ArticleReproductive health2025
Evaluating the implementation of post-abortion care in Shanghai using the RE-AIM framework: a qualitative study of provider perspectives.
Article in Reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Adolescents versus healthcare providers preferences for abortion services: evidence from a discrete choice experiment in Jiangsu, China.Reproductive health · 2026Article
- Women's Knowledge, Attitude, and Practice Regarding Oral Short-Acting Contraceptives After Induced Abortion: A Cross-Sectional Study in Beijing, China.International journal of women's health · 2026Article
- Personal and work-related factors that impact the decision to have the first and recurrent abortion among women in Serbia.The Libyan journal of medicine · 2025Article
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Authors and funding
8 authors.
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Abstract
backgroundPost-abortion Care (PAC) is a proven strategy to reduce the rate of repeat abortions and promote women's reproductive health. However, existing research has predominantly centered on patient perspectives and health outcome indicators, with limited insight into the barriers and facilitators encountered during the implementation of PAC services.
objectiveTo evaluate the current state and challenges of PAC services in Shanghai, providing references for future service improvements and broader promotion.
methodsSeven hospitals offering PAC services in Shanghai were selected through stratified sampling, and semi-structured interviews were conducted with service providers. The interview guideline was developed based on the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework. Data were analyzed using a combination of deductive and inductive analytical methods.
resultsPAC services were highly accessible to patients within the study hospitals; however, lack of promotion and inadequate awareness among potential users were identified as major barriers to broader patient access. The services had a positive impact on post-abortion recovery and contraceptive adoption, while posing challenges to the efficient and equitable allocation of medical resources. Healthcare institutions and staff reported positive attitudes towards PAC services, but insufficient funds and manpower have limited the promotion and adoption of the project and also affected the work enthusiasm of providers. PAC services had standardized processes and were well-implemented. The lack of efficient follow-up methods was the main barrier to implementation. More policy support is needed to ensure the sustainability of the project.
conclusionPAC services have proven feasible and effective in improving post-abortion contraceptive behaviors and protecting female reproductive health. The primary challenges are insufficient funds and difficulties in follow-up. These findings are expected to provide information for improving the quality of PAC services and promoting them as basic reproductive health services of the government in the future.
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