Feasibility of expanding the medication abortion provider base in India to include ayurvedic physicians and nurses
Language: 
English
Abstract: 

CONTEXT: The availability of trained abortion providers is limited in India. Allowing ayurvedic physicians and nurses to perform medication abortions may improve women's access to the procedure, but it is unclear whether these clinicians can provide these services safely and effectively. METHODS: Allopathic physicians, ayurvedic physicians and nurses (10 of each), none of whom had experience in abortion provision, were trained to perform medication abortions. In 2008-2010, these providers performed medication abortions in five clinics in Bihar and Jharkhand for 1,225 women with a pregnancy of up to eight weeks' gestation. A two-sided equivalence design was used to test whether providers' assessments of client eligibility and completeness of abortion matched those of an experienced physician "verifier," and whether medication abortions performed by nurses and ayurvedic physicians were as safe and effective as those done by allopathic physicians. RESULTS: Failure rates were low (5-6%), and those for nurses and ayurvedic physicians were statistically equivalent to those for allopathic physicians. Provider assessments of client eligibility and completeness of abortion differed from those of the verifier in only a small proportion of cases (3-4% for eligibility and 4-5% for completeness); these proportions, and rates of loss to follow-up, were statistically equivalent among provider types. No serious complications were observed, and services by all three groups of providers were acceptable to women. CONCLUSION: Findings support amending existing laws to improve women's access to medication abortion by expanding the provider base to include ayurvedic physicians and nurses.

Author(s): 
Jejeebhoy, Shireen J.
Kalyanwala, Shveta
Mundle, Shuchita
Tank, Jaydeep
Zavier, A. J. Francis
Kumar, Rajesh
Acharya, Rajib
Jha, Nita
Item Type: 
Journal Article
Publication Title: 
International Perspectives on Sexual and Reproductive Health
Journal Abbreviation: 
Int Perspect Sex Reprod Health
Publication Date: 
Sep 2012
Publication Year: 
2012
Pages: 
133-142
Volume: 
38
Issue: 
3
ISSN: 
1944-0405
DOI: 
10.1363/3813312
Library Catalog: 
NCBI Published Medical (?)
Extra: 
PMID: 23018135

Turabian/Chicago Citation

Shireen J. Jejeebhoy, Shveta Kalyanwala, Shuchita Mundle, Jaydeep Tank, A. J. Francis Zavier, Rajesh Kumar, Rajib Acharya and Nita Jha. Sep 2012. "Feasibility of expanding the medication abortion provider base in India to include ayurvedic physicians and nurses." International Perspectives on Sexual and Reproductive Health 38: 3: 133-142. 10.1363/3813312.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1363/3813312 | issn = 1944-0405 | volume = 38 | pages = 133-142 | last = Jejeebhoy | first = Shireen J. | coauthors = Kalyanwala, Shveta, Mundle, Shuchita, Tank, Jaydeep, Zavier, A. J. Francis, Kumar, Rajesh, Acharya, Rajib, Jha, Nita | title = Feasibility of expanding the medication abortion provider base in India to include ayurvedic physicians and nurses | journal = International Perspectives on Sexual and Reproductive Health | date = Sep 2012 | pmid = | pmc = }} </ref>