The health, social, and economic consequences of unsafe abortion: Papers presented at an IUSSP Seminar, Mexico, 2010

Singh, Susheela; García, Sandra G.; Guillaume, Agnès; Okonofua, Friday; Prata, Ndola

doi:10.1016/s0020-7292(12)60002-2

Cited by 3 publications

(3 citation statements)

References 23 publications

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“…Abortion is an important cause of maternal mortality; not only does unsafe abortion account for nearly one‐fifth of all maternal deaths worldwide but adverse events of abortion increased as a proportion of causes of maternal deaths between 1990 and 2015 . Unsafe abortion has economic costs for health systems, women and their families, as well as social costs, for example through stigma experienced by women and their families, or the impact on family members of death or severe morbidity from abortion . Provision of safe abortion is widely recognized as vital to addressing the health and wellbeing of populations .…”

Section: Introductionmentioning

confidence: 99%

“…Unsafe abortion has economic costs for health systems, women and their families, as well as social costs, for example through stigma experienced by women and their families, or the impact on family members of death or severe morbidity from abortion . Provision of safe abortion is widely recognized as vital to addressing the health and wellbeing of populations . Research on abortion can contribute to multiple SDGs including those relating to health and wellbeing, gender equality and poverty reduction.…”

Section: Introductionmentioning

confidence: 99%

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Setting the research agenda for induced abortion in Africa and Asia

Scott

Filippi

Moore

et al. 2018

Intl J Gynecology & Obste

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Provision of safe abortion is widely recognized as vital to addressing the health and wellbeing of populations. Research on abortion is essential to meet the UN Sustainable Development Goals. Researchers in population health from university, policy, and practitioner contexts working on two multidisciplinary projects on family planning and safe abortion in Africa and Asia were brought together for a workshop to discuss the future research agenda on induced abortion. Research on care-seeking behavior, supply of abortion care services, and the global and national policy context will help improve access to and experiences of safe abortion services. A number of areas have potential in designing intervention strategies, including clinical innovations, quality improvement mechanisms, community involvement, and task sharing. Research on specific groups, including adolescents and young people, men, populations affected by conflict, marginalized groups, and providers could increase understanding of provision, access to and experiences of induced abortion. Methodological and conceptual advances, for example in the measurement of induced abortion incidence, complications, and client satisfaction, conceptualizations of induced abortion access and care, and methods for follow-up of patients who have induced abortions, will improve the accuracy of measurements of induced abortion, and add to understanding of women's experiences of induced abortions and abortion care.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Setting the research agenda for induced abortion in Africa and Asia

Scott

Filippi

Moore

et al. 2018

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…There are several studies that have examined the incidence of abortion and abortion-related complications treated in hospitals ( Rossier et al 2006 ; Singh 2006 ; Åhman and Shah 2011 ; Sedgh et al 2011 , 2012 ; Shah and Åhman 2012 ). Several other studies have also documented access to postabortion care and the economic consequences of induced abortion ( Johnston et al 2007 ; Henshaw et al 2008 ; Vlassoff et al 2009a , 2012 ; Shearer et al 2010 ; Singh 2010 ; Singh et al 2012 ). Most of the studies that reported the economic consequences of induced abortion focused on estimating the financial burden of the treatment of its complications.…”

Section: Introductionmentioning

confidence: 99%

Costs and consequences of abortions to women and their households: a cross-sectional study in Ouagadougou, Burkina Faso

Ilboudo

Greco

Sundby

et al. 2014

Health Policy and Planning

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Little is known about the costs and consequences of abortions to women and their households. Our aim was to study both costs and consequences of induced and spontaneous abortions and complications. We carried out a cross-sectional study between February and September 2012 in Ouagadougou, the capital city of Burkina Faso. Quantitative data of 305 women whose pregnancy ended with either an induced or a spontaneous abortion were prospectively collected on sociodemographic, asset ownership, medical and health expenditures including pre-referral costs following the patient’s perspective. Descriptive analysis and regression analysis of costs were performed. We found that women with induced abortion were often single or never married, younger, more educated and had earlier pregnancies than women with spontaneous abortion. They also tended to be more often under parents’ guardianship compared with women with spontaneous abortion. Women with induced abortion paid much more money to obtain abortion and treatment of the resulting complications compared with women with spontaneous abortion: US$89 (44 252 CFA ie franc of the African Financial Community) vs US$56 (27 668 CFA). The results also suggested that payments associated with induced abortion were catastrophic as they consumed 15% of the gross domestic product per capita. Additionally, 11–16% of total households appeared to have resorted to coping strategies in order to face costs. Both induced and spontaneous abortions may incur high expenses with short-term economic repercussions on households’ poverty. Actions are needed in order to reduce the financial burden of abortion costs and promote an effective use of contraceptives.

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The cost of post-abortion care in developing countries: a comparative analysis of four studies

Vlassoff

Singh

Onda

2016

Health Policy Plan.

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Over the last five years, comprehensive national surveys of the cost of post-abortion care (PAC) to national health systems have been undertaken in Ethiopia, Uganda, Rwanda and Colombia using a specially developed costing methodology—the Post-abortion Care Costing Methodology (PACCM). The objective of this study is to expand the research findings of these four studies, making use of their extensive datasets. These studies offer the most complete and consistent estimates of the cost of PAC to date, and comparing their findings not only provides generalizable implications for health policies and programs, but also allows an assessment of the PACCM methodology. We find that the labor cost component varies widely: in Ethiopia and Colombia doctors spend about 30–60% more time with PAC patients than do nurses; in Uganda and Rwanda an opposite pattern is found. Labor costs range from I$42.80 in Uganda to I$301.30 in Colombia. The cost of drugs and supplies does not vary greatly, ranging from I$79 in Colombia to I$115 in Rwanda. Capital and overhead costs are substantial amounting to 52–68% of total PAC costs. Total costs per PAC case vary from I$334 in Rwanda to I$972 in Colombia. The financial burden of PAC is considerable: the expense of treating each PAC case is equivalent to around 35% of annual per capita income in Uganda, 29% in Rwanda and 11% in Colombia. Providing modern methods of contraception to women with an unmet need would cost just a fraction of the average expenditure on PAC: one year of modern contraceptive services and supplies cost only 3–12% of the average cost of treating a PAC patient.

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The health, social, and economic consequences of unsafe abortion: Papers presented at an IUSSP Seminar, Mexico, 2010

Cited by 3 publications

References 23 publications

Setting the research agenda for induced abortion in Africa and Asia

Setting the research agenda for induced abortion in Africa and Asia

Costs and consequences of abortions to women and their households: a cross-sectional study in Ouagadougou, Burkina Faso

The cost of post-abortion care in developing countries: a comparative analysis of four studies

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