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The cost of post-abortion care (PAC): a systematic review.
Sihaloho, Estro Dariatno; Habibie, Ibnu; Kamilah, Fariza Zahra; Christiani, Yodi.
Affiliation
  • Sihaloho ED; Departemen of Economics, Universitas Padjadjaran, Sumedang, Indonesia. estro.sihaloho@unpad.ac.id.
  • Habibie I; Departemen of Economics, Universitas Padjadjaran, Sumedang, Indonesia.
  • Kamilah FZ; Departemen of Economics, Universitas Padjadjaran, Sumedang, Indonesia.
  • Christiani Y; Yayasan Inisitatif Perubahan Akses Menuju Sehat (IPAS) Indonesia, Jakarta, Indonesia.
BMC Health Serv Res ; 22(1): 391, 2022 Mar 25.
Article in En | MEDLINE | ID: mdl-35337323
BACKGROUND: Despite the increasing trend of Postabortion Care (PAC) needs and provision, the evidence related to its cost is lacking. This study aims to review the costs of Postabortion Care (PAC) per patient at a national level. METHODS: A systematic review of literature related to PAC cost published in 1994 - October 2020 was performed. Electronic databases such as PubMed, Medline, The Cochrane Library, CINAHL, and PsycINFO were used to search the literature. Following the title and abstract screening, reporting quality was appraised using the Consolidates Health Economic Evaluation (CHEERS) checklist. PAC costs were extrapolated into US dollars ($US) and international dollars ($I), both in 2019. RESULTS: Twelve studies met the inclusion criteria. All studies reported direct medical cost per patient in accessing PAC, but only three of them included indirect medical cost. All studies reported either average or range of cost. In terms of range, the highest direct cost of PAC with MVA (Medical Vacuum Aspiration) services can be found in Colombia, between $US50.58-212.47, while the lowest is in Malawi ($US15.2-139.19). The highest direct cost of PAC with D&C (Dilatation and Curettage), services is in El Salvador ($US65.22-240.75), while the lowest is in Bangladesh ($US15.71-103.85). Among two studies providing average indirect cost data, Uganda with $US105.04 has the highest average indirect medical cost, while Rwanda with $US51.44 has the lowest. CONCLUSIONS: Our review shows variability in the cost of PAC across countries. This study depicts a clearer picture of how costly it is for women to access PAC services, although it is still seemingly underestimated. When a study compared the use of UE (Uterine Evacuation) method between MVA and D&C, it is confirmed that MVA treatments tend to have lower costs and potentially reduce a significant cost. Therefore, by looking at both clinical and economic perspectives, improving and strengthening the quality and accessibility of PAC with MVA is a priority.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Abortion, Induced Type of study: Health_economic_evaluation / Systematic_reviews Limits: Female / Humans / Pregnancy Country/Region as subject: Africa Language: En Journal: BMC Health Serv Res Journal subject: PESQUISA EM SERVICOS DE SAUDE Year: 2022 Document type: Article Affiliation country: Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Abortion, Induced Type of study: Health_economic_evaluation / Systematic_reviews Limits: Female / Humans / Pregnancy Country/Region as subject: Africa Language: En Journal: BMC Health Serv Res Journal subject: PESQUISA EM SERVICOS DE SAUDE Year: 2022 Document type: Article Affiliation country: Country of publication: