Exploring the utilization of postabortion care services and related factors among women at a tertiary health facility

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dc.contributor.authorAyikoru Jackline
dc.contributor.authorJimmyy Opee
dc.contributor.authorFelix Bongomin
dc.contributor.authorHarriet Akello
dc.contributor.authorSandra Fiona Atim
dc.contributor.authorPebalo Francis Pebolo
dc.date.accessioned2025-09-01T08:24:57Z
dc.date.available2025-09-01T08:24:57Z
dc.date.issued2024
dc.descriptionAcknowledgements: We appreciate the fraternity of the Gulu Regional Referral Hospital and Gulu University for their support during the study. We thank our data collectors and data analysis team. Pre- Publication Support Service (PREPSS) supported the development of this manuscript by providing author training, pre-publication peer review, and copy editing Availability of data and materials: The datasets and study materials are under the principal investigator’s custodianship. The data will not be publicly available for confidentiality reasons; however, they can be availed upon reasonable request from the corresponding author.
dc.description.abstractBackground: Abortion-related complications are the third leading cause of maternal mortality in Uganda, accounting for approximately one-fourth of all maternal deaths. Most are preventable through adequate use of the full package of postabortion care (PAC) services. Objective: We aimed to assess the level of utilization of PAC services and the associated sociodemographic, obstetric, gynecological, and system-related factors at a high-volume tertiary health facility in Northern Uganda. Design: A cross-sectional survey was conducted among women receiving PAC at the Gulu Regional Referral Hospital from March 2023 to June 2023. Participants were recruited consecutively and exit interviews were conducted using structured questionnaires. Methods: Utilization of PAC was defined as the use of four or more of the following: counseling, emergency treatment, family planning services, linkage to other sexual and reproductive health services, and community health service provider cooperation. Modified Poisson regression analysis was used to determine the independent predictors of PAC utilization. Results: A total of 364 participants were enrolled in the study. Overall, 21.1% (n = 77) of the participants had used four or more PAC services. Having a supportive partner (adjusted prevalence ratio (aPR): 1.9, 95% confidence interval (CI): 1.19–2.88, p = 0.006), knowledge on PAC services (aPR: 1.7, 95% CI: 1.19–2.48, p = 0.004), low parity (aPR: 2.2, 95% CI: 1.16–4.35, p = 0.016), nulliparity (aPR: 2.4 95% CI: 1.19–4.73, p = 0.014), and provision of privacy(physical privacy during prescription, counseling, procedures) (aPR: 2.3 95% CI: 1.14–4.47, p = 0.02), were significantly associated with utilization of PAC. Overall, only one in five participants utilized four or more PAC services. Use of four or more PAC services was significantly associated with women having a supportive partner, knowledge of PAC services, low parity, nulliparity, and provision of privacy while receiving PAC services. Conclusion: Approaches such as advocating male partner involvement, bridging the knowledge gap through health education, and promoting respectful care may improve the utilization of PAC services
dc.description.sponsorshipThe author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by the Center for International Reproductive Health Training at the University of Michigan (CIRHT-UM). The funder played no role in this study
dc.identifier.citationJackline A, Opee J, Bongomin F, Akello H, Atim SF, Pebolo PF. Exploring the utilization of postabortion care services and related factors among women at a tertiary health facility in Gulu, Northern Uganda. Women’s Health. 2024;20. doi:10.1177/17455057241295896
dc.identifier.otherhttps://doi.org/10.1177/17455057241295896
dc.identifier.urihttps://doi.org/10.1177/17455057241295896
dc.identifier.urihttp://hdl.handle.net/20.500.14270/614
dc.language.isoen
dc.publisherWomens Health
dc.subjectabortion
dc.subjectpostabortion care
dc.subjectutilization
dc.subjectGulu city
dc.titleExploring the utilization of postabortion care services and related factors among women at a tertiary health facility
dc.typeArticle

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