Facility-based abortion care in India's public health system: 14-year trends, geographic inequalities, and the impact of the 2021 MTP Amendment Act
· 2026-09-08 · 原文
DOI：10.64898/2026.09.06.26362364v1?rss=1
Background: In 2021, India amended its Medical Termination of Pregnancy (MTP) Act, expanding gestational limits up to 24 weeks for vulnerable categories and removing the requirement for a second medical opinion up to 20 weeks. We investigated 14-year trends in facility-reported MTPs, geographic access gaps, and whether the 2021 amendment changed late-gestation service provision. Methods: Analysis of monthly district-level HMIS reports, fiscal years 2008-09 to 2021-22. We extracted total facility MTPs, early ([≤]12 weeks) and later (>12 weeks) gestation procedures, post-abortion contraception adoption, and districts reporting zero MTPs. Interrupted time-series models evaluated COVID-19 disruption and post-2021 amendment shifts. Results: Public facilities recorded 8.9 million MTPs over 14
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1. 人话版
Background: In 2021, India amended its Medical Termination of Pregnancy (MTP) Act, expanding gestational limits up to 24 weeks for vulnerable categories and removing the requirement for a second medical opinion up to 20 weeks.
We investigated 14-year trends in facility-reported MTPs, geographic access gaps, and whether the 2021 amendment changed late-gestation service provision.
2. 领域脉络
来源板块：板块一 · 研究前沿。
3. 机制拆解
摘要未展开方法细节——精读时重点看方法/模型部分。
4. 证据与数字
Methods: Analysis of monthly district-level HMIS reports, fiscal years 2008-09 to 2021-22.
We extracted total facility MTPs, early ([≤]12 weeks) and later (>12 weeks) gestation procedures, post-abortion contraception adoption, and districts reporting zero MTPs.
Interrupted time-series models evaluated COVID-19 disruption and post-2021 amendment shifts.
5. 反例与边界
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6. 跨领域连接与意外收获
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7. 可复用方法
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8. 术语表
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