Improved access to comprehensive abortion care and contraceptive services as integral components of sexual and reproductive health
Global Comprehensive Abortion Care Initiative
IMPLEMEMTATION AREAS: Nairobi,Thika,Nakuru,Mombasa,Eldoret, Kitengela and Kisumu
Duration: January 2013 – December 2018
In Kenya complications of unsafe abortion contribute 30 – 40% of all maternal deaths, far more than the worldwide average of 13% - making unsafe abortion a significant cause of maternal mortality in the country which stands at 362/100,000 live births (KDHS, 2014). According to a study carried out by Ipas on the magnitude of unsafe abortion in Kenya, every year, at least 2,600 women die from unsafe abortion in Kenya; 21,000 more women are hospitalised annually with complications from incomplete and unsafe abortion.The situation is even worse for young girls are they are at a higher risk of pregnancy –related complications particularly obstructed labour and associated injury. The group is considered marginalized because there are faced with unique health challenges yet there are few health facilities that offer integrated youth friendly services on contraceptive and CAC services.
It’s this realization that awakened Family Health Options through the support of IPPF,HIVOs, SAAF and other partners to ensure that services provides were adequately trained to offer Comprehensive Abortion Care services within the confines of Kenya Constitution, Value clarification and attitude transformation for providers, management and volunteers, refurbishment of clinics and supply of essential equipment and consumables.
The constitution allows provision of safe abortion services under three conditions: If procured by a trained health professional, in need for emergency treatment, or when the health or life of the mother is at risk, and when permitted by any other Act of Parliament.
Comprehensive Abortion Care has six elements:
- Prevention of unplanned pregnancy which involves Family life education, moral education, abstinence, delaying sexual debut,Family planning and contraception,Proper and consistent use of condoms, provision of youth friendly services and use of IEC/BCC materials
- Safe Abortion within the confines of the Kenya law
- Management of complications (Treatment of Incomplete abortion)
- Linkages with other services
- Advocacy for policy reforms
“I do not know how it happened. Had gone out with male friends, and the last thing I remember, I was drunk. What happened after that is history”.Am confused whose is responsible for the pregnancy because the previous week I had sex with my boy-friend. One week later was referred to Family Care clinic by a friend and I was assisted by Dr. James. Am grateful for the service I received”.
“I was a raped by my uncle and my mother reported the crime to the police. However, the police took no action and just when i was about to give up, I was referred to a peer educator who quickly linked me to FHOK for medical intervention. Without the link provided by the peer educator, I don’t know what would have been the outcome of my rape. “
FHOK is committed to upholding woman’s right to decide the outcome of her pregnancy and to eradicating abortion related deaths and disabilities. Any woman faced with an unwanted pregnancy has 3 choices; carry the pregnancy to term, deliver safely and bring up the child or give the child up for adoption or have a safe abortion as allowed in the Kenyan Constitution Article 26 (4). Between2013-2015 the organization was able to avert 10,106 unsafe abortions.