Research completed by the Guttmacher Institute and released this week exposes the considerable financial toll taken on Ugandan women and their families when they pursue unsafe abortions. “Documenting the Individual and Household-Level Cost of Unsafe Abortion in Uganda” [PDF], by Aparna Sundaram of the Guttmacher Institute et al, uses data collected between 2011 and 2012 from more than 1,300 women to gain insight into how the costs of both unsafe abortion and post-abortion care impact women’s finances and the well-being of their families.
Uganda’s abortion rate is one of the highest in the world. In 2003, 54 of every 1,000 women in Uganda had had an induced abortion between the ages of 15 and 49. Confusing and restrictive laws lead many women to pursue dangerous and unsafe abortions, and in 2003 85,000 women in Uganda were treated for complications from their abortions in local hospitals. On average, Ugandan women in the study paid 59,600 shillings for their abortions (equivalent to $23), but post-abortion care increased that average cost to 128,000 shillings on average (or $49). These costs are significant for women in Uganda, where per capita income in 2011 was $510 and 38% of the population lived on $1.25 per day in 2009. 73% of the women in the study reported that they had lost wages due to treatment, 60% reported that their children had less to eat and/or were unable to attend school after their treatment, and 34% reported that they experienced a decline in economic stability after their care was complete.
“These findings make clear that more must be done to reduce unintended pregnancy by ensuring Ugandan women have access to family planning services,” said Moses Mulumba, executive director of the Center for Health, Human Rights and Development. “Accurate information on contraception and high-quality services must be made available as a matter of constitutionally guaranteed rights to allow women to avoid an unwanted pregnancy. Young and poor women in particular need access to these services.”
The Guttmacher report recommends increased family planning services and contraceptive access in Uganda. 34% of married women and 35% of sexual active unmarried women in Uganda experience an unmet need for contraception. A recent Ms. magazine report on PEPFAR funding in the region found that abstinence-only policies in the country lead to frequent condom stockouts. The Uganda Ministry of Health has stated that condom availability over the past five years doesn’t meet the needs or demands of the population. A lack of available family planning resources is directly responsible for both the high rate of unsafe abortions in Uganda as well as rising HIV/AIDS infections.