Unsafe abortions remain a considerable public health problem and continue to be a leading cause of maternal morbidity and mortality throughout the world. This study assessed whether women’s choice of type of health care facility for abortion in India varied by their socio-demographic and economic characteristics, and aimed to determine the significant predictors of choice of health care facility. Data were taken from the 2015–16 Indian National Family and Health Survey (NFHS-4). The study sample included women aged 15–49 years, irrespective of their marital status, who had terminated their last pregnancy by induced abortion in the five years before the survey (N = 6876). A bivariate analysis was carried out to assess the pattern in the choice of health care facility type for an abortion, and a multinomial logistic regression model was fitted to assess the predictors affecting the choice of health care facility type for an abortion. The results showed that, at the time of the 2015–16 survey, women in India went to private facilities more than public facilities for abortion care, irrespective of their age, distance to facility and financial constraints. The probability of visiting a private facility increased with women’s age, gestational age and the wealth quintile. A wide variation in choice of health facility for abortion care by socioeconomic characteristics was observed.

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印度的堕胎护理：模式和预测因素

不安全堕胎仍然是一个相当大的公共卫生问题，并继续成为全世界孕产妇发病率和死亡率的主要原因。本研究评估了印度女性对流产医疗机构类型的选择是否因她们的社会人口和经济特征而异，并旨在确定医疗机构选择的重要预测因素。数据取自 2015-16 年印度全国家庭与健康调查 (NFHS-4)。研究样本包括年龄在 15-49 岁的女性，无论她们的婚姻状况如何，她们在调查前五年内通过人工流产终止了最后一次妊娠（ñ= 6876）。进行了双变量分析以评估选择用于流产的医疗机构类型的模式，并拟合了多项逻辑回归模型来评估影响选择用于流产的医疗机构类型的预测因素。结果显示，在 2015-16 年调查期间，印度女性去私人机构进行堕胎护理的次数多于公共机构，无论她们的年龄、与机构的距离和财务限制如何。访问私人机构的可能性随着女性年龄、胎龄和财富五分位数的增加而增加。观察到不同社会经济特征对堕胎保健卫生机构的选择存在很大差异。