SERVICE DELIVERY TASK FORCE (SDTF) - (PAC) Consortium

SERVICE DELIVERY TASK FORCE (SDTF) Boniface Sebikali Holly Blanchard

Goals • Identify major barriers • Select resources and tools to

address these barriers. • Include long-acting FP methods at time of emergency treatment including manual vacuum aspiration (MVA).

Objectives • Identify 2-3 barriers to

Essential Elements of Postabortion Care • Counseling, Treatment,

Contraceptive and Family planning services, and Reproductive and other health services, and Community and provider partnerships. • Identify evidence-based best

resources to address barriers • Include long-acting FP methods at time of emergency treatment including MVA.

Activities • Developed Table through SDTF and Community TF

members on barriers of each essential element & resources • Obtained feedback from FIGO (Dr. Zaidi and Dr. Faundes), the participants from the regional francophone PAC meeting and some PACC steering committee members on top barriers and specific resources • Participated in the teleconference with FIGO to discuss on top barriers and specific resources and the next steps

Example from table

PAC Consortium SDTF November 19 2013 DRAFT

Barriers to Essential Elements of Postabortion Care & Resources to Address Barriers Essential Element

Barrier

Resource

1.Counseling

A. PAC contraceptive services remain the weakest component of care – FP is not seen as an essential component of PAC

Postabortion Care: Going to Scale: http://www.fphighimpactpractices.org/sites/fphips/files/hip_pac_brief.pdf

B. MH providers may not have the skills or time for PAC counseling

Counseling the Postabortion Client: A Training Curriculum: http://www.k4health.org/sites/default/files/Counseling%20the%20postabortion%20client_Eng .pdf USAID Recommended PAC Training Resources : http://www.postabortioncare.org/training/training4.shtml Enhancing Postabortion Care (PAC) Counseling Skills: An Interactive Learning Tool Intrahealth, 2008: http://www.intrahealth.org/page/enhancing-postabortion-care-pac-counseling-skillsan-interactive-learning-tool Family Planning Counseling and Service Provision, STI Evaluation and Treatment, and HIV, Counseling and/or Testing: http://www.k4health.org/sites/default/files/Participant%20Guide.pdf

C. Without facility to ensure privacy and confidentiality of the counseling process is not available in the ward or outpatient department D. Provider and Stigma

Rights-Based Code of Ethics: FIGO Professional and Ethical Responsibilities Concerning Sexual and Reproductive Rights:

http://www.figo.org/files/figo-corp/Rights-Based_%20Code_of_Ethics_October%202003.pdf

Improving Abortion and Postabortion Care Services Using Community Survey Data in Ghana: http://www.pathfinder.org/publications-tools/pdfs/Improving-Abortion-and-Postaborition-

Example from table Essential Element

Barrier

Resources

3. Contraception/FP Services

LARC /IUDS unavailable at time of PAC

Implants Toolkit : http://www.k4health.org/to olkits/implants

IUD Toolkit PPIUD toolkit : http://www.k4health.org/to olkits/iud

Next steps • Present the barriers and resources table at the PACC

meeting (November 19) • Obtain a second round of feedback from the PAC Consortium Steering Committee (by December 6) • Post the final version (barriers and resources ) on the PAC Consortium website (by December 30)