Post Abortion Family Planning Method Choices and Associated Factors
Date
2018-10
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
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
Description
MPH.
Keywords
Post Abortion Family Planning (PAFP), Abortion