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| Name | Class |
|---|---|
| Grand Challenges Canada | OTHER |
| Gynuity Health Projects | OTHER |
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This study evaluates the safety, feasibility, and acceptability of a novel medical abortion via telemedicine service in the Republic of Moldova.
Women and girls in Moldova, especially those in rural areas, must travel to regional medical centers to obtain an abortion from a certified gynecologist. This creates barriers to accessing safe abortion that disproportionately affect poor women and girls, through wage loss due to missed work and accrued costs due to transportation. This innovation is a novel service delivery model that allows self-management of medical abortion (MA) with remote guidance from a provider. After confirming their pregnancy, women seeking MA will receive counseling from a gynecologist via videoconference and will subsequently obtain the necessary medication via mail or at at participating pharmacy with prescription. Follow-up will occur 1 weeks later via phone/videoconference (with referral to a doctor if necessary) to confirm MA success and assess the patient's and provider's satisfaction with the service. We hope to demonstrate the feasibility, effectiveness and acceptability of telemedicine MA services in Moldova so that it can thus be integrated into the national public healthcare system. As a result, this project will serve as a model that could be adapted and implemented in nearby countries within the Eastern Europe and Central Asia region.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Women and girls seeking abortion. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Medical abortion | Drug | Trained abortion providers will counsel participants about medical abortion via videoconference or telephone, the abortion medications will be sent to the participants via mail or will be accessed at a pharmacy, the provider will follow up one week later with the participants to assess outcomes, and four weeks later the participant will take a pregnancy test to confirm completion of the abortion |
| Measure | Description | Time Frame |
|---|---|---|
| Successful termination of pregnancy without adverse events | Percentage of study participants that successfully terminate their pregnancy via the telemedicine medical abortion model without experiencing any adverse events. | through study completion, around 15 months |
| Measure | Description | Time Frame |
|---|---|---|
| Participant satisfaction with the medical abortion via telemedicine service | Percentage of study participants that report being satisfied or very satisfied with the medical abortion via telemedicine service. | through study completion, around 15 months |
| Cost savings experienced by study participants |
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Inclusion Criteria:
Exclusion Criteria:
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Women and girls seeking abortion
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| Name | Affiliation | Role |
|---|---|---|
| Rodica Comendant, MD,PhD | Director | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Reproductive Health Training Center | Chisinau | Moldova |
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Percentage cost savings among study participants receiving medical abortion via telemedicine in comparison with the cost of in-person medical abortion. |
| through study completion, around 15 months |
| Provider satisfaction | Percentage of medical abortion providers that report being satisfied or very satisfied with the telemedicine service provision process. | through study completion, around 15 months |