The Impact Initiative has closed. This website has now been archived and will no longer be updated.
The Impact Initiative has closed. This website has now been archived and will no longer be updated.

Pregnancy termination trajectories in Zambia: the socio-economic costs

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Principal Investigator: Ernestina Elizabeth Coast. Lead Organisation: London School of Economics & Pol Sci

Co-investigators: Bornwell Sikateyo; Juliette Mutheu; Bellington Vwalika; Rose Ndakala Oronje; Eliya Msiyaphazi Zulu; Diana Warira Njeri; Susan Fairley Murray

Unsafe abortion is a significant, preventable, cause of maternal mortality and morbidity and is both a cause and a consequence of poverty. Unsafe abortion is the most easily prevented cause of maternal death. Post-abortion care (PAC) is a strategy to address the problem of the outcomes of unsafe abortion. This research aims to establish how investment in safe abortion services impacts on the socio-economic conditions of women and their households, and the implications for policy-making and service provision in Zambia.

The microeconomic impact of out-of-pocket health expenditure for  reproductive health and abortion care, have received little attention. The data available for sub-Saharan Africa are particularly scanty and poor quality.

The approach is multi-disciplinary, with primary data collection of both qualitative and quantitative data, including a quantitative survey and in-depth qualitative interviews with women who have sought PAC, and policymaker interviews.

Zambia's relatively liberal legal context, and the existence of PAC provision facilitates research on issues related to abortion which can have broader lessons for developments elsewhere in the region.The majority of women seeking abortion-related care in Zambia do so for PAC following an unsafe abortion, and have not accessed safe abortion services. This demands better understanding and analysis. 

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Primary theme: 
Grant Reference: 
Project Status: 
Grant Category: 
Research Grant
Lead Organisation Department: 
LSE Health and Social Care
Fund Start Date: 
December 1st, 2011
Fund End Date: 
November 30th, 2014
Fund Currency Code: 
Fund Value: