Post-abortion contraceptive adoption in Ethiopia

Area of Science:

• Reproductive Health
• Family Planning
• Public Health

Background:

• Contraception adoption is crucial for women undergoing abortions to prevent unintended pregnancies.
• Couple counseling can potentially influence contraceptive choices and uptake.
• Limited research exists on the impact of couple counseling on modern contraception use post-abortion.

Purpose of the Study:

• To evaluate the effectiveness of couple counseling on modern contraception adoption among women seeking abortion services.
• To identify factors associated with modern contraception use in this population.

Main Methods:

• A cross-sectional study was conducted with 326 women receiving abortion care in Addis Ababa, Ethiopia.
• Data were collected via interviews using Open Data Kit.
• Logistic regression analysis identified predictors of modern contraception adoption.

Main Results:

• Only 34.4% of women received couple counseling; 79.5% of those adopted modern contraception.
• Partner approval (aOR 2.34) and perceived partner support (aOR 1.78) were significantly associated with higher odds of modern contraceptive use.
• Women with partner approval were 2.34 times more likely to use modern contraception.

Conclusions:

• Couple counseling uptake for contraception was low among women receiving abortions.
• Partner approval and perceived partner support are critical factors influencing modern contraception adoption post-abortion.
• Integrating couple counseling into abortion care services may improve contraceptive uptake.