Despite induced abortion being broadly legal in India, up‐to‐date information on its frequency and safety is not readily available. Using direct and indirect methodological approaches, this study measures the one‐year incidence and safety of induced abortions among women in the state of Rajasthan. The analysis utilizes data from a population‐based survey of 5,832 reproductive aged women who reported on the abortion experiences of their closest female confidante in addition to themselves. We separately assess correlates of having a recent and most unsafe abortion using multivariable regression models. The confidante approach produced a one‐year abortion incidence estimate of 23 per 1,000 women, whereas the respondent estimate is 9.5 per 1,000 women. Based on the confidante estimate, approximately 441,000 abortions occurred in Rajasthan over a year. Overall, 25 and 29 percent of respondent and confidante reported abortions were classified as most unsafe. Results suggest that abortion remains an integral component of women's fertility regulation, and that a liberal law alone is insufficient to guarantee access to safe abortion services. Existing policies on abortion in India need updating to permit task sharing in line with current recommendations to expand service delivery so that demand is met through provision of safe and accessible services.

中文翻译：

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印度拉贾斯坦邦的人工流产发生率和安全性：需要扩大服务范围的证据

尽管人工流产在印度广泛合法，但关于其频率和安全性的最新信息并不容易获得。本研究使用直接和间接的方法学方法，测量拉贾斯坦邦女性人工流产一年的发生率和安全性。该分析利用了一项对 5,832 名育龄妇女进行的人口调查数据，这些妇女报告了除自己之外最亲密的女性红颜知己的堕胎经历。我们使用多变量回归模型分别评估最近和最不安全流产的相关性。密友方法产生的一年流产率估计为每 1,000 名妇女 23 例，而受访者估计为每 1,000 名妇女 9.5 例。根据红颜知己的估计，拉贾斯坦邦一年内发生了大约 441,000 次堕胎。总体而言，25% 和 29% 的受访者和红颜知己报告的堕胎被归类为最不安全的。结果表明，堕胎仍然是女性生育调节的一个组成部分，仅靠宽松的法律不足以保证获得安全的堕胎服务。印度现有的堕胎政策需要更新，以允许根据当前的建议分担任务，以扩大服务提供，从而通过提供安全和可及的服务来满足需求。