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Country Profile: Canada

Global Abortion Policies Database

A tool to expand knowledge, encourage transparency, and promote accountability.

Identified policies and legal sources related to abortion:

Reproductive Health Act
General Medical Health Act
Constitution
Criminal / Penal Code
Civil Code
Ministerial Order / Decree
Case Law
Health Regulation / Clinical Guidelines
EML / Registered List
Medical Ethics Code
Document Relating to Funding
Abortion Specific Law
Law on Medical Practicioners
Law on Health Care Services
Other

Concluding Observations:

None

Persons who can be sanctioned:

A woman or girl can be sanctioned
Providers can be sanctioned
A person who assists can be sanctioned

List of ratified human rights treaties:

CERD
CCPR
Xst OP
2nd OP
CESCR
CESCR-OP
CAT
CAT-OP
CEDAW
CEDAW-OP
CRC
CRC:OPSC
CRC:OPAC
CRC:OPIC
CMW
CRPD *
CRPD-OP
CED **
Maputo Protocol

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Abortion at the woman's request

Country or Region

Canada

Yes

Additional notes

There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.”

There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.”

Related documents:

Alberta (Canada)

Gestational limit: 20 weeks

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Legal Ground and Gestational Limit

Country	Economic or social reasons	Foetal impairment	Rape	Incest	Intellectual or cognitive disability of the woman	Mental health	Physical health	Health	Life	Other
Canada	Economic or social reasons Not applicable Gestational limit applies Restriction Varies By Jurisdiction WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. WHO defines health for member states as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Safe Abortion Guidelines, § 4.2.1.5. Source document: WHO Safe Abortion Guidance (page 103) Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Safe Abortion Guidance (page 103) Additional notes There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” Related documents: R. v. Morgentaler, 1988 (page 1 ) Health Act Annual Report for 2014-2015 (page 15)	Foetal impairment Not applicable Gestational limit applies Restriction Varies By Jurisdiction WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. A woman is entitled to know the status of her pregnancy and to act on this information; health protection or social reasons can be interpreted to include distress of the pregnant woman caused by the diagnosis of fetal impairment. Prenatal tests and other medical diagnostic services cannot legally be refused because the woman may decide to terminate her pregnancy. Safe Abortion Guidelines, § 4.2.1.4. Source document: WHO Safe Abortion Guidance (page 103) Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Safe Abortion Guidance (page 103) Additional notes There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” Related documents: R. v. Morgentaler, 1988 (page 1 ) Health Act Annual Report for 2014-2015 (page 15)	Rape Not applicable Gestational limit applies Restriction Varies By Jurisdiction WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The protection of women from cruel, inhuman and degrading treatment requires that those who have become pregnant as the result of coerced or forced sexual acts can lawfully access safe abortion services. Prompt, safe abortion services should be provided on the basis of a woman’s complaint rather than requiring forensic evidence or police examination. Safe Abortion Guidelines, § 4.2.1.3. Source document: WHO Safe Abortion Guidance (page 102) Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Safe Abortion Guidance (page 103) Additional notes There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” Related documents: R. v. Morgentaler, 1988 (page 1 ) Health Act Annual Report for 2014-2015 (page 15)	Incest Not applicable Gestational limit applies Restriction Varies By Jurisdiction WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The protection of women from cruel, inhuman and degrading treatment requires that those who have become pregnant as the result of coerced or forced sexual acts can lawfully access safe abortion services. Prompt, safe abortion services should be provided on the basis of a woman’s complaint rather than requiring forensic evidence or police examination. Safe Abortion Guidelines, § 4.2.1.3. Source document: WHO Safe Abortion Guidance (page 102) Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Safe Abortion Guidance (page 103) Additional notes There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” Related documents: R. v. Morgentaler, 1988 (page 1 ) Health Act Annual Report for 2014-2015 (page 15)	Intellectual or cognitive disability of the woman Not applicable Gestational limit applies Restriction Varies By Jurisdiction WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Safe Abortion Guidance (page 103) Additional notes There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” Related documents: R. v. Morgentaler, 1988 (page 1 ) Health Act Annual Report for 2014-2015 (page 15)	Mental health Not applicable Gestational limit applies Restriction Varies By Jurisdiction WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The scope of mental health includes psychological distress or mental suffering caused by, for example, coerced or forced sexual acts and diagnosis of severe fetal impairment. Safe Abortion Guidelines, § 4.2.1.2. Source document: WHO Safe Abortion Guidance (page 102) Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Safe Abortion Guidance (page 103) Additional notes There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” Related documents: R. v. Morgentaler, 1988 (page 1 ) Health Act Annual Report for 2014-2015 (page 15)	Physical health Not applicable Gestational limit applies Restriction Varies By Jurisdiction WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Physical health is widely understood to include conditions that aggravate pregnancy and those aggravated by pregnancy. Safe Abortion Guidelines, § 4.2.1.2. Source document: WHO Safe Abortion Guidance (page 102) Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Safe Abortion Guidance (page 103) Additional notes There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” Related documents: R. v. Morgentaler, 1988 (page 1 ) Health Act Annual Report for 2014-2015 (page 15)	Health Not applicable Gestational limit applies Restriction Varies By Jurisdiction WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The fulfillment of human rights requires that women can access safe abortion when it is indicated to protect their health. WHO defines health for member states as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Safe Abortion Guidelines, § 4.2.1.2. Source document: WHO Safe Abortion Guidance (page 102) Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Safe Abortion Guidance (page 103) Additional notes There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” Related documents: R. v. Morgentaler, 1988 (page 1 ) Health Act Annual Report for 2014-2015 (page 15)	Life Not applicable Gestational limit applies Restriction Varies By Jurisdiction WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The human right to life requires protection by law, including when pregnancy is life-threatening or a pregnant woman’s life is otherwise endangered. Both medical and social conditions can constitute life-threatening conditions. Safe Abortion Guidelines, § 4.2.1.1. Source document: WHO Safe Abortion Guidance (page 102) Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Safe Abortion Guidance (page 103) Additional notes There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” Related documents: R. v. Morgentaler, 1988 (page 1 ) Health Act Annual Report for 2014-2015 (page 15)	Other Gestational limit applies Restriction Varies By Jurisdiction WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Safe Abortion Guidance (page 103) Additional notes There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” Related documents: R. v. Morgentaler, 1988 (page 1 ) Health Act Annual Report for 2014-2015 (page 15)
Alberta (Canada)	Economic or social reasons Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. WHO defines health for member states as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Safe Abortion Guidelines, § 4.2.1.5. Source document: WHO Safe Abortion Guidance (page 103)	Foetal impairment Yes Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=3 Gestational limit Weeks: 24 https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=4 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. A woman is entitled to know the status of her pregnancy and to act on this information; health protection or social reasons can be interpreted to include distress of the pregnant woman caused by the diagnosis of fetal impairment. Prenatal tests and other medical diagnostic services cannot legally be refused because the woman may decide to terminate her pregnancy. Safe Abortion Guidelines, § 4.2.1.4. Source document: WHO Safe Abortion Guidance (page 103) Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Safe Abortion Guidance (page 103) Additional notes The Alberta Termination of Pregnancy Policy specifies a “Fetal Anomaly Criterion” for pregnancies “where there is reliable evidence of a serious congenital or genetic disorder that is expected to interfere in a substantive way with the quality of life of the born individual, or there is a significant risk of having a serious disorder for which precise prenatal diagnosis is not available.”	Rape Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The protection of women from cruel, inhuman and degrading treatment requires that those who have become pregnant as the result of coerced or forced sexual acts can lawfully access safe abortion services. Prompt, safe abortion services should be provided on the basis of a woman’s complaint rather than requiring forensic evidence or police examination. Safe Abortion Guidelines, § 4.2.1.3. Source document: WHO Safe Abortion Guidance (page 102)	Incest Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The protection of women from cruel, inhuman and degrading treatment requires that those who have become pregnant as the result of coerced or forced sexual acts can lawfully access safe abortion services. Prompt, safe abortion services should be provided on the basis of a woman’s complaint rather than requiring forensic evidence or police examination. Safe Abortion Guidelines, § 4.2.1.3. Source document: WHO Safe Abortion Guidance (page 102)	Intellectual or cognitive disability of the woman Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made.	Mental health Yes Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=3 Gestational limit Weeks: No limit specified https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=4 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The scope of mental health includes psychological distress or mental suffering caused by, for example, coerced or forced sexual acts and diagnosis of severe fetal impairment. Safe Abortion Guidelines, § 4.2.1.2. Source document: WHO Safe Abortion Guidance (page 102) Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Safe Abortion Guidance (page 103)	Physical health Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Physical health is widely understood to include conditions that aggravate pregnancy and those aggravated by pregnancy. Safe Abortion Guidelines, § 4.2.1.2. Source document: WHO Safe Abortion Guidance (page 102)	Health Yes Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=3 Gestational limit Weeks: No limit specified https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=4 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The fulfillment of human rights requires that women can access safe abortion when it is indicated to protect their health. WHO defines health for member states as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Safe Abortion Guidelines, § 4.2.1.2. Source document: WHO Safe Abortion Guidance (page 102) Laws or policies that impose time limits on the length of pregnancy may have negative consequences for women, including forcing them to seek clandestine abortions and suffer social inequities. Safe Abortion Guidelines, § 4.2.1.7. Source document: WHO Safe Abortion Guidance (page 103)	Life Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The human right to life requires protection by law, including when pregnancy is life-threatening or a pregnant woman’s life is otherwise endangered. Both medical and social conditions can constitute life-threatening conditions. Safe Abortion Guidelines, § 4.2.1.1. Source document: WHO Safe Abortion Guidance (page 102)	Other Profound foetal abnormality criterion: Where there is reliable evidence of a foetal anomaly or abnormalities, or there is a maternal condition or pregnancy complication such as severe pre-term intrauterine growth restriction, or pre-term premature rupture of membranes at pre-viable gestation, that severely impacts the foetus such that the foetus has a low probability of intact foetal survival, or is expected to progress to foetal or infant death; and/or long-term major pain and suffering; and/or severe permanent cognitive and/or physical disability. Foetal reduction criterion: Where multiple pregnancies have been diagnosed and it has been determined that foetal reduction will significantly decrease the likelihood of maternal perinatal mortality/morbidity or in circumstances of multiple pregnancy, where one or more of the criteria listed in the Alberta Termination of Pregnancy Policy are met for one or more but not all the foetuses. Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=4 Additional notes There is no gestational limit in case of the “profound fetal abnormality” criterion and the “fetal reduction” criterion.

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Additional Requirements to Access Safe Abortion

Country	Authorization of health professional(s)	Authorization in specially licensed facilities only	Judicial authorization for minors	Judicial authorization in cases of rape	Police report required in case of rape	Parental consent required for minors	Spousal consent	Ultrasound images or listen to foetal heartbeat required	Compulsory counselling	Compulsory waiting period	Mandatory HIV screening test	Other mandatory STI screening tests	Prohibition of sex-selective abortion	Restrictions on information provided to the public	Restrictions on methods to detect sex of the foetus	Other
Canada	Authorization of health professional(s) No Related documents: R. v. Morgentaler, 1988 (page 1 ) WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Third-party authorization should not be required for women to obtain abortion services. The requirement for authorization by hospital authorities may violate the right to privacy and women’s access to health care on the basis of equality of men and women. Safe Abortion Guidelines, § 4.2.2.2. Source document: WHO Safe Abortion Guidance (page 105)	Authorization in specially licensed facilities only Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: R. v. Morgentaler, 1988 Canada Health Act amended, 2012 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Restrictions on the range of providers or facilities that are authorized to provide abortion reduce the availability of services and their equitable geographic distribution. Safe Abortion Guidelines, § 4.2.2.4. Source document: WHO Safe Abortion Guidance (page 106)	Judicial authorization for minors Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: R. v. Morgentaler, 1988 Canada Health Act amended, 2012 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Third-party authorization should not be required for women to obtain abortion services. Safe Abortion Guidelines, § 4.2.2. Source document: WHO Safe Abortion Guidance (page 105)	Judicial authorization in cases of rape Not applicable WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Laws, policies and practices that restrict access to abortion information and services can deter women from care seeking and create a “chilling effect” (suppression of actions because of fear of reprisals or penalties) for the provision of safe, legal services. Examples of barriers include: requiring third-party authorization from one or more medical professionals or a hospital committee, court or police, parent or guardian or a woman’s partner or spouse. Safe Abortion Guidelines, § 4.2.2 Source document: WHO Safe Abortion Guidance (page 104)	Police report required in case of rape Not applicable WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Laws, policies and practices that restrict access to abortion information and services can deter women from care seeking and create a “chilling effect” (suppression of actions because of fear of reprisals or penalties) for the provision of safe, legal services. Examples of barriers include: requiring third-party authorization from one or more medical professionals or a hospital committee, court or police, parent or guardian or a woman’s partner or spouse. Safe Abortion Guidelines, § 4.2.2 Source document: WHO Safe Abortion Guidance (page 104)	Parental consent required for minors Varies by jurisdiction Where policies or laws vary by jurisdiction, this is noted with an accompanying note and no interpretation is made. WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Third-party authorization should not be required for women to obtain abortion services. The requirement for authorization by parents may violate the right to privacy and women’s access to health care on the basis of equality of men and women. Safe Abortion Guidelines, § 4.2.2.2. Source document: WHO Safe Abortion Guidance (page 105) Additional notes The Induced Abortion Guidelines (2006) of the Society of Obstetricians and Gynaecologists of Canada state: “If a minor presents for abortion accompanied by a parent, it is important to ensure the youth was not coerced and the decision is voluntary. In Canadian common law and in some provinces “age of consent” follows the “mature minor” rule: the legal right to make health care decisions depends on decision-making ability rather than age; in other provinces the age of consent is consistent with the age of majority.6 The key element is the minor’s competence and capacity to understand the consequences of the procedure and the potential for complications, not her chronological age. In provinces that have not adopted the mature minor rule, health care providers can treat minors when appropriate without parental involvement, as common law invariably overrides local legislation. However, there should be documentation that the health care provider discussed the importance of involving parents in health decisions, and there must also be a reasonable impression that the intervention is in the best interests of the minor. It is imperative that health care providers be aware of the laws of the province in which they work.” The Guidelines can be accessed at http://sogc.org/guidelines/induced-abortion-guidelines/ In British Columbia, for instance, there is no minimum age of consent to medical treatment. If specific conditions are met, it is not necessary to obtain consent from the infant’s parent or guardian. The conditions are that the health care provider providing the health care: a) Has explained to the infant and has been satisfied that the infant understands the nature and consequences and the reasonably foreseeable benefits and risks of the health care; and, b) Has made reasonable efforts to determine and has concluded that the health care is in the infant’s best interests.	Spousal consent No Related documents: Tremblay v. Daigle, 1989 (page 1) WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Third-party authorization should not be required for women to obtain abortion services. The requirement for authorization by a spouse may violate the right to privacy and women’s access to health care on the basis of equality of men and women. Safe Abortion Guidelines, § 4.2.2.2. Source document: WHO Safe Abortion Guidance (page 105)	Ultrasound images or listen to foetal heartbeat required Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: R. v. Morgentaler, 1988 Canada Health Act amended, 2012 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Regulatory, policy and programmatic barriers, one example of which is the requirement for mandatory ultrasound prior to abortion, that hinder access to and timely provision of safe abortion care should be removed. Safe Abortion Guidelines, Executive Summary, Box 7 - Recommendation. Source document: WHO Safe Abortion Guidance (page 19)	Compulsory counselling Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: R. v. Morgentaler, 1988 Canada Health Act amended, 2012 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Many women have made a decision to have an abortion before seeking care, and this decision should be respected without subjecting a woman to mandatory counselling. Provision of counselling to women who desire it should be voluntary, confidential, non-directive and by a trained person. Safe Abortion Guidelines, § 2.1.8.1. Source document: WHO Safe Abortion Guidance (page 46)	Compulsory waiting period Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: R. v. Morgentaler, 1988 Canada Health Act amended, 2012 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. States should consider eliminating waiting periods that are not medically required, and expanding services to serve all eligible women promptly. Safe Abortion Guidelines, § 4.2.2.6. Source document: WHO Safe Abortion Guidance (page 107)	Mandatory HIV screening test Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: R. v. Morgentaler, 1988 Canada Health Act amended, 2012 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Requirements for HIV and other tests that are not clinically indicated are potential service-delivery barriers. Safe Abortion Guidelines, p 88. Source document: WHO Safe Abortion Guidance (page 88)	Other mandatory STI screening tests Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: R. v. Morgentaler, 1988 Canada Health Act amended, 2012 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Requirements for HIV and other tests that are not clinically indicated are potential service-delivery barriers. Safe Abortion Guidelines, p 88. Source document: WHO Safe Abortion Guidance (page 88)	Prohibition of sex-selective abortion Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: R. v. Morgentaler, 1988 Human Assisted Reproduction Act, 2006 Canada Health Act amended, 2012 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. In situations where abortion is restricted for sex selection purposes, terminating a pregnancy for this reason is likely to involve an unsafe procedure carrying high risks. Any policies or guidelines on the use of technology in obstetric and fetal medicine should take into account the need to ensure women’s access to safe abortion and other services - efforts to manage or limit sex selection should also not hamper or limit access to safe abortion services. Preventing gender-biased sex selection: an interagency statement, p 10 - Recommendation. Source document: Preventing Gender-Biased Sex Selection (page 17)	No data Restrictions on information provided to the public No data found WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. States should refrain from limiting access to means of maintaining sexual and reproductive health, including censoring, withholding or intentionally misrepresenting health-related information. Safe Abortion Guidelines, § 4.2.2.7. Source document: WHO Safe Abortion Guidance (page 107)	No data Restrictions on methods to detect sex of the foetus No data found WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. A woman is entitled to know the status of her pregnancy and to act on this information. Prenatal tests and other medical diagnostic services cannot legally be refused because the woman may decide to terminate her pregnancy. Safe Abortion Guidelines, § 4.2.1.4. Source document: WHO Safe Abortion Guidance (page 103)	Other
Alberta (Canada)	Authorization of health professional(s) No Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=4 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Third-party authorization should not be required for women to obtain abortion services. The requirement for authorization by hospital authorities may violate the right to privacy and women’s access to health care on the basis of equality of men and women. Safe Abortion Guidelines, § 4.2.2.2. Source document: WHO Safe Abortion Guidance (page 105) Additional notes The documented opinion of a second physician is required to confirm only for abortions falling under one of the criteria for abortion after 20 completed weeks is present. The second physician must be from a site designated by Alberta Health Services to provide termination of pregnancy services at greater than 20 completed weeks gestation. If feasible, the consultation should be with a maternal foetal medicine specialist, neonatologist, or other specialist with expertise relevant to the health risk in question. The specialist could be a general obstetrician with expertise managing the type of pregnancy complications at issue.	Authorization in specially licensed facilities only Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Restrictions on the range of providers or facilities that are authorized to provide abortion reduce the availability of services and their equitable geographic distribution. Safe Abortion Guidelines, § 4.2.2.4. Source document: WHO Safe Abortion Guidance (page 106)	Judicial authorization for minors Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Third-party authorization should not be required for women to obtain abortion services. Safe Abortion Guidelines, § 4.2.2. Source document: WHO Safe Abortion Guidance (page 105)	Judicial authorization in cases of rape Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Laws, policies and practices that restrict access to abortion information and services can deter women from care seeking and create a “chilling effect” (suppression of actions because of fear of reprisals or penalties) for the provision of safe, legal services. Examples of barriers include: requiring third-party authorization from one or more medical professionals or a hospital committee, court or police, parent or guardian or a woman’s partner or spouse. Safe Abortion Guidelines, § 4.2.2 Source document: WHO Safe Abortion Guidance (page 104)	Police report required in case of rape Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Laws, policies and practices that restrict access to abortion information and services can deter women from care seeking and create a “chilling effect” (suppression of actions because of fear of reprisals or penalties) for the provision of safe, legal services. Examples of barriers include: requiring third-party authorization from one or more medical professionals or a hospital committee, court or police, parent or guardian or a woman’s partner or spouse. Safe Abortion Guidelines, § 4.2.2 Source document: WHO Safe Abortion Guidance (page 104)	Parental consent required for minors No Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=2 https://abortion-policies.srhr.org/documents/countries/12-Canada-Alberta-Consent-to-Treatment-Procedure-Policy-2010.pdf#page=4 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Third-party authorization should not be required for women to obtain abortion services. The requirement for authorization by parents may violate the right to privacy and women’s access to health care on the basis of equality of men and women. Safe Abortion Guidelines, § 4.2.2.2. Source document: WHO Safe Abortion Guidance (page 105) Additional notes Health practitioners shall conduct an assessment of the minor’s capacity to consent without the input of his or her legal representative(s). A patient under the age of 18 is presumed to be a minor patient without the capacity to consent unless assessed and determined to be a mature minor with the capacity to consent. In the case of a minor without capacity to consent, the decision is taken by the legal representative who is a guardian or a nearest relative. Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=2 https://abortion-policies.srhr.org/documents/countries/12-Canada-Alberta-Consent-to-Treatment-Procedure-Policy-2010.pdf#page=4	Spousal consent No Related documents: https://abortion-policies.srhr.org/documents/countries/08-Canada-Daigle-v-Tremblay-2SCR-1989.pdf#page=1 https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=1 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Third-party authorization should not be required for women to obtain abortion services. The requirement for authorization by a spouse may violate the right to privacy and women’s access to health care on the basis of equality of men and women. Safe Abortion Guidelines, § 4.2.2.2. Source document: WHO Safe Abortion Guidance (page 105)	Ultrasound images or listen to foetal heartbeat required Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Regulatory, policy and programmatic barriers, one example of which is the requirement for mandatory ultrasound prior to abortion, that hinder access to and timely provision of safe abortion care should be removed. Safe Abortion Guidelines, Executive Summary, Box 7 - Recommendation. Source document: WHO Safe Abortion Guidance (page 19)	Compulsory counselling No Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=2 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Many women have made a decision to have an abortion before seeking care, and this decision should be respected without subjecting a woman to mandatory counselling. Provision of counselling to women who desire it should be voluntary, confidential, non-directive and by a trained person. Safe Abortion Guidelines, § 2.1.8.1. Source document: WHO Safe Abortion Guidance (page 46)	Compulsory waiting period Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. States should consider eliminating waiting periods that are not medically required, and expanding services to serve all eligible women promptly. Safe Abortion Guidelines, § 4.2.2.6. Source document: WHO Safe Abortion Guidance (page 107)	Mandatory HIV screening test Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Requirements for HIV and other tests that are not clinically indicated are potential service-delivery barriers. Safe Abortion Guidelines, p 88. Source document: WHO Safe Abortion Guidance (page 88)	Other mandatory STI screening tests Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Requirements for HIV and other tests that are not clinically indicated are potential service-delivery barriers. Safe Abortion Guidelines, p 88. Source document: WHO Safe Abortion Guidance (page 88)	Prohibition of sex-selective abortion Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/02-Canada-Assisted-Human-Reproduction-Act-2004.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. In situations where abortion is restricted for sex selection purposes, terminating a pregnancy for this reason is likely to involve an unsafe procedure carrying high risks. Any policies or guidelines on the use of technology in obstetric and fetal medicine should take into account the need to ensure women’s access to safe abortion and other services - efforts to manage or limit sex selection should also not hamper or limit access to safe abortion services. Preventing gender-biased sex selection: an interagency statement, p 10 - Recommendation. Source document: Preventing Gender-Biased Sex Selection (page 17)	Restrictions on information provided to the public Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. States should refrain from limiting access to means of maintaining sexual and reproductive health, including censoring, withholding or intentionally misrepresenting health-related information. Safe Abortion Guidelines, § 4.2.2.7. Source document: WHO Safe Abortion Guidance (page 107)	No data Restrictions on methods to detect sex of the foetus No data found WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. A woman is entitled to know the status of her pregnancy and to act on this information. Prenatal tests and other medical diagnostic services cannot legally be refused because the woman may decide to terminate her pregnancy. Safe Abortion Guidelines, § 4.2.1.4. Source document: WHO Safe Abortion Guidance (page 103)	Other

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Clinical and Service-delivery Aspects of Abortion Care

Country	National guidelines for induced abortion	Methods allowed	Country recognized approval (mifepristone / mife-misoprostol)	Country recognized approval (misoprostol)	Where can abortion services be provided	National guidelines for post-abortion care	Where can post abortion care services be provided	Contraception included in post-abortion care	Insurance to offset end user costs	Who can provide abortion services	Extra facility/provider requirements for delivery of abortion services
Canada	National guidelines for induced abortion Varies by province WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Standards and guidelines should be developed and updated with the intent of eliminating barriers to obtaining the highest attainable standard of sexual and reproductive health. Safe Abortion Guidelines, § 3.3. Standards and guidelines should cover: types of abortion service, where and by whom they can be provided; essential equipment, instruments, medications, supplies and facility capabilities; referral mechanisms; respect for women’s informed decision-making, autonomy, confidentiality and privacy. Safe Abortion Guidelines, p. 63. Source document: WHO Safe Abortion Guidance (page 75)	Methods allowed Vacuum aspiration Varies by province Dilatation and evacuation Varies by province Combination mifepristone-misoprostol Yes (63 DAYS) Canada-Mifegymiso-prescribing and dispensing information, 2017 (page 1) Misoprostol only Varies by province Other (where provided) WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Vacuum aspiration is the recommended technique of surgical abortion for pregnancies of up to 12 to 14 weeks of gestation. The procedure should not be routinely completed by dilatation and sharp curettage (D&C). Safe Abortion Guidelines, Executive Summary, Box 1- Recommendation. Source document: WHO Safe Abortion Guidance (page 123) Dilatation and evacuation (D&E) and medical methods (mifepristone and misoprostol; misoprostol alone) are both recommended methods for abortion for gestations over 12 to 14 weeks. Safe Abortion Guidelines, Executive Summary, Box 3- Recommendation. Source document: WHO Safe Abortion Guidance (page 123) The recommended method for medical abortion is mifepristone followed by misoprostol (regimen differs by gestational age). Safe Abortion Guidelines, Executive Summary, Box 2- Recommendation. Source document: WHO Safe Abortion Guidance (page 13) Where mifepristone is not available, the recommended method for medical abortion is misoprostol (regimen differs by gestational age). Safe Abortion Guidelines, Executive Summary, Box 2- Recommendation. Source document: WHO Safe Abortion Guidance (page 14)	Country recognized approval (mifepristone / mife-misoprostol) Yes Related documents: Regulatory Decision Mifegymiso Summary, Ministry of Health Canada, 2015 (page 1) Pharmacy selling or distribution Yes, with prescription only Regulatory Decision Mifegymiso Summary, Ministry of Health Canada, 2015 (page 1) WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The combination of mifepristone and misoprostol for medical abortion is included on the WHO model list of essential medicines. Safe Abortion Guidelines, § 2.2.5 Source document: WHO Safe Abortion Guidance (page 54) Chemists/pharmacists can help women avoid unintended pregnancy through provision of accurate contraceptive information, pregnancy tests, contraceptive methods and referral to safe abortion services. Safe Abortion Guidelines, § 3.3.1.1. Source document: WHO Safe Abortion Guidance (page 13)	No data Country recognized approval (misoprostol) No data found WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The combination of mifepristone and misoprostol for medical abortion is included on the WHO model list of essential medicines. Safe Abortion Guidelines, § 2.2.5 Source document: WHO Safe Abortion Guidance (page 54)	Where can abortion services be provided Related documents: R. v. Morgentaler, 1988 Human Assisted Reproduction Act, 2006 Canada Health Act amended, 2012 Regulatory Decision Mifegymiso Summary, Ministry of Health Canada, 2015 Health Act Annual Report for 2014-2015 Primary health-care centres Varies by province Secondary (district-level) health-care facilities Varies by province Specialized abortion care public facilities Varies by province Private health-care centres or clinics Varies by province NGO health-care centres or clinics Varies by province WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Abortion services should be available at primary-care level, with referral systems in place for all required higher-level care. Safe Abortion Guidelines, Executive Summary, Box 6- Recommendation. Source document: WHO Safe Abortion Guidance (page 18)	National guidelines for post-abortion care Varies by province WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Standards and guidelines should be developed and updated with the intent of eliminating barriers to obtaining the highest attainable standard of sexual and reproductive health. Safe Abortion Guidelines, § 3.3. Standards and guidelines should cover: types of abortion service, where and by whom they can be provided; essential equipment, instruments, medications, supplies and facility capabilities; referral mechanisms; respect for women’s informed decision-making, autonomy, confidentiality and privacy. Safe Abortion Guidelines, p. 63. Source document: WHO Safe Abortion Guidance (page 75)	Where can post abortion care services be provided Primary health-care centres Varies by province Secondary (district-level) health-care facilities Varies by province Specialized abortion care public facilities Varies by province Private health-care centres or clinics Varies by province NGO health-care centres or clinics Varies by province WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The facilities and skills required to manage most abortion complications are similar to those needed to care for women who have had a spontaneous abortion (miscarriage). Safe Abortion Guidelines § 2.2.6. Source document: WHO Safe Abortion Guidance (page 57)	Contraception included in post-abortion care Varies by province WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. All women should receive contraceptive information and be offered counselling for and methods of post-abortion contraception, including emergency contraception, before leaving the health-care facility. Safe Abortion Guidelines, § 2.3. Source document: WHO Safe Abortion Guidance (page 62)	Insurance to offset end user costs Yes Related documents: Health Act Annual Report for 2014-2015 (page 15) Induced abortion for all women Yes There are no legal restrictions on abortion, including no gestational limit. Abortion services form part of medically required health services provision and are regulated as such. The Canada Health Act outlines coverage for abortion services. Access however in practice varies depending on the availability of public facilities, and gestational limits vary at province level. As the Ministry of Health states in its Annual Report on the Health Act for2014-2015 (Source 7, see Chapter 2, page 13): “During 2014–2015, Health Canada continued to monitor the following ongoing compliance and interpretation issues: Abortion services are insured in all provinces and territories; however, access to these insured services varies within and between jurisdictions across the country. In Prince Edward Island and New Brunswick, the services are only covered if performed in a hospital (for example, private clinic procedures are not covered). In addition, Prince Edward Island lacks abortion services on the island and residents must travel off the island to access them. In New Brunswick, access has improved because certification of medical necessity by two physicians, and performance of the service by a specialist in gynecology or obstetrics in a hospital are no longer required. Prince Edward Island service has improved because the province has eliminated the need for a referral from an Island doctor and now allows women to self-refer to a Moncton, New Brunswick, hospital. However, accessibility and comprehensiveness concerns remain because neither province covers private clinic abortions under their respective provincial health insurance plans.” Health Act Annual Report for 2014-2015 (page 15 ) R. v. Morgentaler, 1988 (page 1 ) Induced abortion for poor women only No Health Act Annual Report for 2014-2015 (page 15) Abortion complications Not specified R. v. Morgentaler, 1988 Human Assisted Reproduction Act, 2006 Canada Health Act amended, 2012 Regulatory Decision Mifegymiso Summary, Ministry of Health Canada, 2015 Health Act Annual Report for 2014-2015 Private health coverage Yes R. v. Morgentaler, 1988 Human Assisted Reproduction Act, 2006 Canada Health Act amended, 2012 Regulatory Decision Mifegymiso Summary, Ministry of Health Canada, 2015 Health Act Annual Report for 2014-2015 Other (if applicable) WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Financing of abortion services should take into account costs to the health system while ensuring that services are affordable and readily available to all women who need them. Safe Abortion Guidelines, Executive Summary, Box 6 - Recommendation. Abortion services should be mandated for coverage under insurance plans; women should never be denied or delayed because of the inability to pay. Safe Abortion Guidelines, § 3.6.2. Source document: WHO Safe Abortion Guidance (page 18)	Who can provide abortion services Related documents: R. v. Morgentaler, 1988 Human Assisted Reproduction Act, 2006 Canada Health Act amended, 2012 Regulatory Decision Mifegymiso Summary, Ministry of Health Canada, 2015 Health Act Annual Report for 2014-2015 Nurse Varies by province Midwife/nurse-midwife Varies by province Doctor (specialty not specified) Varies by province Specialist doctor, including OB/GYN Varies by province WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Subject to gestational age and method, abortion care can be safely provided by any properly trained health-care provider, including specialist doctors, non-specialist doctors; associate and advanced associate clinicians; midwives; and nurses. Health Worker Roles in Safe Abortion Care, p 33- Recommendation. Source document: Health Worker Roles in Safe Abortion Care and Post-Abortion Contraception (page 33)	Extra facility/provider requirements for delivery of abortion services Referral linkages to a higher-level facility Varies by province Availability of a specialist doctor, including OB/GYN Varies by province Minimum number of beds Varies by province Other (if applicable) WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Abortion facilities within both the public and private sectors should be available at all levels of the health system, with appropriate referral mechanisms between facilities. Safe Abortion Guidelines, § 3.3.1. Source document: WHO Safe Abortion Guidance (page 75)
Alberta (Canada)	National guidelines for induced abortion Yes, guidelines issued by the government Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=1 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Standards and guidelines should be developed and updated with the intent of eliminating barriers to obtaining the highest attainable standard of sexual and reproductive health. Safe Abortion Guidelines, § 3.3. Standards and guidelines should cover: types of abortion service, where and by whom they can be provided; essential equipment, instruments, medications, supplies and facility capabilities; referral mechanisms; respect for women’s informed decision-making, autonomy, confidentiality and privacy. Safe Abortion Guidelines, p. 63. Source document: WHO Safe Abortion Guidance (page 75)	Methods allowed Vacuum aspiration Yes According to the Termination of Pregnancy Standards and Guidelines of the College of Physicians and Surgeons of Alberta dilation and suction evacuation can be provided up to 15 completed. They can be accessed at: http://cpsa.ca/wp-content/uploads/2015/03/NHSF_-_Termination_of_Pregnancy.pdf https://abortion-policies.srhr.org/documents/countries/13-Canada-Alberta-Health-Care-Insurance-Plan-Schedule-of-medical-benefits-2018.pdf#page=240 Dilatation and evacuation Yes According to the Termination of Pregnancy Standards and Guidelines of the College of Physicians and Surgeons of Alberta dilation and evacuation can be provided up to 20 weeks, zero days. They can be accessed at: http://cpsa.ca/wp-content/uploads/2015/03/NHSF_-_Termination_of_Pregnancy.pdf https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=6 https://abortion-policies.srhr.org/documents/countries/13-Canada-Alberta-Health-Care-Insurance-Plan-Schedule-of-medical-benefits-2018.pdf#page=240 Combination mifepristone-misoprostol Yes The Alberta Termination of Pregnancy Policy refers to “medical termination of pregnancy” as termination of pregnancy “achieved through the use of oral, vaginal, or intravenous medications to initiate uterine activity/labour and vaginal delivery, under the guidance or direction of a physician” without specifying the medications to be used. https://abortion-policies.srhr.org/documents/countries/09-Canada-Mifegymiso-prescribing-and-dispensing-information-Health-Canada-2017.pdf#page=1 Misoprostol only Not specified The Alberta Termination of Pregnancy Policy refers to “medical termination of pregnancy” as termination of pregnancy “achieved through the use of oral, vaginal, or intravenous medications to initiate uterine activity/labour and vaginal delivery, under the guidance or direction of a physician” without specifying the medications to be used. Other (where provided) Dilation and curettage https://abortion-policies.srhr.org/documents/countries/13-Canada-Alberta-Health-Care-Insurance-Plan-Schedule-of-medical-benefits-2018.pdf#page=240 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Vacuum aspiration is the recommended technique of surgical abortion for pregnancies of up to 12 to 14 weeks of gestation. The procedure should not be routinely completed by dilatation and sharp curettage (D&C). Safe Abortion Guidelines, Executive Summary, Box 1- Recommendation. Source document: WHO Safe Abortion Guidance (page 123) Dilatation and evacuation (D&E) and medical methods (mifepristone and misoprostol; misoprostol alone) are both recommended methods for abortion for gestations over 12 to 14 weeks. Safe Abortion Guidelines, Executive Summary, Box 3- Recommendation. Source document: WHO Safe Abortion Guidance (page 123) The recommended method for medical abortion is mifepristone followed by misoprostol (regimen differs by gestational age). Safe Abortion Guidelines, Executive Summary, Box 2- Recommendation. Source document: WHO Safe Abortion Guidance (page 13) Where mifepristone is not available, the recommended method for medical abortion is misoprostol (regimen differs by gestational age). Safe Abortion Guidelines, Executive Summary, Box 2- Recommendation. Source document: WHO Safe Abortion Guidance (page 14)	Country recognized approval (mifepristone / mife-misoprostol) Yes Related documents: https://abortion-policies.srhr.org/documents/countries/04-Canada-Regulatory-Decision-Summary-Mifegymiso-2015.pdf#page=1 Pharmacy selling or distribution Yes, with prescription only https://abortion-policies.srhr.org/documents/countries/04-Canada-Regulatory-Decision-Summary-Mifegymiso-2015.pdf#page=1 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The combination of mifepristone and misoprostol for medical abortion is included on the WHO model list of essential medicines. Safe Abortion Guidelines, § 2.2.5 Source document: WHO Safe Abortion Guidance (page 54) Chemists/pharmacists can help women avoid unintended pregnancy through provision of accurate contraceptive information, pregnancy tests, contraceptive methods and referral to safe abortion services. Safe Abortion Guidelines, § 3.3.1.1. Source document: WHO Safe Abortion Guidance (page 13)	No data Country recognized approval (misoprostol) No data found WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The combination of mifepristone and misoprostol for medical abortion is included on the WHO model list of essential medicines. Safe Abortion Guidelines, § 2.2.5 Source document: WHO Safe Abortion Guidance (page 54)	Where can abortion services be provided 11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017-pdf#page=3 Primary health-care centres Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf Secondary (district-level) health-care facilities Yes 11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017-pdf#page=3 Specialized abortion care public facilities Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf Private health-care centres or clinics Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf NGO health-care centres or clinics Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf Other (if applicable) Termination of pregnancy planned after potential viability must take place in tertiary care hospitals. 11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017-pdf#page=4 The Alberta Termination of Pregnancy Policy defines “potential viability” as pertaining to “a fetus of gestational age greater than or equal to 22 weeks and zero (0) days and which is likely to proceed to a live birth.” WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Abortion services should be available at primary-care level, with referral systems in place for all required higher-level care. Safe Abortion Guidelines, Executive Summary, Box 6- Recommendation. Source document: WHO Safe Abortion Guidance (page 18)	National guidelines for post-abortion care Yes, guidelines issued by the government Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=1 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Standards and guidelines should be developed and updated with the intent of eliminating barriers to obtaining the highest attainable standard of sexual and reproductive health. Safe Abortion Guidelines, § 3.3. Standards and guidelines should cover: types of abortion service, where and by whom they can be provided; essential equipment, instruments, medications, supplies and facility capabilities; referral mechanisms; respect for women’s informed decision-making, autonomy, confidentiality and privacy. Safe Abortion Guidelines, p. 63. Source document: WHO Safe Abortion Guidance (page 75)	Where can post abortion care services be provided Primary health-care centres Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf Secondary (district-level) health-care facilities Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf Specialized abortion care public facilities Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf Private health-care centres or clinics Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf NGO health-care centres or clinics Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The facilities and skills required to manage most abortion complications are similar to those needed to care for women who have had a spontaneous abortion (miscarriage). Safe Abortion Guidelines § 2.2.6. Source document: WHO Safe Abortion Guidance (page 57)	Contraception included in post-abortion care Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. All women should receive contraceptive information and be offered counselling for and methods of post-abortion contraception, including emergency contraception, before leaving the health-care facility. Safe Abortion Guidelines, § 2.3. Source document: WHO Safe Abortion Guidance (page 62)	Insurance to offset end user costs Yes Related documents: https://abortion-policies.srhr.org/documents/countries/13-Canada-Alberta-Health-Care-Insurance-Plan-Schedule-of-medical-benefits-2018.pdf#page=240 Induced abortion for all women Yes Abortion by suction curettage, dilation and curettage or dilatation and evacuation where imaging report confirms the foetus is 12 weeks size may only be claimed when performed in an active treatment hospital or by a physician approved to perform the procedure by the College of Physicians and Surgeons of Alberta when performed in an accredited non-hospital surgical facility. https://abortion-policies.srhr.org/documents/countries/13-Canada-Alberta-Health-Care-Insurance-Plan-Schedule-of-medical-benefits-2018.pdf#page=240 Induced abortion for poor women only No https://abortion-policies.srhr.org/documents/countries/13-Canada-Alberta-Health-Care-Insurance-Plan-Schedule-of-medical-benefits-2018.pdf#page=240 Abortion complications Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf Private health coverage Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf Other (if applicable) Terminations of pregnancy at gestational ages of 20 completed weeks must only be performed in an acute care hospital and by a physician who has the appropriate privileges to terminate the pregnancy. 11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017-pdf#page=4 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Financing of abortion services should take into account costs to the health system while ensuring that services are affordable and readily available to all women who need them. Safe Abortion Guidelines, Executive Summary, Box 6 - Recommendation. Abortion services should be mandated for coverage under insurance plans; women should never be denied or delayed because of the inability to pay. Safe Abortion Guidelines, § 3.6.2. Source document: WHO Safe Abortion Guidance (page 18)	Who can provide abortion services 11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017-pdf#page=3 Nurse Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf Midwife/nurse-midwife Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf Doctor (specialty not specified) Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf Specialist doctor, including OB/GYN Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Subject to gestational age and method, abortion care can be safely provided by any properly trained health-care provider, including specialist doctors, non-specialist doctors; associate and advanced associate clinicians; midwives; and nurses. Health Worker Roles in Safe Abortion Care, p 33- Recommendation. Source document: Health Worker Roles in Safe Abortion Care and Post-Abortion Contraception (page 33)	Extra facility/provider requirements for delivery of abortion services Referral linkages to a higher-level facility Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf Availability of a specialist doctor, including OB/GYN Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf Minimum number of beds Not specified https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf Other (if applicable) For hospitals and accredited non-hospital surgical facilities under the jurisdiction of Alberta Health Services, only physicians who have appropriate privileges shall perform termination of pregnancy. Facilities providing terminations of pregnancy must have appropriate resources and supports to address potential complications. 11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017-pdf#page=3 The Termination of Pregnancy Standards and Guidelines of the College of Physicians and Surgeons of Alberta state: « Abortion procedure privileges shall be limited to gestational ages for which a qualified preceptor attests that the applicant is competent to perform.” They can be accessed at: http://cpsa.ca/wp-content/uploads/2015/03/NHSF_-_Termination_of_Pregnancy.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Abortion facilities within both the public and private sectors should be available at all levels of the health system, with appropriate referral mechanisms between facilities. Safe Abortion Guidelines, § 3.3.1. Source document: WHO Safe Abortion Guidance (page 75)

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Conscientious Objection

Country	Public sector providers	Private sector providers	Provider type not specified	Neither Type of Provider Permitted	Public facilities	Private facilities	Facility type not specified	Neither Type of Facility Permitted
Canada	Public sector providers Varies by province WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Health-care professionals who claim conscientious objection must refer the woman to another willing and trained provider in the same, or another easily accessible health-care facility. Where referral is not possible, the health-care professional who objects, must provide safe abortion to save the woman’s life, to prevent serious injury to her health and provide urgent care when women present with complications from an unsafe or illegal abortion. Safe Abortion Guidelines, § 4.2.2.5. Source document: WHO Safe Abortion Guidance (page 106)	Private sector providers Varies by province WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Health-care professionals who claim conscientious objection must refer the woman to another willing and trained provider in the same, or another easily accessible health-care facility. Where referral is not possible, the health-care professional who objects, must provide safe abortion to save the woman’s life, to prevent serious injury to her health and provide urgent care when women present with complications from an unsafe or illegal abortion. Safe Abortion Guidelines, § 4.2.2.5. Source document: WHO Safe Abortion Guidance (page 106)	Provider type not specified Varies by province WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Health-care professionals who claim conscientious objection must refer the woman to another willing and trained provider in the same, or another easily accessible health-care facility. Where referral is not possible, the health-care professional who objects, must provide safe abortion to save the woman’s life, to prevent serious injury to her health and provide urgent care when women present with complications from an unsafe or illegal abortion. Safe Abortion Guidelines, § 4.2.2.5. Source document: WHO Safe Abortion Guidance (page 106)	Neither Type of Provider Permitted Varies by province WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Health-care professionals who claim conscientious objection must refer the woman to another willing and trained provider in the same, or another easily accessible health-care facility. Where referral is not possible, the health-care professional who objects, must provide safe abortion to save the woman’s life, to prevent serious injury to her health and provide urgent care when women present with complications from an unsafe or illegal abortion. Safe Abortion Guidelines, § 4.2.2.5. Source document: WHO Safe Abortion Guidance (page 106)	Public facilities Varies by province WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The respect, protection and fulfilment of human rights require that governments ensure abortion services, that are allowable by law, are accessible in practice. Safe Abortion Guidelines, § 4.2.2.5. Source document: WHO Safe Abortion Guidance (page 106)	Private facilities Varies by province WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The respect, protection and fulfilment of human rights require that governments ensure abortion services, that are allowable by law, are accessible in practice. Safe Abortion Guidelines, § 4.2.2.5. Source document: WHO Safe Abortion Guidance (page 106)	Facility type not specified Varies by province WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The respect, protection and fulfilment of human rights require that governments ensure abortion services, that are allowable by law, are accessible in practice. Safe Abortion Guidelines, § 4.2.2.5. Source document: WHO Safe Abortion Guidance (page 106)	Neither Type of Facility Permitted Varies by province WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The respect, protection and fulfilment of human rights require that governments ensure abortion services, that are allowable by law, are accessible in practice. Safe Abortion Guidelines, § 4.2.2.5. Source document: WHO Safe Abortion Guidance (page 106)
Alberta (Canada)	Public sector providers No Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=2 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Health-care professionals who claim conscientious objection must refer the woman to another willing and trained provider in the same, or another easily accessible health-care facility. Where referral is not possible, the health-care professional who objects, must provide safe abortion to save the woman’s life, to prevent serious injury to her health and provide urgent care when women present with complications from an unsafe or illegal abortion. Safe Abortion Guidelines, § 4.2.2.5. Source document: WHO Safe Abortion Guidance (page 106) Additional notes The Alberta Termination of Pregnancy Policy states: “Alberta Health Services acknowledges that its health care providers may conscientiously object to pregnancy termination and therefore may wish not to participate in the direct performance of the termination process.” No health professional who provides direct patient care is compelled to participate in pregnancy termination procedures if he or she has a conscientious objection to doing so. This exclusion does not apply to necessary participation in the care of patients suffering emergent post-procedure maternal complications. Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=2	Private sector providers No Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=2 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Health-care professionals who claim conscientious objection must refer the woman to another willing and trained provider in the same, or another easily accessible health-care facility. Where referral is not possible, the health-care professional who objects, must provide safe abortion to save the woman’s life, to prevent serious injury to her health and provide urgent care when women present with complications from an unsafe or illegal abortion. Safe Abortion Guidelines, § 4.2.2.5. Source document: WHO Safe Abortion Guidance (page 106) Additional notes The Alberta Termination of Pregnancy Policy states: “Alberta Health Services acknowledges that its health care providers may conscientiously object to pregnancy termination and therefore may wish not to participate in the direct performance of the termination process.” No health professional who provides direct patient care is compelled to participate in pregnancy termination procedures if he or she has a conscientious objection to doing so. This exclusion does not apply to necessary participation in the care of patients suffering emergent post-procedure maternal complications. Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=2	Provider type not specified Yes Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=2 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Health-care professionals who claim conscientious objection must refer the woman to another willing and trained provider in the same, or another easily accessible health-care facility. Where referral is not possible, the health-care professional who objects, must provide safe abortion to save the woman’s life, to prevent serious injury to her health and provide urgent care when women present with complications from an unsafe or illegal abortion. Safe Abortion Guidelines, § 4.2.2.5. Source document: WHO Safe Abortion Guidance (page 106) Additional notes The Alberta Termination of Pregnancy Policy states: “Alberta Health Services acknowledges that its health care providers may conscientiously object to pregnancy termination and therefore may wish not to participate in the direct performance of the termination process.” No health professional who provides direct patient care is compelled to participate in pregnancy termination procedures if he or she has a conscientious objection to doing so. This exclusion does not apply to necessary participation in the care of patients suffering emergent post-procedure maternal complications. Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=2	Neither Type of Provider Permitted No Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=2 WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. Health-care professionals who claim conscientious objection must refer the woman to another willing and trained provider in the same, or another easily accessible health-care facility. Where referral is not possible, the health-care professional who objects, must provide safe abortion to save the woman’s life, to prevent serious injury to her health and provide urgent care when women present with complications from an unsafe or illegal abortion. Safe Abortion Guidelines, § 4.2.2.5. Source document: WHO Safe Abortion Guidance (page 106) Additional notes The Alberta Termination of Pregnancy Policy states: “Alberta Health Services acknowledges that its health care providers may conscientiously object to pregnancy termination and therefore may wish not to participate in the direct performance of the termination process.” No health professional who provides direct patient care is compelled to participate in pregnancy termination procedures if he or she has a conscientious objection to doing so. This exclusion does not apply to necessary participation in the care of patients suffering emergent post-procedure maternal complications. Related documents: https://abortion-policies.srhr.org/documents/countries/11-Canada-Alberta-Termination-of-Pregnancy-Policy-2017.pdf#page=2	Public facilities Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The respect, protection and fulfilment of human rights require that governments ensure abortion services, that are allowable by law, are accessible in practice. Safe Abortion Guidelines, § 4.2.2.5. Source document: WHO Safe Abortion Guidance (page 106)	Private facilities Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The respect, protection and fulfilment of human rights require that governments ensure abortion services, that are allowable by law, are accessible in practice. Safe Abortion Guidelines, § 4.2.2.5. Source document: WHO Safe Abortion Guidance (page 106)	Facility type not specified Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The respect, protection and fulfilment of human rights require that governments ensure abortion services, that are allowable by law, are accessible in practice. Safe Abortion Guidelines, § 4.2.2.5. Source document: WHO Safe Abortion Guidance (page 106)	Neither Type of Facility Permitted Not specified When there is no explicit reference to an issue covered in the questionnaire in the relevant document(s), this is noted and no interpretation was made. Related documents: https://abortion-policies.srhr.org/documents/countries/01-Canada-R-v-Morgentaler-Supreme-Court-1988.pdf https://abortion-policies.srhr.org/documents/countries/03-Canada-Health-Act-Ministry-of-Health-2012.pdf WHO Guidance The following descriptions and recommendations were extracted from WHO guidance on safe abortion. The respect, protection and fulfilment of human rights require that governments ensure abortion services, that are allowable by law, are accessible in practice. Safe Abortion Guidelines, § 4.2.2.5. Source document: WHO Safe Abortion Guidance (page 106)

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Concluding Observations By Country

Concluding Observations issued by respective treaty bodies and selected extracts related to abortion.

Country	CAT	CEDAW	CERD	CESCR	CRC	CRPD	HRC	IE HAIT	SR HEALTH	SR TORTURE	SR VAW	WG-DWLP
Canada

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Penalties

Country specific information regarding abortion related penalties. Information regarding penalties has been presented in English only; this information is not based on an official translation. Please review the source documents provided.

Country	Penalties deconstructed	Penalties for woman	Penalties for provider	Penalties for person who assists	Secondary additional considerations/judicial discretion	Penalties for non-consensual abortion and or negligence
Canada	Penalties deconstructed No official source data found on the existence of penalties for abortion				Penalties

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Indicators

Country specific information related to sexual and reproductive health indications. As data for the Sustainable Development Goal (SDG) indicators related to sexual and reproductive health become available, these will be provided, through periodic updates.

WHO Indicators

Goal 1. End poverty in all its forms everywhere

Goal 3. Ensure healthy lives and promote well-being for all at all ages

Goal 4. Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all

Goal 5. Achieve gender equality and empower all women and girls

Goal 8. Promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all

Goal 10. Reduce inequality within and among countries

Goal 16. Promote peaceful and inclusive societies for sustainable development, provide access to justice for all and build effective, accountable and inclusive institutions at all levels

Goal 17. Strengthen the means of implementation and revitalize the Global Partnership for Sustainable Development

Additional Reproductive Health Indicators

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