Predictive Factors for Uptake of Post-Abortion Care in Western Kenya

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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.