In 2013, a Guttmacher Institute study found that "More than three-quarters of women who were treated for post-abortion care had moderate or severe complications, including high fever, sepsis, shock, or organ failure, which can require extensive treatment or hospitalization. Delays in seeking care and reporting to the provider that they interfered with the continuation of their pregnancy were highly associated with the severity of complications. Furthermore, "Kenya has a relatively high case-fatality rate of 266 deaths per 100,000 unsafe procedures." Yet abortions continue. According to estimates, about one fifth of pregnancies in Kenya are terminated each year. Unfortunately, only 16% of Kenyan delivery institutions can perform vacuum aspiration, the surgical abortion method recommended by the World Health Organization (WHO). Generally, about half of all abortions are performed in private facilities, which are typically three times as expensive as public facilities, thereby hindering abortions for many low-income women.