{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T12:18:22Z","timestamp":1740140302555,"version":"3.37.3"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"S1","license":[{"start":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T00:00:00Z","timestamp":1715904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/igo\/"},{"start":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T00:00:00Z","timestamp":1715904000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/igo\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Reprod Health"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>In 2019, the World Health Organization identified improving access to safe abortion as an important priority toward improving sexual and reproductive health and rights and achieving Sustainable Development Goals. One strategy for addressing this priority is strengthening access to medicines for medical abortion. All 11 countries in the South-East Asia Region have some indications for legal abortion and permit post-abortion care. Therefore, strengthening access to medical abortion medicines is a reasonable strategy for improving access to safe abortion for the Region.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methodology<\/jats:title>\n                <jats:p>We applied an adapted version of an existing World Health Organization landscape assessment protocol for the availability of medical abortion medicines at the country-level in the South-East Asia Region. We collected publicly available data on the existence of national health laws, policies, and standard treatment guidelines; inclusion of medical abortion medicines in the national essential medicines list; and marketing authorization status for medical abortion medicines for each country and verified by Ministries of health. The findings were once more presented, discussed and recommendations were formulated during regional technical consultation workshop. Each country teams participated in the process, and subsequently, the suggestions were validated by representatives from Ministries of Health..<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Few countries in the Region currently have national policies and guidelines for comprehensive safe abortion. However, either mifepristone-misoprostol in combination or misoprostol alone (for other indications) is included in national essential medicines lists in all countries except Indonesia and Sri Lanka. Few countries earmark specific public funds for procuring and distributing medical abortion commodities. In countries where abortion is legal, the private sector and NGOs support access to medical abortion information and medicines. Several countries only allow registered medical practitioners or specialists to administer medical abortion.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Following this rapid participatory assessment and technical consultation workshop, the World Health Organization South-East Asia Regional Technical Advisory and Sexual and Reproductive Health and Rights technical committee recommended priority actions for policy and advocacy, service delivery, and monitoring and evaluation, and indicated areas for support.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12978-024-01791-4","type":"journal-article","created":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T14:03:17Z","timestamp":1715954597000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Strengthening regional commitment to ensuring access to medical abortion medicines in WHO\u2019s South-East Asia region: report of a participatory assessment and workshop"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9881-4716","authenticated-orcid":false,"given":"Meera Thapa","family":"Upadhyay","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terence","family":"Fusire","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrika Rehnstr\u00f6m","family":"Loi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annik","family":"Sorhaindo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Salahuddin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed Ayub","family":"Hossain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tashi","family":"Tshomo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erna","family":"Mulati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lovely","family":"Daisy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dian Putri","family":"Anggraweni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tumiur","family":"Gultom","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fitri","family":"Indrawati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariyam","family":"Jenyfa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myint Myint","family":"Than","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bharat","family":"Bhattarai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loshan","family":"Moonasinghe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chaminda","family":"Mathota","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anchalee","family":"Jitruknatee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celeste","family":"Cham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bela","family":"Ganatra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neena","family":"Raina","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,17]]},"reference":[{"key":"1791_CR1","doi-asserted-by":"publisher","first-page":"e1152","DOI":"10.1016\/S2214-109X(20)30315-6","volume":"8","author":"J Bearak","year":"2020","unstructured":"Bearak J, Popinchalk A, Ganatra B, Moller A, Tun\u00e7lap \u00d6, Beavin C, Kwok L, Alkema L. Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990\u20132019. Lancet Glob Health. 2020;8:e1152\u201361.","journal-title":"Lancet Glob Health"},{"issue":"6","key":"1791_CR2","first-page":"e323","volume":"2","author":"L Say","year":"2014","unstructured":"Say L, Chou D, Gemmill A, Tun\u00e7lap \u00d6, Moller A, Daniels J, G\u00fclmezoglu AM, Temmerman M, Alkema I. Global causes of maternal death: a WHO analysis. The Lancet. 2014;2(6):e323\u201333.","journal-title":"The Lancet"},{"key":"1791_CR3","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1186\/s12914-018-0183-1","volume":"18","author":"AF Lavelanet","year":"2018","unstructured":"Lavelanet AF, Schlitt S, Johnson BR, et al. Global Abortion Policies Database: a descriptive analysis of the legal categories of lawful abortion. BMC Int Health Hum Rights. 2018;18:44. https:\/\/doi.org\/10.1186\/s12914-018-0183-1.","journal-title":"BMC Int Health Hum Rights"},{"key":"1791_CR4","unstructured":"WHO. Global Abortion Policies Database. https:\/\/abortion-policies.srhr.org\/?mapq=q1h"},{"key":"1791_CR5","volume-title":"Abortion care guideline","author":"World Health Organization","year":"2022","unstructured":"World Health Organization. Abortion care guideline. Geneva: World health Organization; 2022."},{"key":"1791_CR6","volume-title":"2018 Medical Management of Abortion. Department of Reproductive Health and Research","author":"World Health Organization","year":"2018","unstructured":"World Health Organization. 2018 Medical Management of Abortion. Department of Reproductive Health and Research. Geneva: WHO; 2018."},{"key":"1791_CR7","unstructured":"WHO electronic Essential Medicines List (eEML), World Health Organization, 2022. https:\/\/list.essentialmeds.org\/. Licence: CC BY 3.0 IGO"},{"issue":"Suppl 1","key":"1791_CR8","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1186\/s12978-022-01530-7","volume":"20","author":"U Rehnstr\u00f6m Loi","year":"2023","unstructured":"Rehnstr\u00f6m Loi U, Prata N, Grossman A, Lavelanet A, Williams N, Ganatra B. In-country availability of medical abortion medicines: A description of the framework and methodology of her WHO landscape assessments. Reprod Health. 2023;20(Suppl 1):20.","journal-title":"Reprod Health."},{"key":"1791_CR9","doi-asserted-by":"publisher","unstructured":"Grossman A, Prata N, Williams N, Ganatra B, Lavelanet A, L\u00e4ser L, Asmani C, Elamin H, Ouedraogo L, Rahman MM, Conneh-Duworko MJ, Tehoungue BZ, Chanza H, Phiri H, Bhattarai B, Dhakal NP, Ojo OA, Afolabi K, Kabuteni TJ, Hailu BG, Moses F, Dlamini-Nqeketo S, Zulu T, Rehnstr\u00f6m Loi U. Correction: Availability of medical abortion medicines in eight countries: a descriptive analysis of key findings and opportunities. Reprod Health. 2023;20(1):160. https:\/\/doi.org\/10.1186\/s12978-023-01691-z. Erratum for: Reprod Health. 2023;20(Suppl 1):58.","DOI":"10.1186\/s12978-023-01691-z"},{"key":"1791_CR10","unstructured":"IPPF. International Medical Advisory Panel (IMAP) Statement on medical abortion \u2013 Intended to support and guide those providing information and services, engaged in advocacy and\/or partnering with government and other key stakeholders. Oct 2018 (https:\/\/www.ippf.org\/sites\/default\/files\/2019-10\/IPPF_IMAP_Statement%20on%20medical%20abortion%20-%20English.pdf)"},{"key":"1791_CR11","doi-asserted-by":"publisher","first-page":"e111","DOI":"10.1016\/S2214-109X(17)30453-9","volume":"6","author":"S Singh","year":"2018","unstructured":"Singh S, Shekhar C, Acharya R, Moore A, Stillman M, Pradhan MR, Frost J, Sahoo H, Alagarajan M, Hussain R, Sundaram A, Vlassoff M, Kalyanwala S, Browne A. The incidence of abortion and unintended pregnancy in India, 2015. Lancet Glob Health. 2018;6:e111\u201320. https:\/\/doi.org\/10.1016\/S2214-109X(17)30453-9.","journal-title":"Lancet Glob Health"},{"key":"1791_CR12","doi-asserted-by":"publisher","unstructured":"Janet M. Turan and Henna Budhwani, 2021: Restrictive Abortion Laws Exacerbate Stigma, Resulting in Harm to Patients and Providers American Journal of Public Health 111, 37_39, https:\/\/doi.org\/10.2105\/AJPH.2020.305998","DOI":"10.2105\/AJPH.2020.305998"},{"key":"1791_CR13","doi-asserted-by":"publisher","DOI":"10.1080\/07399332.2021.1994971","author":"NV Ngo","year":"2021","unstructured":"Ngo NV, Pemunta NV, Basil N, Tembe FE, Eyambe MS, Ezra K, Ngwa HC, Sabo EO. Reproductive health policy Saga: Restrictive abortion laws in low- and middle-income countries (LMICs), unnecessary cause of maternal mortality. Health Care Women Int. 2021. https:\/\/doi.org\/10.1080\/07399332.2021.1994971.","journal-title":"Health Care Women Int"},{"key":"1791_CR14","volume-title":"Health Worker Roles in Providing Safe Abortion Care and Post-abortion Contraception","author":"World Health Organization","year":"2015","unstructured":"World Health Organization. Health Worker Roles in Providing Safe Abortion Care and Post-abortion Contraception. Geneva: WHO; 2015."}],"container-title":["Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12978-024-01791-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12978-024-01791-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12978-024-01791-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T14:04:07Z","timestamp":1715954647000},"score":1,"resource":{"primary":{"URL":"https:\/\/reproductive-health-journal.biomedcentral.com\/articles\/10.1186\/s12978-024-01791-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,17]]},"references-count":14,"journal-issue":{"issue":"S1","published-online":{"date-parts":[[2023,1]]}},"alternative-id":["1791"],"URL":"https:\/\/doi.org\/10.1186\/s12978-024-01791-4","relation":{},"ISSN":["1742-4755"],"issn-type":[{"type":"electronic","value":"1742-4755"}],"subject":[],"published":{"date-parts":[[2024,5,17]]},"assertion":[{"value":"20 May 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 April 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethics approval was not applicable as the landscape assessment was led by the Ministry of Health as a programme assessment and not conducted as a research activity. The information collected during the desk review is publicly available data and those government officials who were involved in filling up the questionnaires participated within their official capacity. Verbal consent was obtained from all participants during the assessment and during the online consultation.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The views expressed in this article are those of the authors and do not necessarily represent the views of, and should not be attributed to, the World Health Organization. The mention of specific companies or of certain manufacturers\u2019 products does not imply that they are endorsed or recommended by WHO in preference to others of a similar nature that are not mentioned. Errors and omissions excepted; the names of proprietary products are distinguished by initial capital letters.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"191"}}