Saving more lives on time: Strategic policy implementation and financial inclusion for safe abortion in Indonesia during COVID-19 and beyond

Abortion is common in Indonesia, with 79% being unsafe. Unsafe abortion is one of the top five causes of maternal deaths globally. Meanwhile, in Indonesia, the maternal mortality rate (MMR) is still high, with up to 30% of it being related to unsafe abortion. In the COVID-19 pandemic, the number of...

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Main Author: Putri Widi Saraswati
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Global Women's Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fgwh.2022.901842/full
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author Putri Widi Saraswati
Putri Widi Saraswati
author_facet Putri Widi Saraswati
Putri Widi Saraswati
author_sort Putri Widi Saraswati
collection DOAJ
description Abortion is common in Indonesia, with 79% being unsafe. Unsafe abortion is one of the top five causes of maternal deaths globally. Meanwhile, in Indonesia, the maternal mortality rate (MMR) is still high, with up to 30% of it being related to unsafe abortion. In the COVID-19 pandemic, the number of unsafe abortions is expected to increase along with a 15–30% increase in unintended pregnancies. This will add to the number of maternal deaths on top of direct deaths caused by COVID-19. In Indonesia, access to safe abortion is still limited based on grounds. There are also gaps in implementation and in the financing mechanism of legal safe abortion, especially in the era of the national health insurance scheme (Jaminan Kesehatan Nasional/JKN). This brief aims to guide how to equitably implement and inclusively finance safe abortion in Indonesia—in and beyond the COVID-19 pandemic—to gain maximum socioeconomic benefit and leave no one behind.
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spelling doaj.art-dcb8a50b7a5d4d268d49c1af5846c4fb2023-01-31T09:09:27ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592022-09-01310.3389/fgwh.2022.901842901842Saving more lives on time: Strategic policy implementation and financial inclusion for safe abortion in Indonesia during COVID-19 and beyondPutri Widi Saraswati0Putri Widi Saraswati1Scientific Team Member, Indonesia Adolescent Health Association, Jakarta, IndonesiaJulius Centre for Global Health Sciences and Primary Care, Universitair Medisch Centrum Utrecht, Utrecht, NetherlandsAbortion is common in Indonesia, with 79% being unsafe. Unsafe abortion is one of the top five causes of maternal deaths globally. Meanwhile, in Indonesia, the maternal mortality rate (MMR) is still high, with up to 30% of it being related to unsafe abortion. In the COVID-19 pandemic, the number of unsafe abortions is expected to increase along with a 15–30% increase in unintended pregnancies. This will add to the number of maternal deaths on top of direct deaths caused by COVID-19. In Indonesia, access to safe abortion is still limited based on grounds. There are also gaps in implementation and in the financing mechanism of legal safe abortion, especially in the era of the national health insurance scheme (Jaminan Kesehatan Nasional/JKN). This brief aims to guide how to equitably implement and inclusively finance safe abortion in Indonesia—in and beyond the COVID-19 pandemic—to gain maximum socioeconomic benefit and leave no one behind.https://www.frontiersin.org/articles/10.3389/fgwh.2022.901842/fullsafe abortionIndonesiapolicyfinancingnational health insuranceprimary care
spellingShingle Putri Widi Saraswati
Putri Widi Saraswati
Saving more lives on time: Strategic policy implementation and financial inclusion for safe abortion in Indonesia during COVID-19 and beyond
Frontiers in Global Women's Health
safe abortion
Indonesia
policy
financing
national health insurance
primary care
title Saving more lives on time: Strategic policy implementation and financial inclusion for safe abortion in Indonesia during COVID-19 and beyond
title_full Saving more lives on time: Strategic policy implementation and financial inclusion for safe abortion in Indonesia during COVID-19 and beyond
title_fullStr Saving more lives on time: Strategic policy implementation and financial inclusion for safe abortion in Indonesia during COVID-19 and beyond
title_full_unstemmed Saving more lives on time: Strategic policy implementation and financial inclusion for safe abortion in Indonesia during COVID-19 and beyond
title_short Saving more lives on time: Strategic policy implementation and financial inclusion for safe abortion in Indonesia during COVID-19 and beyond
title_sort saving more lives on time strategic policy implementation and financial inclusion for safe abortion in indonesia during covid 19 and beyond
topic safe abortion
Indonesia
policy
financing
national health insurance
primary care
url https://www.frontiersin.org/articles/10.3389/fgwh.2022.901842/full
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