Résumé : A cost study methodology developed by Ipas was implemented among 400 women presenting with incomplete abortion in 6 African and Latin American countries. The 23 studies involved observation of postabortion care services provided to women and documented the amount of time spent with providers and the costs of supplies and medications used during the treatment and recovery. Overall, results suggest that women treated with manual vacuum aspiration (MVA) (n = 213) had a one-third lower average length of stay compared to women treated with dilatation and curettage (D C) (n = 210). The median cost of treating incomplete abortion per patient was US$78.81 for D C and US$8.50 for MVA patients (89% lower median costs for women treated with MVA). A subset of analysis of the 9 pre- and post-intervention studies (n = 248) showed that switching to MVA significantly reduced the average length of stay from 36 to 15 hours per patient. Generally, researchers found that the bulk of postabortion care costs, regardless of whether MVA or D C was used, could be attributed to salaries and costs associated with in-patient, overnight stays. It is also noted that MVA training and reorganization of services has improved the quality of postabortion care while reducing resource use and costs.
Notes : Inglés/anglais/English, nbsp;Abstract : Popline (http://db.jhuccp.org/popinform/basic.html) - PIP 160229