article · BMC Research Notes
Post-abortion contraception is essential for preventing unwanted pregnancies and mitigating related health complications. An institutional cross-sectional study in Shire town, North Ethiopia, examined the uptake of post-abortion family planning and the factors influencing it among women seeking abortion services between December 2016 and March 2017. Overall, 61.5% of the surveyed service users adopted a contraceptive method following their procedure. Multivariable analysis identified several characteristics strongly associated with higher utilisation. Women who were married, those who had completed college education, and grand multiparous women showed significantly higher uptake. In addition, prior experience with contraception, receiving family planning counselling during care, and obtaining services at public health institutions rather than private facilities substantially increased the likelihood of adopting post-abortion family planning. These findings highlight the key demographic and service-related determinants governing contraceptive adoption in this setting.
Unplanned pregnancies frequently lead to abortions and associated health complications. By identifying the factors that drive post-abortion contraceptive uptake, health service managers and policymakers can better target family planning counselling and reproductive health resources. Recognising gaps, such as lower utilisation among unmarried women or within private healthcare facilities, provides clear direction for interventions aimed at reducing repeat unwanted pregnancies.
The abstract outlines observational public health research rather than a commercial product or technical invention. However, healthcare organisations and public health agencies could apply these insights to improve clinical counselling protocols and family planning service delivery in institutional settings. The evidence is derived from an applied cross-sectional assessment, but the abstract does not indicate a direct commercialisation pathway or proprietary technology.
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OBJECTIVES: Post-abortion contraceptive service is pivotal for the prevention of unwanted pregnancy and alleviation of its complication. Worldwide half of the pregnancy is unplanned, whereas unwanted pregnancy ends up with abortion. This study assessed post-abortion contraceptive uptake and associated factors among abortion service users at health institution in Shire town, North Ethiopia. Institutional based cross-sectional study was conducted from December 15/2016 to March 15, 2017, in Shire town. Data were collected using systematic random sampling technique. Bivariate and multivariable analyses were done to determine the association of each independent variable with the dependent variable. RESULTS: Overall post-abortion contraceptive utilization in this study was 61.5%. Married [AOR 2.59, 95% CI (1.16, 5.65)], completed College education [AOR 5.69, 95% CI (1.61, 20.11)], previous contraceptive used [AOR 3.62, 95% CI (1.77, 7.40)], counseling of family planning [AOR 3.53 95% CI (1.69, 7.37)], grand multipara [AOR 7.91, 95% CI (1.66, 37.74)] and public health institution [AOR 5.95, 95% CI (3.03, 11.72)] were significantly associated with the post-abortion contraceptive utilization. In this study, post-abortion contraceptive utilization was about two-third. Being married, had been completing a college education, had been receiving family planning counseling, previous contraceptive usage, abortion care service at public health institution, and being grand multiparty were determinants of post-abortion contraceptive utilization.
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DOI: 10.1186/s13104-018-4029-7
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