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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2015

Open Access 01-12-2015 | Research article

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

Authors: Shukri F. Mohamed, Chimaraoke Izugbara, Ann M. Moore, Michael Mutua, Elizabeth W. Kimani-Murage, Abdhalah K. Ziraba, Akinrinola Bankole, Susheela D. Singh, Caroline Egesa

Published in: BMC Pregnancy and Childbirth | Issue 1/2015

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Abstract

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.
Literature
1.
World Health Organization (WHO). Unsafe Abortion: Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality in 2008, Sixth edn. Geneva: World Health Organization; 2011.
2.
Sedgh G, Singh S, Shah IH, Åhman E, Henshaw SK, Bankole A. Induced abortion: incidence and trends worldwide from 1995 to 2008. The Lancet. 2012;379(9816):625–32.CrossRef
3.
Gebreselassie H, Gallo MF, Monyo A, Johnson BR. The magnitude of abortion complications in Kenya. BJOG. 2005;112(9):1229–35.CrossRefPubMed
4.
Ziraba AK, Madise NJ, Mills S, Kyobutungi C, Ezeh A. Maternal mortality in the informal settlements of Nairobi city: what do we know? Reprod Health. 2009;6:6.CrossRefPubMedPubMedCentral
5.
Singh S, Prada E, Mirembe F, Kiggundu C. The incidence of induced abortion in Uganda. Int Fam Plan Perspect. 2005;31(4):183–91.CrossRefPubMed
6.
Basinga P, Moore AM, Singh SD, Carlin EE, Birungi F, Ngabo F. Abortion incidence and postabortion care in Rwanda. Stud Fam Plann. 2012;43(1):11–20.CrossRefPubMed
7.
Singh S, Fetters T, Gebreselassie H, Abdella A, Gebrehiwot Y, Kumbi S, et al. The estimated incidence of induced abortion in Ethiopia, 2008. Int Perspect Sex Reprod Health. 2010;36(1):16–25.CrossRefPubMed
8.
Sedgh G, Henshaw S, Singh S, Ahman E, Shah IH. Induced abortion: estimated rates and trends worldwide. Lancet. 2007;370(9595):1338–45.CrossRefPubMed
9.
Ganatra B, Tuncalp O, Johnston HB, Johnson Jr BR, Gulmezoglu AM, Temmerman M. From concept to measurement: operationalizing WHO’s definition of unsafe abortion. Bull World Health Organ. 2014;92(3):155.CrossRefPubMedPubMedCentral
10.
11.
Grimes DA, Benson J, Singh S, Romero M, Ganatra B, Okonofua FE, et al. Unsafe abortion: the preventable pandemic. The Lancet. 2006;368(9550):1908–19.CrossRef
12.
Center for Reproductive Health Rights: In Harm’s Way. The Impact of Kenya’s Restrictive Abortion Law. New York: Center of Reproductive RIghts; 2010.
13.
Singh S. Hospital admissions resulting from unsafe abortion: estimates from 13 developing countries. Lancet. 2006;368(9550):1887–92.CrossRefPubMed
14.
Kenya National Bureau of Statistic (KNBS) and ICF Macro: Kenya Demographic and Health Survey 2008–09. Calverton, Maryland: KNBS and ICF Macro; 2010.
15.
Hogan MC, Foreman KJ, Naghavi M, Ahn SY, Wang M, Makela SM, et al. Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5. The Lancet. 2010;375(9726):1609–23.CrossRef
16.
The Government of Kenya (GOK). The Constitution of Kenya, 2010 revised edition. In. Nairobi, Kenya; National Council for Law Reporting (NCLR). 2010.
17.
Marlow HM, Wamugi S, Yegon E, Fetters T, Wanaswa L, Msipa-Ndebele S. Women’s perceptions about abortion in their communities: perspectives from western Kenya. Reprod Health Matters. 2014;22(43):149–58.CrossRefPubMed
18.
Ipas A. National Assessment of the Magnitude and Consequences of Unsafe Abortion in Kenya. Chapel Hill, NC, USA: Ipas; 2004.
19.
Singh S, Prada E, Juarez F. The Abortion Incidence Complications Method: A Quantitative Technique - Chapter 6. In.: Singh S, Remez L and Tartaglione A, eds., Methodologies for Estimating Abortion Incidence and Abortion-Related Morbidity: A Review, New York: Guttmacher Institute; and Paris: International Union for the Scientific Study of Population, 2010.
20.
Levandowski BA, Mhango C, Kuchingale E, Lunguzi J, Katengeza H, Gebreselassie H, et al. The Incidence of Induced Abortion in Malawi. Int Perspect Sex Reprod Health. 2013;39(2):88–96.CrossRefPubMed
21.
National Coordinating Agency for Population and Development (NCAPD) [Kenya], Ministry of Medical Services (MOMS) [Kenya], Ministry of Public Health and Sanitation (MOPHS) [Kenya], Kenya National Bureau of Statistics (KNBS) [Kenya], Macro. I: Kenya Service Provision Assessment Survey 2010. In. Nairobi, Kenya: National Coordinating Agency for Population and Development, Ministry of Medical Services, Ministry of Public Health and Sanitation, Kenya National Bureau of Statistic, ICF Macro; 2011.
22.
Kenya National Bureau of Statistic (KNBS): The Kenya Population and Housing Census 2009. Nairobi, Kenya. KNBS; 2010.
23.
Kenya Central Bureau of Statistics: Kenya Integrated Household Budget Survey (KIHBS), 2005/06: Basic Report, vol. 1. Nairobi, Kenya. CBS; 2007.
24.
Harlap S, Shiono P, Ramcharan S. A life table of spontaneous abortions and the effects of age, parity and other variables. In: Hook E, Porter I, editors. Human Embryonic and Fetal Death. New York: Academic; 1980. p. 145–58.
25.
Bongaarts J, Potter RG. Fertility, Biology and Behavior: An Analysis of the Proximate Determinants. New York: Academic; 1983.
26.
Ettarh RR, Kimani J. Influence of Distance to Health Facilities on the Use of Skilled Attendants at Birth in Kenya. Health care for women international 2014:1-13.
27.
Noor AM, Alegana VA, Gething PW, Snow RW. A spatial national health facility database for public health sector planning in Kenya in 2008. Int J Health Geogr. 2009;8(1):13.CrossRefPubMedPubMedCentral
28.
Sedgh G, Rossier C, Kabore I, Bankole A, Mikulich M. Estimating abortion incidence in Burkina Faso using two methodologies. Stud Fam Plann. 2011;42(3):147–54.CrossRefPubMed
29.
Ziraba AK, Izugbara C, Levandowski BA, Gebreselassie H, Mutua M, Mohamed SF, et al. Unsafe abortion in Kenya: a cross-sectional study of abortion complication severity and associated factors. BMC Pregnancy Childbirth. 2015;15(1):34.CrossRefPubMedPubMedCentral
30.
Ikamari L, Izugbara C, Ochako R. Prevalence and determinants of unintended pregnancy among women in Nairobi. Kenya BMC pregnancy and childbirth. 2013;13:69.CrossRefPubMed
31.
32.
Metadata
Title
The estimated incidence of induced abortion in Kenya: a cross-sectional study
Authors
Shukri F. Mohamed
Chimaraoke Izugbara
Ann M. Moore
Michael Mutua
Elizabeth W. Kimani-Murage
Abdhalah K. Ziraba
Akinrinola Bankole
Susheela D. Singh
Caroline Egesa
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2015
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-015-0621-1

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