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Cost of abortions in Zambia: a comparison of safe abortion and post abortion care

Parmar, Divya and Leone, Tiziana and Coast, Ernestina and Murray, Susan Fairley and Hukin, Eleanor and Vwalika, Bellington (2017) Cost of abortions in Zambia: a comparison of safe abortion and post abortion care. Global Public Health, 12 (2). pp. 236-249. ISSN 1744-1692

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Identification Number: 10.1080/17441692.2015.1123747

Abstract

Unsafe abortion is a significant but preventable cause of maternal mortality. Although induced abortion has been legal in Zambia since 1972, many women still face logistical, financial, social, and legal obstacles to access safe abortion services, and undergo unsafe abortion instead. This study provides the first estimates of costs of post abortion care (PAC) after an unsafe abortion and the cost of safe abortion in Zambia. In the absence of routinely collected data on abortions, we used multiple data sources: key informant interviews, medical records and hospital logbooks. We estimated the costs of providing safe abortion and PAC services at the University Teaching Hospital, Lusaka and then projected these costs to generate indicative cost estimates for Zambia. Due to unavailability of data on the actual number of safe abortions and PAC cases in Zambia, we used estimates from previous studies and from other similar countries, and checked the robustness of our estimates with sensitivity analyses. We found that PAC following an unsafe abortion can cost 2.5 times more than safe abortion care. The Zambian health system could save as much as US$0.4 million annually if those women currently treated for an unsafe abortion instead had a safe abortion.

Item Type: Article
Official URL: http://www.tandfonline.com/loi/rgph20#.Vf_W9F9wbyA
Additional Information: © 2015 Taylor & Francis
Divisions: Social Policy
LSE Health
Subjects: H Social Sciences > HJ Public Finance
H Social Sciences > HQ The family. Marriage. Woman
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Sets: Departments > Social Policy
Research centres and groups > LSE Health
Date Deposited: 21 Sep 2015 10:27
Last Modified: 11 Oct 2018 17:16
Projects: ES/I032967/1
Funders: Economic and Social Research Council, Department for International Development
URI: http://eprints.lse.ac.uk/id/eprint/63643

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