Estimates of the Incidence of Induced Abortion And Consequences of Unsafe Abortion in Senegal

Sedgh, Gilda; Sylla, Amadou Hassane; Philbin, Jesse; Keogh, Sarah C.; Ndiaye, Salif

doi:10.1363/4101115

Cited by 38 publications

(39 citation statements)

References 7 publications

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“…6–9 The methodology relies on data collected through two surveys: a Health Facilities Survey, which gathers information from facilities that treat postabortion patients (i.e., women with complications from induced or spontaneous abortions), and a Health Professionals Survey, which collects information about abortion provision from knowledgeable key informants. These surveys are described in detail below.…”

Section: Methodsmentioning

confidence: 99%

The Incidence of Abortion in Nigeria

Bankole¹,

Adewole²,

Hussain³

et al. 2015

IPSRH

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CONTEXT Because of Nigeria’s low contraceptive prevalence, a substantial number of women have unintended pregnancies, many of which are resolved through clandestine abortion, despite the country’s restrictive abortion law. Up-to-date estimates of abortion incidence are needed. METHODS A widely used indirect methodology was used to estimate the incidence of abortion and unintended pregnancy in Nigeria in 2012. Data on provision of abortion and postabortion care were collected from a nationally representative sample of 772 health facilities, and estimates of the likelihood that women who have unsafe abortions experience complications and obtain treatment were collected from 194 health care professionals with a broad understanding of the abortion context in Nigeria. RESULTS An estimated 1.25 million induced abortions occurred in Nigeria in 2012, equivalent to a rate of 33 abortions per 1,000 women aged 15–49. The estimated unintended pregnancy rate was 59 per 1,000 women aged 15–49. Fifty-six percent of unintended pregnancies were resolved by abortion. About 212,000 women were treated for complications of unsafe abortion, representing a treatment rate of 5.6 per 1,000 women of reproductive age, and an additional 285,000 experienced serious health consequences but did not receive the treatment they needed. CONCLUSION Levels of unintended pregnancy and unsafe abortion continue to be high in Nigeria. Improvements in access to contraceptive services and in the provision of safe abortion and postabortion care services (as permitted by law) may help reduce maternal morbidity and mortality.

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Section: Methodsmentioning

confidence: 99%

The Incidence of Abortion in Nigeria

Bankole¹,

Adewole²,

Hussain³

et al. 2015

IPSRH

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“…This approach, which has proven useful in settings where abortion is highly legally restricted, has been used to estimate the incidence of induced abortion in more than 20 countries, 15–18 and can be modified for settings, such as Nepal, where abortion is legal and yet often done illegally by untrained or unapproved providers.…”

mentioning

confidence: 99%

Abortion Incidence and Unintended Pregnancy in Nepal

Puri¹,

Singh²,

Sundaram³

et al. 2016

International Perspectives on Sexual and Reproductive Health

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CONTEXT Although abortion has been legal under broad criteria in Nepal since 2002, a significant proportion of women continue to obtain illegal, unsafe abortions, and no national estimates exist of the incidence of safe and unsafe abortions. METHODS Data were collected in 2014 from a nationally representative sample of 386 facilities that provide legal abortions or postabortion care and a survey of 134 health professionals knowledgeable about abortion service provision. Facility caseloads and indirect estimation techniques were used to calculate the national and regional incidence of legal and illegal abortion. National and regional levels of abortion complications and unintended pregnancy were also estimated. RESULTS In 2014, women in Nepal had 323,100 abortions, of which 137,000 were legal, and 63,200 women were treated for abortion complications. The abortion rate was 42 per 1,000 women aged 15–49, and the abortion ratio was 56 per 100 live births. The abortion rate in the Central region (59 per 1,000) was substantially higher than the national average. Overall, 50% of pregnancies were unintended, and the unintended pregnancy rate was 68 per 1,000 women of reproductive age. CONCLUSIONS Despite legalization of abortion and expansion of services in Nepal, unsafe abortion is still common and exacts a heavy toll on women. Programs and policies to reduce rates of unintended pregnancy and unsafe abortion, increase access to high-quality contraceptive care and expand safe abortion services are warranted.

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“…Nevertheless, the Centre de Recherche pour le Développement (CRDH) and the Guttmacher Institute recently calculated the first national estimate of abortion incidence. At 16.9 abortions per 1000 women of reproductive age, abortion incidence in Senegal is lower than the regional estimate for West Africa (28 abortions per 1000 women) (Gilda Sedgh, Sylla, Philbin, Keogh, & Ndiaye, 2015) but greater than that of the US (14.6 abortions per 1000 women) (Jones & Jerman, 2017). Of the 51,500 abortions estimated to have occurred in 2012, over half (55%) experienced complications.…”

Section: Introductionmentioning

confidence: 76%

“…The contradiction between this account of post-abortion care and recent epidemiological estimates that at least 59% of hospitalized abortions may be related to induced abortion (Sedgh et al, 2015) illustrates how the management of abortion data accomplishes reproductive governance among various stakeholders. Health workers shore up professional control over reproduction through the surveillance of women’s bodies and behaviors and through record-keeping practices that minimize police intervention at the hospital.…”

Section: Discussionmentioning

confidence: 94%

Accounting for abortion: Accomplishing transnational reproductive governance through post-abortion care in Senegal

Suh

2017

Global Public Health

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Reproductive governance operates through calculating demographic statistics that offer selective truths about reproductive events, bodies, and subjectivities. Post-abortion care, a global reproductive health intervention, represents a transnational reproductive regime that establishes motherhood as women’s primary legitimate reproductive status. Drawing on ethnographic fieldwork conducted in Senegal between 2010 and 2011, I illustrate how post-abortion care accomplishes reproductive governance in a context where abortion is prohibited altogether and the United States is the primary bilateral donor of population aid. Reproductive governance unfolds in two sites—hospital gynecological wards and the national health information system—through the mobilization and interpretation of post-abortion care data. Health workers police the boundaries of appropriate sexuality by searching women’s bodies and behavior for signs of illegal abortion. They minimize police intervention in the hospital by classifying most post-abortion care cases as miscarriage. Health authorities deploy this account of post-abortion care to align the intervention with national and global maternal health policies that valorize motherhood and reject safe abortion. Although post-abortion care offers life-saving care to women with complications of illegal abortion, it institutionalizes abortion stigma through the surveillance of women’s bodies and the masking of induced abortion within and beyond the hospital. Post-abortion care reinforces reproductive inequities by withholding safe, affordable obstetric care from women until after they have resorted to unsafe abortion.

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Estimates of the Incidence of Induced Abortion And Consequences of Unsafe Abortion in Senegal

Cited by 38 publications

References 7 publications

The Incidence of Abortion in Nigeria

The Incidence of Abortion in Nigeria

Abortion Incidence and Unintended Pregnancy in Nepal

Accounting for abortion: Accomplishing transnational reproductive governance through post-abortion care in Senegal

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