Decriminalization of abortion in Brazil: estimated costs for the Unified Health System (SUS)

Authors

DOI:

10.46551/epp2024v12n0210

Keywords:

abortion, abortion cost, public health, Brazilian Unified Health System

Abstract

In Brazil, abortion on demand of the woman is a crime, and the procedure is only allowed in cases of rape, risk of maternal death or anencephalic fetus. However, estimates by the Ministry of Health account for around one million illegal procedures per year in Brazil, which demonstrates the ineffectiveness of its criminalization. Faced with the possibility of the Brazilian Supreme Court (STF) to revoke the articles that criminalize abortion in the Penal Code, this work estimated at US$ 102.8 million per year the expenses that the Unified Health System (SUS) would have if abortion were decriminalized and offered free of charge. This value represents a reduction of approximately US$ 90 million per year in the monetary loss of keeping abortion illegal in the country.

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Author Biography

Ana Helena Baptista Rodrigues, University of São Paulo

PhD candidate in International Relations at the University of São Paulo. She holds a Master's degree in Economics from the University of Paris 1 Panthéon-Sorbonne and a Master's degree in International Relations from the University of São Paulo. She has a Bachelor's degree in Social Communication with a major in Journalism from the School of Communications and Arts at the University of São Paulo. She is the coordinator of monitoring, evaluation, and international advocacy for the National Campaign for the Right to Education. She represents the institution on the National Commission of Sustainable Development Goals of the Federal Government, as well as in the Women's Major Group and the Education and Academia Stakeholder Group, official civil society groups involved in the United Nations processes on Sustainable Development.

http://lattes.cnpq.br/6713205747420213

References

Babigumira JB, Stergachis A, Veenstra DL, Gardner JS, Ngonzi J, Mukasa-Kivunike P, et al (2011). Estimating the costs of induced abortion in Uganda: a model-based analysis. BMC Public Health, 11:904.

Bearak, Jonathan; Popinchalk, Anna; Ganatra, Bela; Moller, Ann-Beth; Tunçalp, Özge; Beavin, Cynthia; Kwok, Lorraine; Alkema, Leontine; (2020). Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990–2019. Lancet Glob Health, 8: e1152–61.

Bertoni, Estevão (2022). [Press article] ‘Sou contra o aborto’, diz Lula após defender que ‘todo mundo’ deveria ter esse direito. CNN, 07 abr 2022, Available at: https://www.cnnbrasil.com.br/politica/sou-contra-o-aborto-diz-lula-apos-defender-que-todo-mundo-deveria-ter-esse-direito/

Brasil - CMED. Listas de preços de medicamentos. Agência Nacional de Vigilância Sanitária (Anvisa). Available at: https://www.gov.br/anvisa/pt-br/assuntos/medicamentos/cmed/precos

Brasil - SIGTAP. Sistema de Gerenciamento da Tabela de Procedimentos, Medicamentos e OPM do SUS. Available at: http://sigtap.datasus.gov.br/tabela-unificada/app/sec/procedimento/publicados/consultar

Brasil (1940). Decreto-lei n° 2.848, de 07 de dezembro de 1940. Institui o Código Penal. Diário Oficial da União, 31 de dezembro de 1940. Available at: http://www.planalto.gov.br/ccivil_03/decreto-lei/Del2848compilado.htm

Brasil (2011). Atenção humanizada ao abortamento: norma técnica. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas, Área técnica de saúde da mulher. 2. ed., Brasília: Ministério da Saúde. Available at: https://bvsms.saude.gov.br/bvs/publicacoes/atencao_humanizada_abortamento_norma_tecnica_2ed.pdf

Brasil (2012a). Arguição de Descumprimento de Preceito Fundamental n. 54/2012. Confederação Nacional dos Trabalhadores em Saúde. Available at: https://redir.stf.jus.br/paginadorpub/paginador.jsp?docTP=TP&docID=3707334

Brasil (2012b). Protocolo para Utilização de Misoprostol em Obstetrícia. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas, Área técnica de saúde da mulher. Brasília: Ministério da Saúde.

Brasil (2014). Portaria Nº 415, de 21 de maio de 2014. Inclui o procedimento interrupção da gestação/antecipação terapêutica do parto previstas em lei e todos os seus atributos na Tabela de Procedimentos, Medicamentos, Órteses/Próteses e Materiais Especiais do SUS. Available at: https://bvsms.saude.gov.br/bvs/sas/Links%20finalizados%20SAS%202014/prt0415_21_05_2014.html

Brasil (2017). Arguição de Descumprimento de Preceito Fundamental n. 442/2017. Partido Socialismo e Liberdade. Available at: https://portal.stf.jus.br/processos/detalhe.asp?incidente=5144865

Brasil (2018). Interrupção voluntária de gestação e impacto na saúde da mulher. Ministério da Saúde, Secretaria de Vigilância em Saúde, Secretaria de Atenção à Saúde.

Briozzo, Leonel; León, Rodolfo; Tomasso, Giselle; Faúndes, Anibal; (2016). Overall and abortion-related maternal mortality rates in Uruguay over the past 25 years and their association with policies and actions aimed at protecting women's rights. International Journal of Gynecology and Obstetrics, 134: S20–S23.

Costa, Sarah H. (1998). Commercial availability of misoprostol and induced abortion in Brazil. International Journal of Gynecology & Obstetrics, 63(S1): S131–S139.

Diniz, Debora; Medeiros, Marcelo (2012). Itinerários e métodos do aborto ilegal em cinco capitais brasileiras. Ciência & saúde coletiva, 17(7): 1671–1681.

Diniz, Debora; Medeiros, Marcelo; Madeiro, Alberto; (2017). National Abortion Survey 2016. Ciência & Saúde Coletiva, 22(2):653-660.

FEBRASGO (2022). Manejo perioperatório em cirurgia ginecológica baseado no programa ERAS. FEMINA, 50(2):112-20. Available at: https://docs.bvsalud.org/biblioref/2022/04/1366122/femina-2022-502-112-120.pdf#:~:text=%C3%89%20recomendada%20no%20p%C3%B3s%2Doperat%C3%B3rio,%2C%20acetaminofeno%2C%20gabapentina%20e%20dexametasona.

Ganatra, Bela; Gerdts, Caitlin; Rossier, Clémentine; Johnson Jr, Brooke; Tunçalp, Özge; Assifi, Anisa; Sedgh, Gilda; Singh, Susheela; Bankole, Akinrinola; Popinchalk, Anna; Bearak, Jonathan; Kang, Zhenning; Alkema, Leontine; (2017). Global, regional, and subregional classification of abortions by safety, 2010–14: estimates from a Bayesian hierarchical model. Lancet, 390: 2372–81.

Globo (2022). [Press article] Lula diz que 'todo mundo' deveria ter direito ao aborto e vira alvo de evangélicos. Extra Globo, 06 abr 2022. Available at: https://extra.globo.com/noticias/brasil/lula-diz-que-todo-mundo-deveria-ter-direito-ao-aborto-vira-alvo-de-evangelicos-25464461.html

Guillaume, Agnès and Rossier, Clémentine (2018). Abortion around the world. An overview of legislation, measures, trends, and consequences. Population, 73(2): 217-306.

Gullo, Carla; Neves, Maria Laura (2009). [Press article] A mulher do presidente. Marie Claire, abr, 2009. Available at: https://revistamarieclaire.globo.com/Revista/Common/0,,ERT175873-17735,00.html

IBGE (2019). [Website] Brasil em síntese. Instituto Brasileiro de Geografia e Estatística. https://brasilemsintese.ibge. gov.br/populacao/taxas-de-fecundidade-total.html.

INED. [Website] Abortions: number of induced abortions and annual indicators since 1976. Institut National d’Etudes Démographiques. Available at: https://www.ined.fr/en/everything_about_population/data/france/abortion-contraception/abortions/#r6

INED. [Website] Contraception: Contraceptive methods for 100 women aged 18-44 years. Institut National d’Etudes Démographiques. Available at: https://www.ined.fr/en/everything_about_population/data/france/abortion-contraception/method/

IPAS (2021). [Website] Paracervical block. Clinical Updates in Reproductive Health. Partners for Reproductive Justice. Available at: https://www.ipas.org/clinical-update/english/pain-management/paracervical-block/

Maddow-Zimet, Isaac; Kost, Kathryn (2021). Pregnancies, Births and Abortions in the United States, 1973–2017: National and State Trends by Age. The Guttmacher Institute. Available at: https://www.guttmacher.org/report/pregnancies-births-abortions-in-united-states-1973-2017.

Madeiro, Alberto; Diniz, Débora (2016). Legal abortion services in Brazil – a national study. Ciência & Saúde Coletiva, 21(2):563-572.

Mota, Camila Veras (2020). Por que o real é a moeda que mais se desvalorizou em 2020. BBC News Brasil. Available at: https://www.bbc.com/portuguese/brasil-54549137

Rodriguez, Maria Isabel; Mendoza, Willis Simancas; Guerra-Palacio, Camilo, Guzman, Nelson Alvis; Tolosa, Jorge (2015). Medical abortion and manual vacuum aspiration for legal abortion protect women’s health and reduce costs to the health system: findings from Colombia. Reproductive Health Matters, Supplement (44):125–133.

Sanchez-Morales, Jorge Eduardo; Rodriguez-Contreras, Jose Luis; Ruiz-Lara, Leslie; Ochoa-Torres, Beatriz; Zaragoza, Mara and Padilla-Zuniga, Karen (2022). Cost Analysis of Surgical and Medical Uterine Evacuation Methods for First-Trimester Abortion Used in Public Hospitals in Mexic.o Health Services Insights, 2022, 15: 1–9.

Santa Catarina (2007). Guia de Antibioticoterapia. Secretaria de Saúde do estado de Santa Catarina. Available at: https://www.saude.sc.gov.br/index.php/documentos/informacoes-gerais/redes-de-atencao-a-saude-2/rede-aten-a-saude-materna-e-infantil-rede-cegonha/acervo-e-e-books/7612-hsf-guia-de-antibioticoterapia/file

Simões, Celso (2016). Relações entre as alterações históricas na dinâmica demográfica brasileira e os impactos decorrentes do processo de envelhecimento da população. Rio de Janeiro: IBGE, Coordenação de População e Indicadores Sociais. Available at: https://biblioteca.ibge.gov.br/visualizacao/livros/liv98579.pdf

Sully, Elizabeth; Biddlecom, Ann; Darroch, Jacqueline; Riley, Taylor; Lori, Ashford; Lince-Deroche, Naomi; Firestein, Lauren; Murro, Rachel; (2020). Adding It Up: Investing in Sexual and Reproductive Health 2019, New York: Guttmacher Institute. Available at: https://www.guttmacher.org/report/adding-it-up-investing-in-sexual-reproductive-health-2019

Trajano, Humberto (2010). [Press article] Dilma se diz contra aborto, mas afirma que, se eleita, terá de 'encarar' tema. Globo G1, 07 oct. 2010. Available at: https://g1.globo.com/especiais/eleicoes-2010/noticia/2010/10/dilma-se-diz-contra-aborto-mas-afirma-que-se-eleita-tera-de-encarar-tema.html

Trindade, Raquel; Siqueira, Bárbara; Paula, Thayane; Felisbino-Mendes, Mariana; (2021). Uso de contracepção e desigualdades do planejamento reprodutivo das mulheres brasileiras. Ciência & Saúde Coletiva, 26:3493-3504.

Viellas, Elaine; Domingues Rosa; Dias, Marcos; Gama, Silvana; Theme Filha, Mariza; Costa, Janaina; Bastos, Maria; Leal, Maria; (2014). Assistência pré-natal no Brasil. Cad. Saúde Pública, 30:S85-S100.

WHO (1992). The Prevention and Management of Unsafe Abortion, Report of a Technical Working Group. World Health Organization. Available at: https://apps.who.int/iris/handle/10665/59705

WHO (2011). Unsafe abortion: global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008. World Health Organization. Available at: https://www.who.int/publications/i/item/9789241501118

WHO (2013). Abortamento seguro: orientação técnica e de políticas para sistemas de saúde. World Health Organization. Available at: http://apps.who.int/iris/bitstream/handle/10665/70914/9789248548437_por.pdf;sequence=7

WHO (2021). Fact-sheet Abortion. World Health Organization. Available at : https://www.who.int/news-room/fact-sheets/detail/abortion

WHO (2022). Abortion care guideline. Geneva: World Health Organization.

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Published

2024-11-07

How to Cite

Baptista Rodrigues, A. H. (2024). Decriminalization of abortion in Brazil: estimated costs for the Unified Health System (SUS). Journal of Economics and Public Policies, 12(2), 189–208. https://doi.org/10.46551/epp2024v12n0210