Estimating Induced Abortion in Yogyakarta Province, Indonesia

This study aims at estimating the incidence of induced abortion in Yogyakarta province, a province located in Central part of Java Island in Indonesia. Yogyakarta province is among the provinces with high coverage of maternal health care indicators, but is also known for high reliance to traditional method of contraception.

Two method estimation are be applied, the Abortion Incidence Complication method (AICM) and the Residual method. Data on abortion hospitalization were obtained from all hospitals in the five districts of the province, through direct data collection to the hospitals as well as from the provincial health office. Adjustment for under-reporting and misreporting were made by comparing the two sources of data.

The preliminary fndings reported 3071 cases of abortion hospitalization in 2009 in Yogyakarta province, or a rate of 3.3 per 1000 women age 15 to 49 years. Access to skilled care for miscarriage and abortion is measured with recent survey data and found to be significantly lower compared to access for other pregnancy related complications. Adjustment factor using the facility data is being explored for adjusting under-report in the survey data. The final step of the AICM process is determining the multiplier for which educated guess and existing literature will be used.