Cost and Economic Consequences of Unsafe Abortion In the Yaoundé Central Hospital

Florent Fouelifack Ymele, Charles Enome Sone, Philip Njotang Nana, Jeanne Hortence Fouedjio

Abstract


RÉSUMÉ
Introduction. En 2008, sur 44 millions de grossesses volontairement interrompues dans le monde, environ 49% étaient des avortements à risque,  et plus de 97% des avortements en Afrique étaient à risque. La morbidité et la mortalité liées à l'avortement à risque exigent des dépenses énormes de sante dans les pays en développement, dont le Cameroun. L'objectif de cette étude était d'évaluer les conséquences économiques des avortements à risque. Méthodes. L’étude était descriptive transversale et réalisée à la maternité centrale de Yaoundé du 1er octobre 2014 au 31 mars 2015. Etaient incluses, toutes les femmes reçues à l'hôpital en quête de soins après avortement et qui donnaient leur consentement. Les  femmes étaient  interviewées et des données,  collectées sur divers sujets, y compris les frais lies ou occasionnés par l’avortement. Résultats. Sur les 258 femmes recrutées, 169 (65,4%) avaient eu des avortements provoqués tandis que 34,6% avaient des avortements spontanés. L'avortement incomplet était la complication la plus fréquente (72,86%), suivie de l’anémie sévère (31,43%) et de l’état de choc  (5,71%). Le cout de l’induction de l’avortement variait de 4000 à 35000 Francs CFA. Dans l’ensemble le cout des dépensés liées à l’induction et à  la prise en charge de ces avortements variaient de  44480 à  528365 francs CFA. Conclusion. L'avortement à risque est associé à une forte morbidité. Le coût moyen d'un avortement à risque et du traitement de sa complication est d'environ 123806,9 francs CFA.


ABSTRACT
Introduction. In 2008, out of 44 million intentionally interrupted pregnancies worldwide, about 49% were unsafe abortions, and more than 97% of abortions in Africa were at risk. The morbidity and mortality associated with unsafe abortion requires huge health expenditures in developing countries, including Cameroon. The purpose of this study was to assess the economic consequences of unsafe abortions. Methods. We carried out a cross-sectional study at the maternity ward in Yaoundé Central Hospital from 1 October 2014 to 31 March 2015. Were included all women admitted to the hospital seeking post abortion care and who gave their consent. Women were interviewed and data collected on various topics, including costs related to or caused by abortion. Results. Out of the 258 women, 169 (65.4%) had induced abortions while 34.6% had spontaneous abortions. Incomplete abortion was the most common complication (72.86%), followed by severe anemia (31.43%) and shock (5.71%). The cost of inducing abortion ranged from 4000 to 35000 CFA Francs. The overall costs associated with the induction and management of these abortions ranged from 44480 to 528365 CFA francs. Conclusion. Unsafe abortion is associated with high morbidity. The average cost of unsafe abortion and the treatment of its complication is about CFAF 123806.9.

Keywords


Economic, consequences, unsafe abortion, Yaoundé

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