title: Quality and efficiency of care for complications of unsafe abortion: a case study from Bangladesh.
abstract: Treating complications of unsafe abortion can be financially draining for health systems. This analysis assessed incremental health system costs of service delivery for abortion-related complications in the Bangladesh public health system and confirmed that providing postabortion care with vacuum aspiration is less expensive than using dilation and curettage (D&C). Implementing several evidence-based best practices, such as replacing D&C with vacuum aspiration, reducing use of high-level sedation, authorizing midlevel providers to offer postabortion care, and providing postabortion contraceptive counseling and services to women while still at the health facility, could increase the quality and cost efficiency of postabortion care in Bangladesh.
authors.affiliation: Swiss Tropical and Public Health Institute, Basel, Switzerland. heidi.johnston@unibas.ch
authors.forename: Heidi Bart
authors.initials: HB
authors.lastname: Johnston
authors.forename: Shamima
authors.initials: S
authors.lastname: Akhter
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Oliveras
mesh_terms: D000028:Abortion, Induced / Q000191:economics*; D001459:Bangladesh; D005193:Family Planning Services; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D011182:Postoperative Care / Q000191:economics*; D011183:Postoperative Complications / Q000191:economics*; D011247:Pregnancy; D011787:Quality of Health Care; D014619:Vacuum Curettage / Q000706:statistics & numerical data