MCSA IJGO supplement v6

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Special issue: Insights from the WHO
Multi-country survey on quality of
care for abortion related complications
NAME, Degrees
Affiliation

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WHO Multi-Country Survey on Abortion Morbidity (MCS-A)
MCS-A sub Saharan-Africa Countries (N=15671 individual medical
records, N=210 facilities)
Benin Ghana Niger
Burkina Faso Kenya Nigeria
Chad Malawi Uganda
Democratic Republic of Congo
Mozambique
Cross-sectional study with
prospective data
collection, to describe
1) post-abortion
complications, severity and
management, and,
2) care sought and received
(as reported by women)
across 11 African countries

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WHO Multi-Country Survey on Abortion Morbidity (MCS-A)
Cross-sectional study with
prospective data
collection, to describe
1) post-abortion
complications, severity and
management, and,
2) care sought and received
(as reported by women)
across 11 African countries
MCS-A Latin America & Caribbean Countries (N=7983 individual medical
records, N=70 facilities
Argentina Dominican Republic
Bolivia El Salvador
Brazil Peru

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Methodology –Facility Assessment
Health facilities were eligible if they
fulfilled the following characteristics:
–>1000 deliveries per year,
–Availability of gynecology ward, surgical
capability to provide emergency obstetrical care
(including removal of retained products and, abortion
provision and/or post-abortion care)
Sub-Saharan Africa: 210 facilities
Latin America and Caribbean: 70 facilities

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Methodology –Individual Assessment
Inclusion: Women’s presenting to the facility with
signs and symptoms from abortion-related
complications or early pregnancy loss (including
ectopic and molar pregnancies) or death at
discharge
Exclusion: Women with a diagnosis of threatened
abortion, defined as vaginal bleeding with a closed
cervix were excluded.
Data on women’s characteristics including
socio-demographics, obstetric history, clinical
information, management procedures were
abstracted from medical records