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We selected geographically diverse countries from across the human development index if they had implemented new abortion laws, or changed interpretations of existing laws or policies, within the past 15\u00a0years (Colombia, Ethiopia, Ghana, Portugal, South Africa, and Uruguay). Factors facilitating the expansion of services include use of a public health frame, situating abortion as one component of a comprehensive reproductive health package, and including country\u2010based health and women's rights organizations, medical and other professional societies, and international agencies and nongovernment organizations in the design and rollout of services. Task sharing and the use of techniques that do not require much infrastructure, such as manual vacuum aspiration and medical abortion, are important for rapid establishment of services, especially in low\u2010resource settings. Political will emerged as the key factor in establishing or expanding access to safe abortion services.<\/jats:p>","DOI":"10.1002\/ijgo.12671","type":"journal-article","created":{"date-parts":[[2018,10,30]],"date-time":"2018-10-30T11:40:27Z","timestamp":1540899627000},"page":"3-11","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Implementing and expanding safe abortion care: An international comparative case study of six countries"],"prefix":"10.1002","volume":"143","author":[{"given":"Wendy","family":"Chavkin","sequence":"first","affiliation":[{"name":"Mailman School of Public Health and Department of Obstetrics\u2010Gynecology Columbia University Medical Center  New York NY USA"},{"name":"Global Doctors for Choice  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bianca M.","family":"Stifani","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Women's Health Albert Einstein College of Medicine\/Montefiore Medical Center  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Bridgman\u2010Packer","sequence":"additional","affiliation":[{"name":"Mailman School of Public Health Columbia University Medical Center  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie M.S.","family":"Greenberg","sequence":"additional","affiliation":[{"name":"Mailman School of Public Health Columbia University Medical Center  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Favier","sequence":"additional","affiliation":[{"name":"Parklands Surgery  Parklands Cork Ireland"},{"name":"Doctors for Choice Ireland  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,30]]},"reference":[{"key":"e_1_2_16_2_1","volume-title":"International Conference on Population and Development Programme of Action: Twentieth Anniversary Edition","author":"United Nations Population Fund","year":"2014"},{"key":"e_1_2_16_3_1","volume-title":"Abortion Worldwide\u202f: 20 Years of Reform","author":"Center for Reproductive Rights","year":"2014"},{"key":"e_1_2_16_4_1","volume-title":"Safe Abortion: Technical and Policy Guidance for Health Systems","author":"World Health Organization","year":"2012"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rhm.2016.11.006"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(14)44803-1"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-9-7"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.29063\/ajrh2017\/v21i1.7"},{"key":"e_1_2_16_9_1","first-page":"1","article-title":"Making abortion services accessible in the wake of legal reforms: A framework and six case studies","volume":"1","author":"Ashford L","year":"2012","journal-title":"Issues Brief (Alan Guttmacher Inst)"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-017-0289-2"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-015-0096-6"},{"key":"e_1_2_16_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-11-16"},{"key":"e_1_2_16_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(04)24009-5"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.301202"},{"key":"e_1_2_16_15_1","doi-asserted-by":"publisher","DOI":"10.2307\/2991980"},{"key":"e_1_2_16_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-017-4764-z"},{"key":"e_1_2_16_17_1","volume-title":"Case Study Research: Design and Methods","author":"Yin RK","year":"2014"},{"key":"e_1_2_16_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-1-1"},{"key":"e_1_2_16_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-015-0242-0"},{"key":"e_1_2_16_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-016-0398-2"},{"key":"e_1_2_16_21_1","unstructured":"Dedoose [computer program]. 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