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Published on: February 3, 2026
Unsafe abortion in Zambia.
Rosemary Ndonyo Likwa1, Ann Biddlecom, Haley Ball
1University of Zambia
Summary
Many Zambian women undergo unsafe, illegal abortions due to limited access to safe, legal procedures. Improving abortion access and preventing unintended pregnancies could significantly reduce preventable deaths.
Area of Science:
- Public Health
- Reproductive Health
- Medical Ethics
Background:
- Safe, legal abortion remains inaccessible for many women in Zambia.
- This inaccessibility drives women to seek clandestine, often unsanitary, illegal abortions.
- The consequences include high mortality and morbidity rates from unsafe procedures.
Purpose of the Study:
- To highlight the public health crisis stemming from inaccessible safe abortion services in Zambia.
- To underscore the preventable nature of deaths and complications associated with illegal abortions.
- To advocate for improved access to safe abortion and comprehensive reproductive health services.
Main Methods:
- Qualitative analysis of existing data on abortion-related mortality and morbidity in Zambia.
- Review of legal frameworks and healthcare access barriers for safe abortion.
- Synthesis of public health literature on the impact of unsafe abortions.
Main Results:
- A significant number of women resort to illegal abortions annually in Zambia.
- These procedures are frequently performed under hazardous, unsanitary conditions.
- The death toll from unsafe abortions is substantial and largely avoidable.
Conclusions:
- Improving access to safe, legal abortion is critical for reducing maternal mortality in Zambia.
- Comprehensive strategies for unintended pregnancy prevention are essential.
- Addressing the root causes of unsafe abortion is a public health imperative.