■ ■ An estimated 707,900 abortions occurred in Tamil Nadu in 2015.These included safe and unsafe abortions, and those taking place both in health facilities and in other settings. The state's abortion rate was 33 terminations per 1,000 women of reproductive age.■ ■ The majority of abortions (63%, or 442,900) took place in nonfacility settings using medical methods of abortion, and 5% (36,500) were performed outside of health facilities using other methods.■ ■ About 32% of abortions (228,600) occurred in health facilities. Private facilities provided the large majority of facility-based terminations (82%).■ ■ An estimated 3,235 facilities in Tamil Nadu provided abortion-related care (induced abortion, postabortion care or both types of services) in 2015; 14% were public and 86% were private. Eighty percent of public facilities reported offering no abortion-related care.■ ■ The vast majority (92%) of health facility abortions took place in the first trimester of pregnancy (up to 12 weeks' gestation), and slightly fewer than half (45%) occurred at less than eight weeks' gestation. Most facility-based abortions were performed surgically using manual or electric vacuum aspiration (20%) or either dilatation and evacuation or dilatation and curettage (36%).■ ■ Although nearly half of women of reproductive age in Tamil Nadu live in rural areas, only 5% of facilities that provide any abortion-related services were located in those areas. Among facilities that offered such services, only about 2% of public and private hospitals-the facilities best equipped to handle severe complications or later-term abortions-were located in rural areas.■ ■ About 43% of pregnancies occurring in Tamil Nadu in 2015 were unintended. The majority (75%) of these unintended pregnancies ended in an abortion.
Guttmacher Institute
www.guttmacher.orgThis report is part of a larger study titled Unintended Pregnancy and Abortion in India (UPAI), which was conducted to provide much-needed information on the incidence of induced abortion and pregnancy, as well as access to and quality of safe abortion services, in six Indian states.