Cost-effectiveness analysis of unsafe abortion and alternative first-trimester pregnancy termination strategies in Nigeria and Ghana
African Journal of Reproductive Health
;
14(2): 85-103, 2010. ilus
Article
Dans Anglais
| AIM
| ID: biblio-1258459
ABSTRACT
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 (Afr. J. Reprod. Health 2010; 14[2] 85-103)
Texte intégral:
Disponible
Indice:
AIM (Afrique)
Sujet Principal:
Deuxième trimestre de grossesse
/
Premier trimestre de grossesse
/
Avortement provoqué
/
Analyse coût-bénéfice
/
Interruption légale de grossesse
/
Ghana
/
Nigeria
Type d'étude:
Guide de pratique
/
Évaluation en économique de la santé
/
Étude pronostique
Pays comme sujet:
Afrique
langue:
Anglais
Texte intégral:
African Journal of Reproductive Health
Année:
2010
Type:
Article
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