International Family Planning Perspectives |
Incidence of Induced Abortion in Southern Ghana |
Table 1. Numbers of women, of pregnancies and of pregnancy outcomes, and abortion ratios and rates, by source of abortion data, Ghana, 1997-1998 | |||
Measure | Maternal Health Project | Korle-Bu Hospital | |
1997-1998 | 1997 | 1998 | |
No. of women | 18,301 | 55,779 | 52,131 |
No. of pregnancies | 1,689 | na | na |
Abortions | 317 | 1,775 | 1,649 |
Term births | 1,187 | 12,137 | 11,412 |
No. dead 42 days postpartum | 9 | na | na |
Miscarriages | 21 | na | na |
Stillbirths | 15 | na | na |
Lost to follow-up | 97 | na | na |
Refused to cooperate | 43 | na | na |
Abortion ratio Per 100 births | 27 | 15 | 14 |
Per 100 pregnancies | 19 | na | na |
Abortion rate per 1,000 women | 17 | 32 | 32 |
For the Maternal Health Survey Project, abortions are induced abortions only. For the hospital data, abortions include both induced and spontaneous abortions. Notes: Abortion ratio is the annual number of abortions per 100 pregnancies (in the case of survey data) or births (in the case of routine hospital data). Abortion rate is the annual number of abortions per 1,000 women in the childbearing ages (15-49). The number lost to follow-up and the number refusing to cooperate were included in the denominator in calculating abortion rates and ratios, because although we could not tell what happened to them during the course of the study, we knew at the beginning of the study that they were each carrying a pregnancy. We also knew that all 43 women who refused to cooperate at later stages had successful deliveries. However, because they refused to participate in other aspects of the follow-up study by not answering questions, we had to drop them from the rest of the analysis. na=not applicable. |
Table 2. Percentage distribution of women who had an abortion, by selected characteristics | ||
Characteristic | N | % |
Age at abortion | ||
15-19 | 14 | 4.5 |
20-24 | 81 | 25.5 |
25-29 | 96 | 30.4 |
30-34 | 76 | 23.9 |
35-39 | 39 | 12.3 |
40-44 | 8 | 2.4 |
45-49 | 3 | 1.0 |
Parity | ||
0 | 115 | 36.3 |
1 | 58 | 18.3 |
2 | 78 | 24.6 |
3 | 33 | 10.4 |
4 | 16 | 5.0 |
5 | 9 | 2.9 |
>=6 | 8 | 2.5 |
Gestation (in weeks) | ||
5 | 31 | 9.8 |
6 | 111 | 34.9 |
7 | 49 | 15.4 |
8 | 65 | 20.5 |
9 | 30 | 9.4 |
>=10 | 31 | 10.0 |
Type of provider | ||
Pharmacist | 121 | 38.2 |
Nurse/midwife | 64 | 20.2 |
Physician | 39 | 12.3 |
Self-medication | 34 | 10.7 |
Quack doctor | 51 | 16.1 |
Other (paramedical) | 8 | 2.5 |
Total | 317 | 100.0 |
Table 3. Distribution of most recent and previous abortions by social and demographic characteristics | ||||
Characteristic | Most recent abortion | Previous abortion | ||
% | N | % | N | |
Status of preceding child (N=202) | ||||
Alive | 62.5 | 126 | 68.0 | 137 |
Dead | 37.5 | 76 | 32.0 | 65 |
Sex of last child (N=202) | ||||
Boy | 54.8 | 111 | 50.8 | 103 |
Girl | 45.2 | 91 | 49.2 | 99 |
Reasons for abortion | ||||
Unsure to bear child | 56.6 | 180 | 33.8 | 107 |
Financial reasons | 26.0 | 82 | 23.9 | 76 |
Accidental pregnancy | 17.4 | 55 | 42.3 | 134 |
Education | ||||
None | 26.9 | 85 | 28.4 | 90 |
Primary | 40.4 | 128 | 41.5 | 132 |
Higher | 17.4 | 55 | 16.2 | 51 |
Islamic | 15.3 | 49 | 13.9 | 44 |
Marital status | ||||
Single | 36.3 | 115 | 45.9 | 146 |
Married | 63.7 | 202 | 54.1 | 171 |
Religion | ||||
Catholic | 21.1 | 67 | 21.8 | 69 |
Protestant | 60.0 | 190 | 59.3 | 188 |
Muslim | 16.1 | 51 | 16.1 | 51 |
Traditional | 2.8 | 9 | 2.8 | 9 |
Place of work | ||||
Home | 34.8 | 110 | 24.9 | 79 |
Outside home | 65.2 | 207 | 75.1 | 238 |
Type of work | ||||
Employee | 25.6 | 81 | 20.7 | 66 |
Self-employed | 47.8 | 152 | 47.0 | 149 |
Family worker | 26.6 | 84 | 32.3 | 102 |
Setting | ||||
Urban | 55.6 | 176 | 52.7 | 167 |
Rural | 44.4 | 141 | 47.3 | 150 |
Total§ | 100.0 | 317 | 100.0 | 317 |
All women in this sample who had an abortion had had a previous abortion. Working at home means that a woman is involved in an income-generating activity that is carried out in her home. A woman who is self-employed earns an income from a business that she owns; she may work in or outside her home. A woman who is a family worker is involved in income-generating activity in a business owned by her family; a family worker may work at home or outside the home and may or may not be self-employed. §Totals are 317, except where otherwise noted. |
Table 4. Odds ratios for the association between induced abortion and women's social and demographic characteristics | |
Characteristics | Induced abortion |
Religion | |
All others (ref) | 1.00 |
Muslim | 0.32*** |
Age | 1.35 |
Education | |
None (ref) | 1.00 |
Primary/Islamic | 0.64 |
Middle | 1.96* |
Secondary or higher | 2.80** |
Previous abortion | |
Yes | 1.35** |
No | 1.00 |
Parity | |
1-2 (ref) | 1.00 |
3-4 | 0.94 |
>=4 | 1.78** |
Marital status | |
Married (ref) | 1.00 |
Single | 2.33** |
Residence | |
Rural (ref) | 1.00 |
Urban | 1.24** |
Category of work | |
Employee (ref) | 1.00 |
Self-employed | 1.71*** |
Family worker | 0.13 |
Place of work | |
Home (ref) | 1.00 |
Outside the home | 1.56* |
Log-likelihood | -1,287.9 |
N | 1,549 |
*Statistically significant at p<.05. **Statistically significant at p<.01. ***Statistically significant at p<.001. For this model, primary and Islamic education were combined because they are not different in terms of academic qualifications. Working at home means that a woman is involved in an income-generating activity that is carried out in her home. A woman who is self-employed earns an income from a business that she owns; she may work in or outside her home. A woman who is a family worker is involved in income-generating activity in a business owned by her family; a family worker may work at home or outside the home and may or may not be self-employed. Note: ref=reference group. |
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© copyright 2001, The Alan Guttmacher Institute. |