Samsara Hotline is a project that aims to increase safe abortion access, especially for rural underserved women. Through this project, Samsara tries a more proactive approach to work with local communities or organizations to set up local hotlines using local language and work with midwives to set up referral system for medical abortion.
Safe Abortion Hotline
Samsara concerns on reproductive health issue and unplanned pregnancy to empower women by giving information and provide unplanned pregnancy counseling through Hotline service. Safe abortion hotline is a service which provides an empathetic counseling and support for women who experience unplanned pregnancy. The main focus of the counseling is to give information about informed choice that they have in unplanned pregnancy situation. The comprehensive information given will be based on the women choice, those are (1) To continue the pregnancy (2) Adoption (3) Safe Abortion. Samsara reaches women in all regions of Indonesia by phone, email and Signal. The service is open for all people with various backgrounds, either married or unmarried. The information covers medical and surgical abortion, access for Misoprostol, and shelter for adoption and continuing pregnancy.
Distribution and proportion of health workers are the obstacles which limit the access to safe abortion service. In 2035, it is estimated that there will be a shortage of 12.9 million skilled health care experts globally. The data from the Minister of Health shows that the number of midwives is 4 times more than the number of doctors and 26.5 times more than the number of obstetricians in Indonesia.
Even if in many contexts abortion services are provided by specialist doctors, data has shown that Medical Abortion is a safe and an effective option which allows consideration for expanding the roles of various types of health workers in the provision of safe abortion services.
The lack of trained service providers, barriers to policies and regulations, stigma or conscientious objections are things that will limit the availability of postabortion care services in many contexts. Therefore, midwives have an important role as they are scattered in various places even in rural areas and work directly with the women. By increasing the ability of midwives through training of Unplanned Pregnancy Counselling and Medical Abortion and Post-Abortion Care, we will contribute in saving the lives of women, especially women in poverty, unmarried women and women in rural areas.