Document Detail


Induced abortion in Colombia: new estimates and change between 1989 and 2008.
MedLine Citation:
PMID:  21988787     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
CONTEXT: Although abortion was made legal in Colombia under selected circumstances in 2006, no national studies have examined whether the incidence of the procedure has changed since the previous estimate in 1989.
METHODS: Data on the number of women treated for abortion complications were obtained from a nationally representative survey of 300 public and private health facilities, and estimates of the likelihood that women obtaining abortions experience complications and receive treatment at a facility were obtained from a survey of 102 knowledgeable professionals. Indirect estimation techniques were used to calculate national and regional abortion measures for 2008, which were compared with previously published 1989 estimates. Numbers and rates of unintended pregnancy were also calculated.
RESULTS: In 2008, an estimated 93,300 women were treated for induced abortion complications in public and private health facilities. An estimated 400,400 induced abortions were performed, which translates to a rate of 39 per 1,000 women aged 15-44, a slight increase from 1989 (36 per 1,000). Rates varied widely across regions, from 66 in Bogotá to 18 in Oriental. Despite the new abortion law, only 322 legal abortions were performed in 2008. Between 1989 and 2008, the proportion of pregnancies ending in induced abortion increased from 22% to 29%, and the proportion of pregnancies that were unintended rose from 52% to 67%.
CONCLUSION: Improvements in provision of and access to contraceptive and legal abortion services are needed to meet the increased demand among women and couples to prevent unintended pregnancy and unsafe abortion.
Authors:
Elena Prada; Ann Biddlecom; Susheela Singh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International perspectives on sexual and reproductive health     Volume:  37     ISSN:  1944-0405     ISO Abbreviation:  Int Perspect Sex Reprod Health     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-10-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101504990     Medline TA:  Int Perspect Sex Reprod Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  114-24     Citation Subset:  IM    
Affiliation:
Independent Consultant, Bogotá, Colombia, eprada@guttmacher.org.
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