HWPP study results

ANSIRH meeting presenting results of HWPP study of advanced practice clinicians providing first-trimester abortions

ANSIRH’s HWPP Project began training and evaluating advanced practice clinicians as abortion providers in 2007. The results, which demonstrated a safety rate comparable to that of physicians, helped support the 2013 California decision to allow advanced practice clinicians to provide abortions.

Beginning in 2007, the Health Workforce Pilot Project (HWPP) #171 collected data from almost 20,000 patients and trained nearly 60 nurse practitioners (NPs), certified nurse-midwives (CNMs), and physician assistants (PAs) to competency in aspiration abortion care. Study recruitment and data collection were completed in December 2013. Three articles have been published to date, as well as a summary of the study’s findings, linked  below.

Over the course of the study, we posted quarterly updates. Those are still available here:

cover of APC Toolkit

We also made the results of this pilot project available to the California legislature, health professional organizations, and state regulating bodies, in order to promote evidence-based legal and regulatory decision-making in regards to the provisions of abortion care by NPs, CNMs and PAs.

In addition, in an effort to expand the pool of abortion providers to include all clinicians with appropriate education, training and skill, we shared the results with reproductive health advocates nationwide.

As a result, Assembly Bill 154 (AB154) was introduced and passed in the California legislature in October 2013. AB154 removes barriers to abortion provision for NPs, CNMs, and PAs allowing them to be trained and able to provide first-trimester aspiration abortion care in California. NPs, CNMs, and PAs can now maximize their existing skill set and provide more comprehensive and better coordinated reproductive health care for women throughout the State.