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Introduction of Abortion Technologies: A Quality of Care Management Approach

Published online by Cambridge University Press:  29 April 2021

Forrest C. Greenslade ,
Judith Winkler  and
Ann H. Leonard
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Extract

The development of antiprogestins and their use for early legally induced abortion have caused considerable heated debate concerning the appropriateness of this new technology for introduction into health care settings around the world. This debate is obviously complicated by broader issues such as abortion itself, women's rights and reproductive freedom, hormone-related medications, and other controversies. While these issues cannot be completely separated, this paper focuses on the management challenges that surround the introduction of new reproductive health technologies. This problem is central to the availability, accessibility, and applicability of new abortion technologies such as the RU 486/Prostaglandin combination.

Introduction of new contraceptive and abortion technologies has yielded important lessons that can guide decision-making regarding RU 486/Prostaglandin. Specifically, these experiences have highlighted the need to concentrate on quality of care concerns in introducing technologies, to ensure new services’ acceptability and, thereby, their effectiveness.

Type
Medical and Health Services Issues
Information
Law, Medicine and Healthcare , Volume 20 , Issue 3 , Fall 1992 , pp. 161 - 168
Copyright
© 1992 American Society of Law, Medicine & Ethics

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References

Soni, Veena, “The Development and Current Organisation of the Family Planning Programme,” in Dyson, Tim and Cook, Nigel, eds., India's Demography: Essays on the Contemporary Population (New Delhi: South Asian Publishers Pvt. Ltd., 1984).Google Scholar
Berelson, Bernard, “Report of the President”, The Population Council Annual Report, 1966 (New York: The Population Council, 1966).Google Scholar
Spicehandle, Joanne, “Norplant® Introduction: A Management Perspective,” in Segal, sheldon J., Tsui, Amy O. and Rogers, Susan M., eds., Demographic and Programmatic Consequences of Contraceptive Innovations (New York: Plenum Publishing Corporation, 1989), 199–225; Lapham, Robert J. and Simmons, George B., eds., Organizing for Effective Family Planning Programs (Washington, DC: National Academy Press, 1987); International Development Research Centre, Choice and Challenge—Global Teamwork in Developing a Contraceptive Implant (Ottawa: International Development Research Centre, 1990); World Health Organization, Norplant® Contraceptive Subdermal Implants (Geneva: World Health Organization, 1990).10.1007/978-1-4684-5721-6_9CrossRefGoogle Scholar
Macklin, Ruth, “Antiprogestins: Ethical Issues”, Paper prepared for the International Symposium on Antiprogestins (Dhaka, Bangladesh: October 1991). Another version of this paper, focusing on United States issues, is published in this issue of Law, Medicine & Health Care.Google Scholar
McLaurin, Katie E., Hord, Charlotte E. and Wolf, Merrill, “Health Systems' Role in Abortion Care: The Need for a Pro-Active Approach”, Issues in Abortion Care, 1 (1991): 1–34; World Health Organization, Technical and Managerial Guidelines on Abortion Care (Geneva: World Health Organization, in press).Google Scholar
Bruce, Judith, “Users' Perspectives on Contraceptive Technology and Delivery Systems—Highlighting Some Feminist Issues”, Technology in Society, 9 (1987): 359–383; Spicehandler, supra note 3.10.1016/0160-791X(87)90011-XCrossRefGoogle Scholar
Beattie, Karen J., Greenslade, Forrest C. and Spitzer, Elizabeth R., “Opportunities for Improving the Quality of Care in Family Planning Services through Introduction of New Contraceptive Methods”, Paper prepared for the 118th Annual Meeting of the American Public Health Association (New York: October 1990).Google Scholar
Bradley, Jan, Sikazwe, Nsama and Healy, Joan, “Improving Abortion Care in Zambia”, Studies in Family Planning, 22 (Nov./Dec. 1991).10.2307/1966453CrossRefGoogle Scholar
Program for Appropriate Technology in Health (PATH), “RU 486 in Developing Countries: Questions Remain”, Outlook, 9 (Sept. 1991): 1–6; Program for Appropriate Technology in Health (PATH), Model Program for the Introduction of RU 486 in Developing Country Settings (Seattle, Washington: PATH, 1991).Google Scholar
Bruce, Judith, Fundamental Elements of the Quality of Care: A Simple Framework (New York: The Population Council, 1989).Google Scholar
Leonard, Ann H. and Winkle, Judith, “A Quality of Care Framework for Abortion Care”, Advances in Abortion Care, 1 (Dec. 1991).Google Scholar
Bruce, Judith, Fundamental Elements of the Quality of Care: A Simple Framework (New York: The Population Council, 1989).Google Scholar