Cargando…
The cost of post-abortion care (PAC): a systematic review
BACKGROUND: Despite the increasing trend of Postabortion Care (PAC) needs and provision, the evidence related to its cost is lacking. This study aims to review the costs of Postabortion Care (PAC) per patient at a national level. METHODS: A systematic review of literature related to PAC cost publish...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8953061/ https://www.ncbi.nlm.nih.gov/pubmed/35337323 http://dx.doi.org/10.1186/s12913-022-07765-1 |
_version_ | 1784675758901297152 |
---|---|
author | Sihaloho, Estro Dariatno Habibie, Ibnu Kamilah, Fariza Zahra Christiani, Yodi |
author_facet | Sihaloho, Estro Dariatno Habibie, Ibnu Kamilah, Fariza Zahra Christiani, Yodi |
author_sort | Sihaloho, Estro Dariatno |
collection | PubMed |
description | BACKGROUND: Despite the increasing trend of Postabortion Care (PAC) needs and provision, the evidence related to its cost is lacking. This study aims to review the costs of Postabortion Care (PAC) per patient at a national level. METHODS: A systematic review of literature related to PAC cost published in 1994 – October 2020 was performed. Electronic databases such as PubMed, Medline, The Cochrane Library, CINAHL, and PsycINFO were used to search the literature. Following the title and abstract screening, reporting quality was appraised using the Consolidates Health Economic Evaluation (CHEERS) checklist. PAC costs were extrapolated into US dollars ($US) and international dollars ($I), both in 2019. RESULTS: Twelve studies met the inclusion criteria. All studies reported direct medical cost per patient in accessing PAC, but only three of them included indirect medical cost. All studies reported either average or range of cost. In terms of range, the highest direct cost of PAC with MVA (Medical Vacuum Aspiration) services can be found in Colombia, between $US50.58–212.47, while the lowest is in Malawi ($US15.2–139.19). The highest direct cost of PAC with D&C (Dilatation and Curettage), services is in El Salvador ($US65.22–240.75), while the lowest is in Bangladesh ($US15.71–103.85). Among two studies providing average indirect cost data, Uganda with $US105.04 has the highest average indirect medical cost, while Rwanda with $US51.44 has the lowest. CONCLUSIONS: Our review shows variability in the cost of PAC across countries. This study depicts a clearer picture of how costly it is for women to access PAC services, although it is still seemingly underestimated. When a study compared the use of UE (Uterine Evacuation) method between MVA and D&C, it is confirmed that MVA treatments tend to have lower costs and potentially reduce a significant cost. Therefore, by looking at both clinical and economic perspectives, improving and strengthening the quality and accessibility of PAC with MVA is a priority. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-07765-1. |
format | Online Article Text |
id | pubmed-8953061 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-89530612022-03-26 The cost of post-abortion care (PAC): a systematic review Sihaloho, Estro Dariatno Habibie, Ibnu Kamilah, Fariza Zahra Christiani, Yodi BMC Health Serv Res Research BACKGROUND: Despite the increasing trend of Postabortion Care (PAC) needs and provision, the evidence related to its cost is lacking. This study aims to review the costs of Postabortion Care (PAC) per patient at a national level. METHODS: A systematic review of literature related to PAC cost published in 1994 – October 2020 was performed. Electronic databases such as PubMed, Medline, The Cochrane Library, CINAHL, and PsycINFO were used to search the literature. Following the title and abstract screening, reporting quality was appraised using the Consolidates Health Economic Evaluation (CHEERS) checklist. PAC costs were extrapolated into US dollars ($US) and international dollars ($I), both in 2019. RESULTS: Twelve studies met the inclusion criteria. All studies reported direct medical cost per patient in accessing PAC, but only three of them included indirect medical cost. All studies reported either average or range of cost. In terms of range, the highest direct cost of PAC with MVA (Medical Vacuum Aspiration) services can be found in Colombia, between $US50.58–212.47, while the lowest is in Malawi ($US15.2–139.19). The highest direct cost of PAC with D&C (Dilatation and Curettage), services is in El Salvador ($US65.22–240.75), while the lowest is in Bangladesh ($US15.71–103.85). Among two studies providing average indirect cost data, Uganda with $US105.04 has the highest average indirect medical cost, while Rwanda with $US51.44 has the lowest. CONCLUSIONS: Our review shows variability in the cost of PAC across countries. This study depicts a clearer picture of how costly it is for women to access PAC services, although it is still seemingly underestimated. When a study compared the use of UE (Uterine Evacuation) method between MVA and D&C, it is confirmed that MVA treatments tend to have lower costs and potentially reduce a significant cost. Therefore, by looking at both clinical and economic perspectives, improving and strengthening the quality and accessibility of PAC with MVA is a priority. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-07765-1. BioMed Central 2022-03-25 /pmc/articles/PMC8953061/ /pubmed/35337323 http://dx.doi.org/10.1186/s12913-022-07765-1 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Sihaloho, Estro Dariatno Habibie, Ibnu Kamilah, Fariza Zahra Christiani, Yodi The cost of post-abortion care (PAC): a systematic review |
title | The cost of post-abortion care (PAC): a systematic review |
title_full | The cost of post-abortion care (PAC): a systematic review |
title_fullStr | The cost of post-abortion care (PAC): a systematic review |
title_full_unstemmed | The cost of post-abortion care (PAC): a systematic review |
title_short | The cost of post-abortion care (PAC): a systematic review |
title_sort | cost of post-abortion care (pac): a systematic review |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8953061/ https://www.ncbi.nlm.nih.gov/pubmed/35337323 http://dx.doi.org/10.1186/s12913-022-07765-1 |
work_keys_str_mv | AT sihalohoestrodariatno thecostofpostabortioncarepacasystematicreview AT habibieibnu thecostofpostabortioncarepacasystematicreview AT kamilahfarizazahra thecostofpostabortioncarepacasystematicreview AT christianiyodi thecostofpostabortioncarepacasystematicreview AT sihalohoestrodariatno costofpostabortioncarepacasystematicreview AT habibieibnu costofpostabortioncarepacasystematicreview AT kamilahfarizazahra costofpostabortioncarepacasystematicreview AT christianiyodi costofpostabortioncarepacasystematicreview |