article · SAGE Open Medicine
A cross-sectional study in Debre Markos town, Northwest Ethiopia, evaluated the intention of women receiving abortion care to adopt future contraception, alongside the factors influencing their decisions. Among 326 surveyed women, approximately 70.2 percent expressed an intention to use contraception following an abortion. Key factors positively associated with this intention included higher educational attainment, an unintended pregnancy, a desire to postpone pregnancy for at least six months, favourable attitudes towards family planning, and good contraceptive knowledge. Conversely, women who experienced spontaneous abortions and those unable to obtain their preferred contraceptive method were significantly less likely to plan future contraceptive use. These findings underscore the importance of aligning post-abortion care with personal preferences, comprehensive information, and consistent method availability.
Post-abortion family planning is essential to reduce the risk of repeated unintended pregnancies and maternal health complications. By revealing that a failure to supply preferred contraceptive methods sharply diminishes women's intentions to use family planning, the findings offer healthcare planners clear operational evidence to improve service delivery, stock management, and patient-centred counselling in maternal health facilities.
The abstract does not indicate an application pathway.
AI-generated from the published abstract. Always read the original work before citing.
Background Intention to use future contraception after abortion refers to a woman’s expressed plan to use a contraceptive method after abortion. Inadequate family planning counselling and limited access to contraceptive services among post-abortion women may increase the risk of repeated unintended pregnancies and induced abortions. Although the Ethiopian Ministry of Health has integrated safe abortion care with post-abortion family planning services, abortion rates remain high and contraceptive utilization remains low in many areas, including the study setting. Limited evidence exists regarding women’s intention to use future contraception after abortion in Debre Markos town. This study assessed the intention to use future contraception after abortion and its associated factors among women receiving abortion services in health facilities of Debre Markos town, Northwest Ethiopia. Methods An institution-based cross-sectional study was conducted among 326 women selected by consecutive sampling. Data were collected using a structured, pretested interviewer-administered questionnaire, entered into EpiData 4.6, and analysed using Stata 17. Binary logistic regression was performed. Variables with p ≤ 0.25 in bivariable analysis were included in the multivariable model. Model fitness was assessed using the Hosmer-Lemeshow test ( p = 0.53), and multicollinearity was evaluated using the variance inflation factor (VIF < 2). Results The proportion intending to use future contraception after abortion was 70.2% (95% CI: 65.0%–75.2%). Higher educational status (AOR = 4.42; 95% CI: 1.34–14.48), unintended pregnancy (AOR = 5.00; 95% CI: 1.29–19.36), desire to avoid pregnancy for at least six months (AOR = 8.14; 95% CI: 3.10–21.38), favourable attitude (AOR = 6.25; 95% CI: 2.31–16.89), and good knowledge (AOR = 7.99; 95% CI: 3.00–21.30) were positively associated with intention. Spontaneous abortion (AOR = 0.15; 95% CI: 0.02–0.52) and not receiving the preferred contraceptive method (AOR = 0.13; 95% CI: 0.05–0.34) were negatively associated. Conclusion Seven in ten women intended to use future contraception after abortion. Educational status, unintended pregnancy, desire to delay pregnancy, favourable attitude, and good knowledge increased intention, whereas spontaneous abortion and not receiving the preferred contraceptive method reduced intention.
This page summarises published work. The authoritative version sits with the publisher.
DOI: 10.1177/20503121261487541
Is something wrong with this record? Report it or request removal.
Discussion
Have you built on this work, tried to replicate it, or seen it applied in practice? Share what you know. Verified researchers and MARATTO™ domain experts can open a discussion, and any member can reply. Contributions are reviewed before they appear.
No discussion yet. Open the first thread.
New to MARATTO™? Create a free account.
