Cost Analysis of Abortion in Addis Ababa Public Hospitals
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Date
2000-04
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Addis Abeba Universty
Abstract
This is an institution based cross-sectional study conducted in four public
hospitals in Addis Ababa, Ethiopia, with the objective of analyzing the cost of
treating patients with abortion complications and provision of safe abortion
services. The data on unsafe cases were collected for three months and patients
with abortion complications who attended these hospitals during the study period
were interviewed (n=401). Four hundred twenty four medical records were
reviewed and observation was done in ten percent of the cases (n=42) and
administrative records were reviewed, to obtain data on direct, indirect and
opportunity cost in treating abortions complications.
The cost in provision of safe abortion service was estimated and the average unit
cost ranges from 40.97 to 65.32 birr while the actual average unit cost in treating
a patient with abortion complication was 131.7 birr with out including the patient
side cost. Moreover the sensitivity analysis showed that the cost of treating
complication of abortion could rise up to 323.23 birr. Thus, the health care system
is spending a lot of resources for treating complications of abortion, which could
be possible to prevent it through provision of safe abortion services. The average
patient side cost which includes medical, non-medical and opportunity cost was
found to be 535.5 birr.
If the existing law were liberalized to allow provision of early and safe abortion
services with feasible promotion of family planning, in addition to cost reduction
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in the health system and individual patients, it could save life and minimize
suffering of a lot of women who undergo unsafe abortion.
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Cost Analysis of Abortion