Incidence of induced abortion in Malawi, 2015
In Malawi, abortion is legal only if performed to save a woman's life; other attempts to procure an abortion are punishable by 7-14 years imprisonment. Most induced abortions in Malawi are performed under unsafe conditions, contributing to Malawi's high maternal mortality ratio. Malawians...
Gespeichert in:
| Veröffentlicht in: | PloS one 2017-04, Vol.12 (4), p.e0173639-e0173639 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0173639 |
|---|---|
| container_issue | 4 |
| container_start_page | e0173639 |
| container_title | PloS one |
| container_volume | 12 |
| creator | Polis, Chelsea B Mhango, Chisale Philbin, Jesse Chimwaza, Wanangwa Chipeta, Effie Msusa, Ausbert |
| description | In Malawi, abortion is legal only if performed to save a woman's life; other attempts to procure an abortion are punishable by 7-14 years imprisonment. Most induced abortions in Malawi are performed under unsafe conditions, contributing to Malawi's high maternal mortality ratio. Malawians are currently debating whether to provide additional exceptions under which an abortion may be legally obtained. An estimated 67,300 induced abortions occurred in Malawi in 2009 (equivalent to 23 abortions per 1,000 women aged 15-44), but changes since 2009, including dramatic increases in contraceptive prevalence, may have impacted abortion rates.
We conducted a nationally representative survey of health facilities to estimate the number of cases of post-abortion care, as well as a survey of knowledgeable informants to estimate the probability of needing and obtaining post-abortion care following induced abortion. These data were combined with national population and fertility data to determine current estimates of induced abortion and unintended pregnancy in Malawi using the Abortion Incidence Complications Methodology.
We estimate that approximately 141,044 (95% CI: 121,161-160,928) induced abortions occurred in Malawi in 2015, translating to a national rate of 38 abortions per 1,000 women aged 15-49 (95% CI: 32 to 43); which varied by geographical zone (range: 28-61). We estimate that 53% of pregnancies in Malawi are unintended, and that 30% of unintended pregnancies end in abortion. Given the challenges of estimating induced abortion, and the assumptions required for calculation, results should be viewed as approximate estimates, rather than exact measures.
The estimated abortion rate in 2015 is higher than in 2009 (potentially due to methodological differences), but similar to recent estimates from nearby countries including Tanzania (36), Uganda (39), and regional estimates in Eastern and Southern Africa (34-35). Over half of pregnancies in Malawi are unintended. Our findings should inform ongoing efforts to reduce maternal morbidity and mortality and to improve public health in Malawi. |
| doi_str_mv | 10.1371/journal.pone.0173639 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_1883868286</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A488304385</galeid><doaj_id>oai_doaj_org_article_8ccc888cb59247bd9db37f01f2db9f84</doaj_id><sourcerecordid>A488304385</sourcerecordid><originalsourceid>FETCH-LOGICAL-c692t-abfdfa9d4387c949f0ed56776794635b62288f2ad9602caf193e4b1bc37a89353</originalsourceid><addsrcrecordid>eNqNkluL1DAYhoso7kH_gWhBEAU75tDmcCMsi4eBlQVPtyHNYSZDJpltWlf_velOd5nKXkgvUr4835u8X96ieAbBAmIK323i0AXpF7sYzAJAignmD4pjyDGqCAL44cH_UXGS0gaABjNCHhdHiGHCIayPi2oZlNMmKFNGW7qgB2V0KdvY9S6GXCi_SC-v3dsSAdg8KR5Z6ZN5Oq2nxY-PH76ff64uLj8tz88uKkU46ivZWm0l1zVmVPGaW2B0QygllNcENy1BiDGLpOYEICVtvqepW9gqTCXjuMGnxYu97s7HJCanSUDGsgGGGMnEck_oKDdi17mt7P6IKJ24KcRuJWS2oLwRTCnFGFNtw1FNW811i6kF0CLdcsvqrPV-Om1ot0YrE_pO-pnofCe4tVjFX6LBlGE0CryeBLp4NZjUi61Lyngvg4nDzb1rSAhqWEZf_oPe726iVjIbcMHGfK4aRcVZnTGQJztOaXEPlT9ttk7lWFiX67OGN7OGzPTmd7-SQ0pi-e3r_7OXP-fsqwN2baTv1yn6YYxQmoP1HlRdTKkz9m7IEIgx1bfTEGOqxZTq3Pb88IHumm5jjP8C7Xbu8A</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1883868286</pqid></control><display><type>article</type><title>Incidence of induced abortion in Malawi, 2015</title><source>Open Access: DOAJ - Directory of Open Access Journals</source><source>Open Access: PubMed Central</source><source>MEDLINE</source><source>EZB Free E-Journals</source><source>PLoS - Public Library of Sciencem (Open Access)</source><source>Free Full-Text Journals in Chemistry</source><creator>Polis, Chelsea B ; Mhango, Chisale ; Philbin, Jesse ; Chimwaza, Wanangwa ; Chipeta, Effie ; Msusa, Ausbert</creator><contributor>Foster, Angel M.</contributor><creatorcontrib>Polis, Chelsea B ; Mhango, Chisale ; Philbin, Jesse ; Chimwaza, Wanangwa ; Chipeta, Effie ; Msusa, Ausbert ; Foster, Angel M.</creatorcontrib><description>In Malawi, abortion is legal only if performed to save a woman's life; other attempts to procure an abortion are punishable by 7-14 years imprisonment. Most induced abortions in Malawi are performed under unsafe conditions, contributing to Malawi's high maternal mortality ratio. Malawians are currently debating whether to provide additional exceptions under which an abortion may be legally obtained. An estimated 67,300 induced abortions occurred in Malawi in 2009 (equivalent to 23 abortions per 1,000 women aged 15-44), but changes since 2009, including dramatic increases in contraceptive prevalence, may have impacted abortion rates.
We conducted a nationally representative survey of health facilities to estimate the number of cases of post-abortion care, as well as a survey of knowledgeable informants to estimate the probability of needing and obtaining post-abortion care following induced abortion. These data were combined with national population and fertility data to determine current estimates of induced abortion and unintended pregnancy in Malawi using the Abortion Incidence Complications Methodology.
We estimate that approximately 141,044 (95% CI: 121,161-160,928) induced abortions occurred in Malawi in 2015, translating to a national rate of 38 abortions per 1,000 women aged 15-49 (95% CI: 32 to 43); which varied by geographical zone (range: 28-61). We estimate that 53% of pregnancies in Malawi are unintended, and that 30% of unintended pregnancies end in abortion. Given the challenges of estimating induced abortion, and the assumptions required for calculation, results should be viewed as approximate estimates, rather than exact measures.
The estimated abortion rate in 2015 is higher than in 2009 (potentially due to methodological differences), but similar to recent estimates from nearby countries including Tanzania (36), Uganda (39), and regional estimates in Eastern and Southern Africa (34-35). Over half of pregnancies in Malawi are unintended. Our findings should inform ongoing efforts to reduce maternal morbidity and mortality and to improve public health in Malawi.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0173639</identifier><identifier>PMID: 28369114</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject><![CDATA[Abortion ; Abortion, Induced - adverse effects ; Abortion, Induced - legislation & jurisprudence ; Abortion, Induced - statistics & numerical data ; Abortion, Legal - legislation & jurisprudence ; Abortion, Legal - statistics & numerical data ; Adolescent ; Adolescents ; Adult ; Age ; Age factors ; Antibodies ; Avoidance ; Blades ; Childbirth & labor ; Contraception ; Correlation analysis ; Death ; Demographics ; Earth Sciences ; Embryos ; Estimates ; Ethics ; Female ; Fertility ; Fetuses ; Field study ; Health facilities ; Health risk assessment ; Hemorrhage ; Hospitals ; Humans ; Incidence ; Inventories ; Laws ; Malawi - epidemiology ; Maternal Mortality ; Mathematical analysis ; Medicine ; Medicine and Health Sciences ; Mifepristone ; Misoprostol ; Morbidity ; Mortality ; Parity ; People and Places ; pH effects ; Polls & surveys ; Pregnancy ; Pregnancy complications ; Pregnancy, Unplanned ; Probability ; Public health ; Reproductive health ; Risk factors ; Statistics ; Stem cells ; Vacuum ; Womens health ; Young Adult]]></subject><ispartof>PloS one, 2017-04, Vol.12 (4), p.e0173639-e0173639</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Polis et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 Polis et al 2017 Polis et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-abfdfa9d4387c949f0ed56776794635b62288f2ad9602caf193e4b1bc37a89353</citedby><cites>FETCH-LOGICAL-c692t-abfdfa9d4387c949f0ed56776794635b62288f2ad9602caf193e4b1bc37a89353</cites><orcidid>0000-0002-1031-7074</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5378324/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5378324/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28369114$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Foster, Angel M.</contributor><creatorcontrib>Polis, Chelsea B</creatorcontrib><creatorcontrib>Mhango, Chisale</creatorcontrib><creatorcontrib>Philbin, Jesse</creatorcontrib><creatorcontrib>Chimwaza, Wanangwa</creatorcontrib><creatorcontrib>Chipeta, Effie</creatorcontrib><creatorcontrib>Msusa, Ausbert</creatorcontrib><title>Incidence of induced abortion in Malawi, 2015</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>In Malawi, abortion is legal only if performed to save a woman's life; other attempts to procure an abortion are punishable by 7-14 years imprisonment. Most induced abortions in Malawi are performed under unsafe conditions, contributing to Malawi's high maternal mortality ratio. Malawians are currently debating whether to provide additional exceptions under which an abortion may be legally obtained. An estimated 67,300 induced abortions occurred in Malawi in 2009 (equivalent to 23 abortions per 1,000 women aged 15-44), but changes since 2009, including dramatic increases in contraceptive prevalence, may have impacted abortion rates.
We conducted a nationally representative survey of health facilities to estimate the number of cases of post-abortion care, as well as a survey of knowledgeable informants to estimate the probability of needing and obtaining post-abortion care following induced abortion. These data were combined with national population and fertility data to determine current estimates of induced abortion and unintended pregnancy in Malawi using the Abortion Incidence Complications Methodology.
We estimate that approximately 141,044 (95% CI: 121,161-160,928) induced abortions occurred in Malawi in 2015, translating to a national rate of 38 abortions per 1,000 women aged 15-49 (95% CI: 32 to 43); which varied by geographical zone (range: 28-61). We estimate that 53% of pregnancies in Malawi are unintended, and that 30% of unintended pregnancies end in abortion. Given the challenges of estimating induced abortion, and the assumptions required for calculation, results should be viewed as approximate estimates, rather than exact measures.
The estimated abortion rate in 2015 is higher than in 2009 (potentially due to methodological differences), but similar to recent estimates from nearby countries including Tanzania (36), Uganda (39), and regional estimates in Eastern and Southern Africa (34-35). Over half of pregnancies in Malawi are unintended. Our findings should inform ongoing efforts to reduce maternal morbidity and mortality and to improve public health in Malawi.</description><subject>Abortion</subject><subject>Abortion, Induced - adverse effects</subject><subject>Abortion, Induced - legislation & jurisprudence</subject><subject>Abortion, Induced - statistics & numerical data</subject><subject>Abortion, Legal - legislation & jurisprudence</subject><subject>Abortion, Legal - statistics & numerical data</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult</subject><subject>Age</subject><subject>Age factors</subject><subject>Antibodies</subject><subject>Avoidance</subject><subject>Blades</subject><subject>Childbirth & labor</subject><subject>Contraception</subject><subject>Correlation analysis</subject><subject>Death</subject><subject>Demographics</subject><subject>Earth Sciences</subject><subject>Embryos</subject><subject>Estimates</subject><subject>Ethics</subject><subject>Female</subject><subject>Fertility</subject><subject>Fetuses</subject><subject>Field study</subject><subject>Health facilities</subject><subject>Health risk assessment</subject><subject>Hemorrhage</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incidence</subject><subject>Inventories</subject><subject>Laws</subject><subject>Malawi - epidemiology</subject><subject>Maternal Mortality</subject><subject>Mathematical analysis</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Mifepristone</subject><subject>Misoprostol</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Parity</subject><subject>People and Places</subject><subject>pH effects</subject><subject>Polls & surveys</subject><subject>Pregnancy</subject><subject>Pregnancy complications</subject><subject>Pregnancy, Unplanned</subject><subject>Probability</subject><subject>Public health</subject><subject>Reproductive health</subject><subject>Risk factors</subject><subject>Statistics</subject><subject>Stem cells</subject><subject>Vacuum</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNkluL1DAYhoso7kH_gWhBEAU75tDmcCMsi4eBlQVPtyHNYSZDJpltWlf_velOd5nKXkgvUr4835u8X96ieAbBAmIK323i0AXpF7sYzAJAignmD4pjyDGqCAL44cH_UXGS0gaABjNCHhdHiGHCIayPi2oZlNMmKFNGW7qgB2V0KdvY9S6GXCi_SC-v3dsSAdg8KR5Z6ZN5Oq2nxY-PH76ff64uLj8tz88uKkU46ivZWm0l1zVmVPGaW2B0QygllNcENy1BiDGLpOYEICVtvqepW9gqTCXjuMGnxYu97s7HJCanSUDGsgGGGMnEck_oKDdi17mt7P6IKJ24KcRuJWS2oLwRTCnFGFNtw1FNW811i6kF0CLdcsvqrPV-Om1ot0YrE_pO-pnofCe4tVjFX6LBlGE0CryeBLp4NZjUi61Lyngvg4nDzb1rSAhqWEZf_oPe726iVjIbcMHGfK4aRcVZnTGQJztOaXEPlT9ttk7lWFiX67OGN7OGzPTmd7-SQ0pi-e3r_7OXP-fsqwN2baTv1yn6YYxQmoP1HlRdTKkz9m7IEIgx1bfTEGOqxZTq3Pb88IHumm5jjP8C7Xbu8A</recordid><startdate>20170403</startdate><enddate>20170403</enddate><creator>Polis, Chelsea B</creator><creator>Mhango, Chisale</creator><creator>Philbin, Jesse</creator><creator>Chimwaza, Wanangwa</creator><creator>Chipeta, Effie</creator><creator>Msusa, Ausbert</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-1031-7074</orcidid></search><sort><creationdate>20170403</creationdate><title>Incidence of induced abortion in Malawi, 2015</title><author>Polis, Chelsea B ; Mhango, Chisale ; Philbin, Jesse ; Chimwaza, Wanangwa ; Chipeta, Effie ; Msusa, Ausbert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-abfdfa9d4387c949f0ed56776794635b62288f2ad9602caf193e4b1bc37a89353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Abortion</topic><topic>Abortion, Induced - adverse effects</topic><topic>Abortion, Induced - legislation & jurisprudence</topic><topic>Abortion, Induced - statistics & numerical data</topic><topic>Abortion, Legal - legislation & jurisprudence</topic><topic>Abortion, Legal - statistics & numerical data</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Adult</topic><topic>Age</topic><topic>Age factors</topic><topic>Antibodies</topic><topic>Avoidance</topic><topic>Blades</topic><topic>Childbirth & labor</topic><topic>Contraception</topic><topic>Correlation analysis</topic><topic>Death</topic><topic>Demographics</topic><topic>Earth Sciences</topic><topic>Embryos</topic><topic>Estimates</topic><topic>Ethics</topic><topic>Female</topic><topic>Fertility</topic><topic>Fetuses</topic><topic>Field study</topic><topic>Health facilities</topic><topic>Health risk assessment</topic><topic>Hemorrhage</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Incidence</topic><topic>Inventories</topic><topic>Laws</topic><topic>Malawi - epidemiology</topic><topic>Maternal Mortality</topic><topic>Mathematical analysis</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Mifepristone</topic><topic>Misoprostol</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Parity</topic><topic>People and Places</topic><topic>pH effects</topic><topic>Polls & surveys</topic><topic>Pregnancy</topic><topic>Pregnancy complications</topic><topic>Pregnancy, Unplanned</topic><topic>Probability</topic><topic>Public health</topic><topic>Reproductive health</topic><topic>Risk factors</topic><topic>Statistics</topic><topic>Stem cells</topic><topic>Vacuum</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Polis, Chelsea B</creatorcontrib><creatorcontrib>Mhango, Chisale</creatorcontrib><creatorcontrib>Philbin, Jesse</creatorcontrib><creatorcontrib>Chimwaza, Wanangwa</creatorcontrib><creatorcontrib>Chipeta, Effie</creatorcontrib><creatorcontrib>Msusa, Ausbert</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Opposing Viewpoints Resource Center</collection><collection>Science (Gale in Context)</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies & Aerospace Database (1962 - current)</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>https://resources.nclive.org/materials</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agriculture Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest Biological Science Journals</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest advanced technologies & aerospace journals</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials science collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Open Access: DOAJ - Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Polis, Chelsea B</au><au>Mhango, Chisale</au><au>Philbin, Jesse</au><au>Chimwaza, Wanangwa</au><au>Chipeta, Effie</au><au>Msusa, Ausbert</au><au>Foster, Angel M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence of induced abortion in Malawi, 2015</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-04-03</date><risdate>2017</risdate><volume>12</volume><issue>4</issue><spage>e0173639</spage><epage>e0173639</epage><pages>e0173639-e0173639</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>In Malawi, abortion is legal only if performed to save a woman's life; other attempts to procure an abortion are punishable by 7-14 years imprisonment. Most induced abortions in Malawi are performed under unsafe conditions, contributing to Malawi's high maternal mortality ratio. Malawians are currently debating whether to provide additional exceptions under which an abortion may be legally obtained. An estimated 67,300 induced abortions occurred in Malawi in 2009 (equivalent to 23 abortions per 1,000 women aged 15-44), but changes since 2009, including dramatic increases in contraceptive prevalence, may have impacted abortion rates.
We conducted a nationally representative survey of health facilities to estimate the number of cases of post-abortion care, as well as a survey of knowledgeable informants to estimate the probability of needing and obtaining post-abortion care following induced abortion. These data were combined with national population and fertility data to determine current estimates of induced abortion and unintended pregnancy in Malawi using the Abortion Incidence Complications Methodology.
We estimate that approximately 141,044 (95% CI: 121,161-160,928) induced abortions occurred in Malawi in 2015, translating to a national rate of 38 abortions per 1,000 women aged 15-49 (95% CI: 32 to 43); which varied by geographical zone (range: 28-61). We estimate that 53% of pregnancies in Malawi are unintended, and that 30% of unintended pregnancies end in abortion. Given the challenges of estimating induced abortion, and the assumptions required for calculation, results should be viewed as approximate estimates, rather than exact measures.
The estimated abortion rate in 2015 is higher than in 2009 (potentially due to methodological differences), but similar to recent estimates from nearby countries including Tanzania (36), Uganda (39), and regional estimates in Eastern and Southern Africa (34-35). Over half of pregnancies in Malawi are unintended. Our findings should inform ongoing efforts to reduce maternal morbidity and mortality and to improve public health in Malawi.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28369114</pmid><doi>10.1371/journal.pone.0173639</doi><tpages>e0173639</tpages><orcidid>https://orcid.org/0000-0002-1031-7074</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2017-04, Vol.12 (4), p.e0173639-e0173639 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1883868286 |
| source | Open Access: DOAJ - Directory of Open Access Journals; Open Access: PubMed Central; MEDLINE; EZB Free E-Journals; PLoS - Public Library of Sciencem (Open Access); Free Full-Text Journals in Chemistry |
| subjects | Abortion Abortion, Induced - adverse effects Abortion, Induced - legislation & jurisprudence Abortion, Induced - statistics & numerical data Abortion, Legal - legislation & jurisprudence Abortion, Legal - statistics & numerical data Adolescent Adolescents Adult Age Age factors Antibodies Avoidance Blades Childbirth & labor Contraception Correlation analysis Death Demographics Earth Sciences Embryos Estimates Ethics Female Fertility Fetuses Field study Health facilities Health risk assessment Hemorrhage Hospitals Humans Incidence Inventories Laws Malawi - epidemiology Maternal Mortality Mathematical analysis Medicine Medicine and Health Sciences Mifepristone Misoprostol Morbidity Mortality Parity People and Places pH effects Polls & surveys Pregnancy Pregnancy complications Pregnancy, Unplanned Probability Public health Reproductive health Risk factors Statistics Stem cells Vacuum Womens health Young Adult |
| title | Incidence of induced abortion in Malawi, 2015 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T06%3A53%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Incidence%20of%20induced%20abortion%20in%20Malawi,%202015&rft.jtitle=PloS%20one&rft.au=Polis,%20Chelsea%20B&rft.date=2017-04-03&rft.volume=12&rft.issue=4&rft.spage=e0173639&rft.epage=e0173639&rft.pages=e0173639-e0173639&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0173639&rft_dat=%3Cgale_plos_%3EA488304385%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1883868286&rft_id=info:pmid/28369114&rft_galeid=A488304385&rft_doaj_id=oai_doaj_org_article_8ccc888cb59247bd9db37f01f2db9f84&rfr_iscdi=true |