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International Safe Abortion Day 2022 | Collections | MSF Science Portal

Unsafe abortion is a leading 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 28,000 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. So in 2016 we launched a program to systematically implement safe abortion care (SAC), starting with ten pilot sites and then applying the lessons learned to scale up at projects across the globe.

This Collection presents highlights of these efforts. Since our first publication on the need to provide SAC as a way of reducing maternal death and injury, several studies assessed the role of unsafe abortion in driving this suffering in specific contexts. Others described internal obstacles to providing SAC, operational solutions developed, and outcomes achieved. And we advocated for shifting towards community-led and self-managed SAC, particularly given new obstacles that emerged during the Covid-19 pandemic.

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World NTD Day
World NTD Day

Neglected tropical diseases (NTDs) impact nearly 1.7 billion people each year, causing serious illness or lifelong disability among many—often leading to stigma and exclusion—and killing an estimated 200,000. The vast majority of sufferers live in the world’s poorest countries.


The World Health Organization’s NTD roadmap 2021-2030 aims to address 20 tropical diseases through prevention, control, elimination, and/or eradication. But despite some progress, reaching all its targets will take better, far more accessible diagnostics and treatments along with more robust strategies, political commitment and resources.


To mark World NTD Day, this collection spotlights work by MSF and collaborators on improving approaches to snakebite envenoming, kala azar and noma. One study presents an innovative artificial intelligence-based snakebite diagnostic tool, while others evaluate shorter, less toxic drug regimens or different models of care. Several commentaries advocate for national/regional strategies adapted to contexts ranging from remote villages to active conflict zones. Another crucial factor is the climate crisis, which is intensifying the transmission and geographic spread of many NTDs.

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Combatting antibiotic resistance 2022
Combatting antibiotic resistance 2022
Resistance to antibiotics is a growing public health crisis, especially in countries with fragile health systems and in regions at war. The World Health Organization has estimated that antibiotic-resistant bacteria caused nearly 1.3 million deaths in 2019, a toll that will increase significantly in the coming years if effective action is not taken. To mark World Antimicrobial Awareness Week 2022 (18-24 November) we present a snapshot of MSF’s recent work on responding to this growing threat. Since many humanitarian settings lack laboratory capacity to diagnose these infections, MSF and partners have developed two new technologies with the potential to dramatically expand the availability of accurate diagnosis—allowing clinicians to then tailor antibiotic treatment accordingly. Other work from diverse contexts describes practices and challenges related to optimizing rational antibiotic use within health facilities and communities. Lastly, several studies characterize the patterns and prevalence of antibiotic resistance among MSF patients, from hospitalized neonates in Central African Republic to acute trauma patients in Haiti and Yemen.
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Technical Report
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Evidence Brief

The magnitude and severity of abortion-related complications in the Castors Maternity in Bangui, Central African Republic – Evidence brief, March 2022

Pasquier E, Owolabi OO, Fetters T, Chen H, Williams TN,  et al.
2022-08-30
2022-08-30
Abortion complications remain a major cause of maternal mortality worldwide and abortion-related mortality has decreased very little over the last decade, unlike maternal mortality linke...
Conference Material
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Poster

The pathway to care for women experiencing severe abortion-related morbidity: qualitative results from the AMoCo study, Jigawa State, Nigeria

Moore AM, Fetters T, Williams TN, Pasquier E, Kantiok J,  et al.
2022-05-09 • MSF Scientific Days International 2022
2022-05-09 • MSF Scientific Days International 2022
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
Conference Material
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Slide Presentation

Knowledge, attitudes, practices and behaviour of maternity ward staff in relation to comprehensive abortion care in a conflict-affected setting, Bangui, Central African Republic: cross-sectional survey

Chen H, Fetters T, Ngbale NR, Nguengo L, Dodane T,  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 Blog
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Perspective

Overcoming inaction and increasing access to safe abortion care: MSF experience

Fotheringham C, Kumar M, Schulte-Hillen C
2019-03-04 • PLoS Blogs
2019-03-04 • PLoS Blogs
On International Women's Day 2019, the authors discuss recent efforts by MSF to improve access to safe abortion care worldwide.
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...
International Safe Abortion Day 2022

International Safe Abortion Day 2022