Global Health in Unintended Pregnancy Prevention and Care
This module explores global health issues through the lens of women’s reproductive health. Throughout the world, women continue to experience unintended pregnancy and preventable pregnancy-related health issues. Poverty, lack of education, and lack of socioeconomic opportunities perpetuate high birth rates, especially in adolescents, which in turn contribute to maternal health problems. Improving family planning services and increasing access to safe abortion would reduce maternal morbidity and mortality.
In each scenario, the link between public policy and women’s health is explored. The first case study presents actual events with real people to explore policy in El Salvador where access to safe abortion is extremely limited. Latin America has made the least progress of any region in the world in meeting the Millennium Development Goal to reduce maternal mortality. The second case study is a composite of several firsthand stories that takes place in South Africa, a country where model legislation was created to expand access to safe abortion, yet the public health problem of maternal deaths from unsafe abortion persists. A third case study is designed for in-class work using actual events to explore the link between religion and public policy in contributing to the death of a pregnant woman in the U.S.
How to Use This Module
This Nursing Education Curriculum is designed for a flipped classroom model to incorporate unintended pregnancy prevention and care into existing curricula.
Students—Click the student tab and complete the pre-assessment. You may have received a site code from your instructor which you may enter within the pre-assessment. Definitions and Orienting Facts provide context for the Patient Situations, which are clinical scenarios designed to raise critical issues and questions to put unintended pregnancy prevention and care in the context of public health. Students should complete the Required Reading at any time while going through the Patient Situations. Please complete the post-assessment after finishing the module.
Faculty—Open the faculty tab below to access teaching tips, exercises, and handouts for incorporating module content into the classroom, and to learn more about obtaining a “site code” to download and access students’ pre- and post-assessment data.
- Identify causes of maternal mortality worldwide.
- Analyze the effect of country specific public policy and legislation on the reproductive health needs of women.
- Understand the impact of the lack of quality family planning services in a global context.
- Compare and contrast legislative and religious barriers to legal abortion globally and in the U.S.
Relevant UPPC Essential Competencies
Through a national Delphi study, Essential Competencies in Unintended Pregnancy Prevention and Care for Nursing Education (Hewitt, C. and Cappiello, J., 2015) 85 nursing experts in unintended pregnancy prevention and care reached consensus on 27 core educational competencies for nursing education which provide a framework for curricular development in an important area of nursing education. The following competencies are relevant to this nursing education module.
- Demonstrate knowledge of the nurse’s professional responsibilities in providing health care to clients in need of unintended pregnancy prevention and care.
- Demonstrate ability to recognize unique reproductive health needs of women from vulnerable and special populations (e.g. adolescents, women with mental or physical disabilities, survivors of violence) affected by many factors (e.g. relationship status, sexual orientation).
- Demonstrate knowledge of current evidenced-based guidelines for primary prevention of unintended pregnancy.
Pre- and Post-Assessments
- World Health Organization (WHO) Unsafe Abortion Incidence and Mortality: Global and Regional Levels in 2008 and Trends During 1990-2008
- Evaluating Priorities: Measuring Women’s and Children’s Health and Well-Being Against Abortion Restrictions in the United State
Definitions and Orienting Facts
Patient Situation 1
Patient Situation 2
This module examines the barriers to safe abortion care, and the impact of politics and legislation, on a global scale. Unsafe abortions continue to be a leading cause of maternal mortality, with the majority of unsafe abortions occurring in the developing world. Patient scenarios are based on true stories from South Africa, El Salvador, and the United States.
These modules are designed to use with a flipped classroom model in which students are directed to complete the module as homework, including the Pre- and Post-Assessments. Once students have completed the module in its entirety, including the recommended reading, faculty can use the Teaching Tips document and materials from the Classroom Exercises section below to integrate concepts from the module into the classroom or group setting.
- Global Health Patient Scenario
This handout from Provide describes two patient scenarios, one that occurred in Ireland, and another that occurred in Arizona. The Teaching Tips document for this module provides guidance on facilitating classroom discussion related to the scenarios described in this handout.
- The Abortion Option: A Values Clarification Guide for Health Care Professionals
These exercises from the National Abortion Federation include tools that can be used in class for clarifying values related to abortion and discussing the role of health care providers.
Accessing Student Pre- and Post-Assessment Data
Pre- and post-assessments are designed to measure students’ satisfaction with the module as well as what they have learned. To be able to complete the assessments students will need to enter a “site code” prior to working through the online module. Faculty will use this site code to download and review students’ pre- and post-assessment data. To obtain a site code your institution must e-mail AmyLevi@salud.unm.edu. In the text of the email, please include your name (as instructor), the name of the institution, and the module(s) for which you would like to access data. RhN will send you 1) a site code for your students to enter at the beginning of the assessment, 2) a web link to access the results from each module, and 3) an “answer key” to help grade your students’ responses. You may also assign a unique student code to each student that you would like to assess on an individual basis. Students must enter the correct site code for faculty to be able to access their data.