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Simplified Follow-up after Medical Abortion using a Low-sensitivity Urinary Pregnancy Test and a Checklist in Rajasthan, India – Study Protocol and Intervention adaptation of a Randomised Control Trial
Uppsala Universitet.
Karolinska institutet.
Action for Reserach in Health (ARTH).
Uppsala Universitet.
Show others and affiliations
2014 (English)Conference paper, Abstract (Refereed)
Abstract [en]

Background

The WHO suggests that simplification of the medical abortion regime will contribute to an

increased acceptability of medical abortion, among women as well as providers. It is expected

that a home-based follow-up after a medical abortion will increase the willingness to opt for

medical abortion as well as decrease the workload and service costs in the clinic. This study

protocol describes an RCT that aims to evaluate the efficacy of home-based self-assessment

after a medical abortion and the acceptability and feasibility of the intervention in a lowresource

setting.

Method/Design

The study is a randomised, controlled, non-superiority trial that will evaluate the effectiveness

and acceptability of self-assessment using a low-sensitivity pregnancy test and a checklist two

weeks after medical abortion. Women screened to participate in the study are those with

unwanted pregnancies and gestational ages equal to or less than nine weeks. Eligible women

randomised to the self-assessment group will use the low-sensitivity pregnancy test and the

checklist at home, while the women in the clinic follow-up group will return to the clinic for

routine follow-up carried out by a doctor. To ensure feasibility of the self-assessment

intervention an adaption phase took place at the selected study sites before study initiation.

This was to optimise and tailor-make the intervention and the study procedures and resulted

in the development of a pictorial instruction sheet for how to use the low-sensitivity

pregnancy test and the checklist of danger signs after a medical abortion.

Discussion

In this paper, we will describe the study protocol for a randomised control trial investigating

the efficacy of simplified follow-up in terms of home-based self-assessment, two weeks after

a medical abortion. Moreover, a description of the adaptation phase is included for a better

understanding of the implementation of the intervention in a setting where literacy is low and

the road-connections are poor.

Trial registration

Clinicaltrials.gov (No. NCT01827995)

Place, publisher, year, edition, pages
2014.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Hälsa och välfärd
Identifiers
URN: urn:nbn:se:du-15511OAI: oai:DiVA.org:du-15511DiVA: diva2:746231
Conference
13th ESC Congress, “Challenges in Sexual and Reproductive Health”, 28-31 maj 2014, Lissabon, Portugal
Funder
Sida - Swedish International Development Cooperation AgencySwedish Research Council
Available from: 2014-09-12 Created: 2014-09-12 Last updated: 2015-04-27Bibliographically approved

Open Access in DiVA

No full text

Other links

http://www.escrh.eu/events/esc-events/2014

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Klingberg-Allvin, Marie
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CiteExportLink to record
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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
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  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
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  • asciidoc
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