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BMC Womens Health. 2019 Jan 28;19(1):22. doi: 10.1186/s12905-018-0687-9.

What contraception do women use after experiencing complications from abortion? an analysis of cohort records of 18,688 postabortion care clients in Tanzania.

Author information

1
EngenderHealth, 440 Ninth Avenue, New York City, NY, 10001, United States. CBaynes@engenderhealth.org.
2
EngenderHealth, Plot #254, Mwai Kibaki Road/Kiko Avenue, PO Box 78167, Dar es Salaam, Tanzania.
3
Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC), PO Box 9083, Dar es Salaam, Tanzania.

Abstract

BACKGROUND:

The family planning component of postabortion care (PAC) is critical, as it helps women to prevent unintended pregnancies and reduce future incidence of life-threatening unsafe abortion. In Tanzania, PAC was recently decentralized from tertiary-level district hospitals to primary health care dispensaries in four regions of the country. This analysis describes interventions used to improve access to high quality PAC services during decentralization; examines results and factors that contribute to PAC clients' voluntary uptake of contraception; and develops recommendations for improving postabortion contraceptive services.

METHODS:

This analysis uses service delivery statistics of 18,688 PAC clients compiled from 120 facilities in Tanzania between 2005 and 2014.

RESULTS:

This study suggests that efforts to integrate postabortion family planning into treatment for incomplete abortion contributed to higher postabortion contraceptive uptake (86%). Results indicate that variables associated with significant differences in contraceptive uptake were facility level, age, gestational age at the time of treatment, and uterine evacuation technology used.

CONCLUSION:

The experience of expanding PAC services in Tanzania suggests that integrating contraceptive services with treatment for abortion complications can increase family planning use.

KEYWORDS:

Contraceptive uptake; Decentralization; Family planning; Postabortion care; Tanzania

PMID:
30691443
PMCID:
PMC6350325
DOI:
10.1186/s12905-018-0687-9
[Indexed for MEDLINE]
Free PMC Article

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