Lest it be thought that these sweeping continental numbers hide as much as they reveal, the same point can be made by looking at those countries which have changed their laws. Between 1995 and 2005, 17 nations liberalised abortion legislation, while three tightened restrictions. The number of induced abortions nevertheless declined from nearly 46m in 1995 to 42m in 2003, resulting in a fall in the worldwide abortion rate from 35 to 29. The most dramatic drop-from 90 to 44-was in former communist Eastern Europe, where abortion is generally legal, safe and cheap. This coincided with a big increase in contraceptive use in the region which still has the worlds highest abortion rate, with more terminations than live births.
The risk of dying in a botched abortion is only part of a broader problem of maternal health in poor countries. Of all the inequalities of development, this is arguably the worst. According to a report published this week by Population Action International, a Washington-based lobby group, women in poor countries are 250 times more likely to die in pregnancy or childbirth than women in rich ones. (2)Of the 535,000 women who died in childbirth or from pregnancy-related complications in 2005, 99% were in developing countries, according to another report by a group of UN agencies, including WHO, also out this week. Africa accounted for more than half such deaths.As the UN report noted, countries with the highest levels of maternal mortality have made the least progress towards reducing it. A woman in Africa has a one in 16 chance of dying in pregnancy or childbirth, compared with one in 3,800 for a woman in the rich world.
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