NCT04331847

Abortion-related Morbidity and Mortality in Conflict-affected and Fragile Settings Study

AMoCo Study: Abortion-related Morbidity and Mortality in Conflict-affected and Fragile Settings Study

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 2,500 (estimated)
• Sponsor: Epicentre · Academic / Other
• Sex: Female
• Age: —
• Healthy volunteers: Not accepted

Summary

To describe and estimate the burden of abortion-related complications, particularly near-miss complications and deaths, and their associated factors among women presenting for abortion-related complications in health facilities supported by Médecins Sans Frontières (MSF) in African fragile and/or conflict-affected settings.

Detailed description

Multi-sites mixed-methods study with 4 components: 1. A quantitative observational descriptive study among women presenting for abortion-related complications to determine the frequency and severity of abortion-related complications including near-miss cases and death. Data will be collected through a medical records review and a quantitative survey among women presenting for abortion-related complications to determine the sociodemographic and clinical characteristics of the women with abortion-related complications, the type of abortion, the type and severity of complications and the clinical management received. It will also give insight into the characteristics of near-miss events following unsafe abortion. 2. A qualitative study about women's experiences associated with a near-miss event (and potentially life threatening): their pathway of access to care including their decision-making process, their own perceptions and opinions and other factors or conditions that might contribute to the near-miss event (in-depth face to face interviews). 3. A rapid health facility assessment with the health professional in charge of Post-Abortion Care will complement the assessment of the quality of management of complications 4. A Knowledge Attitudes, Practice and Behavior quantitative survey among health care providers involved in the management of abortion-related complications will identify provider-associated factors that may contribute to near-miss events.

Conditions

• Abortion Complication

Timeline

• Start date: 2019-09-03
• Primary completion: 2021-03-15
• Completion: 2021-12-01
• First posted: 2020-04-02
• Last updated: 2021-10-11

Locations

3 sites across 3 countries: Central African Republic, Democratic Republic of the Congo, Nigeria