Republic of Kazakhstan: Te current situation on abortion

Republic of Kazakhstan
• Territory - 2,7 square kilometres
• Population - 17 713 million people (2016)
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More than 4 million women of reproductive age
(30% of total population)
Birth rate is more than 360 000 per year
The maternal mortality rate – 22,7 (2010);
11,7 (2014)
The number of abortions has decreased by 3 times
(83 709 in 2014) in comparison with indicators
of 1991
The number of abortions per 1000 women of
reproductive age is 18,4
Abortion is permitted by the legislation of the of
Republic of Kazakhstan
- Before 12 week of pregnancy on a patients request
- From 13 to 22 week of pregnancy only for social or
medical reasons
 Abortion procedure is included in the guaranteed
volume of free medical care for citizens of the RK
 By the order of the MOHSD of the RK № 626 adopted in
2009, abortion procedure before 49 days gestation can
be carried out in an outpatient setting (vacuum or
medical)
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Absolute numbers
In Kazakhstan for the last 3 years the number of abortions have tended to
decrease, but continues to be relatively high
11.7
13.1
13.5
14,9%
9,8%
9,6%
Total number of
maternal mortality
in Kazakhstan
per 100 000 live
births
Total in the period
of abortion
mortality from abortion - 0,01
Official data of the Ministry of Healthcare and Social
Development of the Republic of Kazakhstan, 2014
0,46%
0,6%
0,3%
Official data of the Ministry of Healthcare and Social
Development of the Republic of Kazakhstan, 2014
In Kazakhstan,
the highest number
of abortions occur
among women aged
19-34 years
Казахстан
Источники: Abortion Statistics, England and Wales: 2009. DH, the Government Statistical Service; Centers for Disease Control and Prevention. Abortion Surveillance — United States, 2006.
MMWR, Surveillance Summaries, November 27, 2009 / Vol. 58 / No. SS-8; Statistics Sweden; Sexual and reproductive health: the Netherlands in international perspective. Rutgers Nisso groep.
2009; Istat, Unit “Popolazione, instruzione e cultura”; Statistics Canada; Statistisches Bundesamt Deutschland; Induced abortions and sterilisations 2008. Official statistics of Finland, Helsinki, 2009.
When asked why abortion was done,
58 % of women responded:
 They are not supported by men;
 There are no money to provide the
children;
 Women feel socially insecure, they often
do not have housing, work and any
allowances
 "My boyfriend says that it is too early to
think about the children, we still have
time. I also thought about it and decided
that now I do not need a baby"

52,4%
52,8%
44,9%
Spontaneous Abortion
(Miscarriage)
5,0%
4,9%
4,5%
Abortion on medical
indications
29,3%
30,2%
up to 12 weeks
33,5%
1,5%
1,4%
1,3%
Abortions for social
reasons
13,0%
12,1%
11,4%
Abortion primiparas
11,8%
10,6%
15,7%
0,01%
0,02%
0,03%
There were 300 cases in 2000 while in 2014 – 29 cases
Источник: www.khabar.kz
Official data of the Ministry of Healthcare and Social
Development of the Republic of Kazakhstan, 2014
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Slow implementation of safe abortion
technologies;
Vacuum aspiration (often by metal cannulies,
more rarely by plastic);
Surgical curettage is the most common
method of abortion (more traumatic method);
Most clinics do not provide services for the
MVA and MA;
Abortion services are not available at all
clinics
Every pregnancy should be desired!
Every abortion should be safe!
thank you for attention