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Title |
The health system cost of post-abortion care
in Rwanda |
Author(s) |
Michael Vlassoff,Sabine F. Musange,Ina R. Kalisa,et al - Personal Name
|
Subject |
Health System and Policy |
Publisher |
Oxford University Press |
Publishing Year |
2014 |
Specific Detail Info |
Based on research conducted in 2012, we estimate the cost to the Rwandan
health-care system of providing post-abortion care (PAC) due to unsafe
abortions, a subject of policy importance not studied before at the national
level. Thirty-nine public and private health facilities representing three levels of
health care were randomly selected for data collection from key care providers
and administrators for all five regions. Using an ingredients approach to costing,
data were gathered on drugs, supplies, material, personnel time and hospitalization.
Additionally, direct non-medical costs such as overhead and capital costs
were also measured. We found that the average annual PAC cost per client,
across five types of abortion complications, was $93. The total cost of PAC
nationally was estimated to be $1.7 million per year, 49% of which was
expended on direct non-medical costs. Satisfying all demands for PAC would
raise the national cost to $2.5 million per year. PAC comprises a significant share
of total expenditure in reproductive health in Rwanda. Investing more resources
in provision of contraceptive services to prevent unwanted or mistimed
pregnancies would likely reduce health systems costs. |
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