Women's post-abortion contraceptive use: Are predictors the same for immediate and future uptake of contraception? Evidence from Ghana

Esinam Afi Kayi, Adriana Andrea Ewurabena Biney, Naa Dodua Dodoo, Charlotte Abra Esime Ofori, Francis Nii Amoo Dodoo

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

This study seeks to identify the socio-demographic, reproductive, partner-related, and facility- level characteristics associated with women's immediate and subsequent use of postabortion contraception in Ghana. Secondary data from the 2017 Ghana Maternal Health Survey were utilized in this study. The weighted data comprised 1,880 women who had ever had an abortion within the five years preceding the survey. Binary logistic regression analyses were performed to examine the associations between the predictor and outcome variables. Health provider and women's socio-demographic characteristics were significantly associated with women's use of post-abortion contraception. Health provider's counselling on family planning prior to or after abortion and place of residence were associated with both immediate and subsequent post-abortion uptake of contraception. Among subsequent post-abortion contraceptive users, older women (35-49), women in a union, and women who had used contraception prior to becoming pregnant were strong predictors. Partnerrelated and reproductive variables did not predict immediate and subsequent use of contraception following abortion. Individual and structural/institutional level characteristics are important in increasing women's acceptance and use of contraception post abortion. Improving and intensifying family planning counselling services at the health facility is critical in increasing contraceptive prevalence among abortion seekers.

Original languageEnglish
Article numbere0261005
JournalPLoS ONE
Volume16
Issue number12 December
DOIs
Publication statusPublished - Dec 2021

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