Factors Associated With Uptake Of Post-Abortion Family Planning Among Women Of Reproductive Age Seeking Postabortion Care In Nyeri County Referral Hospital
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Jan 30, 2024
Keywords:
Post-abortion Care, Post-abortion Family Planning, Pregnancy loss, Uptake, Women of Reproductive age
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Abstract
Globally, > 75 million Women of Reproductive Age (WRA) needs Post Abortion Family Planning (PAFP) yearly after treatment of pregnancy loss. However, results from several studies show that majority of these women fail to access PAFP as needed. Efforts made to support uptake of PAFP in Sub-Saharan African (SSA) has borne little success and the uptake of PAFP remains crucially low. This study assessed factors associated with uptake of PAFP among WRA seeking PAC in Nyeri County Referral Hospital (NCRH). A descriptive cross-sectional study was used. The study population was WRA seeking PAFP as a component of PAC after having a pregnancy loss. The study sample included WRA who sought PAC at gynecological ward in NCRH during the time of study from February 11th 2023 to March 20th 2023. A researcher-administered questionnaire was used. Quantitative data was managed using SPSS version 25. The rate of uptake of PAFP was 56.4%. Factors associated with the uptake of PAFP were: sociodemographic factors that included age, marital status, education level, occupation and parity. Health system related factors included: healthcare provider attitudes.
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Mulah, J., & Mbuthia, F. . (2024). Factors Associated With Uptake Of Post-Abortion Family Planning Among Women Of Reproductive Age Seeking Postabortion Care In Nyeri County Referral Hospital . Journal of Midwifery and Nursing, 6(1), 1-6. https://doi.org/10.35335/jmn.v6i1.4044
References
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[19] A. A. Gele, M. Shrestha, N. S. Sheikh, and S. A. Qureshi, “Pregnant and Powerless: Exploring Barriers to Contraceptive use among Women in Mogadishu, Somalia,” https://doi.org/10.1177/23333928221117057, vol. 9, p. 233339282211170, Jul. 2022, doi: 10.1177/23333928221117057.
[20] G. Hagos, G. Tura, G. Kahsay, K. Haile, T. Grum, and T. Araya, “Family planning utilization and factors associated among women receiving abortion services in health facilities of central zone towns of Tigray, Northern Ethiopia: A cross sectional Study,” BMC Womens Health, vol. 18, no. 1, Jun. 2018, doi: 10.1186/S12905-018-0582-4.
[21] F. Mbehero, R. Momanyi, and K. Hesel, “Facilitating Uptake of Post-abortion Contraception for Young People in Kenya,” Front Glob Womens Health, vol. 2, p. 20, Jan. 2021, doi: 10.3389/FGWH.2021.733957.
[22] S. Chandrasekaran, N. Diamond-Smith, K. Srinivasan, and S. Dalvie, “Preparing for an increased need for abortion access in India during and after COVID-19: Challenges and strategies,” Stud. Fam. Plann., vol. 51, no. 4, pp. 377–383, Dec. 2020, doi: 10.1111/sifp.12139.
[23] D. Y. Atiglo and A. A. E. Biney, “Post-Abortion Contraceptive Use Among Girls and Women in Ghana,” https://doi.org/10.1080/23293691.2022.2079964, vol. 10, no. 2, pp. 1–14, Apr. 2022, doi: 10.1080/23293691.2022.2079964.
[24] B. M. Chakhame et al., “Experiences of Using Misoprostol in the Management of Incomplete Abortions: A Voice of Healthcare Workers in Central Malawi,” International Journal of Environmental Research and Public Health 2022, Vol. 19, Page 12045, vol. 19, no. 19, p. 12045, Sep. 2022, doi: 10.3390/IJERPH191912045.
[2] Y. Wang, J. Liu, R. Xiong, and Y. Liu, “Constrains for seeking post-abortion care among adolescents and young women in Guangzhou, China: a cross-sectional study,” BMC Health Serv Res, vol. 21, no. 1, pp. 1–8, Dec. 2021, doi: 10.1186/S12913-021-06263-0/TABLES/6.
[3] D. Huber, “Postabortion Care and the Voluntary Family Planning Component: Expanding Contraceptive Choices and Service Options,” Glob Health Sci Pract, vol. 7, no. Supplement 2, pp. S207–S210, Aug. 2019, doi: 10.9745/GHSP-D-19-00128.
[4] U. Mohammed, H. Lemi, and E. Manekullih, “Post Abortion Family Planning Utilization and Associated Factors Among Women Received Abortion Services at Adama Hospital Medical College, Oromia, Ethiopia,” http://www.sciencepublishinggroup.com, vol. 10, no. 1, p. 6, 2022, doi: 10.11648/J.JGO.20221001.12.
[5] P. Tu, J. Li, X. Jiang, K. Pei, and Y. Gu, “Impact of the COVID-19 pandemic on sexual and reproductive health among women with induced abortion,” Sci Rep, vol. 11, no. 1, Dec. 2021, doi: 10.1038/S41598-021-95868-W.
[6] C. Horan, M. Palmer, R. Shrestha, C. P. Erlank, and K. Church, “The impact of COVID-19 lockdown on abortion care: a time series analysis of data from Marie Stopes Nepal,” https://doi.org/10.1080/26410397.2022.2079185, vol. 30, no. 1, 2022, doi: 10.1080/26410397.2022.2079185.
[7] A. N. Ngalame et al., “Improving Post Abortion Care (PAC) Delivery in Sub-Saharan Africa: A Literature Review,” Open J Obstet Gynecol, vol. 10, no. 9, pp. 1295–1306, Sep. 2020, doi: 10.4236/OJOG.2020.1090119.
[8] S. Wood, W. Lewis, and R. Egan, “Optimising Surgical Technique in Laparoscopic Cholecystectomy: a Review of Intraoperative Interventions,” Journal of Gastrointestinal Surgery, vol. 23, no. 9, pp. 1925–1932, Sep. 2019, doi: 10.1007/S11605-019-04296-9.
[9] K. Tang, J. Gaoshan, and B. Ahonsi, “Sexual and reproductive health (SRH): a key issue in the emergency response to the coronavirus disease (COVID-19) outbreak,” Reprod Health, vol. 17, no. 1, p. 59, Apr. 2020, doi: 10.1186/s12978-020-0900-9.
[10] R. N. Ngugi, “Utilization of Post-Abortion Contraception among Adolescents in Makueni County, Kenya,” 2022, Accessed: Aug. 04, 2023. [Online]. Available: https://ir-library.ku.ac.ke/handle/123456789/24621
[11] B. Kotlar, E. Gerson, S. Petrillo, A. Langer, and H. Tiemeier, “The impact of the COVID-19 pandemic on maternal and perinatal health: a scoping review,” Reprod Health, vol. 18, no. 1, pp. 1–39, Dec. 2021, doi: 10.1186/s12978-021-01070-6.
[12] U. Rehnström Loi, M. Klingberg-Allvin, K. Gemzell-Danielsson, E. Faxelid, M. Oguttu, and M. Makenzius, “Contraceptive uptake among post-abortion care-seeking women with unplanned or planned pregnancy in western Kenya,” Sexual and Reproductive Healthcare, vol. 23, Mar. 2020, doi: 10.1016/J.SRHC.2020.100486.
[13] B. Stephens, I. J. Mwandalima, A. Samma, J. Lyatuu, K. Mimno, and J. Komwihangiro, “Reducing barriers to postabortion contraception: The role of expanding coverage of postabortion care in Dar es Salaam, Tanzania,” Glob Health Sci Pract, vol. 7, pp. S258–S270, 2019, doi: 10.9745/GHSP-D-19-00146.
[14] F. Y. Beyene, A. A. Tesfu, K. G. Wudineh, F. W. Sendeku, and A. A. Ayenew, “Utilization and its factors of post abortion modern contraceptive in Ethiopia: a systematic review and meta-analysis,” Reprod Health, vol. 18, no. 1, pp. 1–14, Dec. 2021, doi: 10.1186/S12978-021-01195-8/FIGURES/10.
[15] A. Homei, “Why did the Japanese Government take so long to approve the intrauterine contraceptive device?,” Reprod Biomed Soc Online, vol. 6, pp. 45–54, Aug. 2018, doi: 10.1016/J.RBMS.2018.09.002.
[16] K. Baffour-Duah, L. Shimange-Matsose, and G. Olorunfemi, “Socio-demographic and reproductive characteristics of clients that accepted contraceptives at abortion center at the Charlotte Maxeke Johannesburg Academic Hospital (CMJAH), Johannesburg, South Africa: a cross-sectional study (January-July 2021),” PAMJ. 2023; 45:39, vol. 45, no. 39, May 2023, doi: 10.11604/PAMJ.2023.45.39.37441.
[17] T. Tekle Lencha, A. Alemayehu Gube, M. Mesele Gessese, and M. Tsegay Abadi, “Post-abortion family planning utilization and associated factors in health facilities of Wolaita Zone, Southern Ethiopia: Mixed study,” PLoS One, vol. 17, no. 6, p. e0267545, 2022, doi: 10.1371/JOURNAL.PONE.0267545.
[18] B. Asubiojo et al., “Predictors and Barriers to Post Abortion Family Planning Uptake in Hai District, Northern Tanzania: A Mixed Methods Study,” East Afr Health Res J, vol. 5, no. 2, p. 182, Nov. 2021, doi: 10.24248/EAHRJ.V5I2.671.
[19] A. A. Gele, M. Shrestha, N. S. Sheikh, and S. A. Qureshi, “Pregnant and Powerless: Exploring Barriers to Contraceptive use among Women in Mogadishu, Somalia,” https://doi.org/10.1177/23333928221117057, vol. 9, p. 233339282211170, Jul. 2022, doi: 10.1177/23333928221117057.
[20] G. Hagos, G. Tura, G. Kahsay, K. Haile, T. Grum, and T. Araya, “Family planning utilization and factors associated among women receiving abortion services in health facilities of central zone towns of Tigray, Northern Ethiopia: A cross sectional Study,” BMC Womens Health, vol. 18, no. 1, Jun. 2018, doi: 10.1186/S12905-018-0582-4.
[21] F. Mbehero, R. Momanyi, and K. Hesel, “Facilitating Uptake of Post-abortion Contraception for Young People in Kenya,” Front Glob Womens Health, vol. 2, p. 20, Jan. 2021, doi: 10.3389/FGWH.2021.733957.
[22] S. Chandrasekaran, N. Diamond-Smith, K. Srinivasan, and S. Dalvie, “Preparing for an increased need for abortion access in India during and after COVID-19: Challenges and strategies,” Stud. Fam. Plann., vol. 51, no. 4, pp. 377–383, Dec. 2020, doi: 10.1111/sifp.12139.
[23] D. Y. Atiglo and A. A. E. Biney, “Post-Abortion Contraceptive Use Among Girls and Women in Ghana,” https://doi.org/10.1080/23293691.2022.2079964, vol. 10, no. 2, pp. 1–14, Apr. 2022, doi: 10.1080/23293691.2022.2079964.
[24] B. M. Chakhame et al., “Experiences of Using Misoprostol in the Management of Incomplete Abortions: A Voice of Healthcare Workers in Central Malawi,” International Journal of Environmental Research and Public Health 2022, Vol. 19, Page 12045, vol. 19, no. 19, p. 12045, Sep. 2022, doi: 10.3390/IJERPH191912045.
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