title: Benefits of Meeting the Contraceptive Needs of Malawian Women.
abstract: (1) In 2013, an estimated 54% of pregnancies in Malawi were unintended. (2) More than four in 10 women have an unmet need for modern contraception—that is, they want to avoid pregnancy, but either are not practicing contraception or are using a relatively ineffective traditional method. (3) Meeting just half of this unmet need would prevent 213,000 unintended pregnancies annually, which would result in 34,000 fewer unsafe abortions and 800 fewer maternal deaths each year. (4) If all unmet need for modern contraception were met, maternal mortality would decline by more than two-fifths, and unintended births and unsafe abortions would drop by 87%. (5) Investing in contraceptive commodities and services to fulfill all unmet need for modern contraception would result in a net annual savings of US$11 million (4.1 billion Malawi kwachas) over what would otherwise be spent on medical costs associated with unintended pregnancies and their consequences. (6) Expanding contraceptive services confers substantial benefits to women, their families and society. All stakeholders—including the Malawi government and the private sector—should increase their investment in modern contraceptive services.
authors.affiliation: Guttmacher Institute
authors.forename: Michael
authors.initials: M
authors.lastname: Vlassoff
authors.affiliation: Centre for Social Research, Zomba, Malawi
authors.forename: Maxton
authors.initials: M
authors.lastname: Tsoka
mesh_terms: D000024:Abortion, Illegal / Q000009:adverse effects; D003267:Contraception / Q000191:economics / Q000706:statistics & numerical data*; D003362:Cost-Benefit Analysis; D005193:Family Planning Services / Q000706:statistics & numerical data*; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007223:Infant; D007226:Infant Mortality / Q000208:ethnology; D008295:Malawi / Q000453:epidemiology; D008428:Maternal Mortality / Q000208:ethnology; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000208:ethnology*; D011275:Pregnancy, Unwanted / Q000208:ethnology*; D016387:Women's Health / Q000208:ethnology; D014932:Women's Health Services