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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.

Authors :
Mutua, Michael M.
Achia, Thomas N.O.
Maina, Beatrice W.
Izugbara, Chimaraoke O.
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]

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