{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T02:27:38Z","timestamp":1774060058214,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T00:00:00Z","timestamp":1738022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine the effect of training midwives and nurses on access to first trimester abortions and post\u2010abortion family planning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a pre\u2010post study on first trimester abortion care and post\u2010abortion contraceptive services expansion by training midwives and nurses(task\u2010sharing) from 14 catchment health centers of St. Paul's Hospital Millennium Medical College (Ethiopia). The study period was January 2022 to August 2023. Data were collected by reviewing records of first trimester abortion and post\u2010abortion family planning at the health centers. Data were analyzed using SPSS version 23. Simple descriptive statistics were employed to analyze the data. Proportions and frequencies were used to present the results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 2690 first abortions were performed during the study period. The number of first trimester abortions provided jumped from 790 in the pre\u2010intervention period to 1900 in the post\u2010intervention period (a rise of 140%), of which 624 (32.8%) were surgical (manual vacuum aspiration) and the remaining 1276 (67.2%) were medication abortions. Similarly, post\u2010abortion family planning uptake increased from 35.3% (279\/790) during the preintervention period to 71.6% (1360\/1900) in the post\u2010intervention period, an increment of 36.3%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Training midwives and nurses to provide first trimester abortion and post\u2010abortion family planning had more than a doubling effect in expanding access to both first trimester abortion and post\u2010abortion family planning.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.16188","type":"journal-article","created":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T11:18:56Z","timestamp":1738063136000},"page":"169-173","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Task\u2010sharing: Abortion care access expansion through training midwives and nurses to provide first trimester abortion in a sub\u2010Saharan setting: A multicenter pre\u2010post study"],"prefix":"10.1002","volume":"170","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5812-0804","authenticated-orcid":false,"given":"Abraham Fessehaye","family":"Sium","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Paul's Hospital Millennium Medical College  Addis Ababa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sisay","family":"Kirba","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Paul's Hospital Millennium Medical College  Addis Ababa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lemi Belay","family":"Tolu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Paul's Hospital Millennium Medical College  Addis Ababa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2019.06.004"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2018.11.002"},{"issue":"1","key":"e_1_2_9_4_1","first-page":"129","article-title":"Complications of first \u2010trimester abortion: a report of 170,000 cases","volume":"76","author":"Hakim\u2010Elahi E","year":"1990","journal-title":"Obstet Gynecol"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2015.07.013"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15218"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2019.07.007"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13003"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12999"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13000"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12673"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.15392"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69742-0"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62229-5"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2017.11.002"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(09)33445-X"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.2471\/blt.07.050138"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S39627"},{"key":"e_1_2_9_19_1","volume-title":"Abortion care guideline","year":"2022"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2013-100862"},{"key":"e_1_2_9_21_1","unstructured":"Technical and procedural guidelines for safe abortion services in Ethiopia. National Norms & Guidelines for safe abortion services in Ethiopia second edition2014https:\/\/platform.who.int\/docs\/default\u2010source\/mca\u2010documents\/policy\u2010documents\/guideline\/ETH\u2010RH\u201018\u201001\u2010GUIDELINE\u20102014\u2010eng\u2010Safe\u2010Abortion\u2010Services.pdf"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-021-01195-8"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.16188","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T05:38:28Z","timestamp":1750311508000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.16188"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,28]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1002\/ijgo.16188"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.16188","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,28]]},"assertion":[{"value":"2024-11-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}