Medical methods for first trimester abortion have been demonstrated to be both safe and effective. Regimens that combine mifepristone or methotrexate with a prostaglandin such as misoprostol are more efficacous than a prostaglandin alone.
The Kenya Medical Supplies Authority (KEMSA) was the main case study identified for this report. KEMSA reformed in 2008 to increase autonomy from the government. A task force identified interference with the management of KEMSA, lack of autonomy due to heavy representation by Ministry of Health staff, ineffective accountability and supervisory mechanisms, and parallel procurement… Read more
In a group interview Sarah Ssali (Makerere University), Sally Theobald (Liverpool School of Tropical Medicine), Rosemary Morgan (John Hopkins University) and Asha George (John Hopkins University) talk about essential gender issues in relation to health systems. They also promote the RinGs Initiative (Research in Gender and Ethics) and talk about how people can get involved…. Read more