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  • Chapter 32 - Abortion Training and Integration of Legal Services in the Public Health System of Mexico City

  • from Section IV - Reproductive Health Services & Abortion Training: Global Examples
  • Edited by Uta Landy, University of California, San Francisco, Philip D Darney, University of California, San Francisco, Jody Steinauer, University of California, San Francisco
  • Book:
    Advancing Women's Health Through Medical Education
    Published online:
    30 July 2021
    Print publication:
    19 August 2021, pp 321-330

  • Summary

    We describe a collaborative training program aimed at improving access to and quality of integral abortion care, with a focus on the legally induced termination of pregnancy (ToP) program (ILE in Spanish) in Mexico City, after its decriminalization in 2007.Where legal framework is altogether or severely restricted, formal teaching and training for medical and nurse students is extremely poor, and access to recommended surgical and medical technologies is limited. On the contrary, where the law favors ample access to the procedure, updated, evidence-based guidelines and protocols usually ensue. In Mexico City, training health professionals immediately followed, and even preceded, legal changes, with in-service person-to-person trainings up to a mentoring and a Training of Trainers (ToT) modality, which presently assure that 100% of ILEs are done with recommended technologies. Training in abortion and related care, should ideally be integrated in pre-service curricula, to assure its sustainability and eliminate related stigma.