Evidence map›Paper›PMID 38245008›Full record

ArticleBMJ open2024

Multicountry research on comprehensive abortion policy implementation in Latin America: a mixed-methods study protocol.

Celina Gialdini, Agustina Ramón Michel, Mariana Romero, Silvina Ramos, Guillermo Carroli, Berenise Carroli, Rodolfo Gomez Ponce de León, Mercedes Vila Ortiz, Antonella Lavelanet

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Celina GialdiniCentro Rosarino de Estudios Perinatales (CREP), Rosario, Argentina cgialdini@crep.org.ar.ORCID 0009-0004-1150-2142
Agustina Ramón MichelCentro de Estudios de Estado y Sociedad (CEDES), Buenos Aires, Argentina.
Mariana RomeroCentro de Estudios de Estado y Sociedad (CEDES), Buenos Aires, Argentina.
Silvina RamosCentro de Estudios de Estado y Sociedad (CEDES), Buenos Aires, Argentina.
Guillermo CarroliCentro Rosarino de Estudios Perinatales (CREP), Rosario, Argentina.
Berenise CarroliCentro Rosarino de Estudios Perinatales (CREP), Rosario, Argentina.
Rodolfo Gomez Ponce de LeónLatin American Center of Perinatology Women and Reproductive Health (CLAP/WR), Pan American Health Organization, Montevideo, Uruguay.ORCID 0000-0001-9914-7130
Mercedes Vila OrtizCentro Rosarino de Estudios Perinatales (CREP), Rosario, Argentina.
Antonella LavelanetDepartment of Sexual and Reproductive Health and Research and UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneva, Switzerland.

Funding

World Health Organization 001
6 · The paper itself

Abstract

introductionAccess to comprehensive abortion care could prevent the death of between 13 865 and 38 940 women and the associated morbidity of 5 million women worldwide. There have been some important improvements in Latin America in terms of laws and policies on abortion. However, the predominant environment is still restrictive, and many women, adolescents and girls still face multiple barriers to exercise their reproductive rights. This research will systematically assess comprehensive abortion policies in five Latin American countries (Argentina, Colombia, Honduras, Mexico and Uruguay). The aim is to identify barriers, facilitators and strategies to the implementation of abortion policies, looking at four key dimensions-regulatory framework, abortion policy dynamics, abortion service delivery and health system and health outcomes indicators-to draw cross-cutting lessons learnt to improve current implementation and inform future safe abortion policy development. METHODS AND ANALYSIS: A mixed-method design will be used in the five countries to address the four dimensions through the Availability, Accessibility, Acceptability and Quality of Care model. The data collection tools include desk reviews and semi-structured interviews with key actors. Analysis will be performed using thematic analysis and stakeholder analysis. A regional synthesis exercise will be conducted to draw lessons on barriers, facilitators and the strategies. ETHICS AND DISSEMINATION: The project has been approved by the WHO Research Ethics Review Committee (ID: A66023) and by the local research ethics committees. Informed consent will be obtained from participants. Data will be treated with careful attention to protecting privacy and confidentiality. Findings from the study will be disseminated through a multipurpose strategy to target diverse audiences to foster the use of the study findings to inform the public debate agenda and policy implementation at national level. The strategy will include academic, advocacy and policy arenas and actors, including peer-reviewed publication and national and regional dissemination workshops.

Indexed as

Abortion, InducedAdolescentFemaleHumansLatin AmericaMexicoPolicyPolicy MakingPregnancyHealth policyHealth Services AccessibilityOrganisation of health servicesPUBLIC HEALTHQuality in health careSEXUAL MEDICINE

Identifiers

PMID38245008
PMCPMC10806677

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.