Number/percent of service delivery points providing postabortion care services by type and geographic distribution
The total number and percent of service delivery points (SDPs) providing postabortion care (PAC) services by type of facility (e.g., health center, district hospital, private physician) and geographic location.
Service delivery points should include those in both the public and private health care sectors.
This indicator is calculated as:
|# of SDPs of a particular type that deliver PAC services in a given area x 100
Total # of SDPs of that type in the area
Postabortion care consists of:
- Emergency treatment for complications from spontaneous or induced abortions
- Family planning counseling and services, sexually transmitted infection evaluation and treatment, and HIV counseling and/or referral for testing
A third component, which does not need to be included in order to be counted for this indicator, is:
- Community empowerment through community awareness and mobilization (USAID, 2011)
Total number, type, and geographic location of facilities providing postabortion care services; total number of service delivery facilities by type and location
National program records; private and NGO records; provider interviews; and observation of services
The purpose of this indicator is to measure the degree to which PAC services are available within a given country.
Ideally, information collected for this indicator can serve to monitor other key indicators, such as the percentage of facilities offering PAC services in a given region or at a given level of care (e.g., health center, district hospitals, and tertiary hospitals). Another alternative indicator is the number, type, and geographic distribution of SDPs that have commodities, equipment, and transport for postabortion care.
If population figures are available, information collected for this indicator may help determine if the number and type of facilities providing services are sufficient for the population served. Indicators developed by UNICEF, WHO, and UNFPA for monitoring access to emergency obstetric care can provide guidance.
All countries should be able to monitor the availability of PAC services for treatment of abortion complications. In countries where abortion is severely restricted, evaluators may have difficulty obtaining accurate information on all the facilities providing PAC services. Even in countries where abortion laws may be less restrictive, providers (especially private providers) may be less open to admitting that they provide such services because of the stigma attached to abortion and a desire to protect the privacy of their patients.
access, postabortion care, safe motherhood (SM)
USAID Core Components of the Postabortion Care Model. USAID, 2011. Accessed in June, 2011. Available at: http://pdf.usaid.gov/pdf_docs/PNADU081.pdf