Cost-effectiveness analysis of unsafe abortion and alternative first-trimester pregnancy termination strategies in Nigeria and Ghana.
نویسندگان
چکیده
To explore the policy implications of increasing access to safe abortion in Nigeria and Ghana, we developed a computer-based decision analytic model which simulates induced abortion and its potential complications in a cohort of women, and comparatively assessed the cost-effectiveness of unsafe abortion and three first-trimester abortion modalities: hospital-based dilatation and curettage, hospital- and clinic-based manual vacuum aspiration (MVA), and medical abortion using misoprostol (MA). Assuming all modalities are equally available, clinic-based MVA is the most cost-effective option in Nigeria. If clinic-based MVA is not available, MA is the next best strategy. Conversely, in Ghana, MA is the most cost-effective strategy, followed by clinic-based MVA if MA is not available. From a real world policy perspective, increasing access to safe abortion in favor over unsafe abortion is the single most important factor in saving lives and societal costs, and is more influential than the actual choice of safe abortion modality.
منابع مشابه
Efficacy of Combination Therapy with Methotrexate and Misoprostol in Termination of Pregnancy in the First Trimester
Background: Induced abortion is the medical or surgical termination of pregnancy before fetal viability. It has maternal or fetal indications. The aim of the present study was to evaluate the efficacy of the combination of methotrexate and misoprostol for termination of the pregnancy in the first trimester. Methods: This analytic study was performed on 100 women at the first trimester of pregna...
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Abortion is an important problem in obstetrics throughout the world. The common and standard method for pregnancy termination at first trimester is surgery (curettage). Nowadays, an effective method of pregnancy termination at first trimester is medical treatments. The aim of this study is to compare misoprostol alone or in combination with methotrexate for pregnancy termination at first trimes...
متن کاملMisoprostol Alone or in Combination with Methotrexate for Termination of Pregnancy at First Trimester
Abortion is an important problem in obstetrics throughout the world. The common and standard method for pregnancy termination at first trimester is surgery (curettage). Nowadays, an effective method of pregnancy termination at first trimester is medical treatments. The aim of this study is to compare misoprostol alone or in combination with methotrexate for pregnancy termination at first trimes...
متن کاملREVIEW APPLICATION FOR INCLUSION OF MIFEPRISTONE AND MISOPROSTOL IN THE 14th WHO MODEL LIST OF ESSENTIAL MEDICINES
Background Unsafe abortion is a public health problem worldwide. One way of reducing the number of unsafe procedures is to increase safe choices for pregnancy termination. In developed countries, of the 28 million pregnancies occurring every year, 36% end in abortion. In developing countries, of the 182 million pregnancies occurring every year, 20% end in abortion. Almost 80% of all abortions a...
متن کاملEfficacy of vaginal misoprostol and vaginal washing with 3% acetic acid for first trimester pregnancy termination: A randomized single blind clinical trial
Introduction: This study was conducted to evaluate the efficacy of 800µg vaginal misoprostol after wetting alkaline PH vagina with 3% acetic acid in comparison with 800µg vaginal misoprostol alone in the alkaline PH vagina in terminating first trimester pregnancies. Methods: In this clinical trial, a total of 100 healthy women between 20 and 40 years old requesting legal terminat...
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ورودعنوان ژورنال:
- African journal of reproductive health
دوره 14 2 شماره
صفحات -
تاریخ انتشار 2010