BRIDGES <br/> for Comprehensive Abortion Care

BRIDGES
for Comprehensive Abortion Care

2024-2027

HRP
BRIDGES for Comprehensive Abortion Care
© Credits

Background

Comprehensive sexual and reproductive health and rights (SRHR) are fundamental to health and well-being and to the achievement of gender equality. Yet, access to these services remains out of reach for millions. Within comprehensive SRHR, access to safe abortion remains a particularly neglected area. An estimated 164 million women and girls have an unmet need for safe and effective contraception, half of all pregnancies are unintended and nearly half of all abortions are unsafe.

Building on long-standing experience across sexual and reproductive health and rights, the UN’s Special Programme of Research, Development and Research Training in Human Reproduction (HRP) and the World Health Organization (WHO) are working in partnership with Global Affairs Canada to catalyse and strengthen progress towards achieving country-level impact on access to comprehensive abortion care (CAC) within an overall framework of comprehensive SRHR, gender equality and bodily autonomy, using HRP/WHO’s normative guidance and tools.

BRIDGES for Comprehensive Abortion Care

BRIDGES stands for "bolstering rights, inclusion, and gender equality for SRH" and symbolizes both the programme’s purpose and the vital connection between comprehensive abortion care and these fundamental principles.  Recognizing that abortion care relies on, and is an essential part of comprehensive SRH, the initiative supports efforts to strengthen integrated services - including family planning, addressing violence against women, and the generation of evidence to support an enabling policy environment for SRHR.

The BRIDGES initiative includes global level work as well as national, with specific countries including, but not limited to: Democratic Republic of Congo, Ethiopia, Ghana, Liberia, Mozambique, Nepal, Pakistan and Sierra Leone. This work is informed by a feminist developmental approach, integrating innovative, adaptive feminist methods with a strong focus on women's rights and gender equality.

 

Objectives


This work strengthens comprehensive abortion care services as essential components to comprehensive SRH care.

It also strengthens gender equitable policies that support access to comprehensive SRHR.

 

 

In partnership with Canada

 

Two women walk across a suspension bridge side by side.

Kopisha, youth mobilizer, (left) and Chimini, a nurse midwife (right), cover huge distances, often on foot, committed to providing sexual and reproductive health services in rural areas. ©WHO/SRHR/Uma Bista

 

Areas of work

Enabling health-care workers to provide the best care possible:

Generating and supporting the adoption and use of guidelines and tools in select countries

  • National adaptation and use of WHO abortion care guidelines and tools.
  • Gathering abortion-related data from national and sub-national assessments.
  • Development of a portable device to detect the quality of abortion medicines.

Integrated and comprehensive sexual and reproductive health services:

  • Integration of comprehensive SRH services within universal health coverage and in humanitarian settings.
  • Embedding comprehensive SRH in processes to digitized health services, in priority setting, when providing post-rape care, and in health and sexuality education.

Strengthening capacity to generate and use policy-relevant data:

  • Stakeholder-driven collection and use of data on abortion to drive national agenda-setting.
  • Strengthening national capacity to conduct research on abortion and promote evidence-based interventions.
  • Generating and providing publicly available global and national data for advocacy.

Promoting strong, responsive partnerships and evidence-based information:

  • Creation and us of context-specific, trusted, evidence-based and adaptable materials that support coordinated knowledge sharing of scientific information on SRHR.
  • Collaboration and partnerships, especially with government ministries, UN and other implementing partners, civil society organizations, and professional associations.

 

Publications


Abortion care guideline, 2nd ed
In this guideline, recommendations are presented across three domains that are essential to the provision of abortion care: Law and policy, Clinical services...
Clinical management of rape and intimate partner violence in emergencies: a training curriculum for health workers, facilitator guide

The clinical management of rape and intimate partner violence in emergencies (CMRIPV) training curriculum is designed to equip health workers with the...

Caring for women subjected to violence: online facilitated training for health workers

This online facilitated training curriculum for health workers to respond to intimate partner violence and sexual violence is for settings where in-person...

WHO guideline on preventing early pregnancy and poor reproductive outcomes among adolescents in low- and middle-income countries

The objectives of this guideline are the same as those of the 2011 edition, namely to provide evidence-based normative guidance on interventions to improve...

Family planning and comprehensive abortion care toolkit for the primary health care workforce: volume 3

This document is the third volume of the Toolkit on family planning and comprehensive abortion care for the primary health care workforce. The toolkit...

Family planning and comprehensive abortion care toolkit for the primary health care workforce: volume 2

This document presents a systematic approach to developing programmes and curricula for implementation of the family planning (FP) and comprehensive...

Family planning and comprehensive abortion care toolkit for the primary health care workforce: volume 1

Family planning and comprehensive abortion care (FP and CAC) is part of primary health care, but it remains inaccessible to many. Qualified health...