TY - JOUR
T1 - Adolescents' satisfaction with care for abortion-related complications in 11 Sub-Saharan African countries
T2 - A cross-sectional facility-based study
AU - Eboigbe, Edua
AU - Gadama, Luis
AU - Filippi, Veronique
AU - Mehrtash, Hedieh
AU - Adu-Bonsaffoh, Kwame
AU - Bello, Folasade Adenike
AU - Compaoré, Rachidatou
AU - Dossou, Jean Paul
AU - Idi, Nafiou
AU - Kim, Caron R.
AU - Msusa, Ausbert Thoko
AU - Mugerwa, Kidza Yvonne
AU - Wolomby-Molondo, Jean José
AU - Tunçalp, Ӧzge
AU - Calvert, Clara
N1 - Publisher Copyright:
© 2021 World Health Organization; licensed by International Federation of Gynecology and Obstetrics. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.
PY - 2022/1
Y1 - 2022/1
N2 - Objective: To assess satisfaction with care for abortion-related complications experienced among adolescents compared to older women. Methods: A secondary analysis of the WHO Multi-Country Survey on Abortion-related Morbidity and Mortality—a cross-sectional study conducted in health facilities in 11 Sub-Saharan African countries. Women with abortion-related complications who participated in an audio computer-assisted self-interview were included. Two composite measures of overall satisfaction were created based on five questions: (1) study participants who were either satisfied or very satisfied across all five questions; and (2) study participants who reported being very satisfied only across all five questions. Multivariable general estimating equation analyses were conducted to assess whether there was any evidence that age (adolescents 12–19 years and older women 20+) was associated with each composite measure of satisfaction, controlling for key confounders. Results: The study sample consisted of 2817 women (15% adolescents). Over 75% of participants reported being satisfied or very satisfied for four out of five questions. Overall, 52.9% of study participants reported being satisfied/very satisfied across all five questions and 22.4% reported being consistently very satisfied. Multivariable analyses showed no evidence of an association between age group and being either satisfied or very satisfied (OR 1.07; 95% CI, 0.82–1.41, P = 0.60), but showed strong evidence that adolescents were 50% more likely to be consistently very satisfied with their overall care than older women (OR 1.49; 95% CI, 1.13–1.96, P = 0.005). Conclusion: Both adolescents and older women reported high levels of satisfaction with care when looking at different components of care individually, but the results of the composite measure for satisfaction showed that many study participants reported being less than satisfied with at least one element of their care. Further studies to explore the expectations, needs, and values of women's satisfaction with care for abortion-related complications are needed.
AB - Objective: To assess satisfaction with care for abortion-related complications experienced among adolescents compared to older women. Methods: A secondary analysis of the WHO Multi-Country Survey on Abortion-related Morbidity and Mortality—a cross-sectional study conducted in health facilities in 11 Sub-Saharan African countries. Women with abortion-related complications who participated in an audio computer-assisted self-interview were included. Two composite measures of overall satisfaction were created based on five questions: (1) study participants who were either satisfied or very satisfied across all five questions; and (2) study participants who reported being very satisfied only across all five questions. Multivariable general estimating equation analyses were conducted to assess whether there was any evidence that age (adolescents 12–19 years and older women 20+) was associated with each composite measure of satisfaction, controlling for key confounders. Results: The study sample consisted of 2817 women (15% adolescents). Over 75% of participants reported being satisfied or very satisfied for four out of five questions. Overall, 52.9% of study participants reported being satisfied/very satisfied across all five questions and 22.4% reported being consistently very satisfied. Multivariable analyses showed no evidence of an association between age group and being either satisfied or very satisfied (OR 1.07; 95% CI, 0.82–1.41, P = 0.60), but showed strong evidence that adolescents were 50% more likely to be consistently very satisfied with their overall care than older women (OR 1.49; 95% CI, 1.13–1.96, P = 0.005). Conclusion: Both adolescents and older women reported high levels of satisfaction with care when looking at different components of care individually, but the results of the composite measure for satisfaction showed that many study participants reported being less than satisfied with at least one element of their care. Further studies to explore the expectations, needs, and values of women's satisfaction with care for abortion-related complications are needed.
UR - http://www.scopus.com/inward/record.url?scp=85117522813&partnerID=8YFLogxK
U2 - 10.1002/ijgo.13896
DO - 10.1002/ijgo.13896
M3 - Article
C2 - 34676896
AN - SCOPUS:85117522813
SN - 0020-7292
VL - 156
SP - 63
EP - 70
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - S1
ER -