Essential Supplies

Prompt treatment of postabortion complications, whether the abortion is spontaneous or induced, saves women’s lives. The PAC Consortium seeks to make effective equipment and drugs for the treatment of postabortion complications more widely available.  Evidence shows that manual vacuum aspiration (MVA) is a safe technology that can be used by mid-level providers and other health care professionals for uterine evacuation and that misoprostol for PAC is an effective, low-cost method that can be used in settings closer to the community.

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


PAC Consortium Materials

Essential Supplies Fact Sheet

Essential Supplies Task Force, May 2014

General Resources

Map of Mifepristone Approval
Gynuity Health Projects, 2015
Gynuity Health Projects tracks the approval of mifepristone throughout the world. This map reflects the latest information about the registration of this medication. If you become aware of registration in new countries, please write to pubinfo@gynuity.org.

Inventory of Tools for Maternal Health Supplies
Maternal Health Technical Reference Team, 2013
This inventory of tools includes information about 45 tools for maternal health supplies, including many related to postabortion care. For each tool, information such as the purpose, audience, developer are listed along with a link to each.

Scaling Up Lifesaving Commodities for Women, Children, and Newborns
Reproductive Health Supplies Coalition, 2013
This toolkit contain information about the priority commodities for the UN Commission on Lifesaving Commodities for Women, Children, and Newborns and how the Commission’s recommendations are being applied globally and at the country level. Advocacy resources are also included.

Product Brief: Manual Vacuum Aspiration (MVA)
Caucus on New and Underused Reproductive Health Technologies, 2011
The Caucus on New and Underused Reproductive Health Technologies developed a series of peer-reviewed briefs on underused reproductive health technologies including Manual Vacuum Aspiration (MVA) and Medical Abortion.  The MVA Product Brief provides details about known MVA supplies, their quality, and availability for procurement.

Frequently asked clinical questions about medical abortion
World Health Organization, Department of Reproductive Health and Research, 2007
The development of methods of inducing abortion medically (non-surgically) has created alternative options to make abortion available to women in a variety of healthcare settings. The topic has been reviewed extensively in the past five years and a number of evidence-based guidelines have been published. The aim of this document is not to repeat these guidelines, but rather to provide answers to frequently asked questions, based on a review of available evidence.

Stocking facilities with MVA equipment according to caseload
Ipas, 2008
Decisionmakers in health facilities performing uterine-evacuation procedures have lacked guides to estimate their need for manual vacuum aspiration (MVA) equipment. The methods that were — and sometimes still are — used are inadequate because the number of cases a facility sees on any given day can deviate substantially from this average. A new, unique methodology, based upon solid statistical principles and the realities of the field, offers enormous potential for ensuring that facilities have the instruments they need. This new methodology requires larger initial stock quantities, but, in the long run, does not increase the number of devices that facilities actually use. This monograph first will describe the theoretical bases of the methodology, and then will discuss a simple tool to be used for local decision making in stocking and resupplying facilities.

Manual vacuum aspiration: Expanding women’s access to safe abortion services
T. Baird and S. Flinn,  2001
This monograph outlines both clinical and practical reasons supporting the use of MVA for induced abortion. Data on the safety, effectiveness and acceptability of MVA are presented, as well as considerations for providers interested in delivering MVA services.

Training Resources

Manual vacuum aspiration for uterine evacuation: Pain management
L. Castleman and C. Mann, 2009
Reducing the physical pain and anxiety experienced by women undergoing uterine evacuation is an essential part of treatment with MVA. The second edition of this publication addresses the types and origins of discomfort that women may experience, as well as techniques for reducing this discomfort. It includes a table highlighting some common pharmacologic approaches to pain management during MVA.

Performing Manual Vacuum Aspiration (MVA) Using the Ipas MVA Plus®, Ipas 3mm and Ipas EasyGrip® Cannulae (Postabortion care version)
Ipas, 2008
This brochure outlines the steps in performing a postabortion MVA procedure as well as information on how to clean and process the Ipas MVA Plus, Ipas 3mm and Ipas EasyGrip cannulae.

MVA Sustainable Supply Workbook
Ipas, 2008
This workbook, geared toward an international audience, focuses on creating a “sustainable supply” of MVA instruments. Pages in this book will help stakeholders estimate their needs and build a sustainable supply that fits their needs.

Woman-centered postabortion care: Trainer’s manual
K. Turner; T. McInerney; J. Herrick, 2004
This trainer’s manual is intended for use by trainers who lead trainings in woman-centered PAC for a broad audience, including health-care workers, administrators, program managers, health educators and social workers. Designed to accompany woman-centered postabortion care: Reference manual, this manual presents learner-centered, participatory training methods. It comes with a CD-ROM that includes PowerPoint® presentations, additional training resources and adaptable training exercises.

Woman-centered postabortion care: Reference manual
J. Herrick; K. Turner; T. McInerney; L. Castleman, 2004
This manual serves as a learner’s guide for a state-of-the-art curriculum that is designed to prepare health-care workers to provide high-quality PAC services. The manual covers all aspects of PAC, including the guiding principles of woman-centered care, counseling and contraceptive services, and performing uterine evacuation with the Ipas MVA Plus® and EasyGrip® cannulae.

Comprehensive Reproductive Health and Family Planning Training Curriculum: Module 11: MVA for Treatment of Incomplete Abortion
C. Solter; S. Miller; M. Guiterrez, 2000
This training curriculum prepares health workers to counsel women who come to a facility for treatment of an incomplete or septic abortion and to assess and manage the complications of incomplete and septic abortions. It includes information on preparation of MVA equipment, infection prevention procedures, processing MVA equipment for reuse, pain control, the MVA procedure, management of complications of the MVA procedure, and the introduction of comprehensive PAC services in a clinical setting.

Studies & Assessments

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