Building a network of sentinel centres for the care of women in an abortion situation: advances in Latin America and the Caribbean.

Autor: Gomez Ponce de Leon R; Latin-American Center of Perinatology Women's and Reproductive Health (CLAP SMR), Pan American Health Organization Uruguay, Montevideo, Uruguay gomezr@paho.org., Baccaro LF; Obstetrics and Gynecology, UNICAMP, Valinhos, São Paulo, Brazil., Rubio Schweizer G; University of Chile, Santiago de Chile, Chile., Bahamondes V; Independent Consultant, Austin, Texas, USA., Messina A; Hospital de Emergencias Dr Clemente Álvarez, Rosario, Argentina., de Francisco LA; Pan American Health Organization, Washington, District of Columbia, USA., Serruya Jacob S; Latin-American Center of Perinatology Women's and Reproductive Health (CLAP SMR), Pan American Health Organization Uruguay, Montevideo, Uruguay.
Jazyk: angličtina
Zdroj: BMJ global health [BMJ Glob Health] 2022 Oct; Vol. 7 (10).
DOI: 10.1136/bmjgh-2022-010059
Abstrakt: Previous reports have already estimated the overall number of abortions and the number of unsafe abortions in Latin America. Conversely, there are few reliable data from this region to inform public policies aiming to meet women's needs. In this context, the Latin American Centre of Perinatology (Centro Latinoamericano de Perinatología (CLAP)) created a network specialising in the care of women in an abortion situation (CLAP MUSA-Network) in an attempt to strengthen healthcare surveillance in Latin America by using the Perinatal Information System (Sistema Informático Perinatal (SIP)). This system was developed by the CLAP with a special module named SIP Abortion (SIP-A), a data collection tool designed by Latin American experts to be routinely used in cases of legal and incomplete abortions. The SIP-A follows the standards established by WHO, allowing investigators to systematise information, generate local reports and monitor changes after training and follow-up interventions based on national guidelines. This network promotes collaborative work between institutions to strengthen epidemiological surveillance, cooperative investigation and development of a critical mass of professionals skilled in sexual and reproductive health. Currently, 29 sentinel centres from 13 countries jointly work exchanging information to improve surveillance of healthcare indicators of women in an abortion situation. Latin America was the first region in the world to have a network of sentinel centres that continuously monitors healthcare provision to these women. Data collected by this network are already being used to design, implement and evaluate public policies.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE