Currently, there are no physicians working in these rural health care centers and health posts, which form the backbone of the nation’s public primary care system. The results of their 15-month prospective study of the hybrid medicine model were published in BMC Public Health online. “We conclude that this hybrid telemedicine model for the provision of first-trimester medication abortion is feasible, effective, safe and accepted by clients,” the authors wrote. The hybrid model worked like this: Nurses and midwives at health centers conducted in-person consultations with women seeking abortion services. “In addition, comprehensive abortion care clinical protocols and guidelines were revised, including roles and responsibilities for mid-level providers and community health workers to support such a program.”