Background
Although the project of post-abortion family planning services (PAFPS) has been launched in China for many years, it remains to know how many people received it after induced abortions (IAs), and the prevalence of repeated IAs is still high, it may be related to the quality of PAFPS. Therefore, this study aimed to understand the prevalence of PAFPS and explore the factors related to contraceptive method choice after receiving PAFPS in Hunan Province, China.
Methods
This study was a secondary data analysis from the Women Health Needs Survey (WHNS). Women aged 20–49 with induced abortion history and those who had received PAFPS were selected. Chi-square test and multiple logistic regression analyses were used to identify the related factors about the use of contraceptive methods after receiving PAFPS.
Results
The prevalence of PAFPS was 84.7% in Hunan, China. Women were more likely to use unreliable contraceptive methods if they experienced painless IA (ORs = 3.353, 95% CIs: 1.151–9.769). Farmers or workers (OR = 0.297, 95% CIs: 0.130–0.678), those were followed up after IA (ORs = 0.506, 95% CIs: 0.303–0.846) and those acquired reliable recommendations (ORs = 0.109, 95% CIs: 0.044–0.274) were significantly less likely to use unreliable contraceptive methods.
Conclusion
This study is the first to determine the availability of PAFPS from receivers' perspectives and based on a community population to assess the relationship between PAFPS and contraception in China. PAFPS providers' advice and follow-up play a vital role in women's choice of contraceptive methods. However, the prevalence of follow-up was a little low, and it needed to develop more professional staff in PAFPS. In addition, more research is necessary on how to improve the quality of contraceptive counseling.
Trial registration:
Not applicable