dc.contributor.author | Uwera, Jessica | |
dc.date.accessioned | 2015-08-26T09:10:59Z | |
dc.date.available | 2015-08-26T09:10:59Z | |
dc.date.issued | 2015 | |
dc.identifier.uri | http://hdl.handle.net/11295/90093 | |
dc.description | Thesis | en_US |
dc.description.abstract | Background
Globally, an estimated 43.8 million induced abortions take place each year of which
approximately 5.6 million occur in Africa. The majority of these abortions in Africa are
‘unsafe’ and almost 60% are procured by youth. This is due to the bulk of unwanted
pregnancies in this younger age group. Modern family planning methods use has greatly
reduced ‘unwanted’ and ‘unplanned’ pregnancy .In spite of this, contraceptive use is lowest
among adolescents. The main objective of this study was to determine the factors associated
with modern contraceptive uptake among 15-24 year old clients following immediate postabortion
counselling with the aim of identifying gaps in youth friendly reproductive health
service delivery.
Methodology
This was a cross-sectional study: clients aged 15-24 years attending Family Health Options
Kenya (FHOK) clinics for post-abortion services were recruited.
Results
One hundred and seventy four participants were recruited and their mean age was 23 years.
More than half, 106(60.9%) adopted a modern contraceptive method. The majority (48%)
accepted condoms, 25% adopted pills and 24% received injectable contraceptives while the
remainder preferred intrauterine devices and implants (2% and 1% respectively). Seventy
eight women (45%) feared that contraceptives would cause infertility, however, 157 (90.2%)
were more likely to believe health information from medical practitioners. Immediate postabortion
counselling was associated with increased uptake of family planning method (OR,
95% CI: 2.226, 1.171-4.231). Higher age group (OR, 95% CI: 2.10, 0.932-4.730) and
previous delivery (OR, 95%CI: 2.79, 1.295-6.024) were also associated with greater odds of
modern contraceptive uptake.
Conclusion and Recommendations
Post-abortion contraceptive counselling is important to increase contraceptive use. The
teenagers remain unreached by most contraceptive services, thus require targeted strategies. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.title | Determinants of modern contraceptive uptake following immediate post abortion counselling among 15-‐24 year old clients, fhok 2014 | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
dc.type.material | en_US | en_US |