Factors associated with repeat induced abortion in Kenya

Area of Science:

• Reproductive Health
• Public Health
• Demography

Background:

• Eastern Africa reported over two million induced abortions in 2008.
• Repeat induced abortions are a significant concern, yet under-researched in the region.
• Understanding factors associated with repeat abortions is crucial for reproductive health interventions.

Purpose of the Study:

• To investigate the prevalence of repeat induced abortions in Kenya.
• To identify socio-demographic and reproductive health factors associated with repeat induced abortions.

Main Methods:

• Data from the 2012 Magnitude and Incidence of Unsafe Abortion Study in Kenya.
• Nationally-representative sample of 350 facilities offering post-abortion services.
• Prospective morbidity survey of 769 women who had induced abortions.

Main Results:

• Approximately 16% of women seeking post-abortion care had a previous induced abortion.
• Factors associated with higher likelihood of repeat induced abortion include: separation/divorce/widowhood, no education, unwanted pregnancy, 1-2 prior births, and traditional contraceptive use.
• These findings underscore the need for improved reproductive health services.

Conclusions:

• Women undergoing induced abortions may lack adequate information to prevent unintended pregnancies.
• Enhanced post-abortion family planning services, particularly long-acting methods, are needed.
• Addressing the factors identified can help reduce repeat induced abortions and improve women's reproductive health outcomes.