Sailing the Boat, Sailing the Hope: SRHR counseling and information

  OPTions 6           Indonesia

OPTions 6 addresses the challenge of access to sexual and reproductive health information and services for women and girls in remote islands of Indonesia. OPTions 6 conducts educational workshops for women and girls on sexual and reproductive health. OPTions 6 also trains healthcare and community health providers to involve in a referral system supported by their hotline. This referral system links girls and women to services including counseling on sexual and reproductive health care. In cases of emergency, women and girls can access transportation to primary healthcare facilities by a boat owned and managed by local community women.

Increasing early access to SRHR through rights-based user centred…

Increasing early access to SRHR through rights-based user centred approaches at the community level

  The Population Council            Kenya

The Population Council’s innovation increases early access to quality sexual and reproductive health services and rights through rights-based user centered approaches at the community level.




Confidential innovation.


Advancing Community Based Access to safe abortion in urban slums, Nigeria

  OPTions 3             Nigeria

OPTions 3 decreases unsafe abortion for Adolescents Girls and Young Women (AGYW) in urban slums in Nigeria by engaging them in high-quality confidential peer counselling and increasing access to reproductive health services. OPTions 3 trains project operatives comprised of AGYW, female artisan clubs, shop owners, and female headed maternity homes to provide peer-to-peer counseling in dedicated safe spaces, as well as safe abortion and other reproductive health services. Working with public and private suppliers of abortion products and contraceptives, OPTions 3 strengthens community-wide capacity to stock and dispense these products. To ensure sustainability of the intervention and as an incentive to participate, OPTions 3 trains one in four project operatives in entrepreneurship and supports these individuals to operate as mobile money agents as a means of diversifying their revenue stream.


Developing new methods and devices for later abortion

  Consultants in Obstetric and Gynecologic Ultrasonography and Surgery, PLLC
Ethiopia, United States, and Mexico

The Dupont Clinic innovation evaluates three devices in different countries to improve the provision of later safe abortion. Three provider sites in Mexico, Ethiopia, and the United States will develop and implement these new methods: Lidocaine for fetal demise, DuPont Cannula, and a novel cervical dilation device. Patient and provider feedback will be provided by the sites, and will cover a range of facility sizes and patient populations. The combination of these technologies will make later abortion safer, simpler, and more feasible in most settings.


Improve health for ethnic minority women and girls through enabling access to safe, friendly abortion services at community level in Vietnam

  Microfinance and Community Development Institute               Vietnam

Microfinance and Community Development Institute (MACDI) implements community and school-based awareness campaigns and uses a new mobile app to increase women and girls’ knowledge and access to safe abortion in Vietnam. The mobile app will provide safe abortion information as well as chat-enabled safe abortion advice and referrals from health care experts. The app also integrates a micro-loan function for health-related purchases including safe abortion, health insurance and health examinations, and to enable access mobile phones. MACDI will also conduct training for health workers at both public and private health facilities.


Validation of a novel device for the provision of humane pain control during manual vacuum aspiration

  Nyanza Reproductive Health Society                 Kenya

Nyanza Reproductive Health Society’s innovation is a novel, reusable, low-cost syringe extension device (Chloe SED) that provides pain relief during Manual Vacuum Aspiration (MVA). This device enables the provision of local anesthesia to a woman’s uterus and cervix, and is easy to sterilize even in austere clinical settings. A trial with 210 women seeking MVA will determine whether the pain control from this device is better or equal to the currently used spinal needles. Women will be consulted when developing pain control protocols to ensure the product meets their needs and preferences.  Based on the results of the trial, the prototype will be refined in preparation for pre-market clearance and scale up.


Mobile Safe Abortion Care Clinic Project (MSACCP)

  LET US STAY ALIVE (LUSA)                 Democratic Republic of the Congo

Let Us Stay Alive (LUSA) uses a mobile clinic model to decentralize safe abortion care services for women and girls in the Democratic Republic of Congo. Working closely with partners including the Ministry of Health, LUSA trains community health workers, nurses and midwives to use cellular communication to refer women to one of the three mobile clinics. Women seeking an abortion schedule an appointment in a mobile clinic or in their homes. Women experiencing complications from unsafe abortion are transferred to health centers for care. Awareness of these services and safe abortion is raised through TV/radio campaigns and educational sessions.


Win-Win Innovation

  University of Nairobi                  Kenya

The Win-Win innovation assesses unproven herbal decoctions provided for abortion by traditional herbalists in Kenya to discover novel molecules that can potentially be developed into a next generation pregnancy termination medication. These herbal remedies, decoctions and their molecules, will be tested for their ability to induce safe abortion using an array of scientific methods, while comparing them to the performance of current abortion medications. To complement laboratory research, a behaviour change communication intervention will be implemented to educate women and girls in rural Kenya about the risks of using these decoctions while steering them towards safe and legal abortion care services. Herbalists are also sensitized to the potential harmful effects of their products and the need to refer clients to evidence-based abortion care.


Breaking The Cycle

  Fight AIDS Malawi (FAM)                 Malawi

Fight Aids Malawi (FAM) implements several approaches to expand and decentralize access to safe abortion services and sexual and reproductive health and rights (SRHR) information for women and girls living in rural villages of Malawi. These include: 1) a new informational online interactive forum, 2) outreach clinic visits to villages and schools by trained health workers and peer counsellors, 3) community education initiatives which address abortion related stigma and ensure that the innovation’s progress is sustained, and 4) improvements to the capacity of rural health facilities through the provision of abortion service equipment as well as training in care provision and supply chain management. FAM will use the evidence generated from this project to advocate for increased resource allocation from local government for SRHR and safe abortion projects.