tools to people whose lives hang in the balance. Several reports examine price, regulatory, and patent obstacles that persist despite considerable public investment into developing many of these tools. Other authors examine critical remaining weaknesses in care pathways—especially in screening and diagnosis, and particularly in children. Several studies describe new strategies that could be part of the solution, from a pilot program in Tajikisttan that trains family caregivers to treat children with DR-TB at home, to a person-centered care model adapted to a conflict zone in Afghanistan. Lastly, initial findings demonstrate that pregnant women—another vulnerable population—can be effectively treated for DR- and multidrug-resistant TB, improving maternal outcomes without harming neonates.
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Snakebite envenoming: a neglected health crisis

Snakebite envenoming: a neglected health crisis

Every year 2 million or more people fall victim to snakebite envenoming, mostly in poor, rural communities of Africa, Asia and Latin America. Between 83,000—138,000 of them die, while hundreds of thousands more suffer debilitating long-term complications or disabilities.


Although some antivenom medicines are highly effective when used promptly and appropriately, many snakebite victims get no treatment at all. Those who do may receive antivenoms which don’t work against the type of snake that bit them, or were not rigorously tested for safety and effectiveness.


To mark World Snakebite Awareness Day on September 19th, the Collection linked below brings together recent MSF work on this highly neglected disease. Several articles and conference presentations help fill evidence gaps on the burden of disease and its impacts or on treatment outcomes with specific antivenoms. Others examine how to tackle the formidable challenges of availability and affordability, the absence of regulatory oversight for making, testing and registering antivenoms, and the anemic R&D pipeline for new products—all of which impede access for patients to safe, effective treatment tailored to local snake species.

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