Levers for Change

Addressing the causes of unsafe abortion 

Levers for change

Addressing the causes of unsafe abortion  - Levers for change

Recognising the widely divergent legal and social contexts surrounding abortion within the AmplifyChange eligible countries, we seek applications from organisations that propose locally relevant solutions to prevent unsafe abortion and improve access to safe abortion. For example, in some countries the legal framework around abortion may not be the appropriate target for current action either because of supportive existing legal frameworks or a socio-political environment that is not conducive to law reform.

The following are examples of possible entry points for action that could aim to achieve each of the Outcomes of the AmplifyChange Theory of Change. This is not an exhaustive list but can be considered illustrative of the types of activities that could be included in successful proposals for funding under the Abortion priority. 

Addressing the causes of unsafe abortion  - Levers for change

Outcome: Increased individual awareness of sexual and reproductive health and rights as human rights

Possible entry points for action:
  • Working with local human rights organisations to ensure that lack of access to safe abortion care is acknowledged as a violation of women’s human rights 
  • Establishment of partnerships with organisations working with populations at high risk for unsafe abortion (youth, migrant and refugee populations, victims of gender-based violence) to ensure risk of unwanted pregnancy and unsafe abortion are addressed in advocacy and programming efforts. 
Addressing the causes of unsafe abortion - Levers for change

Outcome: Access to sexual and reproductive health and rights resources, information and services

Possible entry points for action:
  • Interventions to increase community awareness of availability of safe abortion services and technologies (where available) and post-abortion care
  • Analysis of legal framework (including all applicable laws, codes and regulations) surrounding abortion within the country
  • Education of healthcare providers and policy makers regarding the full extent of abortion services that should be available under existing laws
  • Provision of information to increase awareness among women of options for reducing harm from unsafe abortion
  • Pilot introduction of innovative service delivery models – including harm reduction approaches – that increase access to safe abortion care for difficult to reach populations
  • Introduce technologies for safe abortion and post-abortion care to medical communities, including through medical education and work with medical professional associations (including mifepristone, misoprostol, manual vacuum aspiration)
  • Pilot interventions to improve access to voluntary immediate post-abortion contraception
Addressing the causes of unsafe abortion - Levers for change

Outcome: Transform social norms

Possible entry points for action:
  • Development or implementation of sexuality education programmes for youth that include accurate information regarding contraception and abortion
  • Efforts to measure or address stigma surrounding abortion in local communities and among medical professionals
Addressing the causes of unsafe abortion - Levers for change

Outcome: Change policies and laws

Possible entry points for action:
  • Research to document the incidence and consequences of unsafe abortion
  • Generate evidence that makes the case for legal change with policymakers
  • Advocacy for or development of policies, regulations or guidelines that reduce or eliminate barriers to access to safe abortion services. Some examples include:
  1. Reform of restrictive abortion laws
  2. Implementation of evidence based medical guidelines
  3. Development, reform or implementation of guidelines regulating conscientious refusal of care
  4. Removal of restrictions within policies, regulations and guidelines that increase barriers to safe abortion care (such as spousal or parental authorisation, non-evidence based restrictions on abortion methods, expansion of cadres of providers who can be trained and certified in safe abortion care).