Factors associated with seeking post-abortion care among women in Guangzhou, China

Abstract

Background: Post-abortion care(PAC) service in China relies on integrating post-abortion family planning (PAFP) services into existing abortion services in hospital settings where the vast majority of induced abortion is performed. This study aims to assess post-abortion care (PAC) utilization and identify factors affecting PAC uptake among clients on the day of abortion in Guangzhou, China. Methods: A cross-sectional study was conducted involving a total of 423 abortion clients in the selected hospitals of Guangzhou From June to September, 2018. The anonymous, self-reported questionnaires regarding associated factors were administered to all participants. Multivariate logistic regression model was used to determine associated factors of PAC utilization. Results: The magnitude of PAC counseling before they leave the health care facilities was 42.1%. Multivariate logistic regression showed that unmarried women, women with local household registration, knowing fertility could return sooner after abortion and women themselves as the main decider on PAC use were significantly associated with PAC utilization. Conclusions: The utilization rate of PAC was low in Guangzhou, China. There’s an urgent need to improve the awareness of regular use of PAC and provide better access for migrants. Partners should be involved during counseling after obtaining women’s consent. Women empowerment through enhancing health education on own decision making in PAC utilization should also be strengthened.