AI Article Synopsis
- The quality of post-abortion care (PAC) relies heavily on information, counseling, and access to contraceptives, as effective contraceptive use can prevent unintended pregnancies and repeat abortions.
- Data from a 2012 study in Kenya highlights that while 90% of PAC patients received contraceptive counseling, only 54% adopted modern family planning methods, with a substantial gap between short-acting (45%) and long-acting (9%) methods.
- Factors influencing the uptake of highly effective contraception included patients' previous contraception experiences, facility characteristics, and the range of family planning options offered, emphasizing the importance of tailored counseling to meet individual reproductive needs.
Article Abstract
Introduction: Information, counseling, availability of contraceptives, and their adoption by post-abortion care (PAC) patients are central to the quality of PAC in healthcare facilities. Effective contraceptive adoption by these patients reduces the risks of unintended pregnancy and repeat abortion.
Methods: This study uses data from the Incidence and Magnitude of Unsafe Abortion Study of 2012 to assess the level and determinants of highly effective contraception among patients treated with complications from an unsafe abortion in healthcare facilities in Kenya. Highly effective contraception was defined as any method adopted by a PAC patient that reduces pregnancy rate by over 99%.
Results: Generally, contraceptive counseling was high among all PAC patients (90%). However, only 54% of them received a modern family planning method-45% a short-acting method and 9% a long-acting and permanent method. Adoption of highly effective contraception was determined by patient's previous exposure to unintended pregnancies, induced abortion and modern family planning (FP). Facility level factors associated with the uptake of highly effective contraceptives included: facility ownership, availability of evacuation procedure room, whether the facility had a specialized obstetric-gynecologist, a facility that also had maternity services and the number of FP methods available for PAC patients.
Discussion And Conclusion: For better adoption of highly effective FP, counseling of PAC patients requires an understanding of the patient's past experience with contraception and their future fertility intentions and desires in order to meet their reproductive needs more specifically. Family planning integration with PAC can increase contraceptive uptake and improve the reproductive health of post-abortion care patients.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436713 | PMC |
| http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214049 | PLOS |
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