The Uptake of Modern Contraceptive Methods Among Clients of Post-Abortion Care Services in Urban Guinea

Tamba Mina Millimouno; Alexandre Delamou; Sidikiba Sidibé; Delphin Kolie; Jean Pierre Leno; Thérèse Delvaux; Yolande Hyjazi

doi:doi:10.11648/j.cajph.20190505.14

The Uptake of Modern Contraceptive Methods Among Clients of Post-Abortion Care Services in Urban Guinea

Tamba Mina Millimouno, Alexandre Delamou, Sidikiba Sidibé, Delphin Kolie, Jean Pierre Leno, Thérèse Delvaux, Yolande Hyjazi

Published in Central African Journal of Public Health (Volume 5, Issue 5)

Received: 11 July 2019 Accepted: 7 August 2019 Published: 26 August 2019

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Abstract

In West Africa, there are limited data on the uptake of modern contraceptive methods among post-abortion care (PAC) clients. This study aimed at describing the knowledge, attitudes and practices of PAC clients towards modern contraceptive methods and identifying the factors associated with the uptake of long-acting contraceptive methods in Guinea. We conducted a cross-sectional study from March to August 2014 with a sample of 426 PAC clients in two communal medical centres in Conakry. Data were collected using a structured questionnaire and analysed using Stata software, version 14. A logistic regression was conducted to identify the factors associated with the uptake of long-acting contraceptive methods. Overall 45,5 % were students, and among them, 66.9% had a secondary or higher level of education. Among the respondents 21,8% had a history of abortion. Induced abortion (83.6%) was the most common type of abortion leading women to seek PAC services. Most of clients (73.6%) had previously heard about family planning (FP), either at school (42.7%), in a health facility/pharmacy (26.5%) or in the neighbourhood (5.9%). Among them, only 34% had used a contraceptive method in the last six months prior to the PAC visit. However, 79.1% of the sample had an unmet need for FP. During the PAC visit, 86.6% of women expressed a desire to postpone any pregnancy in the next 12 months. Overall, 388 women (91.1%) adopted a modern contraceptive method. Most of women (n=375; 96.6%) obtained the chosen contraceptive method before discharge. The intra-uterine device (IUD) was the preferred contraceptive method for women (n=130; 34.7%) followed by implants (n=107; 28.5%). Having a history of abortion (OR= 2.5; CI= 1.3-4.7) and a non-desire for pregnancy in the following 12 months (OR= 4.8; CI= 2.0-11.5) were the factors statistically significantly associated with the uptake of long-acting contraceptive methods. In our context, induced or unsafe abortion mainly concerned students. There is a need to improve the uptake of contraceptive methods, especially among students and intensify awareness on the consequences of unsafe abortion among youths.

Published in	Central African Journal of Public Health (Volume 5, Issue 5)
DOI	10.11648/j.cajph.20190505.14
Page(s)	203-211
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Uptake, Post-Abortion Care, Modern Contraceptive Methods, Guinea

References

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Tamba Mina Millimouno, Alexandre Delamou, Sidikiba Sidibé, Delphin Kolie, Jean Pierre Leno, et al. (2019). The Uptake of Modern Contraceptive Methods Among Clients of Post-Abortion Care Services in Urban Guinea. Central African Journal of Public Health, 5(5), 203-211. https://doi.org/10.11648/j.cajph.20190505.14

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Tamba Mina Millimouno; Alexandre Delamou; Sidikiba Sidibé; Delphin Kolie; Jean Pierre Leno, et al. The Uptake of Modern Contraceptive Methods Among Clients of Post-Abortion Care Services in Urban Guinea. Cent. Afr. J. Public Health 2019, 5(5), 203-211. doi: 10.11648/j.cajph.20190505.14

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AMA Style

Tamba Mina Millimouno, Alexandre Delamou, Sidikiba Sidibé, Delphin Kolie, Jean Pierre Leno, et al. The Uptake of Modern Contraceptive Methods Among Clients of Post-Abortion Care Services in Urban Guinea. Cent Afr J Public Health. 2019;5(5):203-211. doi: 10.11648/j.cajph.20190505.14

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@article{10.11648/j.cajph.20190505.14,
  author = {Tamba Mina Millimouno and Alexandre Delamou and Sidikiba Sidibé and Delphin Kolie and Jean Pierre Leno and Thérèse Delvaux and Yolande Hyjazi},
  title = {The Uptake of Modern Contraceptive Methods Among Clients of Post-Abortion Care Services in Urban Guinea},
  journal = {Central African Journal of Public Health},
  volume = {5},
  number = {5},
  pages = {203-211},
  doi = {10.11648/j.cajph.20190505.14},
  url = {https://doi.org/10.11648/j.cajph.20190505.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20190505.14},
  abstract = {In West Africa, there are limited data on the uptake of modern contraceptive methods among post-abortion care (PAC) clients. This study aimed at describing the knowledge, attitudes and practices of PAC clients towards modern contraceptive methods and identifying the factors associated with the uptake of long-acting contraceptive methods in Guinea. We conducted a cross-sectional study from March to August 2014 with a sample of 426 PAC clients in two communal medical centres in Conakry. Data were collected using a structured questionnaire and analysed using Stata software, version 14. A logistic regression was conducted to identify the factors associated with the uptake of long-acting contraceptive methods. Overall 45,5 % were students, and among them, 66.9% had a secondary or higher level of education. Among the respondents 21,8% had a history of abortion. Induced abortion (83.6%) was the most common type of abortion leading women to seek PAC services. Most of clients (73.6%) had previously heard about family planning (FP), either at school (42.7%), in a health facility/pharmacy (26.5%) or in the neighbourhood (5.9%). Among them, only 34% had used a contraceptive method in the last six months prior to the PAC visit. However, 79.1% of the sample had an unmet need for FP. During the PAC visit, 86.6% of women expressed a desire to postpone any pregnancy in the next 12 months. Overall, 388 women (91.1%) adopted a modern contraceptive method. Most of women (n=375; 96.6%) obtained the chosen contraceptive method before discharge. The intra-uterine device (IUD) was the preferred contraceptive method for women (n=130; 34.7%) followed by implants (n=107; 28.5%). Having a history of abortion (OR= 2.5; CI= 1.3-4.7) and a non-desire for pregnancy in the following 12 months (OR= 4.8; CI= 2.0-11.5) were the factors statistically significantly associated with the uptake of long-acting contraceptive methods. In our context, induced or unsafe abortion mainly concerned students. There is a need to improve the uptake of contraceptive methods, especially among students and intensify awareness on the consequences of unsafe abortion among youths.},
 year = {2019}
}

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TY - JOUR
T1 - The Uptake of Modern Contraceptive Methods Among Clients of Post-Abortion Care Services in Urban Guinea
AU - Tamba Mina Millimouno
AU - Alexandre Delamou
AU - Sidikiba Sidibé
AU - Delphin Kolie
AU - Jean Pierre Leno
AU - Thérèse Delvaux
AU - Yolande Hyjazi
Y1 - 2019/08/26
PY - 2019
N1 - https://doi.org/10.11648/j.cajph.20190505.14
DO - 10.11648/j.cajph.20190505.14
T2 - Central African Journal of Public Health
JF - Central African Journal of Public Health
JO - Central African Journal of Public Health
SP - 203
EP - 211
PB - Science Publishing Group
SN - 2575-5781
UR - https://doi.org/10.11648/j.cajph.20190505.14
AB - In West Africa, there are limited data on the uptake of modern contraceptive methods among post-abortion care (PAC) clients. This study aimed at describing the knowledge, attitudes and practices of PAC clients towards modern contraceptive methods and identifying the factors associated with the uptake of long-acting contraceptive methods in Guinea. We conducted a cross-sectional study from March to August 2014 with a sample of 426 PAC clients in two communal medical centres in Conakry. Data were collected using a structured questionnaire and analysed using Stata software, version 14. A logistic regression was conducted to identify the factors associated with the uptake of long-acting contraceptive methods. Overall 45,5 % were students, and among them, 66.9% had a secondary or higher level of education. Among the respondents 21,8% had a history of abortion. Induced abortion (83.6%) was the most common type of abortion leading women to seek PAC services. Most of clients (73.6%) had previously heard about family planning (FP), either at school (42.7%), in a health facility/pharmacy (26.5%) or in the neighbourhood (5.9%). Among them, only 34% had used a contraceptive method in the last six months prior to the PAC visit. However, 79.1% of the sample had an unmet need for FP. During the PAC visit, 86.6% of women expressed a desire to postpone any pregnancy in the next 12 months. Overall, 388 women (91.1%) adopted a modern contraceptive method. Most of women (n=375; 96.6%) obtained the chosen contraceptive method before discharge. The intra-uterine device (IUD) was the preferred contraceptive method for women (n=130; 34.7%) followed by implants (n=107; 28.5%). Having a history of abortion (OR= 2.5; CI= 1.3-4.7) and a non-desire for pregnancy in the following 12 months (OR= 4.8; CI= 2.0-11.5) were the factors statistically significantly associated with the uptake of long-acting contraceptive methods. In our context, induced or unsafe abortion mainly concerned students. There is a need to improve the uptake of contraceptive methods, especially among students and intensify awareness on the consequences of unsafe abortion among youths.
VL - 5
IS - 5
ER -

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Author Information

Tamba Mina Millimouno

Research Unit, National Training and Research Centre in Rural Health of Maferinyah, Forecariah, Guinea
Alexandre Delamou

Research Unit, National Training and Research Centre in Rural Health of Maferinyah, Forecariah, Guinea
Sidikiba Sidibé

Research Unit, National Training and Research Centre in Rural Health of Maferinyah, Forecariah, Guinea
Delphin Kolie

Research Unit, National Training and Research Centre in Rural Health of Maferinyah, Forecariah, Guinea
Jean Pierre Leno

Health District of Lelouma, Lelouma, Guinea
Thérèse Delvaux

Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium
Yolande Hyjazi

Department of Gynecology and Obstetrics, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

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Tamba Mina Millimouno, Alexandre Delamou, Sidikiba Sidibé, Delphin Kolie, Jean Pierre Leno, et al. (2019). The Uptake of Modern Contraceptive Methods Among Clients of Post-Abortion Care Services in Urban Guinea. Central African Journal of Public Health, 5(5), 203-211. https://doi.org/10.11648/j.cajph.20190505.14

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Tamba Mina Millimouno; Alexandre Delamou; Sidikiba Sidibé; Delphin Kolie; Jean Pierre Leno, et al. The Uptake of Modern Contraceptive Methods Among Clients of Post-Abortion Care Services in Urban Guinea. Cent. Afr. J. Public Health 2019, 5(5), 203-211. doi: 10.11648/j.cajph.20190505.14

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Tamba Mina Millimouno, Alexandre Delamou, Sidikiba Sidibé, Delphin Kolie, Jean Pierre Leno, et al. The Uptake of Modern Contraceptive Methods Among Clients of Post-Abortion Care Services in Urban Guinea. Cent Afr J Public Health. 2019;5(5):203-211. doi: 10.11648/j.cajph.20190505.14

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@article{10.11648/j.cajph.20190505.14,
  author = {Tamba Mina Millimouno and Alexandre Delamou and Sidikiba Sidibé and Delphin Kolie and Jean Pierre Leno and Thérèse Delvaux and Yolande Hyjazi},
  title = {The Uptake of Modern Contraceptive Methods Among Clients of Post-Abortion Care Services in Urban Guinea},
  journal = {Central African Journal of Public Health},
  volume = {5},
  number = {5},
  pages = {203-211},
  doi = {10.11648/j.cajph.20190505.14},
  url = {https://doi.org/10.11648/j.cajph.20190505.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20190505.14},
  abstract = {In West Africa, there are limited data on the uptake of modern contraceptive methods among post-abortion care (PAC) clients. This study aimed at describing the knowledge, attitudes and practices of PAC clients towards modern contraceptive methods and identifying the factors associated with the uptake of long-acting contraceptive methods in Guinea. We conducted a cross-sectional study from March to August 2014 with a sample of 426 PAC clients in two communal medical centres in Conakry. Data were collected using a structured questionnaire and analysed using Stata software, version 14. A logistic regression was conducted to identify the factors associated with the uptake of long-acting contraceptive methods. Overall 45,5 % were students, and among them, 66.9% had a secondary or higher level of education. Among the respondents 21,8% had a history of abortion. Induced abortion (83.6%) was the most common type of abortion leading women to seek PAC services. Most of clients (73.6%) had previously heard about family planning (FP), either at school (42.7%), in a health facility/pharmacy (26.5%) or in the neighbourhood (5.9%). Among them, only 34% had used a contraceptive method in the last six months prior to the PAC visit. However, 79.1% of the sample had an unmet need for FP. During the PAC visit, 86.6% of women expressed a desire to postpone any pregnancy in the next 12 months. Overall, 388 women (91.1%) adopted a modern contraceptive method. Most of women (n=375; 96.6%) obtained the chosen contraceptive method before discharge. The intra-uterine device (IUD) was the preferred contraceptive method for women (n=130; 34.7%) followed by implants (n=107; 28.5%). Having a history of abortion (OR= 2.5; CI= 1.3-4.7) and a non-desire for pregnancy in the following 12 months (OR= 4.8; CI= 2.0-11.5) were the factors statistically significantly associated with the uptake of long-acting contraceptive methods. In our context, induced or unsafe abortion mainly concerned students. There is a need to improve the uptake of contraceptive methods, especially among students and intensify awareness on the consequences of unsafe abortion among youths.},
 year = {2019}
}

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