OVERVIEW OF THE COST OF UNSAFE ABORTION IN AFRICA Authors : Michael Vlassoff and Jesse Philbin Affiliation : Guttmacher Institute, 125 Maiden Lane, 7 th floor, New York, NY, 10038, USA, Tel. 212-248-1111,
[email protected] Corresponding author : Michael Vlassoff, Senior Research Associate, Guttmacher Institute, 125 Maiden Lane, New York NY, USA; email:
[email protected] Key words : Abortion, Unsafe, Cost Synopsis : Unsafe abortion imposes significant costs on the health systems of Africa as well as burdens on the economies of the region. Estimates of the cost of post-abortion care, for which some empirical data are available, are presented in this paper. Tentative estimates for other, less researched societal costs are also reported on. 1 1. Introduction Unsafe abortion-related morbidity and mortality (UARMM) impact welfare at the individual, household, community and national levels. Out of an estimated 46 million induced abortions that take place every year in the world, around 21.6 million are unsafe abortions 1. About 6.2 million of these unsafe abortions occur in Africa—5.5 million of them in sub-Saharan Africa, where an estimated 31 out of 1,000 women of reproductive age undergo an unsafe abortion each year. More than 1.7 million of these abortions result in serious medical complications that require hospital-based treatment 2. Many women suffer long-term effects, including an estimated 600,000 women who annually suffer secondary infertility and a further 1.5 million women who experience chronic reproductive tract infections. The cost that these figures imply is a matter of importance for public policy.