Inaugural speech
Danida report
Ipas/IHCAR report





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Conference agenda

Conference Objectives

  • Review existing experiences, data and policies related to the provision of abortion care by MLPs;
  • Discuss and evaluate facilitating factors and barriers to the involvement of MLPs in abortion care services; and
  • More recommendations for future research, programmatic and policy activities in select countries.

Sunday 2 December

Welcome, dinner reception, and opening session. Host: Khosi Xaba

18:00    Welcome address: Ipas: Dr Abe Nkomo and IHCAR:
             Dr Kajsa Sundström

Participant introductions
Dinner reception

Drama presentation: Making a Difference. Amakhosi Theatre Group

Open discussion of reactions to drama. Moderator: Khosi Xaba

Monday 3 December

Conference Inauguration

9:00 - 9:15       Opening remarks: Dr. Eunice Brookman-Amissah

9:15 - 9:30       Introduction of keynote speaker: Dr. Staffan Bergstrom

9:30 - 10:15      Inaugural address: Dr. Pascoal Mocumbi,
Prime Minister of Mozambique
Comments by Dr Eddie Mhlanga,
Department of Health, South Africa

10:15 - 10:30    Presentation of conference agenda.
IHCAR: Annika Johansson and Ipas: Heidi Johnston

10:30 - 11:00    Tea

Session 1 Access to abortion services by midlevel providers: evidence and challenges

Session objectives: To appreciate the need for increased access to safe abortion care services, and the roles midlevel providers can play in increasing access to these services.

11:00 – 11:15    Session Introduction: Kim Dickson-Tetteh, moderator

11:15 – 12:15    Case study presentations:

Kenya: Monica Oguttu
Expanding access to abortion services through postabortion counseling and linking public and private providers

Viet Nam: Dang Thi Nghia
Decentralization of abortion services: midwives & assistant doctors providing abortion care

Mozambique: Momade Usta
Expanding access when resources are scarce and doctors few

12:15 – 12:45    Plenary discussion

12:45 – 13:45    Lunch

Session 2 Quality of Abortion Care: From client and health system perspectives, what are the roles of midlevel providers in improving abortion care?

Session objectives: Review evidence and experiences and identify gaps in the evidence concerning quality of abortion care by trained midlevel providers.

13:45 – 14:00    Session introduction: Gabrielle Ross, moderator;

14:00 – 14:15    Theme speaker: Margaret Maimbolwa

14:15 – 15:15    Case study presentations:

South Africa: Gail Andrews
Successes and challenges in quality of care following CTOP

Bangladesh: Dr Halida Akhter
Access to MR in low resource settings: Family Welfare Visitors as service providers

Sweden: Catharina Zätterström
Medical abortion by midwives; consequences for quality of care

15:15 – 15:45    Plenary discussion

15:45 – 16:00    Tea

16:00 – 17:30    Small group work: Describe, discuss, and synthesize
material presented, and make recommendations
for future actions

Tuesday 4 December

9:00 – 10:00     Report results of group work to plenary.
Discussion of recommendations

Session 3 Health Systems and policy strategies: overcoming barriers to MLP’s providing abortion services

Objective: Identify barriers to midlevels providing abortion services and develop strategies to overcome these barriers.

10:00 – 10:15    Session Introduction: Mafanato Sibuyi, moderator

10:15 – 10:30    Theme Speaker: Mary Kawonga

10:30 – 10:45    Tea

10:45 – 12:00    Case study presentations:

Zambia: Dr Velepi C. Mtonga, Martha Phiri Ndlovu
Bridging the policy – service delivery gap?

Cambodia: Nean Ren
Organizing basic reproductive health care, including elective abortion services

India: Mridula Dras
Strategies to advance midlevel provision of elective abortion services

USA: Beth Kruse
Building professional support: Clinicians for Choice

12:00 – 12:30    Plenary discussion

12:30 – 13:30    Lunch

13:30 – 15:30    Small group work: Describe, discuss, synthesize,
and make recommendations for future actions

15:30 – 15:45    Tea

15:45 – 17:00    Plenary presentation of small group work.
Karen Otsea, moderator

Wednesday 5 December

Session 4 Conference Recommendations

09:00 – 09:30     Presentation of recommendations from
sessions 1, 2, and 3. Staffan Bergström, moderator

09:30 – 11:30    Technical working groups:
Prioritize recommendations in the areas of
research, policy/advocacy, training
and service delivery

11:30 – 12:15    Presentation of research, policy/advocacy, training
and service delivery recommendations:
Staffan Bergström, moderator

12:15 – 12:30    Coordinating future activities using e-mail groups and
the Internet: Bengt Estborn

12:30 – 13:00    Closing Remarks: Gail Andrews

13:00 – 14:00    Lunch

14:00Some delegates depart for Johannesburg


Expanding Access: Advancing the Roles of Midlevel Providers in Menstrual Regulation and Elective Abortion Care

Post-conference workshop: Strategizing future work

Thursday 6 December 2001

Workshop Objective: Generate initial plans for future activities in select countries

09.00 – 09:45    Discussion of drafted conference statement:
Merrill Wolf, moderator

09:45 – 10:00    Explanation of purpose/expected outcomes of workshop:
Heidi Johnston

10:00 – 10:30    Presentation: Regulation and Elective Abortion Care:
What is WHO doing? Della Sharrett

10:30 - 10:45     Tea

10:45 - 13.00     Morning session:

Work in thematic/regional working groups:

  • outline project plans, decide on process and how to apply for funding;
  • networking within the whole group and between sub-groups, contact with other networks - technical aspects of web-site etc.

13:00 – 14:00    Lunch

14:00 – 15:30    Afternoon session: Rivka Gordon, moderator

In plenary: Coordinating future activities in advancing the role of midlevel providers in menstrual regulation and elective abortion care.

Presentation of preliminary strategies

Closing comments: Khosi Xaba

15:30 – 16:00    Tea

16:00                 Departure for Johannesburg