Post Abortion Family Planning Method Choices and Associated Factors

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Date

2018-10

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University of Ghana

Abstract

Background Repetitive abortions especially in restricted environments increase risk of unsafe abortion and its complications and pregnancies less than six months post-abortion have increased risk of adverse maternal and perinatal outcome. Ensuring effective post-abortion family planning method usage improves both situations. However, there is limited data on post-abortion contraceptive practices in Ghana which can largely be attributed to the concentration of researchers on general abortion situation with limited attention to post-abortion Family Planning uptake and the associated sociodemographic and reproductive factors. Objective This study therefore seeks to examine the post-abortion family planning method choices and associated factors at all 9 Marie Stopes Ghana Clinics in Ghana. Methodology The cross-sectional study employed secondary data on Safe Abortion Care (SAC) clients for the period between January 1, 2015 and December 31, 2016 at all the centers of Marie Stopes International Ghana. The factors affecting the client’s choice for Post-Abortion Family Planning method were identified through both binary and multinomial logistic regression methods. Findings The result showed that 89.4% of Safe Abortion Care clients opted voluntarily for various types of Post Abortion Family Planning (PAFP) with the majority opting for short-term methods like Depo- Provera, Norigynon, and COCP; long-term methods like IUCD and Jadelle implant. The gestational age at which clients received SAC influenced their choice of specific PAFP method as in relatively terms, more of Depo-Provera, Norigynon and COCP were preferred in the gestational period under 9 weeks whereas more of IUCD, Jadelle implant, Zarin and Implanon NXT implant were preferred in the period between 9 to 12 weeks. The SAC client’s choice of long term contraceptive methods relative short-term methods was positively associated with living children,gestational age and the previous contraceptive used; but negatively associated with clinic location, education, age group, and abortion method. Conclusion It can therefore be concluded that SAC clients are statistically different in terms of their preference of short-term, long-term and permanent methods

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MPH.

Keywords

Post Abortion Family Planning (PAFP), Abortion

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