Programmes

Safe Abortions

Medical Termination of Pregnancy Act (MTP), 1971, is very useful law for governing safe abortion service in India. Unsafe abortions have become rampant in India. The country recorded 6.5 million abortions in 2008 out of which 66 percent abortions were deemed unsafe abortions. India also recorded the major chunk of abortions that took place in south and central asia-6.5 million out of total 10.5 million. These are the findings of latest global abortion figures released by World Health Organization and Guttmacher Institute, New York published in The Lancet. Unsafe abortions accounts for a huge amount of maternal mortality and morbidity in Gujarat also. According to latest SRS reports (SRS-2007-09) on maternal mortality, 8 percent of maternal mortality in India (as Gujarat specific data is not available) was caused due to unsafe abortions.

Government of Gujarat is committed to provide affordable, accessible, safe and legal abortion services to its people and in order to increase the availability of safe and legal abortion services in the rural area and remote areas of the state, medical officers from CHCs and PHCs are being trained in CAC. Following are the components of this program:

  • Strengthening of training centers
  • Training of Medical Officers and specialists in CAC.
  • Provision of medical abortion drugs and suction evacuation techniques for safer abortion services.
  • Strengthening of District Level Committees formed under MTP Act, 1971, for improving and monitoring of abortion services provided by private providers.
Availability of Reproductive Health component (Safe Abortions) as per the RMNCH+A Strategy at different level of facility
Sr. No. SHC PHC CHC/FRU DH/ MCH
SAFE ABORTION SERVICES
1 Counseling SHC + PHC + CHC/FRU + All services (comprehensive) on Daily basis
2
MVA, EVA, & MMA services upto 8 weeks of gestation PHC + CHC/FRU + All services (comprehensive) on Daily basis
3
Counseling on post abortion Contraception PHC + CHC/FRU + All services (comprehensive) on Daily basis
4

MVA, EVA, & MMA services upto 12 weeks of gestation. At FRUs, MTP services can be provided upto 20 weeks, only if MTPs is conducted by gynaecologist CHC/FRU + All services (comprehensive) on Daily basis




MVA, EVA, & MMA services upto 20 weeks of gestation, MTP services can be provided upto 20 weeks, only if MTPs is conducted by gynaecologist
STAFFING
1 ANM should be trained in counseling and infection
prevention
1. MO trained in CAC

2. SN/ ANM should be trained in counseling, infection prevention & record keeping as per MTP Act
1. MO trained in CAC

2. SN/ ANM should be trained in counseling, infection prevention & record keeping as per MTP Act
1. MO trained in CAC

2. SN/ ANM should be trained in counseling, infection prevention & record keeping as per MTP Act
REGISTERS
1 None Form C: Consent form
Form 1: RMP Opinion form
Form 2: Monthly reporting format
Form 3: Admission register

As per MTP Act, 1971 and MTP Rules and regulation 2003
Form C: Consent form
Form 1:
RMP Opinion form
Form 2:
Monthly reporting format
Form 3: Admission register

As per MTP Act, 1971 and MTP Rules and regulation 2003
Form C: Consent form
Form 1:
RMP Opinion form
Form 2:
Monthly reporting format
Form 3:
Admission register

As per MTP Act, 1971 and
MTP Rules and regulation 2003
GUIDELINES
1 None National Comprehensive Abortion Care Training and Service Delivery Guidelines 2010

You Can also Refer

Training Manual

Reports & Formats

Guidelines

Letters

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