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Methodologies for Estimating Abortion Incidence and Abortion-Related Morbidity: a Review

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Methodologies for Estimating Abortion Incidence and Abortion-Related Morbidity: a Review Methodologies for Estimating Abortion Incidence and Abortion-Related Morbidity: A Review EDITORS SUSHEELA SINGH LISA REMEZ ALYSSA TARTAGLIONE 2010 Guttmacher Institute • International Union for the Scientific Study of Population Methodologies for Estimating Abortion Incidence and Abortion-Related Morbidity: A Review Editors SuSheela Singh liSa Remez alySSa TaRTaglione 2010 • Guttmacher Institute • International Union for the Scientific Study of Population Acknowledgments Methodologies for Estimating Abortion Incidence and The panel was chaired by Susheela Singh and included Abortion-Related Morbidity: A Review was edited by the following members: Sandra G. Garcia, Hailemichael Susheela Singh, of the Guttmacher Institute; Lisa Remez, Gebreselassie, Agnes Guillaume, Ali Mohammad Mir and independent consultant; and Alyssa Tartaglione, of the Friday Okonofua. The seminar was supported by funds Guttmacher Institute. Kathleen Randall supervised produc- provided by the UNFPA, the IUSSP, the Centre Population tion and Judith Rothman was responsible for the layout. et Développement (CEPED, France), the Centre de The publishers of this review gratefully acknowledge Recherche et de Documentation sur l’Amérique Latine the financial support of the United Nations Population (CREDAL, France) and the Population Council, Mexico. Fund (UNFPA), the Consortium for Research on Unsafe We are deeply grateful to the panel members for their Abortion in Africa and the Guttmacher Institute, which contributions to this volume, which included commenting made production of this volume possible. on the papers presented at the seminar; reviewing sub- The volume is based on the International Seminar sequent versions of presented papers as well as chapters on Measurement of Abortion Incidence, Abortion- written especially for this volume; and coordinating rounds Related Morbidity and Mortality, which took place in of revisions by authors. We also acknowledge the contri- Paris, France, in November of 2007. The seminar was butions of all seminar participants whose discussions at convened by the International Union for the Scientific the seminar helped authors improve their papers. Study of Population (IUSSP) Scientific Panel on Abortion. ISBN: 978-1-934387-07-8 © Guttmacher Institute, 2010 Suggested citation: Singh S, Remez L and Tartaglione A, eds., Methodologies for Estimating Abortion Incidence and Abortion-Related Morbidity: A Review, New York: Guttmacher Institute; and Paris: International Union for the Scientific Study of Population, 2010. To order this report or download an electronic copy, go to www.guttmacher.org Table of Contents List of Contributors...................................................................................................................................................................................................4 IUSSP Scientific Panel on Abortion....................................................................................................................................................................4 Abbreviations............................................................................................................................................................................................................5 INTRODUCTION........................................................................................................................................................................................................7 CHAPTER 1: . Generating National Unsafe Abortion Estimates: Challenges and Choices . Elisabeth.Ahman.and.Iqbal.H..Shah...........................................................................................................................................................13 CHAPTER 2: . Measuring the Incidence of Abortion in Countries with Liberal Laws . Gilda.Sedgh.and.Stanley.Henshaw............................................................................................................................................................23 CHAPTER 3: . Three Approaches to Improving the Use of Face-to-Face Interviews to Measure Abortion . Heidi.Bart.Johnston,.Jeffrey.Edmeades,.Laura.Nyblade,.Erin.Pearson,.Florina.Serbanescu.and.Paul.Stupp. (Contributor:.Stephanie.McMurtrie;.Coordinator:.Sandra.G..Garcia)................................................................................................35 CHAPTER 4: . Examples of Model-Based Approaches to Estimating Abortion . Heidi.Bart.Johnston.and.Charles.Westoff.(Coordinator:.Lisa.Remez).............................................................................................49 CHAPTER 5: . Examples of Methods to Address Underreporting of Induced Abortion: Preceding Birth Technique and Randomized Response Technique . Elizabeth.Oliveras.and.Gobopamang.Letamo.(Contributor:.Diana.Lara;.Coordinator:.Agnes.Guillaume).............................63 CHAPTER 6: . The Abortion Incidence Complications Method: A Quantitative Technique . Susheela.Singh,.Elena.Prada.and.Fatima.Juarez..................................................................................................................................71 CHAPTER 7: . Measuring Abortion with the Anonymous Third Party Reporting Method . Clementine.Rossier.........................................................................................................................................................................................99 CHAPTER 8: . The Sealed Envelope Method of Estimating Induced Abortion: How Much of an Improvement? . Fatima.Juarez,.Josefina.Cabigon.and.Susheela.Singh......................................................................................................................107 CHAPTER 9: . Data Triangulation: Using Multiple Methods to Estimate and Validate Abortion Incidence and Prevalence . Heidi.Bart.Johnston,.Diana.Lara,.Silvia.Mario.and.Edith.Pantelides.(Coordinators:.Diana.Lara,.Sandra.G..Garcia)............125 CHAPTER 10: . Prospective Approach to Measuring Abortion-Related Morbidity: Individual-Level Data On Postabortion Patients . Tamara.Fetters...............................................................................................................................................................................................135 CHAPTER 11: . Use of Health System Data to Study Morbidity Related to Pregnancy Loss . Raffaela.Schiavon,.Erika.Troncoso.and.Gerardo.Polo........................................................................................................................147 CHAPTER 12: . Quantitative Measures of Self-Reported Data on Abortion Morbidity: A Case Study In Madhya Pradesh, India . Laura.Nyblade,.Jeffrey.Edmeades,.Erin.Pearson.and.Janna.McDougall....................................................................................165 CHAPTER 13: . Self-Reported Data on Abortion Morbidity: Using Qualitative Techniques with Community-Based Samples . Ann.M..Moore.and.Elena.Prada...............................................................................................................................................................175 CHAPTER 14: . Misoprostol Use and Its Impact on Measuring Abortion Incidence and Morbidity . Katherine.S..Wilson,.Sandra.G..Garcia.and.Diana.Lara.....................................................................................................................191 3 List of Contributors Name and affiliation at the time of writing Elisabeth Ahman, World Health Organization, Switzerland Josefina Cabigon, University of the Philippines, Population Institute, Philippines Jeffrey Edmeades, International Center for Research on Women, USA Tamara Fetters, Ipas, USA Sandra G. Garcia, Population Council, Mexico Agnes Guillaume, Institut de Recherche pour le Développement, France Stanley Henshaw, Guttmacher Institute, USA Fatima Juarez, Guttmacher Institute, USA and El Colegio de México, Mexico Diana Lara, Ibis Reproductive Health, USA Gobopamang Letamo, University of Botswana, Botswana Silvia Mario, Instituto de Investigaciones Gino Germani, Universidad de Buenos Aires, Argentina Janna McDougall, International Center for Research on Women, USA Stephanie McMurtrie, Population Council, Mexico, Consultant Ann M. Moore, Guttmacher Institute, USA Laura Nyblade, International Center for Research on Women, USA Elizabeth Oliveras, International Centre for Diarrhoeal Disease Research, Bangladesh Edith Pantelides, Centro de Estudios de Población, Argentina Erin Pearson, International Center for Research on Women, USA Elena Prada, Guttmacher Institute, USA Gerardo Polo, Ipas, Mexico, Consultant Heidi Bart Johnston, International Centre for Diarrhoeal Disease Research, Bangladesh Lisa Remez, Independent Consultant, USA Clementine Rossier, Institut National d’Études Démographiques, France Raffaela Schiavon, Ipas, Mexico Gilda Sedgh, Guttmacher Institute, USA Florina Serbanescu, Centers for Disease Control and Prevention, USA Iqbal H. Shah, World Health Organization, Switzerland Susheela Singh, Guttmacher Institute, USA Paul Stupp, Centers for Disease Control and Prevention, USA Alyssa Tartaglione, Guttmacher Institute, USA Erika Troncoso, Ipas, Mexico Charles Westoff, Princeton University, USA Katherine S. Wilson, Population Council, Mexico IUSSP Scientific Panel on Abortion Sandra G. Garcia, Population Council, Mexico Hailemichael Gebreselassie, Ipas Africa Alliance, Kenya Agnes Guillaume, Institut de Recherche pour le Développement, France Ali Mohammad Mir, Population Council, Pakistan Friday Okonofua, Women’s Health
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