دورية أكاديمية

The estimated incidence of induced abortion in Kenya: a cross-sectional study.

التفاصيل البيبلوغرافية
العنوان: The estimated incidence of induced abortion in Kenya: a cross-sectional study.
المؤلفون: Mohamed SF; Research Division African Population and Health Research Center (APHRC), APHRC Campus, Manga close off Kirawa road, Kitisuru, P.O. Box, 10787-00100, Nairobi, Kenya. smohamed@aphrc.org., Izugbara C; Research Division African Population and Health Research Center (APHRC), APHRC Campus, Manga close off Kirawa road, Kitisuru, P.O. Box, 10787-00100, Nairobi, Kenya. cizugbara@aphrc.org., Moore AM; Research Division, Guttmacher Institute, 125 Maiden Lane, 7th floor, New York, NY, 10038, USA. amoore@guttmacher.org., Mutua M; Research Division African Population and Health Research Center (APHRC), APHRC Campus, Manga close off Kirawa road, Kitisuru, P.O. Box, 10787-00100, Nairobi, Kenya. mmutua@aphrc.org., Kimani-Murage EW; Research Division African Population and Health Research Center (APHRC), APHRC Campus, Manga close off Kirawa road, Kitisuru, P.O. Box, 10787-00100, Nairobi, Kenya. ekimani@aphrc.org., Ziraba AK; Research Division African Population and Health Research Center (APHRC), APHRC Campus, Manga close off Kirawa road, Kitisuru, P.O. Box, 10787-00100, Nairobi, Kenya. aziraba@aphrc.org., Bankole A; Research Division, Guttmacher Institute, 125 Maiden Lane, 7th floor, New York, NY, 10038, USA. abankole@guttmacher.org., Singh SD; Research Division, Guttmacher Institute, 125 Maiden Lane, 7th floor, New York, NY, 10038, USA. ssingh@guttmacher.org., Egesa C; Research Division African Population and Health Research Center (APHRC), APHRC Campus, Manga close off Kirawa road, Kitisuru, P.O. Box, 10787-00100, Nairobi, Kenya. cegesa@aphrc.org.
المصدر: BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2015 Aug 21; Vol. 15, pp. 185. Date of Electronic Publication: 2015 Aug 21.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Health Facilities* , Pregnancy, Unplanned*, Abortion, Induced/*statistics & numerical data , Abortion, Legal/*statistics & numerical data , Postoperative Complications/*epidemiology, Adolescent ; Adult ; Cross-Sectional Studies ; Female ; Humans ; Incidence ; Kenya/epidemiology ; Middle Aged ; Pregnancy ; Prospective Studies ; Surveys and Questionnaires ; Young Adult
مستخلص: 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.
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تواريخ الأحداث: Date Created: 20150822 Date Completed: 20160321 Latest Revision: 20181113
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC4546129
DOI: 10.1186/s12884-015-0621-1
PMID: 26294220
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2393
DOI:10.1186/s12884-015-0621-1