Transcript Slide 1

Population Health Services (India)
Social Marketing of Medical Abortion
Regimes-Who Does Provide Services and
Where -By Vivek Malhotra - PHS-India
ICMA-Lisbon- March 2010
ESTABLISHED IN 1999-AS AN AFFILIATE OF MSI
OBJECTIVE OF IMPROVING ACCESS OF HIGH QUALITY
& AFFORDABLE SEXUAL AND REPRODUCTIVE HEALTH
CARE PRODUCTS AND SERVICES
REPRODUCTIVE
HEALTH
CENTERS
OUTREACH
SOCIAL
MARKETINGMAOCC
India background
• Model of Liberalised access to MA
• Extensive Network of Literate Pharmacists
and RMPs.- Self Educate
• General acceptance of Abortion
• Low awareness levels of legality
• Abortion Providers is Important
Sale Module
• Contact Providers Periodically
• Organize RMP’s , ANM's meetings for
knowledge / Practice upgrades
• Placement of M.A Products for easy
availability.
Who are the Providers
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Our Centers
Gynecologists
Pharmacies
Indirect Providers- RMPs, ANMs
Which Class of Towns / AreasPHS
• Semi Urban
• Rural
• Urban to Some extent
From where do they get
Source of MA
Doctors
67%
Pharmacists
33%
Did you receive Instructions from Provider
Yes
95%
No
5%
Did you read Instructions given with the tablet-Yes
Source –Boler T,Marston C, Corby N & Gardiner E,MSI
61%
No. of Weeks and % Termination Using M A
No. of Weeks
of
Pregnancy
No. of Weeks and % of Termination Using M A
Percentage
7-15, 22%
1-6
78%
7-15
1-6
1-6, 78%
7 - 15
22%
Source –Boler T,Marston C, Corby N & Gardiner E,MSI
HAS MAOCC IMPACTED CLINIC NUMBERS
RANCHI DISTRICT
MAOCC
CLINIC
TOTAL
2007
2310
550
2860
2008
3080
1002
4082
2009
3980
1256
5236
Factors Influencing MAOCC
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•
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•
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Does not require hospitalization
Very Effective
Non Surgical
Easy Availability of Service
Provides Confidence
Friends/Relatives suggestion
Confidentiality
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