International Development, London School of Economics, London, UK
International Development, London School of Economics and Political Science, London, UK.
BMJ Open. 2019 Jul 30;9(7):e029939. doi: 10.1136/bmjopen-2019-029939.
Abortion is a common feature of people's reproductive lives. However, the economic implications of abortion and policies affecting abortion provision are poorly understood. This scoping review aims to systematically review social science literature for studies that have investigated the impact of abortion care (ie, un/safe abortion, post-abortion care) or abortion policies on economic outcomes at the micro-levels (ie, abortion seekers and their households), meso-levels (ie, communities and health systems) and macro-levels (ie, societies and nation states). Informed by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guideline for protocols, this protocol details the scoping review's methodological and analytical approaches.
This scoping review will utilise the PRISMA extension for Scoping Reviews (PRISMA-ScR) tool. Studies reporting on qualitative and/or quantitative data from any world region will be considered. For inclusion, studies must examine one of the following economic outcomes at the micro-levels, meso-levels and/or macro-levels: costs, benefits, impacts and/or value of abortion care or abortion policies. Searches will be conducted in eight electronic databases. We will conduct the searches and application of inclusion/exclusion criteria according to the PRISMA-ScR flow approach. No assessments of items' quality will be made, as the purpose of this scoping review is to synthesise and describe the coverage of the evidence. After extracting all data, we will inductively develop an economic framework around the economics of abortion. The analysis will synthesise the evidence base and identify knowledge gaps on the costs and benefits of abortion to stakeholders at various levels.
Formal ethical approval is not required, as primary data will not be collected in this study. The findings of this study will be disseminated through peer-reviewed publications, conference presentations, and condensed summaries for key stakeholders and partners in the field.
堕胎是人们生殖生活中的一个常见特征。然而，人们对堕胎的经济影响以及影响堕胎服务提供的政策知之甚少。本范围综述旨在系统地综述社会科学文献，以研究堕胎护理（即不安全/安全堕胎、堕胎后护理）或堕胎政策对微观层面（即堕胎寻求者及其家庭）、中观层面（即社区和卫生系统）和宏观层面（即社会和国家）的经济结果的影响。本方案以系统评价和荟萃分析（PRISMA）报告协议的首选报告项目（PRISMA）为指导，详细介绍了范围综述的方法学和分析方法。
本范围综述将使用 PRISMA 扩展范围综述工具（PRISMA-ScR）。报告来自任何世界区域的定性和/或定量数据的研究将被考虑。为了纳入，研究必须检查以下经济结果之一：微观层面、中观层面和/或宏观层面的堕胎护理或堕胎政策的成本、效益、影响和/或价值。将在八个电子数据库中进行搜索。我们将根据 PRISMA-ScR 流程方法进行搜索和纳入/排除标准的应用。不会对项目质量进行评估，因为本范围综述的目的是综合和描述证据的覆盖范围。在提取所有数据后，我们将围绕堕胎经济学归纳出一个经济框架。该分析将综合证据基础，并确定各级利益相关者对堕胎成本和收益的知识差距。
本研究不需要正式的伦理批准，因为在这项研究中不会收集原始数据。本研究的结果将通过同行评议的出版物、会议报告以及为该领域的主要利益相关者和合作伙伴提供的摘要进行传播。
