{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T11:18:10Z","timestamp":1790075890511,"version":"4.0.1"},"reference-count":16,"publisher":"Wiley","issue":"S4","license":[{"start":{"date-parts":[[2018,10,30]],"date-time":"2018-10-30T00:00:00Z","timestamp":1540857600000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by\/3.0\/igo\/legalcode"}],"funder":[{"name":"UNDP-UNFPA-UNICEF-World Health Organization-World Bank Group"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In the first years of the new century, the Ministry of Health\/Ghana Health Service determined to reduce abortion\u2010associated morbidity and mortality by increasing access to safe care. This was accomplished by interpreting Ghana's restrictive law so that more women qualified for legal services; by framing this effort in public health terms; by bundling abortion together with contraception and postabortion care in a comprehensive package of services; and by training new cadres of health workers to provide manual vacuum aspiration and medical abortion. The Ministry of Health\/Ghana Health Service convened medical and midwifery societies, nongovernmental organizations, and bilateral agencies to implement this plan, while retaining the leadership role. However, because of provider shortages, aggravated by conscientious objection, and because many still do not understand when abortion can be legally provided, some women still resort to unsafe care. Nonetheless, Ghana provides an example of the critical role of political will in redressing harms from unsafe abortion.<\/jats:p>","DOI":"10.1002\/ijgo.12674","type":"journal-article","created":{"date-parts":[[2018,10,30]],"date-time":"2018-10-30T11:40:27Z","timestamp":1540899627000},"page":"25-30","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Implementing safe abortion in Ghana: \u201cWe must tell our story and tell it well\u201d"],"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 Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Baffoe","sequence":"additional","affiliation":[{"name":"Global Doctors for Choice  New York NY USA Accra Ghana"},{"name":"Obstetrics and Gynecology Ghana College of Physicians and Surgeons  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koku","family":"Awoonor\u2010Williams","sequence":"additional","affiliation":[{"name":"Global Doctors for Choice  New York NY USA Accra Ghana"},{"name":"Policy Planning Monitoring and Evaluation Division Ghana Health Services  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-016-0398-2"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12671"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1596\/978-0-8213-9599-8"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czn002"},{"key":"e_1_2_11_6_1","volume-title":"Abortion in Ghana","author":"Sedgh G","year":"2010"},{"key":"e_1_2_11_7_1","volume-title":"Law 102: The Criminal Code (Amendment) Law","author":"Government of the Republic of Ghana","year":"1985"},{"key":"e_1_2_11_8_1","first-page":"80","article-title":"Overview of the law and availability of abortion services in Ghana","volume":"40","author":"Morhee R","year":"2006","journal-title":"Ghana Med J"},{"key":"e_1_2_11_9_1","first-page":"47","article-title":"Attitudes and experiences of women admitted to hospital with abortion complications in Ghana","volume":"15","author":"March N","year":"2011","journal-title":"Afr J Reprod Health"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1478-4505-11-23"},{"key":"e_1_2_11_11_1","first-page":"17","article-title":"Abortion care in Ghana: A critical review of the literature","volume":"18","author":"Rominski SD","year":"2014","journal-title":"Afr J Reprod Health"},{"key":"e_1_2_11_12_1","unstructured":"Odoi\u2010AgyarkoH.Profile of Reproductive Health Situation in Ghana.2003.http:\/\/www.who.int\/countries\/gha\/publications\/Reproductive_Health_Profile.pdf. 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