Health Systems

Ipas conduct clinical training on women-centred postabortion care for doctors and midlevel providers. These training include Values Clarification and Attitude Transformation (VCAT) blended sessions to addressing myths, misconceptions, and providers’ biases.

On-site mentoring and support are intertwined in the service delivery model at Ipas intervention sites and progress-based performance of facility is shared with the facility and district management after every quarter.

Ipas intervention facilities record and report serious adverse event (SAE) and prepare an action plan to mitigate adverse events in future.

Pakistan Context:

Abortion is legal in Pakistan to “save a woman’s life and provide necessary treatment”.

  • Country’s high unmet need in family planning (17%) and low modern method contraceptive use (25%) result in high number of unintended pregnancies
  • 2.2 million abortions each year & around 700,000 women approach health facilities for PAC (2012-13)
  • D&C is still the method of choice among 69% of providers. Uptake of postabortion family planning services (PAFP) hardly exists.
  • Limited availability of high-quality PAC services in the public sector, though 38% of the women seek abortion services in public sector
  • 90% percent of the Pakistan public sector health system’s infrastructure exists at the primary and secondary level, however, there is scarcity of PAC-trained providers particularly midlevel’s, PAC equipment and commodity.


Since 2012, Ipas trained 780 healthcare providers (doctors and midwives), these providers treated more than 61,000 women for comprehensive and postabortion & contraceptive care at 315 public and private sector healthcare facilities in Pakistan

Ipas trained 73 healthcare providers at 56 population welfare department facilities on postabortion family planning. These providers reached out to more than 19,000 women and girls.