Family planning counselling and use among clients seeking abortion services in private health facilities in Kenya

Obare, Francis; Liambila, Wilson; Birungi, Harriet

doi:10.11564/28-3-615

Cited by 2 publications

(3 citation statements)

References 15 publications

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“…These findings imply that 60% of the women missed FP counselling when they visited the facility for any health reason; while 31.2% and 26.4% missed FP counselling at ANC and post-natal care (PNC) visits respectively. Similarly findings have been reported elsewhere [8,14,16,18,24]. Kanyangara et al reported a 6% missed opportunity of FP counselling in sub-Saharan country sites.…”

Section: Plos Onesupporting

confidence: 81%

“…This creates an opportunity for FP information to be disseminated during pre-natal, post-natal, and maternal health service delivery. Provision of FP information and counseling is an essential aspect of Tanzania maternal health plan and provided free of charge [16][17][18]. During these visits women are expected to receive information on FP methods that are available, possible side effects, and the importance of resuming the FP after delivery [1].…”

Section: Introductionmentioning

confidence: 99%

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Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania

et al. 2021

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Introduction Adequate sexual and reproductive health information is vital to women of reproductive age (WRA) 15 to 49 years, for making informed choices on their reproductive health including family planning (FP). However, many women who interact with the health system continue to miss out this vital service. The study aimed to identify the extent of provision of FP counselling at service delivery points and associated behavioral factors among women of reproductive age in two districts of Arusha region. It also determined the association between receipt of FP counselling and contraceptive usage. Methods Data were drawn from a cross-sectional survey of 5,208 WRA residing in two districts of Arusha region in Tanzania; conducted between January and May 2018. Multistage sampling technique was employed to select the WRA for the face-to-face interviews. FP counseling was defined as receipt of FP information by a woman during any visit at the health facility for antenatal care (ANC), or for post-natal care (PNC). Analyses on receipt of FP counseling were done on 3,116 WRA, aged 16–44 years who were in contact with health facilities in the past two years. A modified Poisson regression model was used to determine the Prevalence Ratio (PR) as a measure of association between receipt of any FP counseling and current use of modern contraception, controlling for potential confounders. Results Among the women that visited the health facility for any health-related visit in the past two years, 1,256 (40%) reported that they received FP counselling. Among the women who had had births in the last 30 months; 1,389 and 1,409 women had contact with the service delivery points for ANC and PNC visits respectively. Of these 31% and 26% had a missed FP counseling at ANC and PNC visit respectively. Women who were not formally employed were more likely to receive FP counselling during facility visit than others. WRA who received any FP counseling at PNC were significantly more likely to report current use of modern contraception than those who did not (adjusted PR [adj. PR] = 1.28; 95% Confidence Interval [CI]: 1.09, 1.49). Conclusion Overall, only 40% women reported that they received any form of FP counseling when they interfaced with the healthcare system in the past two years. Informally employed women were more likely to receive FP counselling, and women who received FP counselling during PNC visits were significantly more likely to use contraceptive in comparison to the women who did not receive FP counselling. This presents a missed opportunity for prevention of unintended pregnancies and suggests a need for further integration of FP counseling into the ANC and PNC visits.

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Section: Plos Onesupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania

et al. 2021

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“…Unplanned or unintended pregnancy poses a major economic, psychological, social, and religious challenge in women of reproductive age especially in developing countries (4). Despite the availability of a modern and effective contraceptive, it is one of the leading causes of maternal mortality and morbidity in developing countries due to unsafe and septic abortion practices (5). There is a strong correlation between abortion and contraception use, where as abortion incidence declines as contraceptive use increases in settings with steady fertility rates over time (6).…”

Section: Introductionmentioning

confidence: 99%

Use of Contraceptive Methods Among Women Seeking Safe Abortion Services in a Family Planning Center, Kathmandu, Nepal

Shrestha¹,

Pradhananga²,

Shrestha³

et al. 2020

IRJMS

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The aim of the study was to assess the use of contraceptive methods among women seeking safe abortion services in a family planning center, Kathmandu. Methods: It was a descriptive cross sectional study undertaken among 119 women seeking safe abortion services from August 18 to September 2018 at Marie Stopes Center, Gongabu, Kathmandu. Non-probability purposive sampling technique was adopted and data were collected through face to face interview. The collected data was analyzed by SPSS version 16 using descriptive statistics and inferential statistics. Results: Among a total of 119 respondents enrolled in the study, a total of 90 (75.64%) women used post abortion contraceptive methods. Among them, nearly half (44; 48.9%) had used oral contraceptive pills and least users were IUCD (19; 14.4%). More than half (67; 56.3%) had terminated the current pregnancy due to the reason of completed family. Almost three-fifth of them (50; 57.47%) had history of discontinuation of family planning methods in the past due to side effects. Similarly, almost three-fifth (68; 57.1%) had preferred medical abortion for termination of the current pregnancy. There was statistically significant association between post abortion contraceptive use with educational level (p=0.01), parity (p=0.000), contraceptive use in past (p=0.012), plan of future pregnancy (p=0.001), and family planning discussion with husband/partner (p=0.000). Conclusion: There is an increasing trend in the use of some forms of post-abortion contraceptive measures in Nepal from 56.0% in 2014 to 75.64% in 2018 after surgical or medical abortion. Among the post-abortion contraceptive non-users, more than half denied use of post-abortion contraceptives due to fear of side effects. Hence, raising the knowledge, attitude, practice and social awareness of post-abortion contraceptive use among women of reproductive age groups would certainly reduce undue fear of the use of post-abortion contraceptive use, its side effects and also help to raise the acceptance and compliance of its use.

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Family planning counselling and use among clients seeking abortion services in private health facilities in Kenya

Cited by 2 publications

References 15 publications

Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania

Missed opportunity for family planning counselling along the continuum of care in Arusha region, Tanzania

Use of Contraceptive Methods Among Women Seeking Safe Abortion Services in a Family Planning Center, Kathmandu, Nepal

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