{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T08:18:05Z","timestamp":1765959485174,"version":"3.44.0"},"reference-count":38,"publisher":"BMJ","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2007,8,3]]},"published-print":{"date-parts":[[2007,10]]},"abstract":"<jats:sec>\n                  <jats:title>Background and methodology<\/jats:title>\n                  <jats:p>Strategies to reduce health systems costs of providing abortion and post-abortion care while simultaneously improving quality of care are well documented but infrequently applied. We created \u2018Savings\u2019, a spreadsheet-based tool that allows policymakers and other stakeholders to estimate and compare the feasibility and sustainability of different strategies of providing abortion and post-abortion care. By applying cost data primarily from Uganda, we showed the per-case costs under four policy and service delivery scenarios.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The mean per-case cost of abortion care (in US dollars) was #45 within the setting that placed heavy restrictions on elective abortion and used a conventional approach to service delivery; #25 within the restrictive legal setting that used recommended interventions for treating complications; #34 within the legal setting that allowed elective abortion and relied on a conventional approach to service delivery; and #6 within the liberal legal setting that used recommended interventions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion and conclusions<\/jats:title>\n                  <jats:p>Using recommended technical interventions substantially reduced costs regardless of the legal setting. The greatest reduction in costs (86%) occurred from using recommended interventions within a liberal legal setting rather than using conventional interventions within a restricted setting. These findings should support policy and practice efforts to reform abortion laws and to offer accessible, safe abortion services.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1783\/147118907782101751","type":"journal-article","created":{"date-parts":[[2008,1,23]],"date-time":"2008-01-23T19:08:23Z","timestamp":1201115303000},"page":"250-257","source":"Crossref","is-referenced-by-count":27,"title":["Reducing the costs to health systems of unsafe abortion: a comparison of four strategies"],"prefix":"10.1136","volume":"33","author":[{"given":"Heidi B","family":"Johnston","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria F","family":"Gallo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janie","family":"Benson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2007,10,1]]},"reference":[{"key":"ref_1","article-title":"Nations Millennium Declaration: Resolution Adopted by the General Assembly. 55\/2","author":"United Nations (UN). 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