Estimating the Incidence of Abortion in Java, Indonesia: A Comparison of 5 Methodologies

Margaret Giorgio , Guttmacher Institute
Budi Utomo, University of Indonesia
Inug Nugroho Soeharno, University of Indonesia
Imma Aryanty, University of Indonesia
Besral Besral, University of Indonesia
Melissa Stillman, Guttmacher Institute
Jesse Philbin, Guttmacher Institute
Gilda Sedgh, Guttmacher Institute

Abortion is highly restricted in Indonesia, and most abortions occur clandestinely. The Abortion Incidence Complications Methodology (AICM) has been used to estimate abortion incidence in over 25 countries. However, the recent rise in the use of medication abortion, which often does not require any interactions with the medical system, has made traditional AICMs less desirable in estimating abortion incidence. Recently, other indirect methodologies have been employed to estimate abortion incidence. This study will estimate abortion in Java, Indonesia using five methodologies: the traditional AICM, a modified AICM that derives the multiplier from a representative survey of women, the confidante method, the list experiment, and women’s direct reports. Data for this analysis is derived from a representative survey of health facilities, a purposive survey of knowledgeable informants, and a representative community-based survey of women. We will present and compare the resulting abortion incidence estimates and assess the performance of each methodology.

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 Presented in Session 10. Fertility, Family Planning, Sexual Behavior & Reproductive Health 2