Cost Analysis of Abortion in Addis Ababa Public Hospitals

Negash, Selamawit (2002) Cost Analysis of Abortion in Addis Ababa Public Hospitals. Masters thesis, Addis Ababa University.

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Abstract

This is an institution based cross-sectional study conducted in four public hospitals in Addis Ababa, Ethiopia, with the objective of analyzing the cost of treating patients with abortion complications and provision of safe abortion services. The data on unsafe cases were collected for three months and patients with abortion complications who attended these hospitals during the study period were interviewed (n=401). Four hundred twenty four medical records were reviewed and observation was done in ten percent of the cases (n=42) and administrative records were reviewed, to obtain data on direct, indirect and opportunity cost in treating abortions complications. The cost in provision of safe abortion service was estimated and the average unit cost ranges from 40.97 to 65.32 birr while the actual average unit cost in treating a patient with abortion complication was 131.7 birr with out including the patient side cost. Moreover the sensitivity analysis showed that the cost of treating complication of abortion could rise up to 323.23 birr. Thus, the health care system is spending a lot of resources for treating complications of abortion, which could be possible to prevent it through provision of safe abortion services. The average patient side cost which includes medical, non-medical and opportunity cost was found to be 535.5 birr. If the existing law were liberalized to allow provision of early and safe abortion services with feasible promotion of family planning, in addition to cost reductionin the health system and individual patients, it could save life and minimize suffering of a lot of women who undergo unsafe abortion.

Item Type: Thesis (Masters)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Africana
Depositing User: Emmanuel Ndorimana
Date Deposited: 23 Jul 2018 12:28
Last Modified: 23 Jul 2018 12:28
URI: http://thesisbank.jhia.ac.ke/id/eprint/7963

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