Medium and long-term adherence to postabortion contraception among women having experienced unsafe abortion in Dar es Salaam, Tanzania

Vibeke Rasch, Fortunata Yambesi, Siriel Massawe

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

BACKGROUND: Postabortion contraceptive service is considered an effective means in addressing the problem of unsafe abortion; in spite this fact this component remains one of the weakest parts of postabortion care. In this context, the paper aims to describe the impact of a postabortion contraceptive service intervention among women admitted with complications from unsafe abortions and to explore the women's long-term contraceptive adherence. METHODS: 392 women having experienced unsafe abortion were identified by an empathetic approach and offered postabortion contraceptive service, which included counselling on HIV and condom use. Questionnaire interviews about contraceptive use were conducted at the time of inclusion and 12 months after the abortion. Additionally, in-depth interviews were performed 6-12 months after the abortion. RESULTS: Eighty-nine percent of the women accepted postabortion contraception. Follow-up information was obtained 12 months after the abortion among 59 percent of the women. Among these, 79 percent of the married women and 84 percent of the single women stated they were using contraception at 12 months. Condom use among the single women increased significantly during the 12 months follow up. CONCLUSION: Postabortion contraceptive services appear to be well accepted by women who are admitted with complications after an unsafe abortion and should thus be recognized as an important means in addressing the problem of unsafe abortion. In addition, counselling about HIV and condom use should be considered an essential aspect of postabortion care.
OriginalsprogEngelsk
TidsskriftB M C Pregnancy and Childbirth
Vol/bind8
Sider (fra-til)32
ISSN1471-2393
DOI
StatusUdgivet - 1. jan. 2008

Fingeraftryk

Contraceptive Agents
Condoms
Counseling
HIV
Interviews

Citer dette

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title = "Medium and long-term adherence to postabortion contraception among women having experienced unsafe abortion in Dar es Salaam, Tanzania",
abstract = "BACKGROUND: Postabortion contraceptive service is considered an effective means in addressing the problem of unsafe abortion; in spite this fact this component remains one of the weakest parts of postabortion care. In this context, the paper aims to describe the impact of a postabortion contraceptive service intervention among women admitted with complications from unsafe abortions and to explore the women's long-term contraceptive adherence. METHODS: 392 women having experienced unsafe abortion were identified by an empathetic approach and offered postabortion contraceptive service, which included counselling on HIV and condom use. Questionnaire interviews about contraceptive use were conducted at the time of inclusion and 12 months after the abortion. Additionally, in-depth interviews were performed 6-12 months after the abortion. RESULTS: Eighty-nine percent of the women accepted postabortion contraception. Follow-up information was obtained 12 months after the abortion among 59 percent of the women. Among these, 79 percent of the married women and 84 percent of the single women stated they were using contraception at 12 months. Condom use among the single women increased significantly during the 12 months follow up. CONCLUSION: Postabortion contraceptive services appear to be well accepted by women who are admitted with complications after an unsafe abortion and should thus be recognized as an important means in addressing the problem of unsafe abortion. In addition, counselling about HIV and condom use should be considered an essential aspect of postabortion care.",
keywords = "Abortion, Criminal, Adolescent, Adult, Aftercare, Cohort Studies, Condoms, Contraception Behavior, Female, HIV Infections, Health Knowledge, Attitudes, Practice, Humans, Patient Compliance, Qualitative Research, Questionnaires, Safe Sex, Tanzania, Time Factors",
author = "Vibeke Rasch and Fortunata Yambesi and Siriel Massawe",
year = "2008",
month = "1",
day = "1",
doi = "10.1186/1471-2393-8-32",
language = "English",
volume = "8",
pages = "32",
journal = "B M C Pregnancy and Childbirth",
issn = "1471-2393",
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}

Medium and long-term adherence to postabortion contraception among women having experienced unsafe abortion in Dar es Salaam, Tanzania. / Rasch, Vibeke; Yambesi, Fortunata; Massawe, Siriel.

I: B M C Pregnancy and Childbirth, Bind 8, 01.01.2008, s. 32.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Medium and long-term adherence to postabortion contraception among women having experienced unsafe abortion in Dar es Salaam, Tanzania

AU - Rasch, Vibeke

AU - Yambesi, Fortunata

AU - Massawe, Siriel

PY - 2008/1/1

Y1 - 2008/1/1

N2 - BACKGROUND: Postabortion contraceptive service is considered an effective means in addressing the problem of unsafe abortion; in spite this fact this component remains one of the weakest parts of postabortion care. In this context, the paper aims to describe the impact of a postabortion contraceptive service intervention among women admitted with complications from unsafe abortions and to explore the women's long-term contraceptive adherence. METHODS: 392 women having experienced unsafe abortion were identified by an empathetic approach and offered postabortion contraceptive service, which included counselling on HIV and condom use. Questionnaire interviews about contraceptive use were conducted at the time of inclusion and 12 months after the abortion. Additionally, in-depth interviews were performed 6-12 months after the abortion. RESULTS: Eighty-nine percent of the women accepted postabortion contraception. Follow-up information was obtained 12 months after the abortion among 59 percent of the women. Among these, 79 percent of the married women and 84 percent of the single women stated they were using contraception at 12 months. Condom use among the single women increased significantly during the 12 months follow up. CONCLUSION: Postabortion contraceptive services appear to be well accepted by women who are admitted with complications after an unsafe abortion and should thus be recognized as an important means in addressing the problem of unsafe abortion. In addition, counselling about HIV and condom use should be considered an essential aspect of postabortion care.

AB - BACKGROUND: Postabortion contraceptive service is considered an effective means in addressing the problem of unsafe abortion; in spite this fact this component remains one of the weakest parts of postabortion care. In this context, the paper aims to describe the impact of a postabortion contraceptive service intervention among women admitted with complications from unsafe abortions and to explore the women's long-term contraceptive adherence. METHODS: 392 women having experienced unsafe abortion were identified by an empathetic approach and offered postabortion contraceptive service, which included counselling on HIV and condom use. Questionnaire interviews about contraceptive use were conducted at the time of inclusion and 12 months after the abortion. Additionally, in-depth interviews were performed 6-12 months after the abortion. RESULTS: Eighty-nine percent of the women accepted postabortion contraception. Follow-up information was obtained 12 months after the abortion among 59 percent of the women. Among these, 79 percent of the married women and 84 percent of the single women stated they were using contraception at 12 months. Condom use among the single women increased significantly during the 12 months follow up. CONCLUSION: Postabortion contraceptive services appear to be well accepted by women who are admitted with complications after an unsafe abortion and should thus be recognized as an important means in addressing the problem of unsafe abortion. In addition, counselling about HIV and condom use should be considered an essential aspect of postabortion care.

KW - Abortion, Criminal

KW - Adolescent

KW - Adult

KW - Aftercare

KW - Cohort Studies

KW - Condoms

KW - Contraception Behavior

KW - Female

KW - HIV Infections

KW - Health Knowledge, Attitudes, Practice

KW - Humans

KW - Patient Compliance

KW - Qualitative Research

KW - Questionnaires

KW - Safe Sex

KW - Tanzania

KW - Time Factors

U2 - 10.1186/1471-2393-8-32

DO - 10.1186/1471-2393-8-32

M3 - Journal article

VL - 8

SP - 32

JO - B M C Pregnancy and Childbirth

JF - B M C Pregnancy and Childbirth

SN - 1471-2393

ER -