ArticleThe Pan African medical journal2025
Assessment of post-abortion contraceptive counseling and practices among healthcare providers in Mfoundi Division, Centre Region, Cameroon.
Article in The Pan African medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: post-abortion contraception, when administered before hospital discharge, effectively prevents unintended pregnancies and subsequent abortions. This study assessed the proportion of healthcare providers offering post-abortion contraceptive services in the Mfoundi Division of Cameroon and identified factors influencing these practices. Methods: we conducted a hospital-based cross-sectional study among 332 healthcare providers offering post-abortion care from 21 health facilities (10 private and 11 public) in the Mfoundi Division. Using a non-probabilistic sampling method, we selected two-thirds of participants from public facilities and one-third from private facilities. A pretested structured questionnaire was used for data collection, and SPSS 23.0. For data analysis. Binary logistic regression (p<0.05) determined associated factors. Results: among the participants were obstetricians/gynecologists (4.9%), midwives (44.6%), nurses (27.7%), general practitioners (9.6%), junior residents (6.9%), and senior residents (4.2%). We had 81.63% offering post-abortion contraceptive counseling, whereas 33.1% offered contraceptive methods prior to hospital discharge. Post abortion contraceptive counseling was associated with training on family planning (OR 3.8, p<0.001) and on post-abortion care (PAC) (OR 4.5, p=0.002). The non-availability of contraceptives (OR 0.18, p<0.001), knowing the importance of contraceptives during PAC (OR 2.6, p<=0.001), being an obstetrician/gynecologist (OR 1.3, p=0.012), family planning training (OR 3.8, p=0.003), and the availability of protocols (OR 2.8, p<0.001) were associated with post-abortion contraceptives provision. Conclusion: these results highlight the necessity of enhancing the post-abortion contraceptive practices in health facilities.
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