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Incidence of Induced Abortion and Post-Abortion Care in Tanzania
BACKGROUND: Tanzania has one of the highest maternal mortality ratios in the world, and unsafe abortion is one of its leading causes. Yet little is known about its incidence. OBJECTIVES: To provide the first ever estimates of the incidence of unsafe abortion in Tanzania, at the national level and fo...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4567065/ https://www.ncbi.nlm.nih.gov/pubmed/26361246 http://dx.doi.org/10.1371/journal.pone.0133933 |
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author | Keogh, Sarah C. Kimaro, Godfather Muganyizi, Projestine Philbin, Jesse Kahwa, Amos Ngadaya, Esther Bankole, Akinrinola |
author_facet | Keogh, Sarah C. Kimaro, Godfather Muganyizi, Projestine Philbin, Jesse Kahwa, Amos Ngadaya, Esther Bankole, Akinrinola |
author_sort | Keogh, Sarah C. |
collection | PubMed |
description | BACKGROUND: Tanzania has one of the highest maternal mortality ratios in the world, and unsafe abortion is one of its leading causes. Yet little is known about its incidence. OBJECTIVES: To provide the first ever estimates of the incidence of unsafe abortion in Tanzania, at the national level and for each of the 8 geopolitical zones (7 in Mainland plus Zanzibar). METHODS: A nationally representative survey of health facilities was conducted to determine the number of induced abortion complications treated in facilities. A survey of experts on abortion was conducted to estimate the likelihood of women experiencing complications and obtaining treatment. These surveys were complemented with population and fertility data to obtain abortion numbers, rates and ratios, using the Abortion Incidence Complications Methodology. RESULTS: In Tanzania, women obtained just over 405,000 induced abortions in 2013, for a national rate of 36 abortions per 1,000 women age 15–49 and a ratio of 21 abortions per 100 live births. For each woman treated in a facility for induced abortion complications, 6 times as many women had an abortion but did not receive care. Abortion rates vary widely by zone, from 10.7 in Zanzibar to 50.7 in the Lake zone. CONCLUSIONS: The abortion rate is similar to that of other countries in the region. Variations by zone are explained mainly by differences in fertility and contraceptive prevalence. Measures to reduce the incidence of unsafe abortion and associated maternal mortality include expanding access to post-abortion care and contraceptive services to prevent unintended pregnancies. |
format | Online Article Text |
id | pubmed-4567065 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-45670652015-09-18 Incidence of Induced Abortion and Post-Abortion Care in Tanzania Keogh, Sarah C. Kimaro, Godfather Muganyizi, Projestine Philbin, Jesse Kahwa, Amos Ngadaya, Esther Bankole, Akinrinola PLoS One Research Article BACKGROUND: Tanzania has one of the highest maternal mortality ratios in the world, and unsafe abortion is one of its leading causes. Yet little is known about its incidence. OBJECTIVES: To provide the first ever estimates of the incidence of unsafe abortion in Tanzania, at the national level and for each of the 8 geopolitical zones (7 in Mainland plus Zanzibar). METHODS: A nationally representative survey of health facilities was conducted to determine the number of induced abortion complications treated in facilities. A survey of experts on abortion was conducted to estimate the likelihood of women experiencing complications and obtaining treatment. These surveys were complemented with population and fertility data to obtain abortion numbers, rates and ratios, using the Abortion Incidence Complications Methodology. RESULTS: In Tanzania, women obtained just over 405,000 induced abortions in 2013, for a national rate of 36 abortions per 1,000 women age 15–49 and a ratio of 21 abortions per 100 live births. For each woman treated in a facility for induced abortion complications, 6 times as many women had an abortion but did not receive care. Abortion rates vary widely by zone, from 10.7 in Zanzibar to 50.7 in the Lake zone. CONCLUSIONS: The abortion rate is similar to that of other countries in the region. Variations by zone are explained mainly by differences in fertility and contraceptive prevalence. Measures to reduce the incidence of unsafe abortion and associated maternal mortality include expanding access to post-abortion care and contraceptive services to prevent unintended pregnancies. Public Library of Science 2015-09-11 /pmc/articles/PMC4567065/ /pubmed/26361246 http://dx.doi.org/10.1371/journal.pone.0133933 Text en © 2015 Keogh et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Keogh, Sarah C. Kimaro, Godfather Muganyizi, Projestine Philbin, Jesse Kahwa, Amos Ngadaya, Esther Bankole, Akinrinola Incidence of Induced Abortion and Post-Abortion Care in Tanzania |
title | Incidence of Induced Abortion and Post-Abortion Care in Tanzania |
title_full | Incidence of Induced Abortion and Post-Abortion Care in Tanzania |
title_fullStr | Incidence of Induced Abortion and Post-Abortion Care in Tanzania |
title_full_unstemmed | Incidence of Induced Abortion and Post-Abortion Care in Tanzania |
title_short | Incidence of Induced Abortion and Post-Abortion Care in Tanzania |
title_sort | incidence of induced abortion and post-abortion care in tanzania |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4567065/ https://www.ncbi.nlm.nih.gov/pubmed/26361246 http://dx.doi.org/10.1371/journal.pone.0133933 |
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