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A cross-sectional analysis of Kenyan postabortion care services using a nationally representative sample.
A cross-sectional analysis of Kenyan postabortion care services using a nationally representative sample.
- Source :
-
International Journal of Gynecology & Obstetrics . Sep2017, Vol. 138 Issue 3, p276-282. 7p. - Publication Year :
- 2017
-
Abstract
- <bold>Objective: </bold>To assess quality of postabortion care (PAC) offered by Kenyan healthcare facilities.<bold>Methods: </bold>A cross-sectional survey was conducted using data from the Incidence and Magnitude of Unsafe Abortions study, conducted among 326 PAC-providing healthcare facilities throughout Kenya from March 13 to June 30, 2012. Descriptive results with weighted proportions and an ordered probit model were used.<bold>Results: </bold>Overall, 408 (41.8%) first-trimester PAC cases were treated using appropriate technology versus 826 (82.6%) second-trimester cases. Private healthcare facilities lagged behind public healthcare facilities on the use of appropriate technology: 264 (47.5%) public and 144 (33.1%) private facilities used such technology for first-trimester abortion, and 664 (89.6%) public versus 162 (68.8%) private for second-trimester abortions). Most healthcare facilities (251, 70.7%) had at least one provider trained in PAC. A total of 273 (80.7%) healthcare facilities reported offering contraception to all PAC patients, mainly short-acting methods. Delivery of PAC services depended on the availability of separate evacuation room (public level 2-3: odds ratio [OR] 22.93; public level 4-6: OR 77.14), and the number of family planning methods offered within the facility (public level 2-3: OR 1.38; public level 4-6 OR 1.57; private level 2-3: OR 2.27; private level 4-5: 4.89).<bold>Conclusion: </bold>Effective monitoring of PAC services, particularly among private healthcare facilities, might improve overall quality of services. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CROSS-sectional method
*ABORTION
*MEDICAL care
*FIRST trimester of pregnancy
*HEALTH facilities
*CONTRACEPTION
*MEDICAL quality control
*ABORTION statistics
*BENCHMARKING (Management)
*PATIENT aftercare
*DURATION of pregnancy
*QUALITY assurance
*SURGICAL complications
*WOMEN'S health services
*FAMILY planning
*REHABILITATION
Subjects
Details
- Language :
- English
- ISSN :
- 00207292
- Volume :
- 138
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- International Journal of Gynecology & Obstetrics
- Publication Type :
- Academic Journal
- Accession number :
- 124486080
- Full Text :
- https://doi.org/10.1002/ijgo.12239