Pregnancy termination trajectories in Zambia: maximising research impact
Lead Research Organisation:
London School of Economics and Political Science
Department Name: LSE Health and Social Care
Abstract
Context
Unsafe abortion, and its consequences, remains a major challenge in Zambia, despite an abortion law that is considered relatively favourable and a relatively liberal policy framework, relative to the rest of sub-Saharan Africa. Unsafe abortion is a significant, but preventable, cause of maternal mortality and morbidity and is both a cause and a consequence of poverty. Globally, there are an estimated 19.8 million unsafe abortions annually, of which it is estimated more than 5 million require hospital-based post-abortion care (PAC). Death is the most severe consequence of unsafe abortion, defined as a procedure for terminating unwanted pregnancy either by persons lacking the necessary skills or in an environment lacking the minimal medical standards, or both. Unsafe abortion is the most easily prevented cause of maternal death. The current political climate in Zambia presents a key opportunity for our research findings to form part of the evidence that contributes to policymaking.
Proposed Impact Maximisation project
We proposed a series of activities, targeting specific audiences (e.g.: adolescents and women, health professionals, MPs), to increase the impact of the findings from our on-going research. Our research aims to establish how investment in abortion services impacts on the socio-economic conditions of women and their households.
Research findings underpinning Impact Maximisation activities
The project's data collection and analyses are on-going, and the current project is due to finish in May 2014. We can confidently suggest the likely direction of our findings from our multiple data sources:
- Medical abortion methods offer a safe first trimester alternative to traditional unsafe methods but knowledge about how to obtain this is patchy
- Unnecessary deaths are still occurring as a result of unsafe abortion
- Health systems costs of dealing with the consequences of unsafe abortion are substantial and likely to increase as a result of population growth and urbanisation
- There are currently very low levels of knowledge about the legality of pregnancy termination in Zambia even in the capital city
- Insufficient sources of authoritative information on the service provision of safe abortion services
- Multiple and complex attempts undertaken by adolescents and women to procure a termination
- Lack of contraceptive knowledge and services amongst adolescents leading to unintended pregnancies
- High levels of stigma and shame around pregnancy termination lead to unsafe abortion attempts
Research impact team
The team combines the research-specific expertise of members of the original research team (Coast, Vwalika, Murray) with Lusaka-based team members with expertise in particular research audiences (Sikateyo, Mwense) and knowledge exchange expertise by co-investigators from the African Institute of Development Policy [AFIDEP] (Zulu, Oronje, Mutheu), to deliver the planned impact activities. AFIDEP is a non-profit policy think-tank founded in 2009 to facilitate and build African capacity in synthesis, translation and utilization of health research evidence to improve policy-making and resource allocation in sub-Saharan Africa. AFIDEP's regional mandate for sub-Saharan Africa means that key lessons from this Zambia-based project will be shared with other African countries though AFIDEP's work with national and regional decision-makers in sexual and reproductive health nd rights.
The research impact work involves
- Training of team members in specialist knowledge exchange skills
- Delivery of a set of targeted research impact activities, using these enhanced skills, to diverse audiences.
- Describing "what works" for research impact on the subject of abortion.
Unsafe abortion, and its consequences, remains a major challenge in Zambia, despite an abortion law that is considered relatively favourable and a relatively liberal policy framework, relative to the rest of sub-Saharan Africa. Unsafe abortion is a significant, but preventable, cause of maternal mortality and morbidity and is both a cause and a consequence of poverty. Globally, there are an estimated 19.8 million unsafe abortions annually, of which it is estimated more than 5 million require hospital-based post-abortion care (PAC). Death is the most severe consequence of unsafe abortion, defined as a procedure for terminating unwanted pregnancy either by persons lacking the necessary skills or in an environment lacking the minimal medical standards, or both. Unsafe abortion is the most easily prevented cause of maternal death. The current political climate in Zambia presents a key opportunity for our research findings to form part of the evidence that contributes to policymaking.
Proposed Impact Maximisation project
We proposed a series of activities, targeting specific audiences (e.g.: adolescents and women, health professionals, MPs), to increase the impact of the findings from our on-going research. Our research aims to establish how investment in abortion services impacts on the socio-economic conditions of women and their households.
Research findings underpinning Impact Maximisation activities
The project's data collection and analyses are on-going, and the current project is due to finish in May 2014. We can confidently suggest the likely direction of our findings from our multiple data sources:
- Medical abortion methods offer a safe first trimester alternative to traditional unsafe methods but knowledge about how to obtain this is patchy
- Unnecessary deaths are still occurring as a result of unsafe abortion
- Health systems costs of dealing with the consequences of unsafe abortion are substantial and likely to increase as a result of population growth and urbanisation
- There are currently very low levels of knowledge about the legality of pregnancy termination in Zambia even in the capital city
- Insufficient sources of authoritative information on the service provision of safe abortion services
- Multiple and complex attempts undertaken by adolescents and women to procure a termination
- Lack of contraceptive knowledge and services amongst adolescents leading to unintended pregnancies
- High levels of stigma and shame around pregnancy termination lead to unsafe abortion attempts
Research impact team
The team combines the research-specific expertise of members of the original research team (Coast, Vwalika, Murray) with Lusaka-based team members with expertise in particular research audiences (Sikateyo, Mwense) and knowledge exchange expertise by co-investigators from the African Institute of Development Policy [AFIDEP] (Zulu, Oronje, Mutheu), to deliver the planned impact activities. AFIDEP is a non-profit policy think-tank founded in 2009 to facilitate and build African capacity in synthesis, translation and utilization of health research evidence to improve policy-making and resource allocation in sub-Saharan Africa. AFIDEP's regional mandate for sub-Saharan Africa means that key lessons from this Zambia-based project will be shared with other African countries though AFIDEP's work with national and regional decision-makers in sexual and reproductive health nd rights.
The research impact work involves
- Training of team members in specialist knowledge exchange skills
- Delivery of a set of targeted research impact activities, using these enhanced skills, to diverse audiences.
- Describing "what works" for research impact on the subject of abortion.
Planned Impact
This Impact Maximisation proposal significantly extends and deepens the research beneficiaries described in the original research proposal to include:
i) Zambian girls and women who might need to access abortion care services
ii) health professionals (nurses, doctors) involved in providing, or making referrals to, abortion care services
iii) international NGOs involved in abortion care service delivery in Zambia
iv) members of Zambian civil society and Parliament.
In our Pathways to Impact document we describe in detail, for each of these 4 research beneficiary groups:
- impact activities to date
- new Impact Maximisation activities
- the involvement of any intermediary organisations or networks
- short-term outputs (during the funded Impact Maximisation phase)
- longer-term outputs (after the end of the funded Impact Maximisation phase)
- monitoring and evaluation of each activity
- project team member with responsibility for delivering individual impact activity
- resource (including training) requirements of each impact activity
Our impact activities, segmented by research beneficiary, build on the expertise of team members:
i) Adolescents and women:
- Development and testing of appropriate and accessible web-based materials (Mwense)
- Phone-in radio shows on "Pregnancy crises" (Mwense)
- Capacity development of Zambian journalists in reporting research on abortion (Oronje, Mutheu)
ii) Health professionals:
- Audience-specific workshops for nurses and doctors (Vwalika, Mwense)
- Presentations at events for health professionals (Vwalika, Sikateyo)
iii) NGOs (Zambian and Intrernational) involved in abortion care services:
- Peer-to-peer research networking events in Zambia and internationally (Coast, Sikateyo, Hukin)
- Focused liaison with INGO research teams, including those with related research elsewhere in sub-Saharan Africa (Coast, Murray, Hukin)
iv) Members of Zambian civil society and Parliament
- One-to-one briefing meetings with information tailored specific to their needs (Sikateyo)
- Capacity development in elites communication (Zulu, Oronje)
Social Science Cafes
We will also host two Social Science Cafes in Lusaka. This is a research communication technique to communicate research findings, and facilitate research uptake, to specially invited audiences of elites that will involve a mix of policy makers, service providers and journalists. Social Science Cafes have been used successfully by team members (Mutheu, Oronje, Zulu) elsewhere in sub-Saharan Africa to communicate research findings. The first Social Science Café will be facilitated by experienced team members, and will also serve to capacity build other team members to deliver the second Café. By selectively inviting some of those individuals who will have attended our audience-specific workshops, alongside other stakeholders, we will be able to stimulate discussion amongst participants, rather than a undirectional flow of information from the research team to an audience.
Impact evaluation
We will collect data in order to monitor and evaluate the research uptake from the impact activities. One team member (Hukin, with oversight from Coast) will have responsibility for the design, development, maintenance and analyses of all data collected as part of the monitoring and evaluation of our impact activities. It is anticipated that the Impact Maximisation activities will produce:
- pre- and post-test evaluations of web-based resources by Zambian adolescents and women
- web analytics data (including data on re-blogging and re-tweeting content)
- media content analysis, including from the planned radio phone-in shows
- requests for information about research findings, by audience type
- workshop assessments by audience (midwives, clinicians, journalists)
- analysis of discussions generated by Social Science Cafes
i) Zambian girls and women who might need to access abortion care services
ii) health professionals (nurses, doctors) involved in providing, or making referrals to, abortion care services
iii) international NGOs involved in abortion care service delivery in Zambia
iv) members of Zambian civil society and Parliament.
In our Pathways to Impact document we describe in detail, for each of these 4 research beneficiary groups:
- impact activities to date
- new Impact Maximisation activities
- the involvement of any intermediary organisations or networks
- short-term outputs (during the funded Impact Maximisation phase)
- longer-term outputs (after the end of the funded Impact Maximisation phase)
- monitoring and evaluation of each activity
- project team member with responsibility for delivering individual impact activity
- resource (including training) requirements of each impact activity
Our impact activities, segmented by research beneficiary, build on the expertise of team members:
i) Adolescents and women:
- Development and testing of appropriate and accessible web-based materials (Mwense)
- Phone-in radio shows on "Pregnancy crises" (Mwense)
- Capacity development of Zambian journalists in reporting research on abortion (Oronje, Mutheu)
ii) Health professionals:
- Audience-specific workshops for nurses and doctors (Vwalika, Mwense)
- Presentations at events for health professionals (Vwalika, Sikateyo)
iii) NGOs (Zambian and Intrernational) involved in abortion care services:
- Peer-to-peer research networking events in Zambia and internationally (Coast, Sikateyo, Hukin)
- Focused liaison with INGO research teams, including those with related research elsewhere in sub-Saharan Africa (Coast, Murray, Hukin)
iv) Members of Zambian civil society and Parliament
- One-to-one briefing meetings with information tailored specific to their needs (Sikateyo)
- Capacity development in elites communication (Zulu, Oronje)
Social Science Cafes
We will also host two Social Science Cafes in Lusaka. This is a research communication technique to communicate research findings, and facilitate research uptake, to specially invited audiences of elites that will involve a mix of policy makers, service providers and journalists. Social Science Cafes have been used successfully by team members (Mutheu, Oronje, Zulu) elsewhere in sub-Saharan Africa to communicate research findings. The first Social Science Café will be facilitated by experienced team members, and will also serve to capacity build other team members to deliver the second Café. By selectively inviting some of those individuals who will have attended our audience-specific workshops, alongside other stakeholders, we will be able to stimulate discussion amongst participants, rather than a undirectional flow of information from the research team to an audience.
Impact evaluation
We will collect data in order to monitor and evaluate the research uptake from the impact activities. One team member (Hukin, with oversight from Coast) will have responsibility for the design, development, maintenance and analyses of all data collected as part of the monitoring and evaluation of our impact activities. It is anticipated that the Impact Maximisation activities will produce:
- pre- and post-test evaluations of web-based resources by Zambian adolescents and women
- web analytics data (including data on re-blogging and re-tweeting content)
- media content analysis, including from the planned radio phone-in shows
- requests for information about research findings, by audience type
- workshop assessments by audience (midwives, clinicians, journalists)
- analysis of discussions generated by Social Science Cafes
Publications
Coast E
(2018)
Trajectories of women's abortion-related care: A conceptual framework.
in Social science & medicine (1982)
Coast E
(2016)
"These things are dangerous": Understanding induced abortion trajectories in urban Zambia.
in Social science & medicine (1982)
Coast, E.
(2014)
Pregnancy termination trajectories in Zambia
Coast, E.
(2016)
These things are dangerous": Understanding induced abortion trajectories in urban Zambia
in Social Science and Medicine
Kapp N
(2018)
Developing a forward-looking agenda and methodologies for research of self-use of medical abortion.
in Contraception
Leone T
(2016)
The individual level cost of pregnancy termination in Zambia: a comparison of safe and unsafe abortion.
in Health policy and planning
Parmar D
(2017)
Cost of abortions in Zambia: A comparison of safe abortion and post abortion care.
in Global public health
| Description | This grant is an Impact Maximisation Grant, focused on impact activities based on the research funded by ES/I032967/1 for which there is a separate, linked, ResearchFish report. The mixed methods (quantitative and qualitative) research has produced: - The first national estimates of the health system costs of abortion in Zambia, showing that unsafe abortion costs the Zambian health system up to $2.4 million more than if the pregnancies has been terminated safely and legally. - Detailed description of the influences and pathways to seeking an abortion, highlighting: the roles played by men; the importance of knowing someone who works for the health sector; low levels of knowledge about the legality of abortion in Zambia; and, the risks that women will take in order to terminate an unsustainable pregnancy. - Analyses of the determinants and economic consequences of abortion care-seeking reveal: Younger women are more likely to seek an unsafe abortion than older women; poorer women are more likely to seek an unsafe abortion, even though the costs of unsafe abortion for individual women are 27% higher than the costs associated with a safe abortion; the low levels of effective contraceptive access and use, particularly for adolescents and postpartum women. In sum, the research shows that Zambia is not yet realising the substantial investment (legal and health services) it has made in safe abortion. To date, 1 article is forthcoming(Global Public Health), 1 article is under review (Health, Policy & Planning), 1 is under review (for Social Science and Medicine) and a further 6 are in preparation. Research has been presented at a range of events with diverse audiences, including by invitation (Oxford University, IPPF), at international conferences and workshops (IUSSP, PAA), and in Zambia to policymakers, practitioners and journalists. Participation in international fora have led to a new research collaboration with American academics to develop a conceptual framework for the study of trajectories to abortion (in preparation). Methodological innovation The study used an innovative mixed methods interview which combined quantitative and qualitative techniques in one interview. This technique allowed us to capture both the individual fine-grained narratives, which are not easily captured in a questionnaire-type survey, especially on such a sensitive area, as well as survey data. Rather than conducting an in-depth qualitative interview and a survey, our method reduced the burden on the respondent, avoiding repetition of questions and reducing the time taken. |
| Exploitation Route | Findings are being taken forward and put to use by a range of actors, including MPs, INGOs, academics, health professionals and journalists - impact maximisation work on-going |
| Sectors | Communities and Social Services/Policy,Healthcare,Government, Democracy and Justice |
| URL | http://zambiatop.wordpress.com/ |
| Description | The purpose of the Impact Maximisation Grant (IMG) was to maximise the likelihood that our research findings and expertise are used (by us or others) to support the efforts of those in a position to directly or indirectly reduce morbidity and mortality from unsafe abortions in Zambia. The research project 'Pregnancy termination trajectories in Zambia' was run by a team of researchers from the London School of Economics and Political Science (LSE), King's College London and the Lusaka University Teaching Hospital. The study had the following objectives: • Understand the role that socio-economic circumstances play in the seeking of abortion and abortion-related services in Zambia • Estimate and compare the socio-economic implications of safe abortion and post abortion care (PAC) for women and their households • Understand how and why safe abortion services are not used more fully. The project produced the first national estimates of the health system costs of abortion in Zambia, showing that each year, unsafe abortion costs the Zambian health system up to US$20.4 million more than if the pregnancies had been terminated safely and legally. It also provided a detailed description of the influences and pathways to seeking an abortion and an analysis of the determinants and economic consequences of abortion-seeking. These findings have been published in articles in: Social Science and Medicine; Global Public Health; Health, Policy and Planning. An article on men's roles in women's abortion care-seeking is under review with a peer-reviewed journal, and three further articles are in preparation. The target audiences reached with these findings were: • National policy makers • Service providers and clinical practitioners in sexual and reproductive health (SRH) • NGO advocacy networks, including international NGOs (INGOs) • International funders • Journalists and those shaping men and women's understanding of reproductive and sexual health rights and services . International academics and researchers working on the topic of abortion The ultimate beneficiaries were women seeking to terminate a pregnancy though a direct impact on them was not sought in the timeframe of the project. However, a FaceBook page, developed as part of the IMG activities in response to our evidence that showed a lack of credible information about abortion law and services in Zambia, is now being used by women and men seeking information about abortion. At the start of the IMG a thorough stakeholder analysis was conducted, which refined and focused the impact activities. The main engagement methods were i) meetings with stakeholders to discuss the findings of the research and ii) holding workshops and presentations. Initially, setting up meetings involved cold-calling stakeholders and offering to share the research findings with them. The team focused on asking stakeholders how they could help them make full use of the findings, and provided them with tailored evidence, case studies, slides, speaking at their events or running a training session for their staff. After a meeting, lines of communication were upheld for the stakeholder to ask further questions or request help. A combination of ongoing communication and flexible collaboration proved very successful. The impact activities reached all of their target groups, with tailored dissemination outputs, specifically the data presented and language used, to the relevant audience. None of the events in Zambia were purely for academics but always engaged people from practice or policy. Dissemination not only involved sharing the project's own findings, but presented findings in conjunction with the existing research done in this field in Zambia, other African countries and beyond. This approach was not only more informative for the audience, but also meant that the impact work had higher credibility, showing how the research findings built on the existing body of evidence. Dissemination was also combined with skill sharing and capacity building. An independent review of the project's impact work was conducted by ECORYS on behalf of ESRC-DFID. This review sought feedback from Zambian users and revealed that they appreciated the collaborative approach the research team had taken, and highlighted the exceptional diversity of stakeholders that the project engaged with. Combining dissemination with capacity building, in a series of events in Zambia, the researchers trained reproductive and sexual health practitioners (including obstetrician gynaecologists) on the legal framework around providing abortion services and on effectively engaging and communicating with media professionals, and novice, early career and established radio producers, journalists, presenters and media producers of BBC Media Action Zambia on doing research and on SRH and abortion in Zambia, reporting on SRH and use of evidence. Training with media professionals generated ideas for news articles and on radio programmes that could be and were subsequently produced on the subject of abortion. In terms of adding knowledge to the existing evidence base, the study provided the first national estimates of health system costs of abortion in Zambia. The team also provided an insight into the social and economic factors affecting abortion-seeking and raised awareness of the legal framework of abortion in Zambia. Interaction with key stakeholders during the impact maximisation work led to an invitation to contribute our findings to the (forthcoming) 2nd Edition of the Zambian Guidelines and Standards for reducing unsafe abortion morbidity and mortality in Zambia. The team has seen a great demand for the data it generated and also for further conceptual research and primary data collection in this area: • The study has provided NGO advocacy groups evidence which they use in campaigns and trainings • Zambian medical practitioners are now asking for exact figures on how many maternal deaths are due to unsafe abortions • Participation in international fora has led to i) a new research collaboration with American academics to develop a conceptual framework for the study of trajectories to abortion. This work has received positive feedback from other academics as well as three leading NGOs that they find the framework useful and that it will inform their work promoting SRH and safe abortion globally ii) an invitation to develop a critical history of medication abortion in Zambia for an edited volume iii) Invitation (accepted) to share research approaches and methods with non-academic researchers at an INGO in Mexico in October 2016 iv) invitation to develop funding bids on abortion (results pending) with international researchers (academic and non-academic) • The team gained funding from LSE to do further research on abortion and conscientious objection in rural areas in Zambia. They developed this proposal following is came out of a conversation with a meeting with a senior Ministry of Health employee who expressed that this is a gap in knowledge that policy makers need more evidence to be able to improve services to reduce unsafe abortion. The fieldwork is completed and the findings are being written up for publication; preliminary findings have already been presented at an international workshop in Senegal. - The team gained funding from LSE to do further research on abortion policy and legal change in Malawi. The fieldwork is completed and the findings are being written up for publication. - Participation in the ESRC/DFID Pretoria event on research impact for poverty reduction (2015) as part of a discussion panel on research uptake |
| First Year Of Impact | 2014 |
| Sector | Communities and Social Services/Policy,Healthcare,Government, Democracy and Justice |
| Impact Types | Societal,Economic |
| Description | Contribution towards and acknowledgement of Co-I (Leone) in Countdown 2015 report |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Citation in other policy documents |
| URL | http://www.countdown2015mnch.org/reports-and-articles/2014-report |
| Description | Revision of Zambian Standards and Guidelines on Abortion |
| Geographic Reach | Africa |
| Policy Influence Type | Citation in other policy documents |
| Description | Training materials for Medecins du Monde |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Description | Economics of abortion: a systematic scoping review |
| Amount | £52,000 (GBP) |
| Organisation | Ipas |
| Sector | Charity/Non Profit |
| Country | United States |
| Start | |
| End | 06/2019 |
| Description | LSE Research Investment Fund & LSE Research Committee Seed Fund (RIIF Seed Fund) |
| Amount | £29,051 (GBP) |
| Funding ID | RIIF-SF-2015-02 "Termination of pregnancy in rural Zambia" |
| Organisation | London School of Economics and Political Science (University of London) |
| Sector | Academic/University |
| Country | United Kingdom |
| Start | 06/2015 |
| End | 02/2016 |
| Description | MRC/DFID Implementation research for adolescent health |
| Amount | £513,000 (GBP) |
| Funding ID | MR/P011454/1 |
| Organisation | Medical Research Council (MRC) |
| Sector | Public |
| Country | United Kingdom |
| Start | 01/2017 |
| End | 12/2020 |
| Title | Novel 2 interviewer method for simultaneous quantitative and qualitative data collection |
| Description | Novel 2 interviewer method for simultaneous quantitative and qualitative data collection from women who have had an abortion |
| Type Of Material | Model of mechanisms or symptoms - human |
| Year Produced | 2016 |
| Provided To Others? | Yes |
| Impact | Invitation (accepted) to work with a Mexican INGO to develop these approaches and tools for new (funded) research in Mexico City. Dr Coast will travel to Mexico in October 2016 to share and develop these approaches. |
| Description | Conceptual framework for understanding trajectories to safe or unsafe abortion |
| Organisation | Guttmacher Institute |
| Country | United States |
| Sector | Charity/Non Profit |
| PI Contribution | Developing a conceptual framework for the study of induced abortion |
| Collaborator Contribution | Developing and writing of plenary presentation at IUSSP workshop, IUSSP working paper, and currently, a full paper for submission to peer-previewed journal. |
| Impact | http://eprints.lse.ac.uk/58107/ |
| Start Year | 2014 |
| Description | Conceptual framework for understanding trajectories to safe or unsafe abortion |
| Organisation | Ohio State University |
| Country | United States |
| Sector | Academic/University |
| PI Contribution | Developing a conceptual framework for the study of induced abortion |
| Collaborator Contribution | Developing and writing of plenary presentation at IUSSP workshop, IUSSP working paper, and currently, a full paper for submission to peer-previewed journal. |
| Impact | http://eprints.lse.ac.uk/58107/ |
| Start Year | 2014 |
| Description | Research approaches and methodologies for studying PAC |
| Organisation | Population Council |
| Country | United States |
| Sector | Charity/Non Profit |
| PI Contribution | Sharing of research methods and approaches for the study of post-abortion care |
| Collaborator Contribution | Convening and running a 3 day workshop in Mexico City |
| Impact | Translation of research approaches to Spanish. Training. |
| Start Year | 2016 |
| Description | 2013.03.07_Oxford Institute of Ageing Fertility Change Workshop: 'Unwanted' fertility and induced abortion' |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other academic audiences (collaborators, peers etc.) |
| Results and Impact | Presented paper along with colleague Dr Eleanor Hukin at the Oxford Institute of Population Ageing Workshop 'Fertility: Demographic Change in the South', 7 March 2013. The audience included leading demographers. The presentation sparked questions. N/A |
| Year(s) Of Engagement Activity | 2013 |
| URL | http://www.ageing.ox.ac.uk/news/2013/workshop-'fertility-demographic-change-south' |
| Description | 2013.05.22_IPPF Invited paper: Pregnancy termination trajectories in Zambia |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Type Of Presentation | keynote/invited speaker |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | Invited presentation to staff of the International Planned Parenthood Federation (IPPF), 22 May 2013. Staff were interested in the findings and wanted to discuss how they could use them to support their work. Talk sparked discussion and questions afterwards, and a connection with key INGO agency for the subsequent Impact Award. N/A |
| Year(s) Of Engagement Activity | 2013 |
| Description | 2013.16.07_ESRC Seminar Series on Post Transitional Fertility: Induced abortion and fertility transition |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Type Of Presentation | paper presentation |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presentation at the ESRC Seminar Series 'Post-Transitional Fertility in Developing Countries: Causes and Implications', 16-17 July 2013, Nuffield College, Oxford. Presentation sparked questions and discussion. n/a |
| Year(s) Of Engagement Activity | 2013 |
| URL | http://www.sociology.ox.ac.uk/documents/events/Oxford-Seminar-programme.pdf |
| Description | 2014.03.11_ AfHEA presentation on health systems costs |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Type Of Presentation | poster presentation |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Poster was co-authored by Co-Investigators Parmar, D., T. Leone, E. Coast, S. Murray, E. Hukin and B. Vwalika. It was presented at the Third International Conference of the African Health Economics and Policy Association (AfHEA) in Nairobi, Kenya, 11-13 March, 2014. The poster sparked questions and discussion afterwards. A paper based on this poster is under review with peer-reviewed journal |
| Year(s) Of Engagement Activity | 2014 |
| URL | http://personal.lse.ac.uk/coast/Afhea_costing%20poster_v3.pdf |
| Description | 2014.04.25_Collen Programme Keynote: Abortion and fertility transition |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Type Of Presentation | keynote/invited speaker |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Delivered invited keynote speech at 'The fertility transition in the South', a conference hosted by the Oxford Institute of Ageing's Collen Programme, St Anne's College, Oxford, 23rd-25th April 2014. The keynote was about the role of induced abortion in fertility transition and used data from the ESRC-DFID funded 'Pregnancy Termination Trajectories in Zambia' research project. The keynote sparked conversation and discussion before and afterwards at the conference meals and networking sessions. As a result of the keynote, the presenter (Coast) was invited to join the editorial board of a new journal - Population Horizons - being launched by the Oxford Institute of Ageing this summer. |
| Year(s) Of Engagement Activity | 2010,2014 |
| URL | http://www.ageing.ox.ac.uk/events/past-conferences-workshops |
| Description | 2014.06.03_ Invited plenary at IUSSP: Conceptual framework for understanding trajectories to safe and unsafe abortion |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Type Of Presentation | keynote/invited speaker |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Plenary presentation with Dr Ann Moore (Guttmacher Instiute) and Dr Alison Norris (Ohio State University) at the International Union for the Scientific Study of Population (IUSSP) workshop on Decision-making regarding abortion, Nanyuki, Kenya, 3-5 June, 2014. The paper was invited after presenting the research paper "Pregnancy termination trajectories in Zambia" earlier at the Workshop. Writing the plenary was an opportunity to collaborate with two key academic and policy stakeholders working on unsafe abortion in Africa that were not previously connected to the ESRC-DFID funded project. The plenary, "Trajectories to abortion and abortion-related care: a conceptual framework", sparked questions and discussion afterwards. We have continued to develop the work, bringing in an additional author (Dr Emily Freeman), to write the plenary into an extended paper. This has been published by the IUSSP as a working paper (available to their members, and to everyone via the LSE's institutional repository) and is now under review in a peer-reviewed journal. |
| Year(s) Of Engagement Activity | 2014 |
| URL | http://iussp.org/en/international-seminar-decision-making-regarding-abortion%e2%80%94determinants-an... |
| Description | 2014.06.03_IUSSP presentation on pregnancy termination trajectories in Zambia |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other academic audiences (collaborators, peers etc.) |
| Results and Impact | Paper on findings from the 'Pregnancy Termination Trajectories' project presented at the International Union Scientific Study of population (IUSSP) Workshop on Decision-making Regarding Abortion, Nanyuki, Kenya, 3rd-5th June, 2014. The paper sparked questions and discussion afterwards and has since been published as an IUSSP working paper (available online to IUSSP members and to everyone via the LSE institutional repository). Presenting the paper led to being invited to develop a plenary presentation, subsequently developed into an IUSSP working paper, now under revisions for submission to peer-reviewed journal. Invitation to develop a plenary presentation, subsequently developed into an IUSSP working paper, now under revisions for submission to peer-reviewed journal |
| Year(s) Of Engagement Activity | 2014 |
| URL | http://iussp.org/en/international-seminar-decision-making-regarding-abortion%e2%80%94determinants-an... |
| Description | 2014.07.03_LSHTM Maternal Health Group Seminar: Pregnancy termination trajectories in Zambia |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Type Of Presentation | keynote/invited speaker |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | This invited presentation, "Pregnancy termination trajectories in Zambia", was made to the Maternal and Neonatal health Group Seminar at the London School of Hygiene and Tropical Medicine on 3 July 2014. Some members of the audience work on unsafe abortion in similar settings and the talk was important for sharing knowledge and building networks. The talk sparked questions and discussion. The presentation was made available online and open access via Slideshare.net prior to the talk. It was viewed 194 times and downloaded 6 times. Staff working on similar DFID-funded project on unsafe abortion have remained in contact. We have shared our experiences and were able to offer practical advice with regards to collecting data on abortion in Zambia (e.g. on recruitment and training of research assistants and comments on data collection instruments). |
| Year(s) Of Engagement Activity | 2014 |
| URL | http://www.slideshare.net/ZambiaTOP/lshtm-presentation-final-ef |
| Description | 2014.07.28_ISSC World Fellows Seminar: Impact session |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Type Of Presentation | keynote/invited speaker |
| Geographic Reach | International |
| Primary Audience | Postgraduate students |
| Results and Impact | Invited by the International Social Science Council to host a session and present our work at the World Social Science Fellows Seminar, London, 28 July- 3 August 2014. The audience was composed of International Social Science Fellows, selected to attend this competitive seminar based on being future leaders in their host countries. We presented our thinking and activities around maximising the impact of our research project investigating the socio-economic costs of unsafe and safe abortion for women, their households and the Zambian health system. The session was in the form of a 'conversation' in which the Fellows had put together questions in advance and 'interviewed' us. The audience then had time to ask more questions. The session sparked questions and discussions, both within the session and later during the seminar. TBC |
| Year(s) Of Engagement Activity | 2014 |
| URL | https://acss.org.uk/wp-content/uploads/2014/11/ISSC-Fellows-Seminar-2014-Report.pdf |
| Description | 2014.08.08_Zambia Medical Association AGM presentation: Costs and consequences of induced abortion in Zambia |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Type Of Presentation | paper presentation |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | This presentation, "Costs and consequences of induced abortion in Zambia", was made by co-applicant and renowned Zambia gynaecologist Dr Bellington Vwalika to the Zambia Medical Association AGM, 8-9 August, 2014, Livingstone, Zambia. The talk sparked energetic questions and discussions among the audience of health care professionals with varying views on induced abortion. This was very useful in highlighting to us how we could present the findings of the research in a way that minimises general anti-abortion opposition but engages stakeholders in the evidence around unsafe abortion. Following the presentation , the Policy Advisor at Marie Stopes Zambia (MSZ), a key stakeholder, emailed the PI (Coast) to ask for the presentation and further information about the study, noting that lack of data, especially with regards to the incidence of unsafe abortion, is hampering an evidence-based debate that could lead to progress in the field. We subsequently met and spoke about ways our research could support stakeholders in reducing unsafe abortion and increasing access to safe abo |
| Year(s) Of Engagement Activity | 2014 |
| URL | http://www.slideshare.net/ZambiaTOP/zambia-medical-association-2014 |
| Description | 2014.09.08_BSPS Conference: Individual costings |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Type Of Presentation | paper presentation |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | First presentation of work by T Leone, E Coast, D. Parmar & S. Murray on "The socio-economic burden of unsafe abortion for women and households in Zambia" made at the British Society of Population Studies (BSPS) Annual Conference, University of Winchester, 8-10 September, 2014. The talk sparked questions and discussion afterwards. TBC |
| Year(s) Of Engagement Activity | 2014 |
| URL | http://www.lse.ac.uk/socialPolicy/BSPS/annualConference/2014-Conference/Programme-2014.pdf |
| Description | 2014.09.08_BSPS Conference: Induced abortion in fertility transitions |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Type Of Presentation | paper presentation |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presentation of "The role of induced abortions in fertility transitions" at the British Society for Population Studies Annual Conference, University of Winchester, 8-10 September, 2014. Talk sparked questions and discussion afterwards. TBC |
| Year(s) Of Engagement Activity | 2014 |
| URL | http://www.lse.ac.uk/socialPolicy/BSPS/annualConference/2014-Conference/Programme-2014.pdf |
| Description | 2014.09.09_ESRC-DFID Poverty Alleviation Conference Session: Doing Impact |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Type Of Presentation | keynote/invited speaker |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Invited to host a workshop session on our impact work at the ESRC-DFID Poverty Alleviation Conference, London, 9 September 2014. Our session was entitled 'Discussion of research uptake and impact activities and reflections from our work on unsafe abortion in Zambia' and was an opportunity to share our experiences with other academics and facilitate debate about how academics can and should 'do' impact. Our session was well-attended by other academics funded by the ESRC or ESRC-DFID and staff working at ESRC and DFID, including the head of the Research and Evidence Division at DFID. The workshop was a series of short presentation interspersed with time for group discussion and feedback. Attendance at the conference also gave us an opportunity to meet with representatives from ESRC Communications and ask questions about how we can get our findings publicised via their Press Office. TBC |
| Year(s) Of Engagement Activity | 2014 |
| URL | http://www.esrc.ac.uk/funding-and-guidance/funding-opportunities/international-funding/esrc-dfid/joi... |
| Description | 2014.09.24_Population@LSE Research Showcase |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Other academic audiences (collaborators, peers etc.) |
| Results and Impact | Co-organised and participated in a reception showcasing the research carried out by Population Researchers at the LSE. It was attended by internal and external academics and those working outside of academia - including alumni. Dr Ernestina Coast (PI) presented work on the role of induced abortion in fertility transitions and the team presented a poster detailing both the research study and impact maximisation elements of this work on unsafe abortion in Zambia. Both sparked discussion of the work. TBC |
| Year(s) Of Engagement Activity | 2014 |
| URL | http://www.eventbrite.co.uk/e/population-research-lse-tickets-11871248223 |
| Description | 2014.10.29_Proposed session on abortion for the IUSSP 2017 Population Conference |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other academic audiences (collaborators, peers etc.) |
| Results and Impact | We have proposed a session on abortion ("Induced abortion: trajectories and impacts") for the IUSSP 2017 International Population Conference. We expect to hear whether our submission was successful soon. To be confirmed. If our submission is successful, the special session will take place in Cape Town, South Africa the week of 29 October 2017. |
| Year(s) Of Engagement Activity | 2014 |
| Description | 2014.11.13_MSI, Ipas and LSE Joint Elite Workshop_Coast trajectories paper |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Type Of Presentation | paper presentation |
| Geographic Reach | International |
| Primary Audience | Policymakers/politicians |
| Results and Impact | Jointly organised and participated in a small, closed, high-level discussion workshop on unsafe abortion in Zambia with Marie Stopes Zambia and Ipas. During the event, we presented our research findings to participants, sat on the expert panel and participated in discussions. The stakeholder event is a key event in our impact activities. Our invitation to co-organise this workshop followed from our earlier impact activities with Marie Stopes Zambia (MSZ) and Ipas. In discussing the ways our research could support stakeholders in reducing unsafe abortion and increasing access to safe abortion, MSZ suggested that we organise a joint event focused on presenting and discussing the most up-to-date data on unsafe/safe abortion and maternal mortality (including our r |
| Year(s) Of Engagement Activity | 2014 |
| URL | http://www.slideshare.net/ZambiaTOP/20141113-msi-workshop-coast-freeman |
| Description | 2014.11.13_MSI, Ipas and LSE Joint Elite Workshop_Vwalkia costing paper |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Type Of Presentation | paper presentation |
| Geographic Reach | International |
| Primary Audience | Policymakers/politicians |
| Results and Impact | Jointly organised and participated in a small, closed, high-level discussion workshop on unsafe abortion in Zambia with Marie Stopes Zambia and Ipas. During the event, we presented our research findings to participants, sat on the expert panel and participated in discussions. The stakeholder event is a key event in our impact activities. Our invitation to co-organise this workshop followed from our earlier impact activities with Marie Stopes Zambia (MSZ) and Ipas. In discussing the ways our research could support stakeholders in reducing unsafe abortion and increasing access to safe abortion, MSZ suggested that we organise a joint event focused on presenting and discussing the most up-to-date data on unsafe/safe abortion and maternal mortality (including our r |
| Year(s) Of Engagement Activity | 2014 |
| URL | http://www.slideshare.net/ZambiaTOP/health-system-costs-of-unsafe-and-safe-induced-abortion-in-zambi... |
| Description | 2015.02.23_ZAGO symposium_unsafe abortion Zambia |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Type Of Presentation | paper presentation |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | A lively and constructive debate followed the presentation, delivered by Vwalika. Profile of the research and its findings raised within this small body of Gynaecologists and Obstetricians in Zambia. |
| Year(s) Of Engagement Activity | 2015 |
| Description | 2015.02.28_National Symposium for Junior Doctors |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Type Of Presentation | keynote/invited speaker |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presentation on the costs and consequences of unsafe and safe induced abortion in Zambia delivered by Zambia collaborator (Vwalkia) to a national symposium for Junior doctors in the Copperbelt, Zambia, on 28 February 2015. The presentation was made at the request of IPAS who had heard our collaborator, a senior practicing clinician, deliver a similar presentation to the Zambia Medical Association (ZMA) annual meeting (8 August 2014). The talk was important for informing junior doctors about the law regarding abortion in Zambia and sparked questions and discussion afterwards. TBC |
| Year(s) Of Engagement Activity | 2015 |
| Description | 2015.03.31_Presentation to Adolescent Health Technical Working Group with UNICEF_'Unsafe abortion in Zambia' |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Policymakers/politicians |
| Results and Impact | As part of our dissemination activities, in February 2015 the research team (Coast and Freeman) met with UNICEF's Adolescent Health Liaison Officer in his offices to discuss the research findings, how they could support work in this area and how they could be packaged and delivered in a way that would be most useful for policymakers. During the meeting, the current activities and debates of the national Technical Working Group (TWG) of Adolescent Health, of which the Adolescent Health Liaison Officer is a member, was discussed. This TWG, comprised of government (e.g. Ministries of Health and Community Development and Mother and Child Health) and non-government (e.g. UNICEF) stakeholders has a very strong influence in setting the sexual and reproductive health agenda for young people in Zambia and is currently revising the national 20114-2015 Adolescent Health Strategic Plan. Having our research presented at the TWG monthly meeting would allow participants in that meeting to use it to shape the agenda and inform their decision making. Subsequently, following the UNICEF Officer's request, the research team produced a PowerPoint presentation of the research findings, situated within targeted analyses of the publically-available Zambian Demographic and Health Survey data for delivery at the next national TWG meeting. These were presented at the meeting by the UNICEF Officer. TBC |
| Year(s) Of Engagement Activity | 2015 |
| Description | 2015.04.25_Guest Speaker at Present Purpose Network meeting |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Type Of Presentation | keynote/invited speaker |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | The Present Purpose Network (PNN) is an organisation of female practitioners and policy makers working to find solutions to problems that impact young women and their local and international communities. The PI (Coast) was invited as a guest speaker at a PNN member e-meeting. The meeting brought together about 20 women from Asia, Europe and N America online for an audio and visual e-conference. Coast presented 'Why do sexual and reproductive health and rights (SRHR) matter?', drawing on data generated as part of the funded study on the costs of unsafe termination of pregnancy in Zambia. The talk, described by the audience as "incredibly compelling", sparked questions and discussion afterwards. TBC |
| Year(s) Of Engagement Activity | 2015 |
| URL | http://www.slideshare.net/ZambiaTOP/20150425-present-purpose-network-meeting-importance-of-srh |
| Description | 2015.04.30_PAA Special Session on Abortion successfully proposed |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other academic audiences (collaborators, peers etc.) |
| Results and Impact | Along with Dr Ann Moore (Guttmacher Institute) we proposed a special session on abortion ("Induced abortion: determinants and consequences") at the Population Association of America Annual Conference, San Diego, CA 30 April- 2 May 2015. The proposal was successful and 3 special sessions on abortion have been timetabled ('Abortion', 'The Persistence of Unsafe Abortion', and 'Abortion in Transition'). Our colleague Dr Moore, being based in the USA, will lead organisation and attend the sessions. Discussion of unsafe abortion is now on the programme at this large and very well-attended conference, widely regarded at the key place for knowledge transfer and ideational exchange for population research. |
| Year(s) Of Engagement Activity | 2015 |
| URL | http://paa2015.princeton.edu/topics#1 |
| Description | 2015.04.30_PAA paper presentation_ Conceptual framework |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Type Of Presentation | paper presentation |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Poster presentation on our co-authored work to develop a conceptual framework for research and practice around unsafe abortion. The presentation was well-attended and good discussion ensued. As well as questions and continued contact with participants, the presentation led to an invitation to present the conceptual framework to ipas, a global non-governmental organisation dedicated to ending preventable maternal mortality and morbidity from unsafe abortion and a leading funder of contraceptives, counselling and safe abortion drugs, including in Zambia. |
| Year(s) Of Engagement Activity | 2015 |
| URL | http://paa2015.princeton.edu/abstracts/150461 |
| Description | 2015.05.21_LSE Research Festival_Poster in exhibition |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Other academic audiences (collaborators, peers etc.) |
| Results and Impact | The LSE Research Festival Exhibition 2015 aims to present research in engaging ways for the public and researchers from different fields. We presented findings on trajectories to safe or unsafe abortion in Zambia as a poster, that was also shared online by LSE. The event was well-attended. Conversations with researchers from other disciplines (professional and student) and members of the public around the poster were particularly useful in communicating the findings of our research but also the wider issue of unsafe abortion. One of the visitors to the exhibition was a arts performer and director interested in developing a play around some of the themes we introduced her to. |
| Year(s) Of Engagement Activity | 2015 |
| URL | http://www.lse.ac.uk/IPA/Engagement/LSEResearchFestival/Exhibition.aspx |
| Description | 2015.06.24_Presentation to Ipas (NC, USA)_Conceptual framework |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | After presenting our research work at the Population Association of America (PAA) Annual Conference 2015, we were invited by Ipas to present it to their research and evaluation team at their headquarters in NC, USA in a dedicated meeting. Ipas is a global nongovernmental organisation dedicated to ending preventable deaths and disabilities from unsafe abortion. They fund Government provision of safe abortion services in Zambia and are a key stakeholder for our research. Ipas delegates requested the paper in advance and came prepared to the talk to discuss it. The afternoon was spent discussing the research and how it could be used by Ipas. TBC |
| Year(s) Of Engagement Activity | 2015 |
| Description | 2015.07.08_ECAS Panel on abortion_proposed and chaired |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other academic audiences (collaborators, peers etc.) |
| Results and Impact | We proposed a panel on abortion ("Abortion in Africa: causes, pathways and consequences") at the 6th European Conference on African Studies, Paris 8-10 July 2015. The proposal was successful and discussion of unsafe abortion became part of the programme at this important, multi-lingual (French and English) event for African research. The panel was coordinated by Coast and Freeman and chaired by Coast. Four papers were presented during the panel, highlighting aspects on unsafe abortion in Nigeria, Eritrea, East Africa (Uganda, Kenya, Tanzania) and Burkina Faso. The discussion gave an opportunity for Coast to draw parallels between the papers and our ESRC-DFID funded work in Zambia to consider cross-cutting issues in the prevalence of unsafe abortion and potential points of intervention. Coast was also able to Tweet from the conference addressing the ECAS handle, drawing more traffic to the project's Twitter account and activity (see https://twitter.com/ZambiaToP tweets from 10 July 2015). The session was well-attended and a lively discussion followed presentations. |
| Year(s) Of Engagement Activity | 2015 |
| URL | http://www.ecas2015.fr/abortion-in-africa-causes-pathways-and-consequences/ |
| Description | 2015.10.04_FIGO World Congress_Induced abortion in Zambia |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Type Of Presentation | paper presentation |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | The presentation "Induced abortion in Zambia: a comparative mixed methods analysis of women seeking safe abortion with those seeking post-abortion care after an unsafe abortion" will be presented by Vwalkia at the XXI FIGO World Congress of Gynecology and Obstetrics. The conference is attended by practitioners and researcher from 125 countries. TBC. The conference will be held in October 2015. |
| Year(s) Of Engagement Activity | 2015 |
| URL | http://figo2015.org/ |
| Description | 2015.11.09_ICFP_Indonesia |
| Form Of Engagement Activity | Scientific meeting (conference/symposium etc.) |
| Part Of Official Scheme? | No |
| Type Of Presentation | paper presentation |
| Geographic Reach | International |
| Primary Audience | Other academic audiences (collaborators, peers etc.) |
| Results and Impact | Our research paper 'contraception and induced abortion: experiences of women seeking abortion care services in Zambia' has been accepted as an oral presentation at the 2015 International Conference on Family Planning in Nusa Dua, Indonesia, 9-12 November 2015. TBC - conference will take place in November 2015. |
| Year(s) Of Engagement Activity | 2015 |
| URL | http://fpconference.org/ |
| Description | 2016.03.16-18_Conference_Lessons from a Decade's Research on Poverty: Innovation, Engagement and Impact 10th anniversary conference of the ESRC-DFID Joint Fund for Poverty Alleviation Research |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other audiences |
| Results and Impact | On March 16-18 2016 Freeman will attend Lessons from a Decade's Research on Poverty: Innovation, Engagement and Impact 10th anniversary conference of the ESRC-DFID Joint Fund for Poverty Alleviation Research in Pretoria, South Africa. She will present "Maximising research uptake and impact of work on unsafe abortion in Zambia" and be involved in panel discussion around how to increase impact of academic research. The audience will be funding bodies, academics and practitioners who are partners in research. |
| Year(s) Of Engagement Activity | 2016 |
| Description | 2016.03.17_Lessons from a Decade's Research on Poverty: Innovation, Engagement, and Impact Event |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other audiences |
| Results and Impact | Member of an expert panel on research uptake and impact at the ESRC-DFID Joint Fund for Poverty Alleviation Research 10 Year Lessons Learnt conference in Pretoria. The discussion and debate was lively, engaging the audience of DFID and ESRC representatives and other academics. A key area of discussion was who should set the research agenda and how that relates to impact. |
| Year(s) Of Engagement Activity | 2016 |
| Description | Abortion in Zambia: Trajectories to care and health system costs |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Policymakers/politicians |
| Results and Impact | From Vwalika email: The presentation was well received and some content will be adopted as recommendations to MOH. |
| Year(s) Of Engagement Activity | 2017 |
| Description | Blog post: LSE Africa blog_ When legalising abortion isn't enough |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | Blog post about the project hosted by Africa@LSE. As of 02/02/2015, the blog has been Tweeted 16 times, shared by 22 Facebook users and elicited contact from two Zambia-focused academics we were not aware of. The blog as reposted on the Demographic blog 'Demotrends' where it attracted further readers (http://demotrends.wordpress.com/2013/05/15/research-spotlight-when-legalising-abortion-isnt-enough/). |
| Year(s) Of Engagement Activity | 2013 |
| URL | http://blogs.lse.ac.uk/africaatlse/2013/05/13/when-legalising-abortion-isnt-enough/ |
| Description | Critical conjunctions: Abortion laws and policies in Malawi and Zambia |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Coast, E. & E. Freeman (2016) "Critical conjunctions: Abortion laws and policies in Malawi and Zambia" Presented at Abortion research to policy conference, Addis Ababa, Ethiopia, 29th November - 2nd December 2016 |
| Year(s) Of Engagement Activity | 2016 |
| URL | http://eprints.lse.ac.uk/68554/ |
| Description | ESRC-DFID Impact Initiative: Research brief |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | A 2 page research brief developed in collaboration with the ESRC/DFID Impact Initiative and hosted on their website |
| Year(s) Of Engagement Activity | 2018 |
| URL | https://opendocs.ids.ac.uk/opendocs/bitstream/handle/123456789/13868/ResearchImpact_Zambia_1.1_Onlin... |
| Description | Ipas (NC) presentation: Abortion trajectories in Zambia |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Third sector organisations |
| Results and Impact | 28 Ipas staffers (global - many attended online) attended a presentation I gave on methodological and substantive insights from Zambia research. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Medical abortion self-use/management: reflections on words, meanings and evidence. Presentation at ICFP 2018, Kigali |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Invited participation in a panel at ICFP 2018 to global researcher audience. Let to follow ups for information from eg: Packard Foundation in India (and subsequent involvement of LSE student in consulting on Packard India's future research agenda) |
| Year(s) Of Engagement Activity | 2018 |
| URL | http://eprints.lse.ac.uk/91482/ |
| Description | Medication abortion in Zambia: trajectories, costs and healthcare provider perspectives |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Coast, E., E. Freeman & T. Leone (2016) "Medication abortion in Zambia: trajectories, costs and healthcare provider perspectives" Paper presented at the International Seminar on Medication Abortion: Availability and use, and impact on safety and women's health" Dakar, Senegal, 6th-8th July, 2016 |
| Year(s) Of Engagement Activity | 2016 |
| URL | http://eprints.lse.ac.uk/68000/ |
| Description | Meeting with Zambian MPs (Coast, Freeman, Evans, Vwalika) Lusaka, 11/11/14 |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Policymakers/politicians |
| Results and Impact | Met with Member and Chair of the All_Party Parliamentary Group on Population and Development. MPs suggested that: the topic of (unsa)safe abortion should be introduced onto the business of the APPG; parliamentary questions about the costs of unsafe abortion could be tabled; an approach to be made to the clerk of the Health Select Committee. Suggestion of identifying the Select Committee reports where aboriton is mentioned, and then using this as a basis to raise questions about abortion in parliament e.g.: Youth Select Committee report on Early marriage and teen marriage mentions abortion in passing Follow-up meeting (12/11/14) by Dr Evans with MPs, and to collaborate with other MPs who have participated in IPAS sensitisation training. |
| Year(s) Of Engagement Activity | 2014 |
| Description | Presentation (IUSSP seminar, Dakar) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presentation on medical abortion in Zambia. This led to questions and discussion, and an invitation from Population Council Mexico to work with them using our methodology. Trip to Mexico scheduled October 2016. |
| Year(s) Of Engagement Activity | 2016 |
| Description | Presentation (International Seminar on Medication Abortion) |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Participation in this workshop led to 1) an invitation to work with Population Council Mexico on the research approaches for a research project in Mexico and 2) an invitation to develop a book chapter on Miso in Zambia. |
| Year(s) Of Engagement Activity | 2016 |
| URL | http://iussp.org/en/international-seminar-medication-abortion-availability-and-use-and-impact-aborti... |
| Description | Presentation at Options consulting "Researching adolescent abortion care-seeking in sub-Saharan Africa" |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Third sector organisations |
| Results and Impact | Coast, Ernestina (2019) Researching adolescent abortion care-seeking in sub-Saharan Africa. In: Options Consulting, 2019-07-09 |
| Year(s) Of Engagement Activity | 2019 |
| URL | http://eprints.lse.ac.uk/102445/ |
| Description | Press release: Lack of information and stigma associated with abortion are the main reasons why most women have unsafe abortion procedures |
| Form Of Engagement Activity | A press release, press conference or response to a media enquiry/interview |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Media (as a channel to the public) |
| Results and Impact | Press release published on project website, used as the basis of SRH media and communications training with doctors and journalists and given to individual journalists. Information contained in the brief, along with interviews given by the PI (Coast) and SRH training for journalists resulted in coverage of the research in Zambia and pan-African media. |
| Year(s) Of Engagement Activity | 2014 |
| URL | https://zambiatop.files.wordpress.com/2014/09/trajectories-to-abortion-briefing-notes_website_24-11-... |
| Description | Press release: Zambia could save 2.5 million Kwacha every year by providing access to legal safe abortion services - Study reveals |
| Form Of Engagement Activity | A press release, press conference or response to a media enquiry/interview |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Media (as a channel to the public) |
| Results and Impact | Press release published on project website, used as the basis of SRH media and communications training with doctors and journalists and given to individual journalists. Information contained in the brief, along with interviews given by the PI (Coast) and SRH training for journalists resulted in coverage of the research in Zambia and pan-African media. |
| Year(s) Of Engagement Activity | 2014 |
| URL | https://zambiatop.files.wordpress.com/2014/09/costs-of-abortion-briefing-notes_website_24-11-2014.pd... |
| Description | Project Twitter account and feed |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other academic audiences (collaborators, peers etc.) |
| Results and Impact | We have opened a project Twitter account and now tweet information about our research work and findings, our impact activities and academic impact more broadly and news about reproductive and sexual health. It is primarily intended for other academic researchers and practitioners, as well as journalists, interested members of the public and policy makers. Our Twitter account now has 85 followers who regularly re-tweet our tweets, spreading information about our project beyond our followers. in addition, we have increased our own knowledge of research, events and ideas relevant to our research from following other Twitter users. |
| Year(s) Of Engagement Activity | 2014,2015 |
| URL | https://twitter.com/zambiatop |
| Description | Project website |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | We have produced a dedicated project website to share our research work and findings. It is primarily intended for journalists, interested members of the public, practitioners, policy makers, and other academic researchers. We have posted all our press releases, policy briefings and academic presentations on the site (and linked SlideShare.net account http://www.slideshare.net/ZambiaTOP/presentations), along with descriptions of the purpose of our research and resources that may be helpful for other researchers. We are continually updating the website with new content. Our analytics show that our research outputs are being accessed. For example, our presentation slides have been downloaded 109 times as of February 2015. |
| Year(s) Of Engagement Activity | 2014,2015 |
| URL | https://zambiatop.wordpress.com/ |
| Description | Saatchi Worldservice: Presentation |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Industry/Business |
| Results and Impact | Presentation to staff at Saatchi Worldservice HQ in London; audience composed of Saatchi communications and research experts. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Spotlight Magazine: Men's involvement in abortion |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | Invited magazine article by Dr Emily Freeman |
| Year(s) Of Engagement Activity | 2018 |
| URL | http://www.vidc.org/en/spotlight-online-magazine/ |
| Description | Understanding conscientious objection to abortion in Zambia |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | Audience of approx. 50 researchers focused on abortion - which sparked questions and discussion afterwards. |
| Year(s) Of Engagement Activity | 2017 |
| URL | http://ipc2017capetown.iussp.org/ |
| Description | Understanding conscientious objection to abortion in Zambia |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Freeman, E., E. Coast & B. Vwalika (2016) "Understanding conscientious objection to abortion in Zambia" Presented at Abortion research to policy conference, Addis Ababa, Ethiopia, 29th November - 2nd December 2016 |
| Year(s) Of Engagement Activity | 2016 |
| URL | http://eprints.lse.ac.uk/68553/ |
| Description | Women's experiences of men's roles in their (un)safe abortion trajectories: evidence from urban Zambia |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other audiences |
| Results and Impact | Questions and discussion from audience |
| Year(s) Of Engagement Activity | 2017 |
| URL | http://ipc2017capetown.iussp.org/ |
| Description | Zambian Facebook page |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Public/other audiences |
| Results and Impact | Our research showed that women who have an unsafe abortion often do so when they and those they seek information and advice from do not know the legal and service provision of safe abortion services in Zambia. We found that publicly-accessible factual information on safe abortion and where to get further help is extremely scant, that young people in urban areas (the population most at risk of unsafe abortion in our Lusaka-based study) use Facebook, as the internet service pre-loaded onto smart phones in Zambia, to search for information and that there is currently no reliable information available on Facebook. We have therefore created a Facebook page aimed at men and women in Zambia who are seeking information on terminating a pregnancy. The page contains some information, but importantly directs users to established and ongoing providers of information, advice and services - Marie Stopes, Ipas and the Planned Parenthood Federation of Zambia. These organisations have free helplines, email contact forms and advice centres, but are not currently advertising them directly to the public online. The static Facebook Page will therefore continue to be relevant and useful beyond our funded project. We have only just created the Facebook page. We will pilot the page with young people during a co-creation session in Lusaka we have planned for March 2015. We expect that the most important impact of this activity will be satisfied requests for information about safe abortion. |
| Year(s) Of Engagement Activity | 2015 |
| URL | https://www.facebook.com/safeabortionzambia |