Pregnancy termination trajectories in Zambia: the socio-economic costs
Unsafe abortion is a significant and easily preven...
of 1

Pregnancy termination trajectories in Zambia: the socio-economic costs

Pregnancy termination trajectories in Zambia: the socio-economic costs
Published on: Mar 4, 2016
Published in: Health & Medicine      
Source: www.slideshare.net


Transcripts - Pregnancy termination trajectories in Zambia: the socio-economic costs

  • 1. Pregnancy termination trajectories in Zambia: the socio-economic costs Unsafe abortion is a significant and easily preventable cause of maternal morbidity and mortality. It is both a cause and a consequence of poverty. In Zambia, unsafe abortion is the cause of 1 in 3 maternal deaths, but safe procedures are legal and reasonably accessible. What’s going on? Methods Facility-based recruitment Novel dual interviewer approach for simultaneous mixed data collection Women interviewed immediately following discharge after safe abortion or post- abortion care (N=112; refusal rate=13%) Extraction and analysis of medical notes Findings •Unsafe abortion costs the Zambia public health system US$2.4 million a year •Having an unsafe procedure that requires post-abortion care costs individuals US$7 more than a safe abortion (3 day’s wages) •The direction, complexity and timing of trajectories to abortion are shaped by: –The influence of advice –Perceptions of risk –Delays in care seeking and receipt –The economic costs •Abortion trajectories cannot be neatly categorised as safe and unsafe: safety is a continuum •However, young women in our sample were more likely to have an unsafe abortion than older women Objective Understand the role that socio-economic circumstances play in the seeking of abortion and abortion-related services in Zambia and the costs of safe and unsafe abortion for women, their households and the health system A research study (2012-14) 1 An impact maximisation project (2014-15) 2 Objective That research findings are used to support the efforts of those in a position to directly (e.g. providers, journalists) or indirectly (e.g. NGO lobbying government for non- legislative policy change) reduce unsafe abortions in Zambia Methods Health professionals presentations and informal networking by stakeholder- collaborators, targeted digital resources INGOs focused liaison and supporting activities (e.g. providing briefing papers) Members of civil society and Parliament tailored one-to-one briefing meetings Academics presentations, sharing resources (e.g. research tools, Zambian contacts) and methodological knowledge on research and impact, web-based facilities (e.g. www.Scoop.it) Journalists: tailored training to support getting positive TOP stories in the news All of these Social Science Cafes to communicate research findings and facilitate uptake Women seeking information about abortion radio shows on “pregnancy crises”, web-based materials Women & men wishing to terminate a pregnancy Journalists Abortion providers Other health practitioners Media Academics MPs & civil servants Civil society Stakeholders Want to know more? Talk to us! Please email Dr Ernestina Coast e.coast@lse.ac.uk or Dr Emily Freeman e.freeman@lse.ac.uk, or on Twitter @ZambiaToP Look up our work! You can find our presentations on www.slideshare.net/ZambiaTOP and more information and links on our website http://zambiatop.wordpress.com/ Hospital ToP Safe Unsafe Hospital PAC Hospital PAC Safer

Related Documents