Background
Zimbabwe is faced with a great demand for Post Abortal Care (PAC). Post abortal complications are worsened by limited PAC service providers as only doctors provide the services that is manual vacuum aspiration (MVA) and use of misoprostol. Limited PAC service provision increases cost of health both to the patient and health care provider due to lengthened hospital stay, greater demand for medicines, blood transfusions and consumables.

About the project
The project contributed to reduced morbidity and mortality from post abortal complications among women of childbearing age in Kariba. This was done through increasing access to post abortal care services and strengthening linkages between post abortion care and comprehensive family planning services. The project trained 12 nurses/midwives and 1 doctor in use of misoprostol in post abortal care, on job capacitation, performing manual vacuum aspiration procedure, comprehensive family planning services, post abortal counselling, provision of manual vacuum aspiration by nurses, abortion case management in the wake of COVID-19 and continued provision of on job support.

Results
Nurses/ midwifes were able to perform 16 MVA’s done and 29 Misoprostol managed cases in post abortal care. Doctors were able to perform 24 MVA’s done and 27 Misoprostol managed cases. There was development of a comprehensive mentorship team, inclusion of HIV testing, and linkage to care as part of post abortion care and institutionalizing standard operating procedures for misoprostol use as Kariba hospital.

Year: 2019