Abortion Worldwide 2017: Uneven Progress and Unequal Access

Uneven Progress and Unequal Access

This is an archived report. The most recent estimates can be found at:

Uneven Progress and Unequal Access

Susheela Singh Lisa Remez Gilda Sedgh Lorraine Kwok Tsuyoshi Onda

Acknowledgments

2

GUTTMACHER INSTITUTE

This report was written by Susheela Singh, Lisa Remez, Gilda Sedgh, Lorraine Kwok and Tsuyoshi Onda--all of the Guttmacher Institute. It was edited by Jared Rosenberg; Michael Moran and Kathleen Randall were responsible for production.

The authors thank the following Guttmacher colleagues for their comments and help in developing this report: Akinrinola Bankole, Sneha Barot, Onikepe Owolabi, Ann Starrs and Gustavo Suarez, for reviewing a draft of the report; Jonathan Bearak, for invaluable assistance with data; Suzette Audam and Mia Zolna, for data analysis; Alanna Galati, Rachel Jones, Elizabeth Nash and Anna Popinchalk, for providing follow-up data; and Alex Arpaia for research support. They also are grateful to Evert Ketting, Senior Fellow, for his advice and suggestions on the manuscript.

The authors also thank several colleagues from other organizations who provided information along the way: Manuel Bousi?guez and Ilana Dbuza, Gynuity; Lidia Casas, Universidad Diego Portales, Chile; Tamara Fetters, Ipas; Johanna Fine and Katherine Mayall, Center for Reproductive Rights; Vladimira Kantorova, United Nations Population Division; Mario Monteiro, Universidade do Estado do Rio de Janeiro; and Florina Serbanescu, Centers for Disease Control and Prevention.

San Francisco, and Fundaci?n Ori?ntame and Fundaci?n Educaci?n para la Salud Reproductiva (USA and Colombia); Ilana Dzuba, Gynuity (USA); Katy Footman, Marie Stopes International (UK); Diana Greene Foster, University of California, San Francisco; Beth Fredrick, Johns Hopkins Bloomberg School of Public Health (USA); Chimaroake Izugbara, African Population and Health Research Centre (Kenya); Shireen Jejeebhoy, Independent Researcher (India); Katherine Mayall, Center for Reproductive Rights (USA); Ndola Prata, University of California, Berkeley; Mahesh Puri, Center for Research on Environment, Health and Population Activities (Nepal); M?nica Roa, Independent Consultant (Colombia); Zeba Sathar, Population Council (Pakistan); and Cristina Villarreal, Fundaci?n Ori?ntame (Colombia).

The Guttmacher Institute gratefully acknowledges the unrestricted funding it receives from many individuals and foundations--including major grants from the William and Flora Hewlett Foundation and the David and Lucile Packard Foundation--which undergirds all of the Institute's work.

In addition, the authors are grateful for the suggestions and advice offered by the following colleagues who reviewed the manuscript: Carmen Barroso, Independent Accountability Panel, United Nations (USA); Janie Benson, Independent Consultant (USA); Kelly Blanchard, Ibis Reproductive Health (USA); Susana Ch?vez, Promsex (Peru); Ernestina Coast, London School of Economics; Rebecca Cook, University of Toronto; Teresa DePi?eres, University of California,

Table of Contents

Executive Summary

4

1 Introduction

6

2

Incidence of Induced Abortion--

Current Levels and Recent Trends 8

3

Legality of Abortion--

Current Status and Recent Trends 14

4

How Is Abortion Practiced and How Has It Changed?

20

5

Consequences of Clandestine Abortion

28

6 Unintended Pregnancy

34

7

Conclusions and Recommendations

41

Data and Methods Appendix

46

Appendix Tables

50

References

56

3 ABORTION WORLDWIDE

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