Working Papers : 1997-98



Menstrual Regulation As An Abortion Method : A Socio-medical And Legal Evaluation To Explore Its Promotion In India. (Working Paper). Sunita Bandewar

The present paper explores the applicability of menstrual regulation (MR) as an abortion method in the Indian context. While doing so, MR method is evaluated socio-medically and legally. Effort has also been made to evaluate its feasibility in terms of resources and acceptability to providers and users in India.  Evaluation is based on a review of literature on various aspects of MR of the last 25 years.

This exercise of socio-medical, legal and feasibility evaluation of MR builds a strong case for its promotion to bring down abortion related morbidity and mortality, to enhance the opportunities for potential users to avail of contraceptive services, to reduce the psychological burden of guilt borne by the women for undergoing an abortion, to reduce the intensity of emotional trauma that they experience for having had an abortion.

Finally, the paper also discusses the constraints in promoting MR in India and strategies to overcome them. Against this backdrop, the paper emphasises the critical role of the Information-Education-Communication (IEC) component and the need to incorporate it officially in the MR promotion policy.

Publication date: 1998, Pbk, p. 21


Paramedics In MR Practice : A Feasibility Evaluation (Working Paper). Sunita Bandewar

This paper explores the feasibility of paramedic MR service providers in India. An effort has been made to compile experiences of paramedic MR service providers from developed as well as developing countries. The case of Bangladesh has been considered in particular because of its similarity to India with regard to socio-cultural systems, bureaucracy, concerns for population rise, health care system, women’s general status & health status. Based on these experiences, a feasibility exercise has been suggested for India. The cost-effectiveness in medical and social terms is important while considering this option. MR as a method of abortion in early phases of pregnancy clearly offers women, especially rural women, more choices for fertility control/reproductive health care. The short term as well long term benefits may outweigh the perceived risks involved through non-coercive and woman-oriented means.

However, benefits of paramedic MR service providers will be realised only if a workable ‘evaluation and monitoring system’ is developed and implemented. Maintaining the quality of care becomes a prime responsibility of all those involved. Besides technical, financial and human power related factors, motivation & intention for conducting MR and the commitment to self-help approach will play a major role in MR training and its delivery.

Publication date: 1998, Pbk, p. 21