Medium and long-term adherence to postabortion contraception among women having experienced unsafe abortion in Dar es Salaam, Tanzania
Open accessAbstract
BACKGROUND: Postabortion contraceptive service is considered an effective means in addressing the problem of unsafe abortion; in spite this fact this component remains one of the weakest parts of postabortion care. In this context, the paper aims to describe the impact of a postabortion contraceptive service intervention among women admitted with complications from unsafe abortions and to explore the women's long-term contraceptive adherence. METHODS: 392 women having experienced unsafe abortion were identified by an empathetic approach and offered postabortion contraceptive service, which included counselling on HIV and condom use. Questionnaire interviews about contraceptive use were conducted at the time of inclusion and 12 months after the abortion. Additionally, in-depth interviews were performed 6-12 months after the abortion. RESULTS: Eighty-nine percent of the women accepted postabortion contraception. Follow-up information was obtained 12 months after the abortion among 59 percent of the women. Among these, 79 percent of the married women and 84 percent of the single women stated they were using contraception at 12 months. Condom use among the single women increased significantly during the 12 months follow up. CONCLUSION: Postabortion contraceptive services appear to be well accepted by women who are admitted with complications after an unsafe abortion and should thus be recognized as an important means in addressing the problem of unsafe abortion. In addition, counselling about HIV and condom use should be considered an essential aspect of postabortion care.
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Studies from Guatemala, Bolivia, Mexico and Tanzania have shown that contraception is well accepted when postabortion contraceptive services are implemented as part of emergency treatment.
“Studies from Guatemala (50), Bolivia and Mexico (51) and Tanzania (52) have likewise shown that contraception is well accepted when postabortion contraceptive services are implemented as part of emergency treatment.”
From Unsafe abortion and postabortion care - an overview (2011) · cites this paper as [52]
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Research works printed but not linked: 15
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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-citation
- Authors
- Rasch, V., Yambesi, F., & Massawe, S.
- Affiliations
- University of Copenhagen (DK)
- Corresponding author
- Rasch, Vibeke
- ORCID
- Rasch, Vibeke
- Venue
- BMC Pregnancy and Childbirth
- Published
- 2008-07-31
- Volume
- 8
- Issue
- 1
- Pages
- 32-32
- ISSN
- 1471-2393 (ISSN-L)
- PMC
- PMC2529258
- OpenAlex
- W2042613261
- Cited by
- 43
- References
- 0
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 1 · 2021: 4 · 2020: 1 · 2019: 4 · 2018: 5 · 2017: 2 · 2015: 4 · 2014: 4 · 2013: 6 · 2012: 3
- FWCI
- 1.66
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Pregnancy and Childbirth (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- Styrelsen för Internationellt Utvecklingssamarbete
- Danish International Development Agency
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Social Sciences › Political Science and International Relations › International Human Rights and Reproductive Law
- Keywords
- post-abortion contraception, unsafe abortion, contraceptive adherence, post-abortion care, HIV counseling, condom use, abortion complications, Dar es Salaam
- MeSH terms
- Abortion, Illegal, Abortion, Criminal, Adolescent, Adult, Aftercare, Contraception Behavior, Female, Humans, Health Knowledge, Attitudes, Practice, Patient Compliance, Surveys and Questionnaires, Tanzania, Time Factors, Cohort Studies, HIV Infections, Condoms, Safe Sex, Qualitative Research
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