Women's reports on postabortion family-planning services provided by the public-sector legal abortion program in Mexico City

Abstract

Objective First trimester abortion was decriminalized in Mexico City in 2007. We studied client views of family planning services provided during abortion care at public facilities and acceptance of postabortion contraception. Methods We surveyed 402 clients seeking first trimester abortion care in Mexico City. We used logistic regression to test whether postabortion contraception varied by abortion visit characteristics or client sociodemographics. Results Most participants (81.6%) reported being offered contraception at their visit and 89.5% selected a contraceptive method postabortion, with 58.9% selecting the IUD. Surgical abortion clients were more likely to report being offered contraception than medical abortion clients (p<.001), as were clients attended by a female physician (p<.05). Clients at the general hospital were less likely to report being offered contraception (p<.001). Conclusion Public sector facilities in Mexico City are providing a generally high level of postabortion family planning care and uptake of postabortion contraception is high.

Access to contraception and sexual and reproductive health information post-abortion: a systematic review of literature from low- and middle-income countries

“…Participants in the nine studies were: Women who were obtaining or had obtained PAC services only 19 21 24 30

Women who were obtaining or had obtained PAC services as well as PAC providers (including medical staff, doctors, nurses and healthcare workers) 23 25 29 31 35

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“…Three of the nine studies focused on post-abortion family planning services/contraception provision post-abortion21 24 29 and six studies focused on PAC as a whole,19 23 25 30 31 35 two of which incorporated generational aspects in their research 25 30…”

“…The research methodology employed in the articles included three quantitative studies;19 21 24 three qualitative studies;25 30 31 and three mixed-methods studies 23 29 35. Nguyễn et al 23 and McCarraher et al 25 were research evaluations of PAC services which were components of larger implementation specifically designed to increase CAC (the CAC Project and CONECTA project, respectively).…”

“…Inadequate time for counselling, patient overcrowding, space limitations and lack of privacy are obstacles in the provision of effective counselling on post-abortion contraception 19 21. These barriers are often compounded by lack of PAC provider training, insufficient knowledge of staff, and socioculturally insensitive communication skills, which further impact access to information for women who need to make an informed decision regarding contraceptive use 19 23 24 30. Rocca et al 21 also noted that only 19% of research participants received information on three or more contraceptive methods and approximately 31% received information on two methods, while two-thirds of women reported receiving information on at least one effective method of contraception 21.…”

“…Rocca et al 21 also noted that only 19% of research participants received information on three or more contraceptive methods and approximately 31% received information on two methods, while two-thirds of women reported receiving information on at least one effective method of contraception 21. Lack of personalised contraceptive counselling, specifically relevant to the woman's life situation and previous contraceptive experiences, were also inhibitors to contraception uptake post-abortion 23 24…”