Predictive Factors for Uptake of Post-Abortion Care in Western Kenya
The objective of this study was to establish factors associated with the receipt of post-abortion contraceptive counselling and uptake at private health facilities in western Kenya. A crosssectional study was conducted at 25 private health facilities from July 2004–October 2004. A total of 403 women were interviewed following post-abortion care(PAC) via manual vacuum aspiration (MVA). Nurse-midwives provided the majority of PAC (55%). Only 44% of women received contraceptive counselling and 31% adopted a method. The strongest predictor for receipt of counselling was obtaining PAC at a low MVA volume facility (odds ratio 5.63). Women who received contraceptive counselling, and those who had an unplanned pregnancy, were three times more likely to adopt a method. Uptake of a method was also influenced by counselling time. Busy facilities in western Kenya should consider training staff specifically for post-abortion contraceptive counselling to increaseuptake following PAC.
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Published in final form at:
Onyango MA, Oguttu MA, Barger MK. (2010). Predictive factors for uptake of post-abortion care in western Kenya. African Journal of Midwifery and Women's Health 4(3), 115-120.
Onyango, Monica Adhiambo; Oguttu, Monica; and Barger, Mary, "Predictive Factors for Uptake of Post-Abortion Care in Western Kenya" (2010). Nursing and Health Science Faculty Publications. Paper 10.