{{The government of Rwanda spends over $1.7Million to treat complications resulting from unsafe abortions according to a research study- {‘The Health System Cost of Post-Abortion Care in Rwanda’}.}}
Expenditure on treatment of abortion complications has been found to be about 11% of total amount of public funds spent on reproductive health.
Meanwhile, the average cost of treating a Rwandan woman for post-abortion complications is approximately $93 (Frw62,000). According to research study, this is higher than the cost of providing a woman with modern contraceptive methods for one year.
According to the study conducted by researchers at the Guttmacher Institute, the University of Rwanda’s School of Public Health and the Rwandan Ministry of Health, it has been revealed that in 2012, about 18,000 Rwandan women needed treatment for complications resulting from unsafe abortion and this cost the government a whooping U$1.7Million.
{{The Post Abortion Cost}}
Most post-abortion care costs were incurred at health centers ($705,000) followed by district hospitals ($519,000) and referral hospitals ($235,000).
These estimated costs include both direct costs such as drugs, supplies, tests, medical personnel and hospitalization fees, and indirect costs for overhead and capital expenses.
The study’s findings are based on data collected in April and May 2012 from 39 public and private health facilities selected to be nationally representative.
Although recent data on the cost of family planning services in Rwanda is unavailable, assuming the cost is similar to that of neighbouring countries (about $30 or 20,000 Rwf per user), every franc spent on family planning could save the health system more than three francs in post-abortion care costs that would be averted.
The majority of women were treated for incomplete abortion (75%), and smaller proportions were treated for more serious complications such as sepsis (13%) and shock (9%).
According to a 2012 study, about one-third of women who experienced post-abortion complications that required treatment did not receive the needed care in a health facility.
“Unsafe abortion poses a serious threat to Rwandan women’s health and lives. It also places a significant and unnecessary burden on Rwanda’s health care system,” said Michael Vlassoff, the study’s lead author.
“The vast majority of these abortions could be avoided by preventing unintended pregnancy, which is the root cause of most abortions. Family planning services must be expanded to ensure all Rwandan women are able to plan their pregnancies.”
While Rwanda has made impressive progress in improving the proportion of married women using modern contraceptives, an estimated 47% of all pregnancies in the country were unintended in 2012.
The study finds that more spending on family planning services to reduce unintended pregnancy would not only improve women’s health, but substantially reduce spending on postabortion care.
“The results of the study are very informative and will be used to continue the government’s efforts to improve maternal health in Rwanda,” said Dr. Fidele Ngabo, Director of Maternal and Child Health at the Ministry of Health.
“Until recently, abortion was legally permitted in Rwanda only when two physicians certified that it was necessary to save a pregnant woman’s life or protect her physical health.
However, the May 2012 revision of the law also permits abortion in cases of fetal abnormality, rape, incest and forced marriage, so the country has already made progress on this issue.
Moreover, the Ministry of Health is also extending postabortion care provision for all cases of abortion and increasing access to modern contraceptives.”
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