The abortion facilities are not the only places to abort a child. Just staying at home and not going to the hospital's birthing unit could result in the same death.
"...However, when it came to the reasons for terminating a pregnancy, almost 40 percent of the women cited “being busy at work” as a legitimate basis. Other justifications included the state of the economy and either the woman or her partner being unready for a child at the time. The prevalence of the procedure is also cause for concern, with nearly two-thirds of the 384 women in the survey stating they had already had at least one abortion."
Abortion epidemic in Vietnam