Social Marketing of Medical Abortion Social Marketing of Medical Abortion Regimes-Who Does Provide Services and Regimes-Who Does Provide Services and Where -By Vivek Malhotra - PHS-IndiaWhere -By Vivek Malhotra - PHS-India

ICMA-Lisbon- March 2010ICMA-Lisbon- March 2010

Population Health Services (India)Population Health Services (India)

India background

• Model of Liberalised access to MA

• Extensive Network of Literate Pharmacists and RMPs.- Self Educate

• General acceptance of Abortion

• Low awareness levels of legality

• Abortion Providers is Important

Sale Module

• Contact Providers Periodically

• Organize RMP’s , ANM's meetings for knowledge / Practice upgrades

• Placement of M.A Products for easy availability.

Who are the Providers

• Our Centers

• Gynecologists

• Pharmacies

• Indirect Providers- RMPs, ANMs

Which Class of Towns / Areas-PHS

• Semi Urban

• Rural

• Urban to Some extent

From where do they getSource of MA

Doctors 67%

Pharmacists 33%

Did you receive Instructions from Provider

Yes 95%

No 5%

Did you read Instructions given with the tablet-Yes 61%

Source –Boler T,Marston C, Corby N & Gardiner E,MSI

No. of Weeks and % Termination Using M A

No. of Weeks

of Pregnancy Percentage

1 - 6 78%

7 - 15 22%

No. of Weeks and % of Termination Using M A

7-15, 22%

1-6, 78%

7-15

1-6

Source –Boler T,Marston C, Corby N & Gardiner E,MSI

HAS MAOCC IMPACTED CLINIC NUMBERS

RANCHI DISTRICT MAOCC CLINIC TOTAL

2007 2310 550 2860

2008 3080 1002 4082

2009 3980 1256 5236

Factors Influencing MAOCC

• Does not require hospitalization

• Very Effective

• Non Surgical

• Easy Availability of Service

• Provides Confidence

• Friends/Relatives suggestion

• Confidentiality

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