Matthews Kalenga¹*, Alick Bwanga², Andrew Kumwenda¹ and Bellington Vwalika¹

¹University of Zambia, School of Medicine, Department of Obstetrics and Gynaecology, Lusaka, Zambia
²University Teaching Hospital, Department of Surgery, Private Bag RW 1X, Ridgeway, Lusaka, Zambia

*Corresponding Author: Matthews Kalenga, University of Zambia, School of Medicine, Department of Obstetrics and Gynaecology, Lusaka, Zambia.

Received: September 19, 2023; Published: October 20, 2023

Abstract

Background: Post-abortion family planning/contraception (PAFP/C) is key for the prevention of unplanned pregnancies and reduction of their complications such as unsafe abortions, maternal morbidity, and mortality. This study assesed the uptake of post abortion contrraception and associated factors, influencing PAFP/C uptake among post-abortion care (PAC) service users at the Women and New-born Hospital (WNH) in Lusaka, Zambia.

Methodology: A cross-sectional study was conducted between 1st July 2021 and 31st January, 2022. Data was collected using an interviewer-administered questionnaire. Bivariate analysis and logistic regressions were used to evaluate the association between independent variables with the dependent variable. A p-value of < 0.05 at 95% CI was considered statistically significant.

Results: A total of 402 PAC-users participated in the study. The overall uptake of PAFP/C was 49.8%. Sociodemographic factors associated with uptake of PAFP/C included: being married [AOR 2.34, 95% CI (1.32, 4.14)], tertiary education [AOR 8.94, 95% CI (1.51, 52.90)], being employed [AOR 1.93, 95% CI (1.27, 2.92)], living in medium density area [AOR 1.81, 95% CI (1.21, 2.96)]. Reproductive factors such as being primiparous [AOR 3.01, 95% CI (1.48, 6.14); p = 0.002], having 1 to 3 living children [AOR 2.04, 95% CI (1.12, 3.74)], planned pregnancy [AOR 1.75, 95% CI (1.15, 2.65)] and reason for abortion being unwanted pregnancy [AOR 2.94, 95% CI (1.47, 5.87)] were significantly associated with PAFP/C uptake. Other associated factors included contraceptive knowledge [AOR 5.77, 95% CI (2.17, 15.34)], ever used contraceptives [AOR 6.59, 95% CI (3.60, 12.06)], having received PAFP/C counselling [AOR 291.75, 95% CI (39.43, 2158.87)], wanting to wait to conceive [AOR 2.20, 95% CI (1.20, 4.04)] and never wanting to conceive [AOR 3.26, 95% CI (1.31, 8.14)].

Conclusion: Uptake of PAFP/C was low due to several factors identified that need to be addressed to improve the uptake at WNH, Lusaka, Zambia.

Keywords: Post-abortion Family Planning/Contraceptive Uptake; Associated Factors; Women and New-born Hospital

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Citation

Citation: Matthews Kalenga., et al. “Uptake of Post-Abortion Contraception at a Tertiary Hospital in Zambia".Acta Scientific Pharmaceutical Sciences 7.11 (2023): 37-47.

Copyright

Copyright: © 2023 Matthews Kalenga., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.