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Feasibility of Expanding the Medication Abortion Provider Base.pdf
Feasibility of Expanding the Medication Abortion
Provider Base in India to Include Ayurvedic
Physicians and Nurses
CONTEXT: The availability of trained abortion providers is limited in India. Allowing ayurvedic physicians and By Shireen J.
nurses to perform medication abortions may improve women’s access to the procedure, but it is unclear whether Jejeebhoy,
these clinicians can provide these services safely and effectively. Shveta Kalyanwala,
Shuchita Mundle,
METHODS: Allopathic physicians, ayurvedic physicians and nurses (10 of each), none of whom had experience in Jaydeep Tank,
abortion provision, were trained to perform medication abortions. In 2008–2010, these providers performed medi- A.J. Francis Zavier,
cation abortions in five clinics in Bihar and Jharkhand for 1,225 women with a pregnancy of up to eight weeks’ Rajesh Kumar,
gestation. A two-sided equivalence design was used to test whether providers’ assessments of client eligibility and Rajib Acharya
completeness of abortion matched those of an experienced physician “verifier,” and whether medication abortions and Nita Jha
performed by nurses and ayurvedic physicians were as safe and effective as those done by allopathic physicians.
Shireen J. Jejeebhoy
RESULTS: Failure rates were low (5–6%), and those for nurses and ayurvedic physicians were statistically equivalent
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