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Int J Gynaecol Obstet. 2013 Nov;123 Suppl 1:e38-42. doi: 10.1016/j.ijgo.2013.07.007. Epub 2013 Aug 2.

Effect of post-menstrual regulation family-planning service quality on subsequent contraceptive use in Bangladesh.

Author information

1
Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia. Electronic address: sultanaf@student.unimelb.edu.au.

Abstract

OBJECTIVE:

To determine whether the quality of post-menstrual regulation family-planning services (post-MRFP) affected contraceptive use at 3-month follow-up.

METHODS:

915 women who received post-MRFP in 2 public and 1 NGO clinics in a district in Bangladesh were interviewed to obtain information on service quality and other characteristics. Quality was scored based on 21 items and the score divided into 3 categories: low (0-6); medium (7-11); and high (12-21). Three months after menstrual regulation, 902 of the women were interviewed at their residence or a clinic and contraceptive status was recorded. Adjusted odd ratios (aORs) for using contraception were calculated via multivariate logistic regression.

RESULTS:

Contraceptive use was positively correlated with the level of service quality, with 78% use among women who received the lowest-quality care and 92% use among women who received the highest-quality care. The aOR for contraceptive use was 1.80 (95% confidence interval [CI], 1.11-2.93) among women who received moderate-quality services and 3.01 (95% CI, 1.43-6.37) among women receiving high-quality services compared with those who received poor-quality services.

CONCLUSION:

Good-quality post-MRFP increases contraceptive use, at least in the short term.

KEYWORDS:

Abortion; Bangladesh; Contraceptive use; Family-planning services; Menstrual regulation; Quality of care

PMID:
23992622
DOI:
10.1016/j.ijgo.2013.07.007
[Indexed for MEDLINE]
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