MADAGASCAR: 28 SEPTEMBER REPORT – Nous pouvons éviter que des femmes meurent (We can prevent women dying)
by International Campaign for Women's Right to Safe Abortion
Oct 30, 2018
by Lovatiana Andriamboavonjy, Nifin’akanga, Madagascar
In Madagascar, the Minister of Public Health announced that an estimated 75,000 abortions take place per year in the country, that there is one abortion per ten live births and based on data from East Africa, there are about 575 deaths from complications of unsafe abortion on the Madagascar mainland per year. Complications of unsafe abortion are the second highest cause of maternal deaths registered in the health system, after antenatal and post-partum haemorrhage. In a study at the Centre Hospitalier Universitaire de Gynécologie-Obstétrique Befelatanana in 2012-13, there were 360 cases of complications of unsafe abortion, with a fatality rate of 4.16%. According to another study in this same hospital in 2011-12, the majority of those treated for complications were aged 15-24 years, with the age range being 15-43 years of age. 70% of cases were due to haemorrhage, and 30% due to sepsis. But these data do not reflect the reality outside of hospital clinics, where many women never seek treatment and die of post-abortion complications. These problems are all due to abortions being prohibited in the law, and take place clandestinely, using unsafe, often traditional methods.