Evidence map›Paper›PMID 40104251›Full record

ArticleFrontiers in reproductive health2025

Increasing access to self-managed abortion through pharmacies: programmatic results and lessons from a pilot program in Oromia, Ethiopia.

Bekalu Mossie Chekol, Abiyot Belai Mehari, Blain Rezene, Samuel Muluye, Yadeta Ayana, Elsabet Sisay, Sally Dijkerman, Genene Assefa

Abstract read
In one paragraph

Article in Frontiers in reproductive health, 2025. 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. Quality of Medication Abortion Services From Pharmacies and Drugstores in Ethiopia: A Two-Stage Study.BJOG : an international journal of obstetrics and gynaecology · 2026
    Article
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

8 authors.

Bekalu Mossie ChekolIpas Ethiopia, Addis Ababa, Ethiopia.
Abiyot Belai MehariIpas Ethiopia, Addis Ababa, Ethiopia.
Blain RezeneIpas Ethiopia, Addis Ababa, Ethiopia.
Samuel MuluyeIpas Ethiopia, Addis Ababa, Ethiopia.
Yadeta AyanaOromia Health Bureau, Addis Ababa, Ethiopia.
Elsabet SisayIpas Ethiopia, Addis Ababa, Ethiopia.
Sally DijkermanIpas United States, Durham, NC, United States.
Genene AssefaIpas Ethiopia, Addis Ababa, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite increased availability of safe abortion following legal reform in Ethiopia, one-half of public sector abortion services are treatment of postabortion complications, indicating challenges meeting women's needs. Self-managed abortion (SMA)-the ability of pregnant people to manage their unwanted pregnancies with or without the support of a health care provider-is a safe, feasible, and acceptable option for women at gestational ages up to 12 weeks. Seeing the potential of SMA to vastly expand access to safe abortion and reduce postabortion complications, a pilot initiative targeting private pharmacies was implemented by the Ethiopian Ministry of Health, the Oromia Regional Health Bureau, and a non-profit organization. From December 2021 to March 2023, implementers trained and supported 41 pharmacies to provide SMA counseling and medical abortion drugs, with and without prescriptions, which was considered to contradict the legal framework at the time. Pharmacy clients' SMA experiences were documented in logbooks and via 21-day follow-up phone surveys. Thirty-two pharmacies (78%) supported 1,457 self-managed abortions during the pilot. Among clients with complete follow-up surveys (

Indexed as

abortioncomprehensive abortion careEthiopiamedical abortionprivate pharmacyself-careself-managed abortion

Identifiers

PMID40104251
PMCPMC11917366

What OpenQuestion holds

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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.