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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.

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Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia. Electronic address:



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


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.


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.


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


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

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