Increasingly, the public conversation about abortion has
focused on reducing the need for abortion as a way to find common ground. This is an important attempt to reorient a
debate [ ... ]
The lack of abortion training is a critical contributing
factor to the lack of abortion access.Despite a range of initiatives to address the lack of training, many
with different approaches and capacity, abortion training can be both difficult
to find and obtain for clinicians.
"As a family
medicine resident, the doors to this mysterious world of reproductive health
are closed. Connecting with AAP has opened these doors and introduced me to a
community of supporters," notes Leslie Strickland, a medical resident who
recently worked with AAP to become trained in abortion.
AAP first met Dr.
Leslie Strickland as part of our work in Wisconsin,
where Leslie is currently completing her residency in family medicine. AAP triaged
Leslie's training needs, connected her with AAP's close partner organization,
the Midwest Access Project, and provided financial support for Leslie's time in
Chicago, the
site of her training.
Melanie Zurek, Executive
Director, and Courtney Jackson, Director of Research and Evaluation, recently
teamed up to discuss to the use of the abortion rate by blog in The
Abortion Reduction Agenda: What Smells? Responding to recent calls to establish
‘common ground' around lowering the abortion rate, Melanie and Courtney
unpacked what the rate does and does not reveal about women's reproductive
health. They point out:
"We are limited in our
understanding of what current abortion rates mean. Does a low abortion
rate mean that women aren't having unintended pregnancies? Or is it because
they can't - or are too afraid or ashamed to - get the abortion they would
choose otherwise? Common sense would suggest that the current multitude
of anti-abortion laws might indeed be preventing some women from having
abortions - this is, after all, their intent. Examining state differences in
abortion rates also provides some insight into what "low" and
"high" abortion rates might mean. In 2005, New
York had the highest abortion rate (38.2 abortions/100,000 women
15-44) and Wyoming
the lowest (.7). What does this mean? Do Wyomingites use contraception
more consistently and effectively? Or, do they have difficulty accessing
abortion because there are only two providers in the entire state (compared to New York's 261)? It is
impossible to view Wyoming's
low rate as success without concern that women who need abortion care can't
access it."