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13. Medical Abortion Procedure Competence

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Quality Domain:

Technical Competence

 

Sub-Domain:

Technical Skills

 

Definition:

The provider has adequate knowledge to competently complete each step of medical abortion provision.

 

Purpose:

Quality abortion care requires that providers possess the knowledge required to support each step of the medical abortion process in order to ensure the process is safe and effective. This indicator serves as a proxy for provider observation. *

 

Indicator Applicability:

Health Facilities

Pharmacies

Hotlines

 

Justification for Inclusion:

Expert review panel

 

Quality Threshold:

A point of service is considered as meeting this indicator’s quality threshold if 80% or more of providers are found competent in providing medical abortion services.

 

Data Sources:

  • For health facilities offering medical abortion: Health Facility Provider Survey questions HF228a to HF228d, HF233a to HF234e, and HF236
  • For pharmacies: Pharmacy Provider Survey questions PH223a to PH226
  • For hotlines: Hotline Provider Survey question HL221a to HL224

 

Details:

For health facilities, the proportion of providers who answered with the following response pattern:
  1. Response option 1 for HF228a
  2. Response option 2 for HF228b
  3. Response option 1 for HF228c
  4. Response option 2 for HF228d
  5. Response option 2 for HF233a
  6. Response option 1 for HF233b
  7. Response option 2 for HF233c
  8. Response option 1 for HF233d
  9. Response option 1 for HF234a
  10. Response option 2 for HF234b
  11. Response option 1 for HF234c
  12. Response option 2 for HF234d
  13. Response option 1 for HF234e
  14. Response option 1 for HF236
For pharmacies and hotlines, the proportion of providers who answered with the following response pattern:
  1. Response option 1 for PH223a/HL221a
  2. Response option 2 for PH223b/HL221b
  3. Response option 1 for PH223c/HL221c
  4. Response option 2 for PH223d/HL221d
  5. Response option 2 for PH224a/HL222a
  6. Response option 1 for PH224b/HL222b
  7. Response option 2 for PH224c/HL222c
  8. Response option 1 for PH224d/HL222d
  9. Response option 1 for PH225a/HL223a
  10. Response option 2 for PH225b/HL223b
  11. Response option 1 for PH225c/HL223c
  12. Response option 1 for PH226/HL224

 

*While direct provider observation can be a powerful indicator of clinical competence, it is frequently costly and time-consuming. Managers interested in further evaluating technical competence may use findings from this indicator to inform further clinical skills evaluation.
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