Postabortion contraceptives uptake and its associated factors among clients visiting abortion care services in public hospitals in West Shewa Zone, Oromia regional state, Ethiopia, 2021
- PMID: 37602273
- PMCID: PMC10437695
- DOI: 10.1177/20503121231187735
Postabortion contraceptives uptake and its associated factors among clients visiting abortion care services in public hospitals in West Shewa Zone, Oromia regional state, Ethiopia, 2021
Abstract
Background: Postabortion contraception is the initiation and use of postabortion contraceptive methods immediately after an abortion. It is a critical approach for preventing unwanted pregnancy, alleviating its complications, and avoiding repeated abortions by promoting immediate postabortion contraceptives provision.
Objective: To assess the level of postabortion contraceptives uptake and its associated factors among clients visiting abortion care services in public hospitals in West Shewa Zone, Oromia regional state, Ethiopia.
Methods and materials: An institutional-based cross-sectional study was conducted in public hospitals in the West Shewa Zone from 1 March 2021 to 30 May 2021, among 227 proportionally allocated clients based on the proportion of the client served in the previous 3 months of the study period. Data were collected through face-to-face interviews using semi-structured and pretested questionnaire from women who received the abortion services. Bivariable and multivariable logistic regression were used to assess the association of independent variables with postabortion contraceptive uptake. Findings with p-value of 0.05 at 95% confidence interval were considered as statistically significant.
Results: The overall postabortion contraception uptake among abortion service clients in public hospitals was 164 (74%) while about 42% of them used long-term contraceptive methods. Postabortion contraceptive uptake was significantly associated with media exposure to postabortion family planning information (adjusted odds ratio: 3.4 (95% confidence interval: 1.03-11.27)) and counseling on postabortion family planning (adjusted odds ratio: 20.48 (95% confidence interval: 5.02-83.64)).
Conclusion: Level of postabortion contraceptive method uptake in West Shewa was low as compared to the national target. Greater attention should be given on providing postabortion contraceptive counseling to increase the postabortion contraceptive uptake.
Keywords: Ethiopia; Oromia regional state; Postabortion contraceptive uptake; West Shewa Zone; public hospitals.
© The Author(s) 2023.
Conflict of interest statement
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Figures
Similar articles
-
Postabortion contraceptive use in Bahir Dar, Ethiopia: a cross sectional study.Contracept Reprod Med. 2019 Nov 4;4:19. doi: 10.1186/s40834-019-0099-8. eCollection 2019. Contracept Reprod Med. 2019. PMID: 31700669 Free PMC article.
-
An examination of the characteristics and contraceptive acceptance of post-abortion clients in Ethiopia.Women Health. 2021 Feb;61(2):133-147. doi: 10.1080/03630242.2020.1844358. Epub 2020 Nov 16. Women Health. 2021. PMID: 33190621
-
Receiving abortion services at nongovernmental health facilities as a significant variable for postabortion family planning utilization: a comparative cross-sectional study.AJOG Glob Rep. 2021 Dec 24;2(1):100047. doi: 10.1016/j.xagr.2021.100047. eCollection 2022 Feb. AJOG Glob Rep. 2021. PMID: 36274970 Free PMC article.
-
The association of quality contraceptive counseling measures with postabortion contraceptive method acceptance and choice: results from client exit interviews across eight countries.BMC Health Serv Res. 2022 Dec 13;22(1):1519. doi: 10.1186/s12913-022-08851-0. BMC Health Serv Res. 2022. PMID: 36514040 Free PMC article.
-
Pre- and intra -COVID-19 trends of contraceptive use among women who had termination of pregnancy at Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg South Africa (2010-2020).PLoS One. 2022 Dec 14;17(12):e0277911. doi: 10.1371/journal.pone.0277911. eCollection 2022. PLoS One. 2022. PMID: 36516146 Free PMC article. Review.
Cited by
-
Post-abortion family planning use and its determinants among women who received abortion care in sub-Saharan Africa: a systematic review and meta-analysis.Syst Rev. 2025 Jun 10;14(1):126. doi: 10.1186/s13643-025-02837-9. Syst Rev. 2025. PMID: 40495240 Free PMC article.
-
Post-abortion contraceptive uptake, choices, and factors associated with it among women seeking abortion services in Africa: a systematic review and meta-analysis.Front Glob Womens Health. 2025 Jun 16;6:1478797. doi: 10.3389/fgwh.2025.1478797. eCollection 2025. Front Glob Womens Health. 2025. PMID: 40589863 Free PMC article.
-
Missed opportunities of method information index plus (MII+) counseling among current modern contraceptive users. multi-level analysis from the Ethiopian PMA 2021 data set.BMC Public Health. 2024 Oct 28;24(1):2980. doi: 10.1186/s12889-024-20471-3. BMC Public Health. 2024. PMID: 39468552 Free PMC article.
References
-
- Sataloff RT, Johns MM, Kost KM. WHO, post abortion family planning: practical guide for programme managers. Geneva: WHO, 2013.
-
- Federal Democratic Republic of Ethiopia Ministry of Health. National Guideline for Family Planning Services in Ethiopia. 3rd ed. Federal Democratic Republic of Ethiopia Ministry of Health, 2020, pp. 1–77.
-
- Federal Ministry of Health. Technical and procedural guidelines for safe abortion services in Ethiopia. 2nd ed. Federal Ministry of Health, 2013.
-
- Ministry of Health. Costed implementation plan for family planning in Ethiopia, 2015/16–2020. Ministry of Health, 2020.
LinkOut - more resources
Full Text Sources