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The estimated incidence of induced abortion in Kenya: a cross-sectional study
BACKGROUND: The recently promulgated 2010 constitution of Kenya permits abortion when the life or health of the woman is in danger. Yet broad uncertainty remains about the interpretation of the law. Unsafe abortion remains a leading cause of maternal morbidity and mortality in Kenya. The current stu...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4546129/ https://www.ncbi.nlm.nih.gov/pubmed/26294220 http://dx.doi.org/10.1186/s12884-015-0621-1 |
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author | Mohamed, Shukri F. Izugbara, Chimaraoke Moore, Ann M. Mutua, Michael Kimani-Murage, Elizabeth W. Ziraba, Abdhalah K. Bankole, Akinrinola Singh, Susheela D. Egesa, Caroline |
author_facet | Mohamed, Shukri F. Izugbara, Chimaraoke Moore, Ann M. Mutua, Michael Kimani-Murage, Elizabeth W. Ziraba, Abdhalah K. Bankole, Akinrinola Singh, Susheela D. Egesa, Caroline |
author_sort | Mohamed, Shukri F. |
collection | PubMed |
description | BACKGROUND: The recently promulgated 2010 constitution of Kenya permits abortion when the life or health of the woman is in danger. Yet broad uncertainty remains about the interpretation of the law. Unsafe abortion remains a leading cause of maternal morbidity and mortality in Kenya. The current study aimed to determine the incidence of induced abortion in Kenya in 2012. METHODS: The incidence of induced abortion in Kenya in 2012 was estimated using the Abortion Incidence Complications Methodology (AICM) along with the Prospective Morbidity Survey (PMS). Data were collected through three surveys, (i) Health Facilities Survey (HFS), (ii) Prospective Morbidity Survey (PMS), and (iii) Health Professionals Survey (HPS). A total of 328 facilities participated in the HFS, 326 participated in the PMS, and 124 key informants participated in the HPS. Abortion numbers, rates, ratios and unintended pregnancy rates were calculated for Kenya as a whole and for five geographical regions. RESULTS: In 2012, an estimated 464,000 induced abortions occurred in Kenya. This translates into an abortion rate of 48 per 1,000 women aged 15–49, and an abortion ratio of 30 per 100 live births. About 120,000 women received care for complications of induced abortion in health facilities. About half (49 %) of all pregnancies in Kenya were unintended and 41 % of unintended pregnancies ended in an abortion. CONCLUSION: This study provides the first nationally-representative estimates of the incidence of induced abortion in Kenya. An urgent need exists for improving facilities’ capacity to provide safe abortion care to the fullest extent of the law. All efforts should be made to address underlying factors to reduce risk of unsafe abortion. |
format | Online Article Text |
id | pubmed-4546129 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-45461292015-08-23 The estimated incidence of induced abortion in Kenya: a cross-sectional study Mohamed, Shukri F. Izugbara, Chimaraoke Moore, Ann M. Mutua, Michael Kimani-Murage, Elizabeth W. Ziraba, Abdhalah K. Bankole, Akinrinola Singh, Susheela D. Egesa, Caroline BMC Pregnancy Childbirth Research Article BACKGROUND: The recently promulgated 2010 constitution of Kenya permits abortion when the life or health of the woman is in danger. Yet broad uncertainty remains about the interpretation of the law. Unsafe abortion remains a leading cause of maternal morbidity and mortality in Kenya. The current study aimed to determine the incidence of induced abortion in Kenya in 2012. METHODS: The incidence of induced abortion in Kenya in 2012 was estimated using the Abortion Incidence Complications Methodology (AICM) along with the Prospective Morbidity Survey (PMS). Data were collected through three surveys, (i) Health Facilities Survey (HFS), (ii) Prospective Morbidity Survey (PMS), and (iii) Health Professionals Survey (HPS). A total of 328 facilities participated in the HFS, 326 participated in the PMS, and 124 key informants participated in the HPS. Abortion numbers, rates, ratios and unintended pregnancy rates were calculated for Kenya as a whole and for five geographical regions. RESULTS: In 2012, an estimated 464,000 induced abortions occurred in Kenya. This translates into an abortion rate of 48 per 1,000 women aged 15–49, and an abortion ratio of 30 per 100 live births. About 120,000 women received care for complications of induced abortion in health facilities. About half (49 %) of all pregnancies in Kenya were unintended and 41 % of unintended pregnancies ended in an abortion. CONCLUSION: This study provides the first nationally-representative estimates of the incidence of induced abortion in Kenya. An urgent need exists for improving facilities’ capacity to provide safe abortion care to the fullest extent of the law. All efforts should be made to address underlying factors to reduce risk of unsafe abortion. BioMed Central 2015-08-21 /pmc/articles/PMC4546129/ /pubmed/26294220 http://dx.doi.org/10.1186/s12884-015-0621-1 Text en © Mohamed et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Mohamed, Shukri F. Izugbara, Chimaraoke Moore, Ann M. Mutua, Michael Kimani-Murage, Elizabeth W. Ziraba, Abdhalah K. Bankole, Akinrinola Singh, Susheela D. Egesa, Caroline The estimated incidence of induced abortion in Kenya: a cross-sectional study |
title | The estimated incidence of induced abortion in Kenya: a cross-sectional study |
title_full | The estimated incidence of induced abortion in Kenya: a cross-sectional study |
title_fullStr | The estimated incidence of induced abortion in Kenya: a cross-sectional study |
title_full_unstemmed | The estimated incidence of induced abortion in Kenya: a cross-sectional study |
title_short | The estimated incidence of induced abortion in Kenya: a cross-sectional study |
title_sort | estimated incidence of induced abortion in kenya: a cross-sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4546129/ https://www.ncbi.nlm.nih.gov/pubmed/26294220 http://dx.doi.org/10.1186/s12884-015-0621-1 |
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