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In the largest hospital, an Ipas MVA training center since 2007, MVA use reached 21% in 2008. After the International Federation of Gynecology and Obstetrics (FIGO) and UNFPA provided MVA kits, MVA use increased dramatically to 70% \u2212 90% in 2010 \u2212 2013. In 2 of the remaining 4 hospitals in which the Society of Obstetricians and Gynecologists of Pakistan trained doctors in May 2012 and January 2013, the target of having 50% of women managed by MVA and medical abortion (MA) was met; however, in the third hospital only 43% were treated with MVA and MA. In the fourth hospital, where misoprostol and electric vacuum aspiration use was 64% and 9%, respectively, before training, an MVA workshop introduced the technique. Postabortion contraception was provided to 9% \u2212 29% of women, far below the target of 60%.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2014.03.016","type":"journal-article","created":{"date-parts":[[2014,3,30]],"date-time":"2014-03-30T00:32:52Z","timestamp":1396139572000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Replacement of dilation and curettage\/evacuation by manual vacuum aspiration and medical abortion, and the introduction of postabortion contraception in Pakistan"],"prefix":"10.1002","volume":"126","author":[{"given":"Shahida","family":"Zaidi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haleema","family":"Yasmin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lubna","family":"Hassan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehnaz","family":"Khakwani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shehla","family":"Sami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tazeen","family":"Abbas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,3,30]]},"reference":[{"volume-title":"Woman versus man: socio\u2010legal gender inequality in Pakistan","year":"2003","author":"Patel R.","key":"e_1_2_8_2_2"},{"volume-title":"Unwanted pregnancy and post\u2010abortion complications in Pakistan: report from health care professionals and health facilities","year":"2003","author":"Rashida G.","key":"e_1_2_8_3_2"},{"volume-title":"Unsafe abortions in Pakistan: a situation analysis","year":"2009","author":"Zaidi S.","key":"e_1_2_8_4_2"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/15246090152636569"},{"key":"e_1_2_8_6_2","doi-asserted-by":"crossref","DOI":"10.31899\/rh3.1017","volume-title":"Post\u2010Abortion care in Pakistan: a national study","author":"Sathar Z.A.","year":"2013"},{"volume-title":"Pakistan Demographic and Health Survey, 2006\u201007","year":"2007","author":"National Institute of Population Studies (NIPS)","key":"e_1_2_8_7_2"},{"volume-title":"Maternal mortality in Pakistan: an overview in maternal and perinatal health in Pakistan Proceedings of an Asia and Oceania Federation of Obstetrics and Gynaecology (AOFOG) Workshop, Karachi, November 1991","year":"1992","author":"Jafarey S.N.","key":"e_1_2_8_8_2"},{"volume-title":"Maternal mortality overview","year":"1998","author":"Abou\u2010Zahr C.","key":"e_1_2_8_9_2"},{"volume-title":"The global burden of disease, 2004 update","year":"2008","author":"World Health Organization","key":"e_1_2_8_10_2"},{"volume-title":"Safe abortion: technical and policy guidance for health systems","year":"2012","author":"World Health Organization","key":"e_1_2_8_11_2"},{"volume-title":"Pakistan Demographic and Health Survey, 2012\u201013 Preliminary Report","year":"2013","author":"National Institute of Population Studies (NIPS)","key":"e_1_2_8_12_2"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2010.04.004"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2010.04.010"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2012.03.021"},{"volume-title":"Uterine evacuation: use vacuum aspiration or medications, not sharp curettage Consensus Statement on Uterine Evacuation","year":"2012","author":"International Federation of Gynecology and Obstetrics (FIGO)","key":"e_1_2_8_16_2"},{"volume-title":"Safe abortion: technical and policy guidance for health systems","year":"2003","author":"World Health Organization","key":"e_1_2_8_17_2"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.03.013"}],"container-title":["International Journal of Gynecology &amp; 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