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The health system cost of postabortion care in Ethiopia
Author(s) -
Vlassoff Michael,
Fetters Tamara,
Kumbi Solomon,
Singh Susheela
Publication year - 2012
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/s0020-7292(12)60011-3
Subject(s) - medicine , activity based costing , abortion , family planning , total cost , reproductive health , health care , public health , environmental health , unsafe abortion , indirect costs , operations management , pregnancy , economic growth , research methodology , nursing , business , population , marketing , genetics , accounting , economics , biology
To address the knowledge gap that exists in costing unsafe abortion in Ethiopia, estimates were derived of the cost to the health system of providing postabortion care (PAC), based on research conducted in 2008. Fourteen public and private health facilities were selected, representing 3 levels of health care. Cost information on drugs, supplies, material, personnel time, and out‐of‐pocket expenses was collected using an ingredients approach. Sensitivity analysis was used to determine the most likely range of costs. The average direct cost per client, across 5 types of abortion complications, was US $36.21. The annual direct cost nationally ranged from US $6.5 to US $8.9 million. Including indirect costs and satisfying all demand increased the annual national cost to US $47 million. PAC consumes a large portion of the total expenditure in reproductive health in Ethiopia. Investing more resources in family planning programs to prevent unwanted pregnancies would be cost‐beneficial to the health system.