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Estimating abortion incidence in Burkina Faso using two methodologies.
Gilda Sedgh1, Clémentine Rossier, Idrissa Kaboré
1International Research, Guttmacher Institute, 125 Maiden Lane, 7th Floor, New York, NY 10038, USA. gsedgh@guttmacher.org
Studies in Family Planning
|October 7, 2011
Summary
In Burkina Faso, an estimated 87,200 abortions occurred in 2008, with over 25% leading to complications. The Abortion Incidence Complications Method (AICM) provided a more accurate incidence estimate than Anonymous Third Party Reporting (ATPR).
Area of Science:
- Public Health
- Reproductive Health
- Medical Statistics
Background:
- Abortion is restricted in Burkina Faso, leading to unsafe procedures and challenges in incidence measurement.
- Estimating abortion incidence and complications is crucial for public health planning.
Purpose of the Study:
- To estimate the incidence of abortion and associated morbidity in Burkina Faso.
- To compare the accuracy of two methodologies: the Abortion Incidence Complications Method (AICM) and Anonymous Third Party Reporting (ATPR).
Main Methods:
- The study employed the Abortion Incidence Complications Method (AICM), utilizing hospitalization data for abortion complications and expert assessments.
- The Anonymous Third Party Reporting (ATPR) method involved surveying women about their confidantes' abortions.
- Both methods were used to estimate abortion incidence and analyze associated morbidity.
Main Results:
- An estimated 87,200 abortion procedures were performed in 2008, equating to 25 abortions per 1,000 women aged 15-49.
- Over 25% of these procedures resulted in complications requiring health facility treatment.
- The AICM yielded a higher incidence estimate than the ATPR method, which reported 72% of the AICM's figure.
- ATPR provided insights into abortion providers, methods, and patient demographics.
Conclusions:
- The AICM is considered a more accurate method for estimating abortion incidence in Burkina Faso.
- Unsafe abortions contribute significantly to morbidity, necessitating improved access to safe abortion services.
- Further research using ATPR can offer valuable data on the characteristics of women seeking abortions and the services they utilize.
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