ArticleHealth policy and planning2015
Costs and consequences of abortions to women and their households: a cross-sectional study in Ouagadougou, Burkina Faso.
Article in Health policy and planning, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- How User Fees Influence Contraception in Low and Middle Income Countries: A Systematic Review.Studies in family planning · 2016Pooled it
- Who pays more? Exploring cost disparities in medication abortion access across socio-demographic groups in Ghana.International journal for equity in health · 2025Article
- Inclusion of abortion-related care in national health benefit packages: results from a WHO global survey.BMJ global health · 2023Article
- Typologies of women's abortion trajectories in Burkina Faso: findings from a qualitative study.Reproductive health · 2022Article
- Article
- The microeconomics of abortion: A scoping review and analysis of the economic consequences for abortion care-seekers.PloS one · 2021Article
- Sexual and reproductive health services in universal health coverage: a review of recent evidence from low- and middle-income countries.Sexual and reproductive health matters · 2020Review
- Patient and health system costs of managing pregnancy and birth-related complications in sub-Saharan Africa: a systematic review.Health economics review · 2020Review
- The Economic Burden of Abortion and Its Complication Treatment Cares: A Systematic Review.Journal of family & reproductive health · 2020Review
- Estimating abortion incidence and unintended pregnancy among adolescents in Zimbabwe, 2016: a cross-sectional study.BMJ open · 2020Article
- Mandatory pre-abortion counseling is a barrier to accessing safe abortion services.The Pan African medical journal · 2020Article
- The Unit and Scale-Up Cost of Postabortion Care in Tanzania.Global health, science and practice · 2019Article
- Economics of abortion: a scoping review protocol.BMJ open · 2019Article
- Comparing women's financial costs of induced abortion at a facility vs. seeking treatment for complications from unsafe abortion in Zambia.Reproductive health matters · 2018Article
- Factors Associated with Management Outcome of Incomplete Abortion in Yirgalem General Hospital, Sidama Zone, Southern Ethiopia.Obstetrics and gynecology international · 2018Article
- Methodological Issues to Consider When Collecting Data to Estimate Poverty Impact in Economic Evaluations in Low-income and Middle-income Countries.Health economics · 2016Article
- The politics of unsafe abortion in Burkina Faso: the interface of local norms and global public health practice.Global public health · 2014Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Little is known about the costs and consequences of abortions to women and their households. Our aim was to study both costs and consequences of induced and spontaneous abortions and complications. We carried out a cross-sectional study between February and September 2012 in Ouagadougou, the capital city of Burkina Faso. Quantitative data of 305 women whose pregnancy ended with either an induced or a spontaneous abortion were prospectively collected on sociodemographic, asset ownership, medical and health expenditures including pre-referral costs following the patient's perspective. Descriptive analysis and regression analysis of costs were performed. We found that women with induced abortion were often single or never married, younger, more educated and had earlier pregnancies than women with spontaneous abortion. They also tended to be more often under parents' guardianship compared with women with spontaneous abortion. Women with induced abortion paid much more money to obtain abortion and treatment of the resulting complications compared with women with spontaneous abortion: US$89 (44 252 CFA ie franc of the African Financial Community) vs US$56 (27 668 CFA). The results also suggested that payments associated with induced abortion were catastrophic as they consumed 15% of the gross domestic product per capita. Additionally, 11-16% of total households appeared to have resorted to coping strategies in order to face costs. Both induced and spontaneous abortions may incur high expenses with short-term economic repercussions on households' poverty. Actions are needed in order to reduce the financial burden of abortion costs and promote an effective use of contraceptives.
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