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Post-abortion contraceptive acceptability in Blantyre, Malawi.

V M Lema1, V Mpanga

  • 1Department of Obstetrics and Gynaecology, College of Medicine, University of Malawi, Private Bag 360, Chichiri, Blantyre 3, Malawi.

East African Medical Journal
|July 17, 2003
PubMed
Summary

Post-abortion contraception acceptance is high in Malawi, with 80.4% of patients accepting methods like oral pills and injectables. Integrating these services into post-abortion care can reduce repeat unwanted pregnancies and unsafe abortions.

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Area of Science:

  • Reproductive Health
  • Public Health
  • Gynecology

Background:

  • Unsafe abortion is a major global reproductive health challenge, particularly in developing nations.
  • Lack of or inadequate contraception is a significant contributing factor to unintended pregnancies and subsequent unsafe abortions.

Purpose of the Study:

  • To assess contraceptive acceptance rates among patients who have undergone an abortion in Blantyre, Malawi.
  • To identify factors influencing contraceptive uptake in post-abortion care settings.

Main Methods:

  • A cross-sectional pilot study was conducted.
  • Data were collected from 464 patients in the gynaecological ward of Queen Elizabeth Central Hospital, Blantyre, Malawi.

Main Results:

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  • 80.4% of post-abortion patients accepted contraception.
  • The most popular methods were oral contraceptive pills (45.3%), depot medroxyprogesterone acetate (DMPA) (21.8%), and male condoms (20.7%).
  • No significant relationship was found between contraceptive acceptance and age, marital status, or parity.

Conclusions:

  • Post-abortion contraception is highly acceptable in Malawi when properly planned and offered.
  • Integrating contraception into post-abortion care can increase contraceptive prevalence, reduce repeat unwanted pregnancies, and decrease unsafe abortions.
  • This approach offers a critical opportunity to improve reproductive health outcomes.