Women's post-abortion contraceptive use: Are predictors the same for immediate and future uptake of contraception? Evidence from Ghana.

Autor: Kayi EA; Department of Adult Education and Human Resource Studies, School of Continuing and Distance Education, University of Ghana, Legon, Ghana., Biney AAE; Regional Institute for Population Studies, University of Ghana, Legon, Ghana., Dodoo ND; Regional Institute for Population Studies, University of Ghana, Legon, Ghana., Ofori CAE; Regional Institute for Population Studies, University of Ghana, Legon, Ghana., Dodoo FN; Department of Sociology, Pennsylvania State University, State College, Pennsylvania, United States of America.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2021 Dec 21; Vol. 16 (12), pp. e0261005. Date of Electronic Publication: 2021 Dec 21 (Print Publication: 2021).
DOI: 10.1371/journal.pone.0261005
Abstrakt: This study seeks to identify the socio-demographic, reproductive, partner-related, and facility-level characteristics associated with women's immediate and subsequent use of post-abortion contraception in Ghana. Secondary data from the 2017 Ghana Maternal Health Survey were utilized in this study. The weighted data comprised 1,880 women who had ever had an abortion within the five years preceding the survey. Binary logistic regression analyses were performed to examine the associations between the predictor and outcome variables. Health provider and women's socio-demographic characteristics were significantly associated with women's use of post-abortion contraception. Health provider's counselling on family planning prior to or after abortion and place of residence were associated with both immediate and subsequent post-abortion uptake of contraception. Among subsequent post-abortion contraceptive users, older women (35-49), women in a union, and women who had used contraception prior to becoming pregnant were strong predictors. Partner-related and reproductive variables did not predict immediate and subsequent use of contraception following abortion. Individual and structural/institutional level characteristics are important in increasing women's acceptance and use of contraception post abortion. Improving and intensifying family planning counselling services at the health facility is critical in increasing contraceptive prevalence among abortion seekers.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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