Estimates of the incidence of induced abortion and unintended pregnancies in refugee settings are lacking, limiting efforts to improve sexual and reproductive health services. We adapted the abortion incidence complications method to estimate the incidence of induced abortion and unintended pregnancy among women aged 15–49 years in refugee settlements in Uganda. We draw data from a survey of 102 health facilities providing postabortion care (PAC) services to women and girls across 13 refugee settlements in Uganda and a knowledgeable informant survey of 59 individuals familiar with induced abortion among the refugee population in Uganda. An estimated 4131 PAC cases were due to induced abortion among women in refugee settings. The overall induced abortion incidence rate among women living in refugee settlements in Uganda was 37.3 per 1000 women aged 15–49. Of the 31,189 live births, 25,023 pregnancies were unintended, translating to an unintended pregnancy rate of 73.7 per 1000 women of reproductive age. Of all pregnancies to women living in refugee settlements, 25 percent were estimated at end in induced abortion, 24 percent in unplanned birth, 37 percent in planned birth, and 15 percent in miscarriage. The findings suggest a need to improve access to contraceptives, safe abortion, and PAC services in refugee settlements in Uganda.

中文翻译：

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估计乌干达难民定居点妇女的人工流产和意外怀孕发生率


缺乏对难民环境中人工流产和意外怀孕发生率的估计，这限制了改善性和生殖健康服务的努力。我们采用了流产发生率并发症方法，以估计乌干达难民定居点 15-49 岁妇女的人工流产和意外妊娠的发生率。我们从对乌干达 13 个难民定居点的 102 家为妇女和女孩提供堕胎后护理 （PAC） 服务的卫生机构的调查中汲取数据，并对乌干达难民人口中 59 名熟悉人工流产的人进行知识渊博的知情者调查。估计有 4131 例 PAC 病例是由于难民环境中的妇女人工流产造成的。生活在乌干达难民定居点的妇女的总体人工流产率为每 1000 名 15-49 岁的妇女 37.3 例。在 31,189 例活产婴儿中，有 25,023 例是意外怀孕，相当于每 1000 名育龄妇女 73.7 例意外妊娠。在生活在难民定居点的所有妇女怀孕中，估计有 25% 是人工流产，24% 是意外分娩，37% 是计划分娩，15% 是流产。研究结果表明，需要改善乌干达难民定居点获得避孕药具、安全堕胎和 PAC 服务的机会。