Health System Costs of Menstrual Regulation and Care For Abortion Complications in Bangladesh  

Oleh:

Johnston, Heidi Bart ; Oliveras, Elizabeth ; Akhter, Shamima ; Walker, Damian G.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: International Family Planning Perspectives vol. 36 no. 04 (Dec. 2010), page 197-204.
Topik: Menstrual Regulation; Abortion Complications; Bangladesh
Fulltext: I77 vol.36 no.4 p.197 des.2010_win.pdf (142.26KB)

Ketersediaan

Perpustakaan PKPM Nomor Panggil: I77 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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CONTEXT: Treatment of complications of unsafe abortion can be a significant financial drain on health system resources, particularly in developing countries. In Bangladesh, menstrual regulation is provided by the government as a backup to contraception. The comparison of economic costs of providing menstrual regulation care with those of providing treatment of abortion complications has implications for policy in Bangladesh and internationally. METHODS: Data on incremental costs of providing menstrual regulation and care for abortion complications were collected through surveys of providers at 21 public-sector facilities in Bangladesh. These data were entered into an abortion-oriented costing spreadsheet to estimate the health system costs of providing such services. RESULTS: The incremental costs per case of providing menstrual regulation care in 2008were 8–13% of those associated with treating severe abortion complications, depending on the level of care. An estimated 263,688 menstrual regulation procedures were provided at public-sector facilities in 2008, with incremental costs estimated at US$2.2 million, and 70,098 women were treated for abortion-related complications in such facilities, with incremental costs estimated at US$1.6 million. CONCLUSION: The provision of menstrual regulation averts unsafe abortion and associated maternal morbidity and mortality, and on a per case basis, saves scarce health system resources. Increasing access to menstrual regulation would enable more women to obtain much-needed care and health system resources to be utilized more efficiently

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