Mandira Paul

Associated Researcher at Department of Women's and Children's Health, International Maternal and Child Health (IMCH); International Maternal and Reproductive Health and Migration

Visiting address:
MTC-huset, Dag Hammarskjölds väg 14B, 2 tr
752 37 Uppsala
Postal address:
Akademiska sjukhuset
751 85 UPPSALA

Short presentation

Academic degree

MSc in Global Health

Also available at

My courses


Accessibility and Acceptability of Medical Abortion and Contraception in Low-resource India

My project is focusing on medical abortion and contraceptive use among rural and urban women in Rajasthan, India. The project I am involved in aims to simplify medical abortion and make it more acceptable to women as well as to health care providers. Simplifying and demedicalising medical abortion can decrease service costs and make services more affordable to women in low-resource settings. Moreover, combining medical abortion with contraceptive counseling and health promotion may enhance women’s motivation to adapt a contraceptive method post-abortion. In addition, making abortion services more acceptable to women may motivate women to seek future reproductive health care services from the public health system, something that is not widely seen today.

A randomized control trial is carried out to investigate the efficacy, safety and acceptability of a simplified medical abortion regime in a rural and urban low-resource setting in Rajasthan, India. Studies in Europe and USA have shown an increased acceptability among both women and providers when fewer clinical visits are required for a medical abortion, however, these studies do neither take the low-resource setting, the lack of mobile phones and infrastructure, and the low literacy level into account. This study aims to fill the knowledge gap and investigate the feasibility of simplified follow-up in low-resource settings. Additionally, the contraceptive use among women post-abortion will be investigated, and barriers to access to safe abortion services and contraceptive use will be explored. Furthermore young women’s reproductive choices and partner involvement in the reproductive decision-making process among rural youth will also be explored outside of the randomized control trial.


Marie Klingberg Allvin
Birgitta Essén
Kristina Gemzell, Karolinska Institutet


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