Assessment of Post-abortion Care Services in Two Health Facilities in Conakry, Guinea

Tamba M. Millimouno, Jean P. Leno, Sidikiba Sidibé, Oumou H. Bah, Alexandre Delamou, Yolande Hyjazi

Abstract

High quality post-abortion care (PAC) is needed to curb maternal deaths by providing effective treatment and preventing future unintended pregnancies through PAC family planning. This study aimed at assessing PAC services with a focus on women’s satisfaction with care they received in two health facilities in Conakry. We conducted a cross-sectional mixed method study with 426 PAC clients from March 1st to August 31st, 2014. Data analyses were performed using Stata software version 14 for quantitative data and using a thematic approach for qualitative data. Overall, 92.5% of women were satisfied with PAC services they received. The short waiting time (< 30 min), the appropriate management of pain during the treatment, the affordable cost of the treatment, the confidentiality of services, the good patient-provider interaction and the cleanliness of the premises were factors statistically significantly associated with the satisfaction of women (P-value ˂ 0.001). This study showed a high rate of women’s satisfaction. Nevertheless, health authorities should assure a regular follow-up on the application of official prices for the treatment of PAC patients; and providers should further consider aspects such as pain management during treatment, confidentiality of services, patient-provider interaction for optimal satisfaction of clients with PAC services. (Afr J Reprod Health 2020; 24[2]: 96-105).

Full Text:

PDF

References

Ganatra B, Gerdts C, Rossier C, Johnson JBR, Tuncalp

Ö, Assifi A, Sedgh G, Singh S, Bankole A, Popinchalk A, Bearak J, Kang Z and Alkema L. Global, regional, and sub-regional classification of abortions by safety, 2010–14: estimates from a Bayesian hierarchical model. The Lancet. 2017; 390(0110):2372-2381.

Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB,

Daniels J, Gülmezoglu AM, Temmerman M and Alkema L. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014; 2(6):e323-33.

WHO. Worldwide, an estimated 25 million unsafe

abortions occur each year. 28 September 2018. Available at: https://apps.who.int/iris/bitstream/handle/10665/329887/WHO-RHR-19.21-eng.pdf?ua=1. Accessed on March 20, 2019.

Guttmacher institute. Adding it up: Investing in

Contraception and Maternal and Newborn Health, 2017. Retrieved from: https://www.guttmacher.org/fact-sheet/adding-it-up-contraception-mnh-2017 . Accessed on January 14, 2019.

Graham W, Woodd S, Byass P, Filippi V, Gon G, Virgo

S, Chou D, Hounton S, Lozano R, Pattinson R and Singh S. Diversity and divergence: the dynamic burden of poor maternal health. Lancet. September 15, 2016. S0140-6736(16): 31533-1.

Corbett MR, Turner KL. Essential elements of post

abortion care: Origins, evolution and future directions. Int Fam Plan Perspect. 2003;29(3): 106–11.

Billings DL, Crane BB, Benson J, Solo J and Fetters T.

Scaling-up a public health innovation: a comparative study of post-abortion care in Bolivia and Mexico. Soc Sci Med. 2007;64(11):2210-22.

Tripney J, Kwan I and Bird K. Post-abortion family

planning counseling and services for women in low-income countries: a systematic review. Contraception 2013;87(1):17-25.

Curtis C, Huber D and Moss-Knight T. Post-abortion

family planning: Addressing the cycle of repeat unintended pregnancy and abortion. Int Perspect Sex Reprod Health 2010;36(1):44-48.

Mugore S, Kassouta NTK, Sebikali B, Lundstrom L and

Saad A. Improving the quality of postabortion care services in Togo increased uptake of contraception. Glob Health Sci Pract. 2016;4(3):495-505.

Hassen F. Analysis of factors for unwanted pregnancy

among women in

reproductive age group attending health institutions in Jimma Town. 2000:136–138.

Rawlins B, Brechin SJG and Giri K. An assessment of

the quality of post abortion care services in Nepal: training and service delivery perspectives. USA, Baltimore, Maryland: JHPIEGO; 2001:75–77.

Kestler E, Valencia L, Del Valle V and Silva A. Scaling

up post-abortion care in Guatemala: Initial successes at national level. Reprod Health Matters 2006;14(27):138–147.

Adinma JI, Ikeako L, Adinma ED, Ezeama C and Eke N.

Post-abortion care counseling practiced by health professionals in southeastern Nigeria. Int J Gynecol Obstet 2010;111:53–56.

PAC Consortium Community Task Force. Essential

Elements of Post-abortion Care: An Expanded and Updated Model [Internet]. 2002 [cited 2020 Mar 21]. Available from: https://pdfs.semanticscholar.org/e3a5/a543fe95c382649081f1ddbbb71b813dba0e.pdf

International Federation of Gynecology and Obstetrics,

International Confederation of Midwives. Post-Abortion Family Planning: A Key Component of Post-Abortion Care Consensus Statement; 2013. Available at: http://www.respond-project.org/pages/files/6_pubs/advocacy-materials/PAC-FP-Joint-Statement-November2013-final.pdf. Accessed on March 25, 2015.

EngenderHealth. Post-abortion care. Available at:

https://www.engenderhealth.org/our-work/maternal/postabortion-care/. Accessed on September 14, 2018.

http://www.fphighimpactpractices.org/briefs/postabortion-family-planning/. Accessed on September 28, 2018.

Institut National de la Statistique. Enquête

Démographique et de Santé. INS, Guinée. 2012. Available at: http://www.stat-guinee.org/index.php/publications-ins/rapports-d-enquetes/category/86-enquetes-demographiques-et-de-sante-et-enquetes-mics. Accessed on March 20, 2020.

Institut National de la Statistique. Enquête

Démographiques et de Santé. INS, Guinée. 2018. Available at: http://www.stat-guinee.org/index.php/publications-ins/rapports-d-enquetes/category/86-enquetes-demographiques-et-de-sante-et-enquetes-mics. Accessed on March 20, 2020.

USAID. Evidence to Action Project (E2A). Report of the

second regional francophone West Africa Post-abortion Care Meeting: strengthening post-abortion family planning. Washington, DC: E2A; 2014. Available at: https://www.e2aproject.org/publication/report-of-the-second-regional-francophone-west-africa-postabortion-care-meeting-strengthening-postabortion-family-planning/. Accessed on February 20, 2019.

Jhpiego. Evaluation des soins après avortement en

Guinée. Rapport final [non publié], Juillet 2007.

Fikree FF, Mugore S and Forrester H. Strengthening

Post-abortion Family Planning in Guinea, Sustained Technical Assistance (Washington, DC: Evidence to Action Project, January 2014). Available at : https://www.e2aproject.org/wp-content/uploads/strengthening-pac-fp-guinea.pdf. Accessed on February 20, 2019.

Fikree FF, Mugore S and Forrester H. Post-abortion

Care: Assessment of Post-abortion Care Services in Four Francophone West Africa Countries (Washington, DC: Evidence to Action Project, April 2014). Available at: https://www.e2aproject.org/wp-content/uploads/pac-fp-assessment-report.pdf. Accessed on February 20, 2019.

Ministère du plan et de la coopération internationale.

Institut National de la Statistique de Guinée. Annuaire statistique 2018. Available from: http://www.stat-guinee.org/. Accessed on April 29, 2020.

Suh S. “Right tool,” wrong “job”: Manual vacuum

aspiration, post abortion care and transnational population politics in Senegal. Soc Sci Med. 2015 June; 135: 56–66. doi:10.1016/j.socscimed.2015.04.030

Drabo S. Access to Post Abortion Care (PAC) in Burkina

Faso: an ethnographic study. June 2013 (Thesis). Available at : https://www.duo.uio.no/bitstream/handle/10852/36107/SeydouxDrabo.pdf?sequence=1&isAllowed=y. Accessed on 19 October 2018.

Tesfaye G and Oljira L. Post-abortion care quality status

in health facilities of Guraghe zone, Ethiopia. Reprod Health. 2013;10(1):1–7.

Millimouno TM, Delamou A, Sidibe S, Kolie D, Leno

JP, Delvaux T and Hyjazi Y. The Uptake of Modern Contraceptive Methods Among Clients of Post-Abortion Care Services in Urban Guinea. Central African Journal of Public Heal. Vol. 5, No. 5, 2019, pp. 203-211.

WHO. Health worker roles in providing safe abortion

care and post-abortion contraception, 2015. Available at: http://apps.who.int/iris/bitstream/10665/181041/1/9789241549264_eng.pdf?ua=1&ua=1. Accessed on October 6, 2018.

USAID. Pratiques à Haut Impact dans la Planification

Familiale (HIP), Planification familiale après avortement: renforcer la composante de planification familiale dans les soins après avortement. Washington DC, November 2012. Available at: www.fphighimpactpractices.org/resources. Accessed on July 15, 2018.

Refbacks

  • There are currently no refbacks.