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Estimates of Abortion Rate in Sri Lanka using Bongaarts Model of Proximate Determinants of Fertility |
Estimates of Abortion Rates |
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A.T.P.L. Abeykoon
1 Nov 2009 | ISBN 978-955-8375-04-4| 17 pages
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Abstract:In interpreting the results it must be noted that the total abortion rate is a hypothetical estimate similar to the total fertility rate. Thus the total abortion rate is the average number of induced abortions per woman at the end of the reproductive period if induced abortion rates remain at prevailing levels throughout the reproductive period. The total abortion rate excludes induced abortions to unmarried women.
It is evident from the foregoing analysis that the induced abortion rate in Sri Lanka has risen from a low level in the early 1990s to a peak level by the end of the decade and thereafter declined. The Bongaarts model and the regression model applied to the 2006/07 Demographic and Health survey data confirms that at present the induced abortion rate in Sri Lanka is low. However, at the sub-national level, the situation is different with regard to some districts. When data of selected districts are examined by using both methods, one can conclude that the prevalence of induced abortion in the Batticaloa district is notably high. Colombo and Trincomalee districts also show relatively high rates.
In Batticaloa and Trincomalee, the main cause for induced abortions may be the lack of adequate contraceptives services or reluctance to use them, as evident from the high unmet need. In the Colombo district it may be that induced abortions are resorted to, due to method failure or is being used as a method of family planning.
There are also indications that induced abortion is high in the Ampara and Gampaha districts. In Ampara it may be due the relatively high unmet need for contraception and in Gampaha as in the case of Colombo, it is possible that induced abortions are resorted to due to method failure.
The study highlights the necessity to strengthen the family planning service delivery and educational programmes in the districts of Batticaloa, Trincomalee and Ampara. In the districts of Colombo and Gampaha educational programmes need to focus on the effective use of contraceptive methods as well as on the adverse effects of induced abortion.
It has to be emphasized that when the overall level of indicators for the country are low, it is imperative to identify pockets where the rates are relatively high and focus attention and resources on those sub-national areas and population groups. |
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