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Abortion metrics: a scoping review of abortion measures and indicators

Consensus is lacking on the most appropriate indicators to document progress in safe abortion at programmatic and country level. We conducted a scoping review to provide an extensive summary of abortion indicators used over 10 years (2008–2018) to inform the debate on how progress in the provision a...

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Autores principales: Filippi, Veronique, Dennis, Mardieh, Calvert, Clara, Tunçalp, Özge, Ganatra, Bela, Kim, Caron Rahn, Ronsmans, Carine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7849886/
https://www.ncbi.nlm.nih.gov/pubmed/33514592
http://dx.doi.org/10.1136/bmjgh-2020-003813
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author Filippi, Veronique
Dennis, Mardieh
Calvert, Clara
Tunçalp, Özge
Ganatra, Bela
Kim, Caron Rahn
Ronsmans, Carine
author_facet Filippi, Veronique
Dennis, Mardieh
Calvert, Clara
Tunçalp, Özge
Ganatra, Bela
Kim, Caron Rahn
Ronsmans, Carine
author_sort Filippi, Veronique
collection PubMed
description Consensus is lacking on the most appropriate indicators to document progress in safe abortion at programmatic and country level. We conducted a scoping review to provide an extensive summary of abortion indicators used over 10 years (2008–2018) to inform the debate on how progress in the provision and access to abortion care can be best captured. Documents were identified in PubMed and Popline and supplemented by materials identified on major non-governmental organisation websites. We screened 1999 abstracts and seven additional relevant documents. Ultimately, we extracted information on 792 indicators from 142 documents. Using a conceptual framework developed inductively, we grouped indicators into seven domains (social and policy context, abortion access and availability, abortion prevalence and incidence, abortion care, abortion outcomes, abortion impact and characteristics of women) and 40 subdomains. Indicators of access and availability and of the provision of abortion care were the most common. Indicators of outcomes were fewer and focused on physical health, with few measures of psychological well-being and no measures of quality of life or functioning. Similarly, there were few indicators attempting to measure the context, including beliefs and social attitudes at the population level. Most indicators used special studies either in facilities or at population level. The list of indicators (in online supplemental appendix) is an extensive resource for the design of monitoring and evaluation plans of abortion programmes. The large number indicators, many specific to one source only and with similar concepts measured in a multitude of ways, suggest the need for standardisation.
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spelling pubmed-78498862021-02-02 Abortion metrics: a scoping review of abortion measures and indicators Filippi, Veronique Dennis, Mardieh Calvert, Clara Tunçalp, Özge Ganatra, Bela Kim, Caron Rahn Ronsmans, Carine BMJ Glob Health Original Research Consensus is lacking on the most appropriate indicators to document progress in safe abortion at programmatic and country level. We conducted a scoping review to provide an extensive summary of abortion indicators used over 10 years (2008–2018) to inform the debate on how progress in the provision and access to abortion care can be best captured. Documents were identified in PubMed and Popline and supplemented by materials identified on major non-governmental organisation websites. We screened 1999 abstracts and seven additional relevant documents. Ultimately, we extracted information on 792 indicators from 142 documents. Using a conceptual framework developed inductively, we grouped indicators into seven domains (social and policy context, abortion access and availability, abortion prevalence and incidence, abortion care, abortion outcomes, abortion impact and characteristics of women) and 40 subdomains. Indicators of access and availability and of the provision of abortion care were the most common. Indicators of outcomes were fewer and focused on physical health, with few measures of psychological well-being and no measures of quality of life or functioning. Similarly, there were few indicators attempting to measure the context, including beliefs and social attitudes at the population level. Most indicators used special studies either in facilities or at population level. The list of indicators (in online supplemental appendix) is an extensive resource for the design of monitoring and evaluation plans of abortion programmes. The large number indicators, many specific to one source only and with similar concepts measured in a multitude of ways, suggest the need for standardisation. BMJ Publishing Group 2021-01-29 /pmc/articles/PMC7849886/ /pubmed/33514592 http://dx.doi.org/10.1136/bmjgh-2020-003813 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Original Research
Filippi, Veronique
Dennis, Mardieh
Calvert, Clara
Tunçalp, Özge
Ganatra, Bela
Kim, Caron Rahn
Ronsmans, Carine
Abortion metrics: a scoping review of abortion measures and indicators
title Abortion metrics: a scoping review of abortion measures and indicators
title_full Abortion metrics: a scoping review of abortion measures and indicators
title_fullStr Abortion metrics: a scoping review of abortion measures and indicators
title_full_unstemmed Abortion metrics: a scoping review of abortion measures and indicators
title_short Abortion metrics: a scoping review of abortion measures and indicators
title_sort abortion metrics: a scoping review of abortion measures and indicators
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7849886/
https://www.ncbi.nlm.nih.gov/pubmed/33514592
http://dx.doi.org/10.1136/bmjgh-2020-003813
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