The individual level cost of pregnancy termination in Zambia: a comparison of safe and unsafe abortion

Health Policy and Planning
Tiziana LeoneBellington Vwalika

Abstract

Zambia has one of the most liberal abortion laws in sub-Saharan Africa. However, rates of unsafe abortion remain high with negative health and economic consequences. Little is known about the economic burden on women of abortion care-seeking in low income countries. The majority of studies focus on direct costs (e.g. hospital fees). This article estimates the individual-level economic burden of safe and unsafe abortion care-seeking in Zambia, incorporating all indirect and direct costs. It uses data collected in 2013 from a tertiary hospital in Lusaka, (n = 112) with women who had an abortion. Three treatment routes are identified: (1) safe abortion at the hospital, (2) unsafe clandestine medical abortion initiated elsewhere with post-abortion care at the hospital and (3) unsafe abortion initiated elsewhere with post-abortion care at the hospital. Based on these three typologies, we use descriptive analysis and linear regression to estimate the costs for women of seeking safe and unsafe abortion and to establish whether the burden of abortion care-seeking costs is equally distributed across the sample. Around 39% of women had an unsafe abortion, incurring substantial economic costs before seeking post-abortion care. Adolescents...Continue Reading

References

Mar 1, 1992·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·J C KonjeO A Ladipo
Aug 5, 1996·Health Policy and Planning·S Russell
Nov 12, 2005·BMJ : British Medical Journal·Tessa Tan-Torres EdejerDavid B Evans
May 23, 2006·Reproductive Health Matters·Linnéa U WareniusEva B-M Nissen
Nov 28, 2006·Lancet·David A GrimesIqbal H Shah
Apr 24, 2007·Health Policy·Ariadna García-Prado, Paula González
Feb 26, 2008·Lancet·David McCoyBarbara McPake
Mar 1, 2008·Journal of Midwifery & Women's Health·Rukmini PotdarLam Phirun
Nov 6, 2008·Tropical Medicine & International Health : TM & IH·Margaret E KrukSandro Galea
Jun 16, 2009·Reproductive Health Matters·Carol LevinLorelei Goodyear
Aug 7, 2009·BMC Public Health·Sandra V KikSuzanne Verver
May 18, 2010·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Stelian Hodorogea, Rodica Comendant
Dec 8, 2011·BMC Public Health·Joseph B BabigumiraLouis P Garrison
Jan 24, 2012·Lancet·Gilda SedghAkinrinola Bankole
Mar 22, 2012·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Esi Morgan DewittShelby D Reed
Jul 14, 2012·Reproductive Health Matters·Iqbal H Shah, Elisabeth Ahman
Sep 7, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Cynthia Waszak GearyErin Pearson
Jan 1, 2013·Health Policy and Planning·Michael VlassoffFlorence Mirembe
Jun 7, 2013·PloS One·Jillian T HendersonPhilip D Darney
Jan 8, 2014·International Perspectives on Sexual and Reproductive Health·Aparna SundaramTsuyoshi Onda
Feb 11, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Friday OkonofuaBeverly Winikoff
Feb 20, 2014·Health Policy and Planning·Michael VlassoffAkinrinola Bankole
May 3, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Swebby MachaAnibal Faúndes
Feb 24, 2015·Reproductive Health Matters·Sare MihciokurSevkat Bahar Ozvaris
Nov 26, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Cheryl HendricksonKeris Raisanen
Dec 21, 2016·Bulletin of the World Health Organization·Melanie Y BertramSuzanne R Hill

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Citations

Sep 19, 2016·Best Practice & Research. Clinical Obstetrics & Gynaecology·Bela Ganatra, Anibal Faundes
Aug 2, 2019·BMJ Open·Ernestina CoastBrittany Moore
Jun 13, 2020·Sexual and Reproductive Health Matters·T K Sundari Ravindran, Veloshnee Govender
Jan 30, 2019·International Journal for Equity in Health·Marte E S HaalandAstrid Blystad
Nov 14, 2019·International Journal of Environmental Research and Public Health·Seydou Drabo
Jun 17, 2020·The Pan African Medical Journal·Luchuo Engelbert Bain
Nov 14, 2020·Social Science & Medicine·Marte E S Haaland Astrid Blystad
Apr 8, 2021·Studies in Family Planning·Katharine FootmanKathryn Church

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