Acceptance and use of the female condom among women with incomplete abortion in rural Tanzania
Abstract
Background This study describes the outcome of a postabortion care intervention aimed at introducing the female condom as a means of preventing women from having unwanted pregnancies and sexually transmitted infections (STIs)/HIV. Methods Postabortion contraceptive counseling and services were offered to 548 women admitted to the Kagera Regional Hospital for incomplete abortion. The counseling included information about STI/HIV and the use male or female condom. In total, 521 (95%) women accepted contraception. Results Contraceptive use was assessed 3 months after abortion among 475 (91%) women. The female condom was accepted by 201 of 521 (39%) and was used by 158 of 521 (30%). Women who had experienced an unsafe abortion, had attended secondary school or earned an income were more likely to accept the female condom. The women were generally satisfied with the method, and the majority intended to use it again. Conclusion Postabortion care programs provide an excellent entry point for introducing the female condom as a contraceptive method for the prevention of both repeat unwanted pregnancies and STI/HIV infection.
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In Tanzania, women suffering from complications after an unsafe abortion represent approximately 20-25% of all gynecological admissions.
“In Tanzania, it has been documented that women suffering from complications after an unsafe abortion represent approximately 20-25% of all gynecological admissions (16,32).”
From Unsafe abortion and postabortion care - an overview (2011) · cites this paper as [32]
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Unsafe abortion and postabortion care - an overview
RASCH, V. (2011) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/j.1600-0412.2011.01165.x · Cited by 94 · see citing works
Self-citationTripney, J., Kwan, I., & Bird, K. S. (2013) · Contraception · doi:10.1016/j.contraception.2012.07.014 · Cited by 59 · see citing works
- Authors
- Rasch, V., Yambesi, F., & Kipingili, R.
- Affiliations
- University of Copenhagen (DK)
- Corresponding author
- Rasch, Vibeke
- ORCID
- Rasch, Vibeke
- Venue
- Contraception
- Publisher
- Elsevier BV
- Published
- 2007-01
- Volume
- 75
- Issue
- 1
- Pages
- 66-70
- ISSN
- 0010-7824 (ISSN-L)
- OpenAlex
- W2069911867
- Cited by
- 20
- References
- 0
- Citations by year
- 2025: 1 · 2021: 3 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 2 · 2012: 2
- FWCI
- 1.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Contraception (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Keywords
- female condom, incomplete abortion, post-abortion care, contraceptive acceptability, contraceptive use, unwanted pregnancy, sexually transmitted infections, HIV prevention, contraceptive counseling, rural women, Tanzania
- MeSH terms
- Abortion, Induced, Adult, Counseling, Educational Status, Employment, Female, Humans, Patient Acceptance of Health Care, Pregnancy, Pregnancy, Unwanted, Sexual Behavior, Sexually Transmitted Diseases, Socioeconomic Factors, Tanzania, Marital Status, Single-Use Internal Condom
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