Community

Communities can play an important role in reducing unwanted pregnancy and unsafe abortion, and advocating for access to high-quality PAC services.  Reducing stigma around unsafe abortion in communities is a critical step in empowering women to access life-saving PAC services. A strong and effective partnership between community leaders, groups and health care providers can strengthen efforts to reduce maternal mortality and morbidity from unsafe abortion.

PAC Consortium | General Resources | Training Resources | Studies & Assessments


PAC Consortium Materials

Resources to come.

General Resources

Adaptation of the Bolivia Community Postabortion Care Model in Egypt and Peru
C. Tran and K. Giri, USAID, Extending Service Delivery (ESD) Project, 2006
The intent of this document is to provide a guide to organizations, cooperating agencies, bilateral projects, and communities interested in carrying out community PAC activities and to spark ideas for adaptations based on this PAC model

Training Materials

Resources to come.  If you have any resources you would like to share, please email info@pac-consortium.org.

Studies & Assessments

Replication of the Community Mobilization for Postabortion Care (COMMPAC) Model in Naivasha District, Rift Valley Province, Kenya: An Evaluation
Undie, C., Obare, F., RamaRao S., RESPOND Project/Population Council, 2012
The RESPOND Project was implemented over 18 months in Kenya and utilized the Community Mobilization for Postabortion Care (COMMPAC) Model in an effort to increase awareness of PAC services and identification of pregnancy-related complications, to  increase the number of women in need of PAC services who see a trained provider, and to improve access to contraceptives, maternal health, and reproductive health among women in this community. This report summarizes the key findings from the RESPOND program and provides recommendations for future implementation of the COMMPAC Model.

Delivering Post-Abortion Care Through a Community-Based Reproductive Health Volunteer Program in Pakistan
Azmat, S., Shaikh B, Mustafa G., Hameed W., and Bilgrami M., Marie Stopes Society, Pakistan, 2012
This qualitative study aims to measure the level of PAC and family planning knowledge among a focus group of women in Pakistan, as well as their level of satisfaction with PAC services. In this study, Reproductive Health Volunteers (RHV) promoted PAC services at the community level.  The RHVs reported that community attitudes toward and utilization of PAC services improved and increased, respectively.  The community sensitization approaches employed in this setting may be effective in other countries; however, further research is needed.

Investigating social consequences of unwanted pregnancy and unsafe abortion in Malawi: The role of stigma
Levandowski B., Kalilani-Phiri L., Kachale F., Awah P., Kangaude G., Mhango C., 2011
Based on in-depth interviews with 485 stakeholder from Malawi, the authors of this study describe the stigma and social consequences that women suffer due to unwanted pregnancy and unsafe abortion.  Stigmatization needs to be addressed at the community level.  Involving male partners in family planning counselling and services, strengthening the life skills and sexual education curricula at schools, and improving existing PAC facilities were solutions identified for improving the community and facility level situation regarding unsafe abortion.

Improving Abortion and Postabortion Care Services Using Community Survey Data in Ghana, 2009
Pathfinder International, 2009
This paper discusses the results of a community survey conducted to assess the knowledge, attitudes, and practices of men and women of reproductive age toward abortion in six districts of northern Ghana.

Community-based postabortion care: A collaborative intervention in Kenya’s Western and Nyanza Provinces
K. Turner; E. Mitchell; N. Nyaga; S. Onyango; R. Lovell; J. Herrick, 2003
Ipas partnered with Kenya’s largest nongovernmental women’s organization, Maendeleo Ya Wanawake Organization, and the Ministry of Health to assess and train community health workers in linking women with abortion complications to life-saving care. This report describes the intervention and its results, identifies conclusions and lessons learned, and makes recommendations for community-based postabortion care interventions.

Community education efforts enhance postabortion care program in Ghana
T.L. Baird; D.L. Billings; B. Demuyakor, 2000
This paper provides information on a project that used existing mechanisms and health personnel to educate the community about the signs of abortion complications and the improved availability of postabortion care services.

Unsafe Abortion and Postabortion Care in Zimbabwe: Community Perspectives
S. Settergren; C. Mhlanga; J. Mpofu; D. Ncube; C. Woodsong, 2000
This policy brief details a first phase of a social theater project aimed to sensitize communities to the problems of unsafe abortion and motivate community action, while gathering data on community perspectives in the process.