The incidence of induced abortion in Uganda
The incidence of induced abortion in Uganda
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DOI：
10.1363/3118305
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发表时间：
2005-12-01
期刊：
影响因子：
--
通讯作者：
Kiggundu, C
中科院分区：
文献类型：
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作者：
Singh, S;Prada, E;Kiggundu, C
上下文虽然乌干达法律只允许为挽救妇女生命而进行人工流产，但许多妇女往往在不卫生的条件下进行人工流产。小规模的研究表明，不安全堕胎是一个重要的健康问题，在乌干达，但没有全国性的定量研究abortsexist.METHODS：一个具有全国代表性的调查，313个卫生设施，治疗妇女堕胎后并发症和调查的53名专业人士谁是知情的条件，在乌干达堕胎的规定进行了2003年。对数据采用间接估计技术，以计算每年进行的人工流产数量。计算了全国及其四个主要地区的堕胎率、堕胎比率和意外怀孕率。避孕药具使用和未满足需求的数据来自人口与健康调查。结果：每年，乌干达估计有297，000例人工流产，近85，000名妇女因并发症接受治疗。15-49岁妇女的堕胎率为每1 000人中有54人，占怀孕的五分之一。中部地区的堕胎率高于全国平均水平（每1 000名妇女中有62人堕胎），而中部地区是全国城市化程度最高、经济最发达的地区。北方地区的死亡率也很高（每1 000人中有70人死亡）。在全国范围内，约有一半的怀孕是意外的; 51916已婚妇女年龄在15-49岁和1296未婚的同行有一个未得到满足的需要有效的避孕药具。为了减少计划外怀孕和不安全堕胎，并改善妇女的健康，需要增加所有妇女获得避孕服务的机会。
CONTEXT. Although Uganda's law permits induced abortion only to save a woman's life, many women obtain abortions, often under unhygienic conditions. Small-scale studies suggest that unsafe abortion is an important health problem in Uganda, but no national quantitative studies of abortion exist.METHODS:A nationally representative survey of 313 health facilities that treat women who have postabortion complications and a survey of 53 professionals who are knowledgeable about the conditions of abortion provision in Uganda were conducted in 2003. Indirect estimation techniques were applied to the data to calculate the number of induced abortions performed annually. Abortion rates, abortion ratios and unintended pregnancy rates were calculated for the nation and its four major regions. Data on contraceptive use and unmet need were obtained from Demographic and Health Surveys.RESULTS: Each year, an estimated 297, 000 induced abortions are performed in Uganda, and nearly 85,000 women are treated for complications. Abortions occur at a rate of 54 per 1,000 women aged 15-49 and account for one in five pregnancies. The abortion rate is higher than average in the Central region (62 per 1,000 women), the country's most urban and economically developed region. It is also very high in the Northern region (70 per 1,000). Nationally, about half of pregnancies are unintended; 51916 of married women aged 15-49 and 1296 of their unmarried counterparts have an unmet need for effective contraceptives.CONCLUSIONS: Unsafe abortion exacts a heavy toll on women in Uganda. To reduce unplanned pregnancy and unsafe abortion, and to improve women's health, increased access to contraceptive services is needed for all women.