ArticleReproductive health2024
Postabortion contraceptive use among women in Nepal: results from a longitudinal cohort study.
Article in Reproductive health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Supervised machine learning-based prediction of modern contraceptive use among sexually active women in Nepal.PLOS digital health · 2026Article
- One-year discontinuation rate of the combined injectable contraceptive among post-abortion women: a prospective follow-up study in Shanghai, China.Contraception and reproductive medicine · 2026Article
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Authors and funding
7 authors.
Funding
Abstract
introductionAlthough the Government of Nepal has developed strategies to integrate contraceptive services with abortion care to better meet the contraceptive needs of women, data indicate that significant gaps in services remain. This paper assessed post-abortion contraceptive use, trends over 36 -months, and factors influencing usage.
methodsData from this paper came from an ongoing cohort study of 1831 women who sought an abortion from one of the sampled 22 government-approved health facilities across Nepal. Women were interviewed eight times over 36 months between April 2019 to Dec 2023. Bivariate and multivariate analysis were used to analyze the data.
resultsResults show that after abortion, 59% of women used modern contraception, with injection being the most prevalent method, followed by condoms, pills, implants, and IUD. The hazard model showed that discontinuation of modern contraception was significantly higher among women desiring additional children (aHR 0.62) and lower among literate (aHR - 0.15) and those with existing children (aHR - 0.30). Women's age, ethnicity, cohabitation with husband, household's income and autonomy were not associated with continuation.
conclusionAfter having an abortion, we found that just slightly more than half of women used modern methods of contraception; this percentage did not increase significantly over the course of three years.
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