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Safe abortion care at MSF | Collections | MSF Science Portal
Safe abortion care at MSF

Safe abortion care at MSF

Unsafe abortion is a major cause of maternal death, and the only one that is completely preventable. Yet over 30 million unsafe abortions occur each year, leading to at least 29,000 deaths and millions of serious complications—nearly all in low- and middle-income countries. MSF teams see these tragic consequences first-hand, treating thousands of patients every year with severe, potentially life-threatening effects from unsafe abortion.


To mark International Safe Abortion Awareness Day (28 September 2024), this Collection presents highlights of MSF’s work on safe abortion care (SAC) as a way to reduce maternal death and injury. By re-assessing and reshaping how our projects deliver SAC in fragile and conflict-affected settings, we have been able to significantly expand services in those contexts and across MSF projects globally. In parallel, we also conducted in-depth studies of abortion complications and their contributing factors in fragile settings, where a dearth of evidence limits understanding of women's needs in accessing comprehensive care. These findings are helping to identify gaps in service delivery and inform operational decision-making.

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MSF Paediatric Days 2024 abstracts

MSF Paediatric Days 2024 abstracts
On 3-4 May in Nairobi, Kenya, MSF gathered staff from our projects with experts from academia, clinical practice and the non-governmental sector to consider key issues in humanitarian paediatrics. These included: Vaccination and vaccine-preventable diseases: Amid post-Covid-19 global setbacks in child vaccination coverage, sessions spotlighted recent increases in vaccine-preventable disease outbreaks, potential new vaccination strategies and emergency responses, and MSF’s role in vaccine advocacy and catch-up campaigns. Nutrition: Talks covered the nexus of nutrition with other key conference topics, the latest malnutrition guidance and tools, and MSF’s priorities in nutritional care. Paediatric HIV: With half of all HIV-positive children globally not receiving antiretroviral therapy, presenters reviewed the latest paediatric testing/treatment recommendations and discussed barriers and potential solutions to implementation, nutritional challenges in children with HIV, and systems strengthening for preventing and monitoring paediatric HIV. Click below to read the abstracts. And stay tuned for more conference content, coming soon.
Humanitarian action & health systems (MSF Scientific Days International 2022)

Humanitarian action & health systems (MSF Scientific Days Int...
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Healthcare needs of older people in humanitarian settings

Healthcare needs of older people in humanitarian settings
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Globally, the number of older people is rapidly increasing, with those aged 60+ expected to more than double by 2050—yet in humanitarian crises, they remain one of the most neglected groups. Older adults often face higher risks due to chronic illnesses, mobility issues, and limited access to appropriate care, especially in low-resource or emergency settings. Despite these needs, humanitarian responses rarely prioritize them, and data on their health and mortality are often lacking.


This collection reflects MSF’s ongoing examination of its own data and practices to identify pathways toward more age-inclusive services in humanitarian crises. It includes analysis of data from MSF-supported mental health services, inpatient departments, and sexual violence services, and further offers several calls to action and reflections on why older people remain overlooked in humanitarian crises. However, MSF also acknowledges major challenges remain, including inadequate age-inclusive services, data gaps, and the need for more geriatric expertise.


Watch this space for more publications from a Lancet Healthy Longevity series on healthcare rights and needs of older people.


Journal Article
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Research

Self-managed abortion as a humanitarian revolution: Accounts of a telehealth pilot in the Middle East

Lasserre L, Staderini N, Hasan M, Rossi V
2025-02-11 • Conflict and Health
2025-02-11 • Conflict and Health

BACKGROUND

Access to safe abortion care (SAC) should be improved in fragile and humanitarian settings, and the implementation of interventions in that regard ar...

Journal Article
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Research

Assessing post-abortion care using the WHO quality of care framework for maternal and newborn health: a cross-sectional study in two African hospitals in humanitarian settings

Pasquier E, Owolabi OO, Powell B, Fetters T, Ngbale R,  et al.
2024-08-05 • Reproductive Health
2024-08-05 • Reproductive Health

BACKGROUND

Abortion-related complications remain a main cause of maternal mortality. There is little evidence on the availability and quality of post-abortion c...

Journal Article
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Research

Reasons for delay in reaching healthcare with severe abortion-related morbidities: Qualitative results from women in the fragile context of Jigawa state, Nigeria (AMoCo)

Moore AM, Fetters T, Williams T, Pasquier E, Kantiok J,  et al.
2023-12-01 • SSM - Qualitative Research in Health
2023-12-01 • SSM - Qualitative Research in Health
Maternal near-miss events are a key measure of maternal health; abortion-related complications are one source of near-miss events. To understand the pathway to care of women with severe ...
Technical Report
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Evidence Brief

The magnitude and severity of abortion-related complications: Referral Hospital in Jigawa State, a fragile setting - Results of the AMoCo study

Fotheringham C, Moore AM, Owolabi OO, Fetters T, Chen H,  et al.
2023-08-01
2023-08-01

A dearth of evidence on abortion complications in fragile settings limits the understanding of women’s needs in access to comprehensive abortion care in contexts like Jigawa state. Th...

Journal Article
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Pre-Print

Lessons learned conducting abortion research in fragile contexts: Reflections from a mixed methods study in Africa (the AMoCo study)

Moore AM, Pasquier E, Williams TN, Fetters T, Powell B,  et al.
2023-03-20 • Research Square
2023-03-20 • Research Square
BACKGROUND
Conducting abortion research in fragile settings presents challenges, many of which are present in other low-resourced settings to various degrees but when appearing all t...
Journal Article
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Research

High severity of abortion complications in fragile and conflict-affected settings: a cross-sectional study in two referral hospitals in sub-Saharan Africa (AMoCo study)

Pasquier E, Owolabi OO, Fetters T, Ngbale RN, Adame Gbanzi MC,  et al.
2023-03-04 • BMC Pregnancy and Childbirth
2023-03-04 • BMC Pregnancy and Childbirth
BACKGROUND
Abortion-related complications are one of the five main causes of maternal mortality. However, research about abortion is very limited in fragile and conflict-affected set...
Journal Article
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Research

Catalyst for change: Lessons learned from overcoming barriers to providing safe abortion care in Médecins Sans Frontières projects

Kumar M, Schulte-Hillen C, De Plecker E, Van Haver A, Marques SG,  et al.
2022-10-23 • Perspectives on Sexual and Reproductive Health
2022-10-23 • Perspectives on Sexual and Reproductive Health
CONTEXT
Despite instituting a policy in 2004, Médecins Sans Frontières (MSF) continuously struggled to routinely provide safe abortion care (SAC). In 2016, the organization launched ...
Conference Material
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Poster

Provision of safe abortion care: a multicentre descriptive mixed-methods analysis, MSF OCB 2018-2020

Van Haver A, Lagrou D, Van der Bergh R, Lynen M, Vaquero M,  et al.
2021-05-18 • MSF Scientific Days International 2021: Research
2021-05-18 • MSF Scientific Days International 2021: Research
Journal Article
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Commentary

Now is the time: a call for increased access to contraception and safe abortion care during the COVID-19 pandemic

Kumar M, Daly M, de Plecker E, Jamet C, McRae M,  et al.
2020-07-20 • BMJ Global Health
2020-07-20 • BMJ Global Health
SUMMARY BOX

• The COVID-19 pandemic has begun to severely limit access to sexual and reproductive healthcare, including contraception and safe abortion care (SAC), which have h...
Conference Material
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Video

Overcoming barriers to provision of safe abortion care in MSF projects: Task Force approach

Kumar M
2019-05-10 • MSF Scientific Days International 2019
2019-05-10 • MSF Scientific Days International 2019
Journal Article
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Letter

Why Médecins Sans Frontières (MSF) provides safe abortion care and what that involves

Schulte-Hillen C, Staderini N, Saint-Sauveur JF
2016-09-21 • Conflict and Health
2016-09-21 • Conflict and Health
MSF responds to needs for the termination of pregnancy, including on request (TPR); it is part of the organization's work aimed at reducing maternal mortality and suffering; and preventi...