Costs and cost effectiveness of providing first-trimester, medical and surgical safe abortion services in KwaZulu-Natal Province, South Africa

by Naomi Lince-Deroche, Tamara Fetters, Edina Sinanovic et al.
PLoS ONE 12(4): e0174615 – Published: April 3, 2017

16 pp. 1.5 MB
http://journals.plos.org/plosone/article/file?
id=10.1371/journal.pone.0174615&type=printable

This analysis aimed to estimate the costs and cost- effectiveness of providing first-trimester medication abortion and manual vacuum aspiration (MVA) services to inform planning for first-trimester service provision in South Africa and similar settings. It found that the cost per complete medication abortion was lower than the cost per complete MVA. This analysis supports the scale-up of medication abortion alongside existing MVA services in South Africa. Women can be offered a choice of methods, including medication abortion with MVA as a back-up, without increasing costs.

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