1. Created by Mahfuz Chowdhury
Department of Population Sciences
University of Dhaka
Fb/mahfuz1989
Mahfuz.chowdhury1989@gmail.com
in/mahfuz-chowdhury-62a60b74?trk=hp-identity-name
5. 21.6 Million Unsafe
abortions occurred worldwide annually
47,000Death
due to unsafe abortions
13% Maternal death
14 unsafe abortions per 1000 women aged 15–44 years
@ Mahfuz Chowdhu
7. A procedure for terminating
an unintended pregnancy
carried out either by persons
lacking the necessary skills
or in an environment that does
not conform to minimal
medical standards, or both.
@ Mahfuz Chowdhu
8. The following conditions
typically characterize an
unsafe abortion, sometimes
only a few conditions
prevail, and sometimes all
or most of them:
. @ Mahfuz Chowdhu
9. • No pre-abortion counselling and advice;
• Unskilled provider, unhygienic conditions,
• Insertion of an object into the uterus
• Wrong or inadequate treatment in medical abortion
• Abortion is self-induced by ingestion of traditional
medication or hazardous substances.
.
@ Mahfuz Chowdhu
10. • The lack of immediate intervention in
emergency cases;
• Failure to provide post abortion check-up and
care,
• The reluctance of a woman to seek medical
care in case of complications because of legal
restrictions and social and cultural beliefs linked
to induced abortion
@ Mahfuz Chowdhu
16. In the Africa Region the case–fatality
rate decreased by 31% from 680 in
1990 to 470 in 2008.
In the Asia Region, the
case–fatality rate in 2008
was 40% lower than in 1990.
@ Mahfuz Chowdhu
17. 45
28
14
12
31
28
12
2
LATIN AMERICA & THE CARIBBEAN AFRICA ASIA EUROPE
ESTIMATED NUMBER OF UNSAFE ABORTIONS PER 1000 WOMEN AGED 15–44 YEARS,
1990 AND 2008, BY MAJOR REGION.
1990 2008
Unsafeabortionsperthousandwomen
Aged15-44years
@ Mahfuz Chowdhu
18. 17
20
7
45
28
14
12
14
16
1
31
28
11
2
WORLD DEVELOPING REGIONS DEVELOPED REGIONS LATIN AMERICA & THE
CARIBBEAN
AFRICA ASIA EUROPE
ESTIMATED NUMBER OF UNSAFE ABORTIONS PER 1000 WOMEN AGED
15–44 YEARS, 1990 AND 2008, BY MAJOR REGION.
1990 2008
Unsafeabortionsperthousandwomen
Aged15-44years
@ Mahfuz Chowdhu
19. 37
13
11
20
39
18
14
5
LATIN AMERICA & THE
CARIBBEAN
AFRICA ASIA EUROPE
ESTIMATED ANNUAL NUMBER OF UNSAFE ABORTION PER 100 BIRTHS, 1990
AND 2008, BY MAJOR REGION.
1990 2008
Unsafeabortionsperthousandwomen
Aged15-44years
@ Mahfuz Chowdhu
20. It is clear that the condition of
Latin America &the Caribbean
region was the highest between
the period of 1990 & 2008
which are 45 & 31 respectively.
On the contrary, the
lowest condition of
European region is 12 &
the recent condition is 2.
@ Mahfuz Chowdhu
21. In Asia the rate of unsafe abortion
in 1990 was 14% whereas this
trend is 12% in 2008.
There is a slight decline in Asia and
all other regions excepting Africa.
@ Mahfuz Chowdhu
23. Unsafe Abortion Rate Is Lower In
The Developed Regions Where
Abortion Is More Permitted
@ Mahfuz Chowdhu
24. In developed regions
about 69% cases
abortion is permitted on
request where as in
developing regions this
rate is only 15%.
In developed regions
about 69% cases
abortion is permitted
on request where as
in developing regions
this rate is only 15%.
@ Mahfuz Chowdhu
29. The unsafe abortion mortality ratio was 80
in the Africa Region;
four times higher than in the
Asia Region
(20) and Eight times as high
as in the Latin America and
the Caribbean Region (10).@ Mahfuz Chowdhu
30. The national rate for
induced abortion
was 18.2 per 1,000
for women in the
aged 15-44 in
Bangladesh.
@ Mahfuz Chowdhu
31. Number of Death Mortality calculations including
all countries of each region
whether with or without
evidence of unsafe abortion
Mortality calculations including
only countries of each region
with evidence of unsafe abortion
Deaths due to
unsafe abortion
per 100 000 live
births (rounded)
% of
maternal
deaths
Deaths due to
unsafe abortion
per 100’000 live
births (rounded)
% of maternal
deaths
World 47000 30 13 40 13
Developed Regions 90 .7 4 3 11
Developing Regions 47000 40 13 50 13
Least Developed
Countries
23000 80 14 80 14
Sub-Saharan
Countries
28500 90 14 90 14
Data for 2008 @ Mahfuz Chowdhu
33. Major issue of service access is the
low availability of hospital
services in developing countries
particularly in rural areas.
@ Mahfuz Chowdhu
34. Social
• Religious and cultural
Law
• Legal Barrier
Lack of Accessibility
• Quality Service
• Skilled Provider
Economic
@ Mahfuz Chowdhu
35. • Religious and cultural
• EconomicSocial
• Legal Barrier
• Lack of AwarenessLaw
• Quality Service
• Skilled Provider
Lack of
Accessibility
@ Mahfuz Chowdhu
46. • women can plan
pregnancies through
effective
contraception;
• counselling and
services meet the
unmet need for family
planning,
• safe abortion
services are available
and accessible.
Making safe abortions
services available and
accessible where
abortion is not against
the law;
@MahfuzChowdhury
47. • ensuring that
permitted reasons for
abortion are supported
by the national
legislative process
• granting access to
services for the
management of
complications arising
from unsafe abortion
• providing post-
abortion counselling
and offering
contraceptive services,
@ Mahfuz Chowdhu
49. • The World Health Organization deems unsafe
abortion one of the easiest preventable causes
of maternal mortality.
• Data suggest that even as the overall
abortion rate has declined, the proportion of
unsafe abortion is on the rise.
@ Mahfuz Chowdhu
50. • Worldwide, 5 million women are hospitalized each year
for treatment of abortion-related complications, and
abortion-related deaths leave 220,000 children
motherless.
• Methods of unsafe abortion include drinking toxic
fluids; inflicting direct injury to the vagina, cervix,
or rectum; or inflicting external injury to the
abdomen. Complications also arise from unskilled
providers causing uterine perforation and
infections.
@ Mahfuz Chowdhu
51. • Data indicate an association between unsafe abortion and
restrictive abortion laws.
• Preventing unintended pregnancy, providing better access to
health care, and liberalizing abortion laws to allow services to be
openly provided can reduce the rate of abortion-related
morbidity and mortality.
@ Mahfuz Chowdhu
