EngenderHealth, the Population Council’s FRONTIERS program, and the Research Center of Obstetrics, Gynecology, and Perinatology of the Russian Academy of Medical Sciences, with support from the Perm Health Departments, undertook an operations research study to test models for increasing contraceptive use and reducing the repeat abortion rate among abortion clients in Perm, Russia. The study also assessed the direct and indirect costs of abortion and contraceptive use incurred by women in the year following their index abortion (the abortion which took place the day of entry into the study). The findings of the study were significant for the training interventions and dissemination of educational materials and job aids. Results of the study indicate that institutionalizing family planning counseling for all abortion clients is a low-cost quality-enhancing intervention for the existing healthcare system that does not require increased personnel, purchase of expensive equipment, or remodeling of healthcare facilities. Because of this, the counseling interventions included in the study can be easily replicated in any Russian oblast or city healthcare facility.
Savelieva, Irina, John M. Pile, Inna Sacci, and Ratha Loganathan. 2003. "Postabortion family planning operations research study in Perm, Russia," FRONTIERS Final Report. Washington, DC: Population Council.
Frontiers in Reproductive Health