scholarly journals Factors associated with seeking post-abortion care among women in Guangzhou, China

2020 ◽  
Author(s):  
Hui Wang ◽  
Yan Liu ◽  
Ribo Xiong
Keyword(s):  
Contraceptive Use ◽  
Public Hospitals ◽  
Multivariate Logistic Regression Model ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
National Network ◽  
Factors Associated ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion

Abstract Background: In China, the vast majority of induced abortions are performed in public hospitals. However, post-abortion care (PAC) services are provided through the national network of family planning clinics, which are independent of the health care system. The integration of PAC services into abortion clinics in public hospitals is a new concept. This study aimed to assess PAC utilization among abortion patients, and identify the possible factors associated with PAC uptake in Guangzhou, China. Methods: A cross-sectional survey was conducted among 431 women aged 15-43 years in Tianhe district of Guangzhou, China from June to September 2018. We estimated multivariate logistic regression model to examine the factors associated with utilization of PAC services. Results: Less than half (42%) of the participants used PAC services. Married women were 2.7 times significantly more likely to use PAC services than their unmarried counterparts. Immigrants were 52% significantly less likely to use PAC services than non-immigrants. Women who perceived that their fertility could return later and those who did not know were 45% and 61% significantly less likely to use PAC compared to those who knew that their fertility could return soon after an abortion. Women with limited decision-making autonomy regarding contraceptive use were 54% significantly less likely to use PAC services than those who made such decisions themselves.Conclusions: The findings suggest the need for policies and programs to not only strengthen the provision of PAC services but also promote uptake among disadvantaged sub-groups of women in the study setting.

scholarly journals Factors associated with seeking post-abortion care among women in Guangzhou, China

2020 ◽  
Author(s):  
Hui Wang ◽  
Yan Liu ◽  
Ribo Xiong
Keyword(s):  
Contraceptive Use ◽  
Public Hospitals ◽  
Multivariate Logistic Regression Model ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
National Network ◽  
Factors Associated ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion

Abstract Background: In China, the vast majority of induced abortions are performed in public hospitals. However, post-abortion care (PAC) services are provided through the national network of family planning clinics, which are independent of the health care system. The integration of PAC services into abortion clinics in public hospitals is a new concept. This study aimed to assess PAC utilization among abortion patients, and identify the possible factors associated with PAC uptake in Guangzhou, China. Methods: A cross-sectional survey was conducted among 431 women aged 15-43 years in Tianhe district of Guangzhou, China from June to September 2018. We estimated multivariate logistic regression model to examine the factors associated with utilization of PAC services. Results: Less than half (42%) of the participants used PAC services. Married women were 2.7 times significantly more likely to use PAC services than their unmarried counterparts. Immigrants were 52% significantly less likely to use PAC services than non-immigrants. Women who perceived that their fertility could return later and those who did not know were 45% and 61% significantly less likely to use PAC services compared to those who knew that their fertility could return soon after an abortion. Women with limited decision-making autonomy regarding contraceptive use were 54% significantly less likely to use PAC services than those who made such decisions themselves.Conclusions: The findings suggest the need for policies and programs to not only strengthen the provision of PAC services but also promote uptake among disadvantaged sub-groups of women in the study setting.

scholarly journals Factors associated with seeking post-abortion care among women in Guangzhou, China

2020 ◽  
Author(s):  
Hui Wang ◽  
Yan Liu ◽  
Ribo Xiong
Keyword(s):  
Public Hospitals ◽  
Multivariate Logistic Regression Model ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
National Network ◽  
Services Utilization ◽  
Factors Associated ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion

Abstract Background: In China, the vast majority of induced abortion are performed in public hospitals. However, post-abortion care (PAC) services are provided through the national network of family planning clinics, which are independent of the health care system. The integration of PAC services into abortion clinics in public hospitals is a new concept. This study aimed to assess post-abortion care (PAC) utilization among abortion patients, and identify the possible factors associated with PAC uptake in Guangzhou, China. Methods: A cross-sectional survey was conducted among 431 women aged 15-43 years in Tianhe district of Guangzhou, China during the period of June to September 2018. We estimated multivariate logistic regression model to examine the factors associated with utilization of PAC services. Results: The rate of PAC services utilization was 42.1%. Marital status, household registration place, knowledge of the time of fertility return after abortion and the decision maker on receiving contraception were significantly associated with PAC services utilization. Conclusions: The rate of PAC utilization in Guangzhou, China was low. There’s an urgent need for public hospitals to strengthen PAC services and take an active role in engaging immigrant women in their needs. Social support and culturally tailored programs should also be developed to enhance community’s awareness focusing on women’s own decision making in receiving contraception.

scholarly journals Constrains for seeking post-abortion care among adolescents and young women in Guangzhou, China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yiding Wang ◽  
Jinzhi Liu ◽  
Ribo Xiong ◽  
Yan Liu
Keyword(s):  
Young Women ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Sectional Study ◽  
Cross Sectional ◽  
Services Utilization ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion ◽  
Youth Friendly

Abstract Background In China, post-abortion care (PAC) services mainly focus on married couples, such that adolescents and unmarried young womenhave limited access to those services for contraception counseling. The provision of youth-friendly PAC services in public hospitals is a new concept in China. This study examined the magnitude of PAC services utilization as well as factors influencing it’s uptake among adolescents and young women in Guangzhou, China. Methods A cross-sectional study was performed from 1st March 2020 to 30th September 2020 using anonymous self-administered questionnaire among 688 women aged 15–24 years in Tianhe district, Guangzhou. The Multivariate logistic regression was used to determine factors that were significantly associated with the uptake of PAC services. Results The magnitude of PAC services utilization was 35.9% among adolescents and young women in Guangzhou, China. Students were 69.0% significantly less likely to use PAC services compared to women who had no job. Immigrants were 59.0% significantly less likely to use PAC services than their native counterparts. Women who had a feeling of stigma were 70.0% significantly less likely to use PAC services compared to those who did not feel stigmatized. Conclusions The study highlights the need to strengthen youth-friendly PAC services provision, and emphasizes the importance of education about both family planning and abortion services among disadvantaged sub-groups of women in the study setting.

scholarly journals Factors associated with seeking post-abortion care among women in Guangzhou, China

2019 ◽  
Author(s):  
Hui Wang ◽  
Yan Liu ◽  
Ribo Xiong
Keyword(s):  
Logistic Regression ◽  
Associated Factors ◽  
Health Care Facilities ◽  
Multivariate Logistic Regression Model ◽  
Utilization Rate ◽  
Multivariate Logistic Regression ◽  
Cross Sectional ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion

Abstract Background: Post-abortion care(PAC) service in China relies on integrating post-abortion family planning (PAFP) services into existing abortion services in hospital settings where the vast majority of induced abortion is performed. This study aims to assess post-abortion care (PAC) utilization and identify factors affecting PAC uptake among clients on the day of abortion in Guangzhou, China. Methods: A cross-sectional study was conducted involving a total of 423 abortion clients in the selected hospitals of Guangzhou From June to September, 2018. The anonymous, self-reported questionnaires regarding associated factors were administered to all participants. Multivariate logistic regression model was used to determine associated factors of PAC utilization. Results: The magnitude of PAC counseling before they leave the health care facilities was 42.1%. Multivariate logistic regression showed that unmarried women, women with local household registration, knowing fertility could return sooner after abortion and women themselves as the main decider on PAC use were significantly associated with PAC utilization. Conclusions: The utilization rate of PAC was low in Guangzhou, China. There’s an urgent need to improve the awareness of regular use of PAC and provide better access for migrants. Partners should be involved during counseling after obtaining women’s consent. Women empowerment through enhancing health education on own decision making in PAC utilization should also be strengthened.

MEETING THE NEEDS OF ADOLESCENT POST-ABORTION CARE PATIENTS IN THE DOMINICAN REPUBLIC

2010 ◽  
Vol 42 (4) ◽  
pp. 493-509 ◽  
Author(s):  
DONNA R. McCARRAHER ◽  
MARIO CHEN-MOK ◽  
ANA SOPHIA ORONOZ ◽  
SONIA BRITO-ANDERSON ◽  
THOMAS GREY ◽  
...  
Keyword(s):  
Dominican Republic ◽  
Older Women ◽  
Contraceptive Method ◽  
Public Hospitals ◽  
Time Of Arrival ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Provider Knowledge ◽  
Post Abortion ◽  
Counselling Intervention

SummaryCounselling on contraception and contraceptive method provision are key components of post-abortion care (PAC). Some studies have suggested that adolescent PAC patients receive worse care than older women seeking these services. This study aimed to evaluate an intervention whose goal was to improve the counselling and contraceptive uptake of PAC patients, with special attention given to the needs of adolescent patients, in the four public hospitals in the Dominican Republic where PAC services were not being routinely offered. The counselling intervention effort included provider training and the development of adolescent-friendly information, education and communication (IEC) materials. Eighty-eight providers were interviewed at baseline and 6 months after the intervention was implemented. Six months after providers were trained, 140 adolescent PAC patients (≤19 years of age) and 134 older PAC patients (20–35 years) were interviewed about the contraceptive counselling messages and contraceptive methods they received before they were discharged from hospital. The adolescent and older PAC patients were matched on study hospital and time of arrival. Significant improvements were noted in provider knowledge and attitudes. No changes were noted in provider-reported PAC counselling behaviours, with close to 70% of providers reporting they routinely assess patients' fertility intentions, discuss contraception, assess STI/HIV risk and discuss post-abortion complications. Adolescent and older PAC patients reported receiving PAC counselling messages at similar rates. Forty per cent of adolescent PAC patients and 45% of older PAC patients who wanted to delay pregnancy were discharged with a contraceptive method. Adolescents were more likely to receive an injectable contraceptive method whereas older women were discharged with a variety of methods. The PAC counselling intervention increased provider knowledge and improved their attitudes and benefited both adolescent and older patients.

Post-abortion fertility desires, contraceptive uptake and unmet need for family planning: voices of post-abortion care clients in Tanzania

2020 ◽  
pp. 1-16
Author(s):  
Colin Baynes ◽  
Erick Yegon ◽  
Grace Lusiola ◽  
Japhet Achola ◽  
Rehema Kahando
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Pregnancy Intentions ◽  
Middle Income ◽  
Fertility Desires ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion ◽  
Contraceptive Uptake

Abstract Post-abortion care (PAC) integrates elements of care that are vital for women’s survival after abortion complications with intervention components that aid women in controlling their fertility, and provides an optimal window of opportunity to help women meet their family planning goals. Yet, incorporating quality family planning services remains a shortcoming of PAC services, particularly in low- and middle-income countries. This paper presents evidence from a mixed method study conducted in Tanzania that aimed at explaining factors that contribute to this challenge. Analysis of data obtained through client exit interviews quantified the level of unmet need for contraception among PAC clients and isolated the factors associated with post-abortion contraceptive uptake. Qualitative data analysis of interviews with a subset of these women explored the multi-level context in which post-abortion pregnancy intentions and contraceptive behaviours are formed. Approximately 30% of women interviewed (N=412) could recall receiving counselling on post-abortion family planning. Nearly two-thirds reported a desire to either space or limit childbearing. Of those who desired to space or limited childbearing, approximately 20% received a contraceptive method before discharge from PAC. The factors significantly associated with post-abortion contraceptive acceptance were completion of primary school, prior use of contraception, receipt of PAC at lower level facilities and recall of post-abortion family planning counselling. Qualitative analysis revealed different layers of contextual influences that shaped women’s fertility desires and contraceptive decision-making during PAC: individual (PAC client), spousal/partner-related, health service-related and societal. While results lend support to the concept that there are opportunities for services to address unmet need for post-abortion family planning, they also attest to the synergistic influences of individual, spousal, organizational and societal factors that influence whether they can be realized during PAC. Several strategies to do so emerged saliently from this analysis. These emphasize customized counselling to enable client–provider communication about fertility preferences, structural intervention aimed at empowering women to assert those objectives in family and health care settings, availability of information and services on post-abortion fertility and contraceptive eligibility in PAC settings and interventions to facilitate constructive spousal communication on family planning and contraceptive use, after abortion and in general.

scholarly journals Factors associated with delays in seeking post abortion care among women in Kenya

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Michael M. Mutua ◽  
Beatrice W. Maina ◽  
Thomas O. Achia ◽  
Chimaraoke O. Izugbara
Keyword(s):  
Factors Associated ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion

scholarly journals Factors associated with seeking post-abortion care among women in Guangzhou, China

2020 ◽  
Author(s):  
Hui Wang ◽  
Yan Liu ◽  
Ribo Xiong
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Regression Analysis ◽  
Logistic Regression Analysis ◽  
Multivariate Logistic Regression Analysis ◽  
Public Hospitals ◽  
Multivariate Logistic Regression ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion

Abstract Background: In China, the vast majority of induced abortion is performed in public hospitals. However, post-abortion care (PAC) services are provided through the national network of family planning clinics, which are independent of the health care system. The integration of PAC services into abortion clinics in public hospitals is a new concept. This study was aimed to assess post-abortion care (PAC) utilization among abortion patients, and identify the possible factors affecting PAC uptake in Guangzhou, China. Methods: A cross-sectional survey study was conducted at the Tianhe district of Guangzhou during the period of June to September, 2018. The multivariate logistic regression analysis was used to identify the factors that influenced PAC utilization.Results: The PAC counseling rate of subjects was noted as 42.1% before left the health care facilities. Meanwhile, multivariate logistic regression analysis showed that unmarried women, women with local household registration, women perceive that fertility could return sooner after abortion and women themselves as the main decider on PAC use were significantly associated with PAC utilization. Conclusions: The utilization rate of PAC was low in Guangzhou, China. There’s an urgent need to develop high-quality PAC services. It should be improved to provide better access for migrant women. The involvement of male partners in counseling is also needed.

scholarly journals Factors Associated with Unsafe Induced Abortion among Women who attended Fitche Hospital, Oromia, Ethiopia: Cross-sectional study

2019 ◽  
Author(s):  
Abebe Feyissa Amhare ◽  
Dereje Gobena Alemayehu ◽  
Alemtsehay Adam Bogale
Keyword(s):  
Care Service ◽  
Traditional Birth Attendant ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Induced Abortion ◽  
Sectional Study ◽  
Cross Sectional ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion

Abstract Background Unsafe induced abortion is one of the most medical and public health problems in developing countries including Ethiopia. Ethiopia has permitted abortion in specific legal circumstances when the conception of the fetus is caused by rape, incest, when continuation of pregnancy endangers the mother’s life. The aim of this study is to assess the magnitude and associated risk factors of unsafe induced abortion among women who received post abortion care service in Fitche Hospital. Methods Institutional based cross-sectional study was carried out among women who received post abortion care service at Fitche hospital from November 30, 2017 up to May 30, 2018. The data was collected using pre tested questionnaire and entered to EpiData version 3.1 software and analyzed using SPSS version 24. Descriptive statistics, multivariate logistic regression analysis and chi-square test were conducted. Results Three hundred and eight respondents (100% response rate) with mean age of 30 ± 9 years were participated in this study. From respondents, 45% had history of unsafe induced abortion and 27% of them reported the abortion was performed in house by traditional birth attendant. Single women were more likely practice unsafe induced abortion than widowed women [OR: 9.71; 95%CI (1.30 – 72.42)]. Women who had low monthly income [OR: 6.72; 95%CI (2.15 - 20.97)] and house wives [OR: 12.29; 95%CI (1.70 - 88.63)] were more likely practice unsafe induced abortion than counterparts. Failure of contraceptive methods, place of interference, method used for interference, a person who induced the abortion, a condition after procedure, and reasons to induce abortion were identified as association factors of unsafe induced abortion at P < 0.001. Conclusion The study assessed the magnitude and reported a significant association between unsafe induced abortion and socio-demographic factors, contraceptive practice, and abortion related items. These findings are positive enough to warrant a large-scale study to better understand the unsafe abortion vulnerability factors in Ethiopia.

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