Table of Contents












Indicatos 1a
 1) Percentage of pharmacy personnel who give correct information about misoprostol for abortion
2) Percentage of women who know that pills can be used for safe abortion
3) Number of network providers trained on harm reduction counseling services
4) Number of public sector clinics where providers have been trained on harm reduction counseling services
5) Number of network providers trained in safe abortion for legal indications (if there is a legal indication for abortion)
6) Number of network clinics offering safe abortion services for legal indications (if there is a legal indication for abortion)
7) Mifepristone / misoprostol included in MOH guidelines for legal abortion indications (if there is a legal indication for abortion)
8) Mifepristone / misoprostol registered for legal abortion indications  (if there is a legal indication for abortion)
9) Inclusion of mifepristone / misoprostol for legal abortion indications in medical/nursing school curricula (if there is a legal indication for abortion)
10) Existence of a national safe abortion strategy (if there is a legal indication for abortion)
11) Number of clients who received harm reduction counseling
12) Number of clients who received harm reduction counseling that returned for follow up with a complete abortion
13) Number of clients who received harm reduction counseling that returned for post-abortion care
14) Number of clients who received harm reduction counseling that received post-abortion family planning from network provider


 

Indicator

1a-1

  
Percentage of pharmacy personnel who give correct information about misoprostol for abortion
 
Workplan:    Increase, from X to Y, the percentage of pharmacy personnel who give correct information about misoprostol for abortion, by Dec. 2018
Indicator Type
 At least one harm reduction counseling indicator is required for PAC countries.
Where Reported
 Workplan, Tracker
Numerator
 # of pharmacy personnel who give correct information about misoprostol for abortion
Denominator
 total # of pharmacy personnel surveyed
Purpose
 To measure provider knowledge of misoprostol for abortion
Data Source
 Mystery client survey OR  survey of pharmacy personnel
Data Collection Frequency
 Twice during project period
Notes:
 Definition:
  • Correct information includes: correct information includes dosage, gestational age, route of administration, frequency of administration, side effects and warning signs.
  • Pharmacy personnel may include pharmacists, pharmacy assistants, counter agents or any personnel who dispenses medicines to clients.
Method of Measurement:
  • See standard questionnaire on Pharmacist knowledge and use of misoprostol, and mystery client study guide on KIX.






























 

Indicator

1a-2

  
Percentage of women who know that pills can be used for a safe abortion 
 
Workplan:    Increase, from X to Y, the percentage of women who know that pills can be used for a safe abortion, by Dec. 2018
Indicator Type
 At least one harm reduction counseling indicator is required for PAC countries.
Where Reported
 Workplan, Tracker
Numerator
 # of  women who know that pills can be used for a safe abortion
Denominator
 total # of women surveyed
Purpose
 To measure consumer knowledge of pills for safe abortion services
Data Source
 Facility based survey of WRA (i.e. Client exit interview)
Data Collection Frequency
 Twice during project period
Notes:
 Method of measurement: 
  • Client exit surveys of WRA population.
  • Client exit surveys should be conducted at network clinics.
Guidance:



























 

Indicator

1a-3

  
Number of network providers trained to provide harm reduction counseling services
 
Workplan:   Increase, from X to Y, the number of network providers trained to provide harm reduction counseling services, by Dec. 2018
Indicator Type
 At least one harm reduction counseling indicator is required for PAC countries.
Where Reported
 Workplan, Tracker
Numerator
 # of network providers trained to provide harm reduction counseling services
Denominator
 N/A
Purpose
 To measure the availability of comprehensive harm reduction services
Data Source
 MIS or provider survey
Data Collection Frequency
 Monthly if possible
Notes:
 Definition:
  • Harm reduction counseling services defined as counseling on pregnancy options within legal context, giving information on abortion methods and risks, including misoprostol, and where to receive post-abortion care.
  • A clinic is considered part of the network if they meet the requirements set forth in the “Health Impact Credit Policy for IUDs and Implants, RH Department, May 2010,” Attachment A.
  • For WHP, only private sector clinics are considered “in network.” Public sector clinics are not part of the network under WHP.
  • Trained in harm reduction counseling is initial training provided by PSI in a classroom setting (formal training, seminar, workshop, etc.) Does not include refresher training.
Tracker:
  • Report number of network providers who were trained to provide harm reduction counseling services during that month. (Do not report the cumulative sum of providers trained to provide harm reduction counseling services over the life of the project.)






























 

Indicator

1a-4

  
Number of public clinics where providers have been trained on harm reduction counseling services
 
Workplan:  Increase, from X to Y, the number of  public clinics where providers have been trained on harm reduction counseling services, by Dec. 2018
Indicator Type
 At least one harm reduction counseling indicator is required for PAC countries.
Where Reported
 Workplan, Tracker
Numerator
 # of public sector clinics where at least one provider has been trained on harm reduction counseling services
Denominator
 N/A
Purpose
 To measure the availability of comprehensive harm reduction services
Data Source
 MIS
Data Collection Frequency
 Monthly if possible
Notes:
 Definition:
  • Harm reduction counseling services defined as counseling on pregnancy options within legal context, giving information on abortion methods and risks, including misoprostol, and where to receive post-abortion care.
  • Trained in harm reduction counseling is initial training provided by PSI in a classroom setting (formal training, seminar, workshop, etc.)
Tracker:
  • Report number of public sector clinics where providers have been trained on harm reduction counseling services during that month. (Do not report the cumulative sum of public sector clinics where providers have been trained on harm reduction counseling services over the life of the project.)



























 

Indicator

1a-5

  
Number of network providers trained in safe abortion for legal indications (if there is a legal indication for abortion)
 
Workplan:  Increase, from X to Y, the number of  network providers trained in safe abortion for legal indications, by Dec. 2018
Indicator Type
 Optional  (if there is a legal indication for abortion)
Where Reported
 Workplan, Tracker
Numerator
 # of network providers trained in safe abortion for legal indications
Denominator
 N/A
Purpose
 To measure the availability of comprehensive safe abortion services.
Data Source
 MIS
Data Collection Frequency
 Monthly if possible
Notes:
 Definition: 
  • A provider is considered part of the network if they meet the requirements set forth in the “Health Impact Credit Policy for IUDs and Implants, RH Department, May 2010,” Attachment A.
  • For WHP, only private sector providers are considered “in network.” Public sector providers are not part of the network under WHP.
  • Training refers to initial training provided by PSI in a classroom setting (formal training, workshop, seminar, etc.).  Does not include refresher training.
  • Training includes medical provision of safe abortion AND the legal indications under which a safe abortion can be provided.
Tracker:
  • Report number of network providers who were trained in safe abortion for legal indications during that month. (Do not report the cumulative sum of providers trained in safe abortion over the life of the project.)





























 

Indicator

1a-6

  
Number of network clinics offering safe abortion services for legal indications (if there is a legal indication for abortion)
 
Workplan:  Increase, from X to Y, the number of  network clinics offering safe abortion services for legal indications, by Dec. 2018
Indicator Type
 Optional  (if there is a legal indication for abortion)
Where Reported
 Workplan, Tracker
Numerator
 # of network clinics offering safe abortion services for legal indications
Denominator
 N/A
Purpose
 To measure the availability of comprehensive safe abortion services
Data Source
 MIS
Data Collection Frequency
 Monthly if possible
Notes:
 Definition: 
  • A clinic is considered part of the network if they meet the requirements set forth in the “Health Impact Credit Policy for IUDs and Implants, RH Department, May 2010,” Attachment A.
  • For WHP, only private sector clinics are considered “in network.” Public sector clinics are not part of the network under WHP.
  • “Offering” safe abortion services for legal indications is defined as having a provider trained in safe abortion for legal indications and having safe abortion commodities and/or equipment in stock (misoprostol only, mifepristone/misoprostol and /or MVA equipment) which are permitted under legal indications.
Tracker:
  • Record the number of network clinics currently offering safe abortion services for legal indications.
Workplan: 
  • Report the number of network clinics who were offering safe abortion services for legal indications in the last month of the reporting period.































 

Indicator

1a-7

  
Mifepristone / misoprostol included in Ministry of Health guidelines for legal abortion indications (if there is a legal indication for abortion)
 
Workplan:  Demonstrate that mifepristone / misoprostol use for legal abortion is a part of MoH guidelines by Dec. 2018
Indicator Type
 At least one safe abortion advocacy indicator is required for PAC countries
Choose based on country context or add additional appropriate indicator for your country.
Where Reported
 Workplan
Numerator
 Binary indicator - yes or no
Denominator
 N/A
Purpose
 To increase access to medical abortions for legal indications
Data Source
 Publicly available government records; verifiable private information
Data Collection Frequency
 At least every 6  months
Notes:
 Choose another advocacy indicator if abortion is NOT legal for ANY indication.





















 

Indicator

1a-8

  
Mifepristone / misoprostol registered for legal abortion indications (if there is a legal indication for abortion)
 
Workplan:  Demonstrate that mifepristone / misoprostol is registered for legal abortion indications by Dec. 2018
Indicator Type
 At least one safe abortion advocacy indicator is required for PAC countries.
Choose based on country context or add additional appropriate indicator for your country.
Where Reported
 Workplan
Numerator
 Binary indicator - yes or no
Denominator
 N/A
Purpose
 To increase access to medical abortions for legal indications
Data Source
 Publicly available government records; verifiable private information
Data Collection Frequency
 At least every 6  months
Notes:
 Choose another advocacy indicator if abortion is NOT legal for ANY indication.





















 

Indicator

1a-9

  
Inclusion of mifepristone / misoprostol for legal abortion indications in medical/ nursing school curricula (if there is a legal indication for abortion)
 
Workplan:  Demonstrate that mifepristone / misoprostol for legal abortion is a part of medical/ nursing school curricula by Dec. 2018
Indicator Type
 At least one safe abortion advocacy indicator is required for PAC countries.
Choose based on country context or add additional appropriate indicator for your country.
Where Reported
 Workplan
Numerator
 Binary indicator - yes or no
Denominator
 N/A
Purpose
 To increase access to medical abortions for legal indications
Data Source
 Publicly available government records; verifiable private information
Data Collection Frequency
 At least every 6  months
Notes:
 Choose another advocacy indicator if abortion is NOT legal for ANY indication.





















 

Indicator

1a-10

  
Existence of national safe abortion strategy (if there is a legal indication for abortion) 
 
Workplan:  Demonstrate existence of national safe abortion strategy by Dec. 2018
Indicator Type
 At least one safe abortion advocacy indicator is required for PAC countries.
Choose based on country context or add additional appropriate indicator for your country.
Where Reported
 Workplan
Numerator
 Binary indicator - yes or no
Denominator
 N/A
Purpose
 To increase access to medical abortions for legal indications
Data Source
 Publicly available government records; verifiable private information
Data Collection Frequency
 At least every 6  months
Notes:
 Choose another advocacy indicator if abortion is NOT legal for ANY indication.





















 

Indicator

1a-11

  
Number of clients who received harm reduction counseling
 

Indicator Type
 Mandatory for all countries with restricted access to safe abortion
Where Reported
 Tracker
Numerator
 # of clients who received harm reduction counseling from a network provider
Denominator
 N/A
Purpose
 To increase access to safe abortion services
Data Source
 MIS (Client Record Form)
Data Collection Frequency
 Monthly
Notes:
  
Definition:
  • Harm reduction counseling includes a trained network provider providing women with information on the use of misoprostol for safe abortion, including dosing, what to expect, when to return for help, as well as post-abortion care and post-abortion family planning, and encouraging the client to return for follow-up care regardless of her decision to terminate or continue with the pregnancy.
 Tracker: 
  • Report the number of women who received harm reduction counseling from a network provider during that month.




 

Indicator

1a-12

  
Number of clients who received harm reduction counseling that returned for follow up with a complete abortion
 

Indicator Type
 Mandatory for all countries with restricted access to safe abortion
Where Reported
 Tracker
Numerator
 # of clients who received harm reduction counseling from a network provider and returned for follow up with a complete abortion
Denominator
 N/A
Purpose
 To increase access to safe abortion services
Data Source
 MIS  (Client Record Form)
Data Collection Frequency
 Monthly
Notes:
  
Definition:
  • Harm reduction counseling includes a trained network provider providing women with information on the use of misoprostol for safe abortion, including dosing, what to expect, when to return for help, as well as post-abortion care and post-abortion family planning, and encouraging the client to return for follow-up care regardless of her decision to terminate or continue with the pregnancy.
  • A complete abortion means that the body has expelled all the products of pregnancy (blood, tissue, embryo) and there is no need for further procedure (MVA or misoprostol) afterwards.
 Tracker: 
  • Report the number of women who received harm reduction counseling from a network provider and returned for follow up with a complete abortion during that month.




 

Indicator

1a-13

  
Number of clients who received harm reduction counseling that returned for post-abortion care
 

Indicator Type
 Mandatory for all countries with restricted access to safe abortion
Where Reported
 Tracker
Numerator
 # of clients who received harm reduction counseling from a network provider and returned for post-abortion care
Denominator
 N/A
Purpose
 To increase access to safe abortion services
Data Source
 MIS  (Client Record Form)
Data Collection Frequency
 Monthly
Notes:
  
Definition:
  • Harm reduction counseling includes a trained network provider providing women with information on the use of misoprostol for safe abortion, including dosing, what to expect, when to return for help, as well as post-abortion care and post-abortion family planning, and encouraging the client to return for follow-up care regardless of her decision to terminate or continue with the pregnancy.
  
Tracker: 
  • Report the number of women who received harm reduction counseling from a network provider and returned for post-abortion care during that month.




 

Indicator

1a-14

  
Number of clients who received harm reduction counseling that received post-abortion family planning from network provider
 

Indicator Type
 Mandatory for all countries with restricted access to safe abortion
Where Reported
 Tracker
Numerator
 # of clients who returned for FP after receiving harm reduction counseling from a network provider
Denominator
 N/A
Purpose
 To increase access to safe abortion services
Data Source
 MIS (Client Record Form)
Data Collection Frequency
 Monthly
Notes:
  
Definition:
  • Harm reduction counseling includes a trained network provider providing women with information on the use of misoprostol for safe abortion, including dosing, what to expect, when to return for help, as well as post-abortion care and post-abortion family planning, and encouraging the client to return for follow-up care regardless of her decision to terminate or continue with the pregnancy.
  •  
Tracker:
  • Record the total number of clients who received harm reduction counseling that received family planning (any method) from network providers
  • Record the total number of clients who received harm reduction counseling that returned for IUD provision by network providers
  • Record the total number of clients who received harm reduction counseling that returned for implant provision by network providers
  • Record the total number of clients who received harm reduction counseling that received STM provision by network providers
  • Record the total number of clients who received harm reduction counseling that received any other FP provision by network providers