The estimated incidence of induced abortion in Kenya: a cross-sectional study
The estimated incidence of induced abortion in Kenya: a cross-sectional study
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DOI：
10.1186/s12884-015-0621-1
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发表时间：
2015-08-21
影响因子：
3.1
通讯作者：
Egesa, Caroline
中科院分区：
文献类型：
--
作者：
Mohamed, Shukri F.;Izugbara, Chimaraoke;Egesa, Caroline
背景：肯尼亚最近颁布的2010年宪法允许妇女在生命或健康受到威胁时堕胎。然而，对这项法律的解释仍然存在广泛的不确定性。不安全堕胎仍然是肯尼亚孕产妇发病率和死亡率的主要原因。本研究旨在确定肯尼亚2012年的人工流产发病率。方法：采用人工流产并发症发生率方法学(AICM)和前瞻性发病率调查(PMS)对2012年肯尼亚人工流产发病率进行估算。数据是通过三项调查收集的，(I)卫生设施调查(HFS)，(Ii)预期发病率调查(PMS)，和(Iii)卫生专业人员调查(HPS)。共有328家机构参加了HFS，326家参与了PMS，124名关键线人参与了HPS。计算了肯尼亚整体和五个地理区域的堕胎数量、堕胎率、堕胎比率和意外妊娠率。结果：2012年，肯尼亚估计发生了46.4万例人工流产。这意味着每1000名15-49岁的妇女中有48人堕胎率，每100名活产婴儿中有30人堕胎。约有12万名妇女在卫生机构接受了人工流产并发症的护理。在肯尼亚，大约一半(49%)的意外怀孕是意外的，41%的意外怀孕以堕胎告终。结论：这项研究首次对肯尼亚人工流产的发生率进行了具有全国代表性的估计。迫切需要提高设施的能力，以便最大限度地根据法律提供安全的堕胎护理。应尽一切努力解决潜在因素，以减少不安全堕胎的风险。
Background: The recently promulgated 2010 constitution of Kenya permits abortion when the life or health of the woman is in danger. Yet broad uncertainty remains about the interpretation of the law. Unsafe abortion remains a leading cause of maternal morbidity and mortality in Kenya. The current study aimed to determine the incidence of induced abortion in Kenya in 2012.Methods: The incidence of induced abortion in Kenya in 2012 was estimated using the Abortion Incidence Complications Methodology (AICM) along with the Prospective Morbidity Survey (PMS). Data were collected through three surveys, (i) Health Facilities Survey (HFS), (ii) Prospective Morbidity Survey (PMS), and (iii) Health Professionals Survey (HPS). A total of 328 facilities participated in the HFS, 326 participated in the PMS, and 124 key informants participated in the HPS. Abortion numbers, rates, ratios and unintended pregnancy rates were calculated for Kenya as a whole and for five geographical regions.Results: In 2012, an estimated 464,000 induced abortions occurred in Kenya. This translates into an abortion rate of 48 per 1,000 women aged 15-49, and an abortion ratio of 30 per 100 live births. About 120,000 women received care for complications of induced abortion in health facilities. About half (49 %) of all pregnancies in Kenya were unintended and 41 % of unintended pregnancies ended in an abortion.Conclusion: This study provides the first nationally-representative estimates of the incidence of induced abortion in Kenya. An urgent need exists for improving facilities' capacity to provide safe abortion care to the fullest extent of the law. All efforts should be made to address underlying factors to reduce risk of unsafe abortion.