Countries Abortion Profile

Azerbaijan

1. Law related to Abortion

Brief history of the law:

As is the case with all the former Soviet republics, Azerbaijan was subject to the liberal abortion legislation and regulations issued by the former USSR. Abortion on request was available within the first 12 weeks of gestation since the Soviet Supreme Council decree issued in November 1955. With several additions and modifications, this 1955 law remained in force essentially unchanged In 1987, early abortions by electric vacuum aspiration after obligatory pregnancy testing were authorized by the Order of the Minister of Health of the USSR. Additional regulations were issued to permit induced abortion during the first 28 weeks of gestation on medical and social grounds (USSR MOH, 1982; USSR MOH 1987) and to briefly legalize “commercial” abortions in private clinics and “for-fee” sections in state hospitals (legalized in March 1988 and outlawed in December 1988 by the USSR MOH)

Under the current law, induced abortion is available without restrictions during the first 12 weeks of gestation. Beyond this gestational age, abortion is available only on medical and selected socioeconomic grounds.

1997 - The Law of Azerbaijan Republic – «Healthcare of population».

Every woman has right to make independently own decision related to maternity. Induced abortion is available by woman wish during first 12 week of gestation. In accordance with social factors induced abortion is available during first 22 weeks of gestation.

According to medical factors and woman wish, induced abortion is available any period of gestation.

Induced abortion must be done by qualified doctors in public and private institutions.

The list of medical and social indications regarding induced abortion is assign by appropriate execution organizations.

Abortion is performed by trained physicians either in public or private clinics or hospitals.

2008 - Prepared project of Azerbaijan Republic law “ Protection of reproductive health and reproductive rights of people” and presented to parliament for approval.

Article 21. Woman right for induced abortion

Every woman has right to make independently own decision related to maternity. Induced abortion is available by woman wish during first 12 week of gestation. In accordance with social factors induced abortion is available during first 22 weeks of pregnancy.

Induce abortion of woman which not reach their majority must be done after parents or law representative permit.

Abortion is performed by trained physicians either in public or private clinics or hospitals, which has license for this type of activity.

The list of medical and social grounds of induced abortion is appointed by Healthcare Organization of Republic. Abortion by choosing sex of future child is not allowed.

It is forbidden to make Induced abortion out of hospitals and other medical institutions by doctors.

Analysis of it being restrictive if at all - None

2. Policy

None.

3. Second Trimester Abortion

4. Practice

Abortion services are provided by either ob/gyn in the clinics.

5. Reproductive Health Perspective

“National Strategy regarding Reproductive Health” was prepared and approved by MOH of Republic in 2008. This document was priced by experts of WHO and general director of WO assembly Margaret Chen.

Goals and main ways of their achievement in sphere of reproductive choose ( contraception, family planning and safe abortion)

  • To Satisfy requirement in family planning
  • Decrease quantity of unwished pregnancies on 1/ 2
  • Improving knowledge and responsibilities of population in family planning as woman, so man.
  • Increasing convenience to family planning services and contraception
  • Improving quality of reproductive selection
  • Improving assemble system, information and report analysis, Усовершенствование системы сбора, анализа информации и отчетности, including regular population inquires

Azerbaijan is signatory to ICPD and CEDAW.

6. Abortion Statistics

In accordance with official statistics, there is tendency to increasing quantity of abortions in Azerbaijan for the last years (MOH of Azerbaijan), taking all this under consideration registration of abortion in Republic does not match to reality. Because of, coefficient of abortions for the last 5 years per 1000 woman (15-49 years) is on 7.8-8.1 range. However, according to last information average number of abortions on woman of reproductive age is 3.2 (SDS – 2001),   which is one of the highest indicator among countries of European region of WHO.

Total in Azerbaijan 2008: (MOH Azerbaijan Republic statistic department)

  • Total abortions number - 14987
  • spontaneous abortions - 3761
  • Induced Abortion - 10436
  • By medical factors - 527
  • Criminal - 2
  • Unknown reasons - 261

As well:

  • first abortions, total number of woman - 605
  • till 12 -weeks - 11456
  • 22-28 weeks - 886
  • mini abortion - 7338

 

Abortions by age limit groups

2004

2005

2006

Number of abortions per 1000 woman (15-49) – total people

8,0

7,8

8,1

 

As well:

 

 

 

 

Till  20 years

1,6

1,8

2,2

 

20-24 years

12,0

12,1

11,7

 

25-29 years

19,9

17,8

19,0

 

30-34 years

14,8

14,4

15,3

 

35- 49 years

3,0

3,2

3,4

7. Public Sector

Abortion services available :

1st Trimester available - yes

2nd Trimester available - yes

Cost 1st trimester abortion: EVA, MVA, D&C – officially free of charge

         2nd trimester abortion: officially free of charge

8. Private Sector

Abortion services available:

1st Trimester available              yes

2nd Trimester available             No

Cost                                       1st trimester abortion: EVA, MVA, D&C – 80 AZM

                                                                              MA – 180 AZM (varies from clinic to clinic);

Exchange rate : 1USD = 0.8 AZM (December, 2008)

9. Methods Used

D&C, EVA, MVA are used for termination of 1st trimester pregnancy

Neither MA with Miso alone, nor MA with Methotrexate+Miso is used

2nd Trimester with Ethacridine lactate, Misoprostol, D&E, Hysterectomy

Ethacridine lactate; and D&E are used for termination of 2nd trimester pregnancy

10. Provider level allowed for surgical and medical abortion

Ob/gyn.

11. Abortion related morbidity mortality statistics

Early post- abortion complications

 

 

Late Abortion complications

 

Because of, there is no informing system of woman about medical abortion, increased incidents of  non controlled use of misoprostol (Cytotec) is one of the drugs used in medical abortion, which brought to mortality results of 4 woman.

 

In frames of this program started project of training medical stuff and present opportunity to woman of Republic to choose type of abortion. Medical abortion us legal in Republic, as all other types.

 

Despite the decrease in abortion morbidity that can be attributed to an increase in the level of abortions which are performed through either manual or vacuum aspiration and are followed by fewer complications, the rates of early complications and late complications are relatively high compare to those reported for first trimester abortions in developed countries.

12. Manufacture and/or availability through import of abortion equipment (MVA syringes, EVA equipment)

MVA syringes and Karman canulas  are currently imported by private company.

MVA syringe price is 50 AZM; Karman canula 5 AZM.

13. Manufacture / import of Mifepristone, Misoprostol

Mifepristone is not registered in Azerbaijan.

Misoprostol (Cytotec) is registered; miso is imported by private company, and the price is USD 1 per pill.

14. Facility and provider certification norms in brief

Induced abortion can be performed by obstetrician/gynecologists by either vacuum aspiration or sharp curettage; abortion procedures are permitted only in medical facilities.  Women’s consultation clinics can perform induced abortion only by vacuum aspiration or by manual vacuum aspiratoraion up to 6 weeks of pregnancy.

15. Information available in national service delivery standards

Neither national service delivery standards, nor guidelines/protocols are available.

16. Informal / illegal providers - if present who are they

No data.

17. Population urban/ rural: Demography of the country, with an analysis of availability of abortion services ratio to population

Total number of population of Azerbaijan Republic per 1 January 2006 is 8436.4 thousand people, woman are 50.8% or 4284.2 thousand, 59% or 2543.0 thousand woman of reproductive age, man are 49.2% or 4152.2 thousand. There is tendency to equal number man and woman in population structure during last years.

Average life period is 72.0, woman 75.1, man 70.0 for the last 3 years (MOH Azerbaijan Republic statistic department).

Description

2004

2005

2006

Total number of population 

(per 1000 population)

8265,4

8347,3

8436,4

 

Woman

4207,2

4243,6

4284,2

 

50,90%

50,80%

50,80%

 

Man

4058,5

4103,7

4152,2

 

49,10%

49,20%

49,20%

Birth  (per 1000 population.)

131,6

141,9

148,9

 

16,1

17,2

17,8

 

Girls

60,6

65,7

68,7

 

boys

71,0

76,2

80,2

Mortality  (per 1000 population.)

  49,5 (6,1)

  52,0 (6,3)

  52,2 (6,2)

 

Woman

23,5

24,5

24,6

 

Man

26,0

27,5

27,6

Natural growth (per 1000 population.)

10,0

10,9

11,6

Fertility coefficient

2,1

2,3

2,3

Average  life period in Republic

72,0

72,4

72,0

 

Woman

75,2

75,1

75,1

 

Man

70,0

69,6

70,0

18. Role of government

Fee for abortion services is covered by government.

19. Role of religion / religious leaders

Religious leaders keep neutral position regarding family planning and abortion.

20. Local Ob Gyn societes

There is no ob/gyn society.

21. Current status and potential of research

Gynuity Health Projects in collaboration with two clinics in Baku Azerbaijan has been conducting medical abortion study “A double-blind randomized study of 800 mcg buccal misoprostol following 200mg mifepristone for abortion up to 63 days from last menstrual period.”

22. Awareness amongst community members

No reliable data.

23. Role of members organization / individual