Assessment of Post-abortion Care Services in Punjab Pakistan

2021 ◽  
Vol 15 (8) ◽  
pp. 2549-2552
Author(s):  
Aesha Sadaf Rizwan ◽  
Shazia Jang Sher ◽  
Umber Asad ◽  
Shazia Anwar ◽  
Irum Batool Hashmi ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Pain Management ◽  
Effective Treatment ◽  
Waiting Time ◽  
Treatment Cost ◽  
Abortion Care ◽  
Care Services ◽  
Post Abortion Care ◽  
Post Abortion

Background: Globally, Post abortion and pregnancy complications such as sepsis, hemorrhage and hypertensive diseases are the prominent bases of maternal mortality. Post-abortion family planning and effective treatment for unintended pregnancies could provide high quality post-abortion care. Limited data available in Punjab, Pakistan regarding post-abortion care services in health system. Aim: The purpose of the current study was to evaluate the post-abortion care services in health care system of Punjab, Pakistan. Materials and Methods: This cross-sectional study was carried out on 226 post-abortion patients of multi health care centers of Punjab, Pakistan from November 2020 to April 2021. Individual’s history, age, demographic characteristics, reproductive history, post-abortion attitude were surveyed using pre-designed and structured questionnaire. Also, post-abortion care such as pain management, treatment cost, waiting time, service confidentiality, contraceptive device cost, and patient’s interaction as well as family planning were assessed. Stata software was used for data analysis. Results: Of all the post-abortion cases, 207 (91.6%) were found satisfactory regarding post-abortion care. Effective pain management during treatment, treatment cost affordability, proper waiting time (< 0.5 hours), patient’s effective interaction, service’s confidentiality, and premises cleanliness were statistically significant when correlated with satisfied women (p-value<0.001). Conclusion: Our study found higher prevalence (91.6%) of post-abortion care satisfied women. However, effective treatment and regular follow-up should be assured for management of post-abortion complications such as services confidentiality, pain management, patient’s interaction and client’s optimal satisfaction with services. Keywords: Assessment, Post-abortion care, Health facilities

POST-ABORTION CARE SERVICES FOR YOUTH AND ADULT CLIENTS IN KENYA: A COMPARISON OF SERVICES, CLIENT SATISFACTION AND PROVIDER ATTITUDES

2013 ◽  
Vol 46 (1) ◽  
pp. 1-15 ◽  
Author(s):  
EMILY EVENS ◽  
ROSE OTIENO-MASABA ◽  
MARGARET EICHLEAY ◽  
DONNA McCARRAHER ◽  
GWYN HAINSWORTH ◽  
...  
Keyword(s):  
Family Planning ◽  
Client Satisfaction ◽  
Provider Attitudes ◽  
Family Planning Services ◽  
Abortion Care ◽  
Care Services ◽  
Post Abortion Care ◽  
The Family ◽  
Unwanted Pregnancies ◽  
Post Abortion

SummaryUnsafe abortion accounts for 35% of maternal mortality in Kenya. Post-abortion care (PAC) reduces maternal death and provides an opportunity to prevent unwanted pregnancies. Few studies have documented how the receipt of PAC services varies by client age. In this study, descriptive data were collected from clients, providers and eight health facilities in Kenya's Central and Nairobi provinces to examine receipt of PAC services by client age, client satisfaction and provider attitudes. Delivery of PAC treatment, pain management, HIV and STI services and violence screening did not vary by age. However, fewer youth between the ages of 15 and 24 received a contraceptive method compared with adult clients (35% versus 48%; p=0.02). Forty-nine per cent of youth reported not using a family planning method due to fears of infertility, side-effects or lack of knowledge compared with 22% of adults. Additional efforts are needed in Kenya to bolster the family planning services that young PAC clients receive and increase the uptake of contraception.

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.

Achievements of Implementing Post - Abortion Care Services in Sudan 2010 - 2014

2016 ◽  
Vol 52 (2) ◽  
pp. 54-60
Author(s):  
Taha U. Ahmed ◽  
Murwan I. Omer ◽  
Abd Allah Mahgoub
Keyword(s):  
Abortion Care ◽  
Care Services ◽  
Post Abortion Care ◽  
Post Abortion

scholarly journals ANALYSIS OF SELECTION OF CONTRACEPTIVE METHOD AMONG WOMEN IN TANZANIA

2020 ◽  
Vol 1 (2) ◽  
pp. 45-49
Author(s):  
Woo Lee ◽  
Jasson John
Keyword(s):  
Family Planning ◽  
Contraceptive Method ◽  
Menstrual Period ◽  
Abortion Care ◽  
Important Decision ◽  
Post Abortion Care ◽  
Living Children ◽  
Post Abortion ◽  
Permanent Method ◽  
Selection Of

There are numerous methods of contraception selection and making selection among one of these method is an important decision. Commence of suitable contraception is important before starting first post-abortal menstrual period. Generally, it is required to provide individuals and couples about treatments, complications, counseling related to HIV/STI as part of post abortion care. The study is observational in nature and conducted in a hospital in Tanzanian capital. The sample included in the study was 60 patients. The results showed that among illiterate women along with those who have more than 1 living son or who have 4 or more living children prefer permanent method. We also found that contraception method is influenced by different demographic factors including living children gender, couple age, education, and income. Couples who feel that their families are completed mostly opt for permanent method of contraception. Family planning choices is also influenced by desire for a male child.

DELIVERING POST-ABORTION CARE THROUGH A COMMUNITY-BASED REPRODUCTIVE HEALTH VOLUNTEER PROGRAMME IN PAKISTAN

2012 ◽  
Vol 44 (6) ◽  
pp. 719-731 ◽  
Author(s):  
SYED KHURRAM AZMAT ◽  
BABAR T SHAIKH ◽  
GHULAM MUSTAFA ◽  
WAQAS HAMEED ◽  
MOHSINA BILGRAMI
Keyword(s):  
Reproductive Health ◽  
Group Discussions ◽  
Community Based ◽  
Family Planning Services ◽  
Abortion Care ◽  
Care Services ◽  
Post Abortion Care ◽  
Post Abortion ◽  
Depth Interviews

SummaryThis qualitative study was conducted in May–June 2010 with women using post-abortion care (PAC) services provided by the Marie Stopes Society in Pakistan during the six month period preceding the study, more than 70% of whom had been referred to the clinics by reproductive health volunteers (RHVs). The aim of the study was to establish the socio-demographic profile of clients, determine their preferred method of treatment, explore their perceptions of the barriers to accessing post-abortion services and to understand the challenges faced by RHVs. The sample women were selected from six randomly selected districts of Sindh and Punjab. Eight focus group discussions were conducted with PAC clients and fifteen in-depth interviews with RHVs. In addition, a quantitative exit interview questionnaire was administered to 76 clients. Medical, rather than surgical, treatment for incomplete and unsafe abortions was preferred because it was perceived to ‘cause less pain’, was ‘easy to employ’ and ‘having fewer complications’. Household economics influence women's decision-making on seeking post-abortion care. Other restraining factors include objection by husbands and in-laws, restrictions on female mobility, the views of religious clerics and a lack of transport. The involvement of all stakeholders could secure social approval and acceptance of the provision of safe post-abortion care services in Pakistan, and improve the quality of family planning services to the women who want to space their pregnancies.

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