Post-abortion contraceptive uptake of clients and its related factors in Northwest Ethiopia, 2020.
- 1University of Gondar, Gonder, Ethiopia. [email protected].
- 2University of Gondar, Gonder, Ethiopia.
- 3University of Gondar, Gonder, Ethiopia. [email protected].
Abstract
Background
The post-abortion period is the right time to introduce contraceptive services as women's fertility returns early. A majority of women in Ethiopia had an abortion for unwanted pregnancies and this cycle could continue unless contraceptive counseling and services are available and provided for women after an abortion. Thus, our study aimed to fill this gap and prepare strategies to improve uptake.Methods
Institution-based cross-sectional study was conducted to collect data in private and public health facilities in northwest Ethiopia. Data were entered with Epi-info and transported to Stata 14 for cleaning (using frequencies, sorting, and listing to identify missed values and outliers) and analysis. Bivariate analysis was carried out first to observe the crude association between independent and outcome variables. The variables with p-value < 0.2 in bivariate analysis, not collinear (checked with Variance Inflation Factor -VIF-Value 0.86), were entered into multiple logistic regressions to assess net effect by controlling confounders. Finally, statistically significant variables were reported with the odds ratio, a 95% confidence interval, and p-value < 0.05.Result
About, about three-fifth (61.5%) utilized Post Abortion Contraception (PAC) immediately after the procedure. Five hundred thirty-one (86%) reported that they had counseling sessions. Having post-abortion contraceptive counseling [AOR = 4.83, 95% CI: (2.77-8.40)]; ever use of contraceptives [AOR = 1.75, 95% CI: (1.04-2.96)]; history of abortion [AOR = 0.32, 95% CI: (0.15-0.68)]; being aged 24 to 28 years [AOR = 0.28, 95% CI: (0.09-0.81)], Primigravida [AOR = 0.48, 95% CI: (0.24-0.96)], wanted pregnancy status [AOR = 0.36, 95% CI: (0.21-0.62)]; being single [AOR = 2.42, 95% CI: (1.25-4.71)], never married [AOR = 0.55, 95% CI: (0.31-0.97)], and separated from partner [AOR = 0.37, 95% CI: (0.2-0.68)] were found to have significant association with postabortion contraception use.Conclusion and recommendations
The study found that PAC uptake was low compared with the recommendations. Strengthening contraceptive counseling (regardless of women's status) by giving priorities for who had unstable relationships (single and separated), have first pregnancy, and encountering repeated abortion care services. Moreover, provision of value clarification training for providers could also improve service use. We recommended that researchers to explore deep feelings and reasons that women had for nonuse through in-depth interviews.
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BibTeX
@article{gashaye2026postabortion,
title = {{Post-abortion contraceptive uptake of clients and its related factors in Northwest Ethiopia, 2020.}},
author = {Kiros Terefe Gashaye and Belayneh Ayanaw Kassie and Asefa Adimasu Taddese and Mehari Woldemariam Merid and Chernet Baye Zenebe and Keflie Yohannes Gebresilassie},
journal = {Journal of health, population, and nutrition},
year = {2026},
month = aug,
doi = {10.1186/s41043-026-01412-9},
url = {https://europepmc.org/article/MED/42958391},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Post-abortion contraceptive uptake of clients and its related factors in Northwest Ethiopia, 2020.
AU - Kiros Terefe Gashaye
AU - Belayneh Ayanaw Kassie
AU - Asefa Adimasu Taddese
AU - Mehari Woldemariam Merid
AU - Chernet Baye Zenebe
AU - Keflie Yohannes Gebresilassie
PY - 2026
DA - 2026/08/01
JO - Journal of health, population, and nutrition
DO - 10.1186/s41043-026-01412-9
UR - https://europepmc.org/article/MED/42958391
AB - Background The post-abortion period is the right time to introduce contraceptive services as women's fertility returns early. A majority of women in Ethiopia had an abortion for unwanted pregnancies and this cycle could continue unless contraceptive counseling and services are available and provided for women after an abortion. Thus, our study aimed to fill this gap and prepare strategies to improve uptake.Methods Institution-based cross-sectional study was conducted to collect data in private and public health facilities in northwest Ethiopia. Data were entered with Epi-info and transported to Stata 14 for cleaning (using frequencies, sorting, and listing to identify missed values and outliers) and analysis. Bivariate analysis was carried out first to observe the crude association between independent and outcome variables. The variables with p-value < 0.2 in bivariate analysis, not collinear (checked with Variance Inflation Factor -VIF-Value 0.86), were entered into multiple logistic regressions to assess net effect by controlling confounders. Finally, statistically significant variables were reported with the odds ratio, a 95% confidence interval, and p-value < 0.05.Result About, about three-fifth (61.5%) utilized Post Abortion Contraception (PAC) immediately after the procedure. Five hundred thirty-one (86%) reported that they had counseling sessions. Having post-abortion contraceptive counseling [AOR = 4.83, 95% CI: (2.77-8.40)]; ever use of contraceptives [AOR = 1.75, 95% CI: (1.04-2.96)]; history of abortion [AOR = 0.32, 95% CI: (0.15-0.68)]; being aged 24 to 28 years [AOR = 0.28, 95% CI: (0.09-0.81)], Primigravida [AOR = 0.48, 95% CI: (0.24-0.96)], wanted pregnancy status [AOR = 0.36, 95% CI: (0.21-0.62)]; being single [AOR = 2.42, 95% CI: (1.25-4.71)], never married [AOR = 0.55, 95% CI: (0.31-0.97)], and separated from partner [AOR = 0.37, 95% CI: (0.2-0.68)] were found to have significant association with postabortion contraception use.Conclusion and recommendations The study found that PAC uptake was low compared with the recommendations. Strengthening contraceptive counseling (regardless of women's status) by giving priorities for who had unstable relationships (single and separated), have first pregnancy, and encountering repeated abortion care services. Moreover, provision of value clarification training for providers could also improve service use. We recommended that researchers to explore deep feelings and reasons that women had for nonuse through in-depth interviews.
SN - 1606-0997
SN - 2072-1315
ER -