title: Caring for women with abortion complications in Ethiopia: national estimates and future implications.
abstract: BACKGROUND
  Ethiopia liberalized its abortion law in 2005, primarily to reduce the incidence of unsafe abortion. However, little is known about the current extent and consequences of unsafe abortion.
  
  
  METHODS
  Data were collected in 2007-2008 on 1,932 women seeking postabortion care at a nationally representative sample of 344 public and private health facilities. In addition, staff respondents at 337 facilities provided information on their facility's services and caseload. These data were used to examine patterns of abortion-related morbidity and treatment and to generate national estimates.
  
  
  RESULTS
  Almost 58,000 women sought care for complications of induced or spontaneous abortion in 2008. Three-quarters of the women received care in government facilities. Forty-one percent had moderate or severe morbidity, such as signs of infection, that were likely related to an unsafe abortion. Seven percent of all women had signs of a mechanical injury or a vaginally inserted foreign body. More than 13,000 women seeking postabortion care required a hospital stay of at least 24 hours. The case fatality rate among women seeking postabortion care in public hospitals, where the most serious complications were seen, was 628 per 100,000.
  
  
  CONCLUSIONS
  Postabortion care and safe abortion services should be further expanded and strengthened to make these services more accessible and affordable, which in turn may ease the financial burden on hospitals and allow the resources currently required for postabortion care to be used for other health needs. Ensuring that all women know that safe abortion is available and legal for many indications will further reduce morbidity from unsafe abortions.
authors.affiliation: Ipas Africa Alliance, Nairobi, Kenya. ghailem@yahoo.com
authors.forename: Hailemichael
authors.initials: H
authors.lastname: Gebreselassie
authors.forename: Tamara
authors.initials: T
authors.lastname: Fetters
authors.forename: Susheela
authors.initials: S
authors.lastname: Singh
authors.forename: Ahmed
authors.initials: A
authors.lastname: Abdella
authors.forename: Yirgu
authors.initials: Y
authors.lastname: Gebrehiwot
authors.forename: Solomon
authors.initials: S
authors.lastname: Tesfaye
authors.forename: Takele
authors.initials: T
authors.lastname: Geressu
authors.forename: Solomon
authors.initials: S
authors.lastname: Kumbi
mesh_terms: D000028:Abortion, Induced / Q000009:adverse effects / Q000191:economics / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care / Q000191:economics / Q000706:statistics & numerical data*; D005002:Ethiopia / Q000453:epidemiology; D005260:Female; D006297:Health Services Accessibility / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010353:Patient Education as Topic / Q000706:statistics & numerical data; D011181:Postnatal Care / Q000191:economics / Q000706:statistics & numerical data*; D011247:Pregnancy; D011379:Prognosis; D016387:Women's Health; D014932:Women's Health Services / Q000706:statistics & numerical data; D055815:Young Adult