ANALYZING FACTORS IMPACTING POST-ABORTION CONTRACEPTION ACCEPTANCE AT PRINCE ALI BIN AL-HUSSEIN MILITARY HOSPITAL IN THE SOUTH OF JORDAN
Keywords:
Post-Abortion Contraception Acceptance, health care, cross-sectional study, JordanAbstract
Post-abortion contraception is an essential element of family planning, particularly in mitigating unwanted pregnancies and recurrent abortions. Cultural and religious views, socio-demographic variables, and the perspectives of healthcare practitioners frequently influence the acceptance of contraceptive methods among women. This study investigates the determinants of post-abortion contraceptive acceptance among Jordanian women, emphasizing socio-demographic attributes, cultural and religious convictions, and the impact of counseling from healthcare providers. A cross-sectional study was performed with 280 women aged 18 to 45 who had obtained post-abortion treatment within the preceding six months. Data were gathered by structured questionnaires and personal interviews at Prince Ali Bin Al-Hussein Military Hospital in southern Jordan from October to November 2024. The findings indicated that 51.4% of women consented to contraception following abortion. Acceptance substantially correlates with age, number of pregnancies, and socioeconomic position. Women aged 21 to 30 demonstrated elevated acceptance rates, and individuals with greater parity (78%) were more inclined to utilize contraceptives. Socioeconomic status significantly influences contraceptive acceptance. Religious beliefs impacted 27.1% of contraceptive users, whereas partner influence constituted 31.8% of contraceptive selection. High-quality counseling was a significant factor, as 26.8% of women who had complete counseling accepted contraception. The findings underscore the significance of addressing socio-demographic characteristics, cultural and religious contexts, partner influence, and counseling quality to enhance post-abortion contraceptive uptake. Customized counseling, incorporating culturally relevant knowledge and partner engagement, may improve family planning results in Jordan.
References
1. B. A. Abebe, G. Abdissa, G. Ganfure, and M. Mossisa, "Postabortion Contraceptive Utilization, Preferences, and Associated Factors among Women Receiving Abortion Care Services in Health Facilities of Ambo Town, Ethiopia," Int. J. Reprod. Med., vol. 2022, no. 1, p. 2681478, 2022.
2. D. Y. Atiglo and A. A. Biney, "Postpartum and post-abortion contraceptive use among unmarried young women in Ghana," J. Biosoc. Sci., vol. 53, no. 3, pp. 459–470, 2021.
3. K. Baffour-Duah, G. Olorunfemi, and L. Shimange-Matsose, "Pre-and intra-COVID-19 trends of contraceptive use among women who had a termination of pregnancy at Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa (2010–2020)," PLoS ONE, vol. 17, no. 12, p. e0277911, 2022.
4. N. Balachandren et al., "Impact of the SARS-CoV-2 pandemic on access to contraception and pregnancy intentions: a national prospective cohort study of the UK population," BMJ Sex. Reprod. Health, vol. 48, no. 1, pp. 60–65, 2022.
5. C. Baynes, E. Yegon, G. Lusiola, J. Achola, and R. Kahando, "Post-abortion fertility desires, contraceptive uptake and unmet need for family planning: voices of post-abortion care clients in Tanzania," J. Biosoc. Sci., vol. 53, no. 6, pp. 908–923, 2021.
6. S. Bellizzi, P. Mannava, M. Nagai, and H. L. Sobel, "Reasons for discontinuation of contraception among women with a current unintended pregnancy in 36 low and middle-income countries," Contraception, vol. 101, no. 1, pp. 26–33, 2020.
7. B. W. Bullington, A. Sata, and K. S. Arora, "Shared decision-making: the way forward for postpartum contraceptive counseling," Open Access J. Contracept., pp. 121–129, 2023.
8. B. F. Lucas, Y. R. Santos Rosales, and K. E. Campos Correa, "Acceptance and factors associated with modern post-abortion contraception in women treated in a public hospital," Ginecol. Obstet. Mex., vol. 92, no. 2, pp. 41–51, 2024.
9. L. Hinkosa, M. Deti, T. Tesfaye, D. Bekele, and A. Diriba, "Postabortion contraceptives uptake and its associated factors among clients visiting abortion care services in public hospitals in West Shewa Zone, Oromia regional state, Ethiopia, 2021," SAGE Open Med., vol. 11, p. 20503121231187735, 2023.
10. I. B. Idris et al., "Influence of sociocultural beliefs and practices on contraception: a systematic review," Women Health, vol. 62, no. 8, pp. 688–699, 2022.
11. S. Jan, F. Burki, N. W. Salman, A. Mahmood, and A. Naeem, "Assessment of Age Category and Other Factors of Contraception Acceptance among Post-Abortion Patients," Pak. J. Med. Health Sci., vol. 16, no. 12, p. 775, 2022.
12. E. Kayi, A. Biney, N. Dodoo, C. Ofori, and F. Dodoo, "Women’s post-abortion contraceptive use: are predictors the same for immediate and future uptake of contraception? Evidence from Ghana," PLoS ONE, vol. 16, no. 12, p. e0261005, 2021. [Online]. Available: https://doi.org/10.1371/journal.pone.0261005.
13. L. Kokeb, "Utilization of post-abortion contraceptive and associated factors among women who came for abortion service: a hospital-based cross-sectional study," J. Fam. Med. Dis. Prev., vol. 1, no. 4, 2015. [Online]. Available: https://doi.org/10.23937/2469-5793/1510022.
14. U. Loi, K. Gemzell‐Danielsson, E. Faxelid, and M. Klingberg-Allvin, "Health care providers’ perceptions of and attitudes towards induced abortions in sub-Saharan Africa and southeast Asia: a systematic literature review of qualitative and quantitative data," BMC Public Health, vol. 15, no. 1, 2015. [Online]. Available: https://doi.org/10.1186/s12889-015-1502-2.
15. E. S. Mann, A. M. Chen, and C. L. Johnson, "The doctor knows best? Provider bias in the context of contraceptive counseling in the United States," Contraception, vol. 110, pp. 66–70, 2022.
16. U. Mohammed, H. Lemi, and E. Manekullih, "Abortion Family Planning Utilization and Associated Factors Among Women Received Abortion Services at Adama Hospital Medical College, Oromia, Ethiopia," J. Gynecol. Obstet., vol. 10, no. 1, pp. 6–13, 2022.
17. R. Saadeh, M. Alfaqih, A. Odat, and M. Allouh, "Attitudes of medical and health sciences students towards abortion in Jordan," Biomed Res. Int., vol. 2021, p. 6624181, 2021. [Online]. Available: https://doi.org/10.1155/2021/6624181.
18. T. Sebazungu, K. Ruzindana, D. Kitessa, and U. Magriples, "Factors Affecting Immediate Use of Contraception Among Women Hospitalised for Abortion in Two Public Hospitals in Kigali, Rwanda: A Cross-Sectional Study," East Afr. Health Res. J., vol. 7, no. 1, p. 20, 2023.
19. R. Tamirisa et al., "Trends in abortion and post-abortion contraception in a low resource urban setting," Trends J. Sci. Res., vol. 2, no. 1, pp. 49–55, 2022. [Online]. Available: https://doi.org/10.31586/crph.2022.241.
20. Y. D. Wado, S. Dijkerman, and T. Fetters, "An examination of the characteristics and contraceptive acceptance of post-abortion clients in Ethiopia," Women Health, vol. 61, no. 2, pp. 133–147, 2021.
21. G. E. Wake, G. W. Fitie, and M. A. Tizazu, "A Systematic Review and Meta-Analysis on Post-Abortion Contraceptive Utilization and Associated Factors in Ethiopia," Front. Public Health, vol. 10, p. 883710, 2022.
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Copyright (c) 2024 Feras Al-Awaisheh, Qussai Al-Boqai , Suzan Elshebli , Ma'en Masarweh , Ahmad Al-Orood
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