Uptake of postabortion care services and acceptance of postabortion contraception in Puntland, Somalia

Datos Bibliográficos

ID3972541
AutoresKingsley Chukwumalu (Senior Technical Health Specialist, Save the Children International, Somalia/Somaliland Country Office, Hargeisa, Somalia), Meghan C Gallagher (0000-0001-7572-962X, Senior Specialist, Monitoring and Evaluation, Save the Children USA, Washington, DC, USA, autor de correspondencia), Sabine Baunach (Reproductive Health Adviser, Save the Children USA, Washington, DC, USA), Amy Cannon (Senior Specialist, Monitoring and Evaluation, Save the Children USA, Washington, DC, USA)
Año2017
Volumen25
Número51
Páginas48-57
Fecha de publicación2017-11-30
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaReproductive Health Matters (JOURNAL)
Identificadores de la revistaISSN: 0968-8080 • E-ISSN: 1460-9576
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09688080.2017.1402670
PMID29231790
OpenAlexW2775388276
IdiomaEN
Citas recibidas4
Referencias citadas17

Unsafe abortion is responsible for at least 9% of all maternal deaths worldwide; however, in humanitarian emergencies where health systems are weak and reproductive health services are often unavailable or disrupted, this figure is higher. In Puntland, Somalia, Save the Children International (SCI) implemented postabortion care (PAC) services to address the issue of high maternal morbidity and mortality due to unsafe abortion. Abortion is explicitly permitted by Somali law to save the life of a woman, but remains a sensitive topic due to religious and social conservatism that exists in the region. Using a multipronged approach focusing on capacity building, assurance of supplies and infrastructure, and community collaboration and mobilisation, the demand for PAC services increased as did the proportion of women who adopted a method of family planning post-abortion. From January 2013 to December 2015, a total of 1111 clients received PAC services at the four SCI-supported health facilities. The number of PAC clients increased from a monthly average of 20 in 2013 to 38 in 2015. During the same period, 98% (1090) of PAC clients were counselled for postabortion contraception, of which 955 (88%) accepted a contraceptive method before leaving the facility, with 30% opting for long-acting reversible contraception. These results show that comprehensive PAC services can be implemented in politically unstable, culturally conservative settings where abortion and modern contraception are sensitive and stigmatised matters among communities, health workers, and policy makers. However, like all humanitarian settings, large unmet needs exist for PAC services in Somalia

Abortion · Economic growth · Environmental health · Family planning · Health care · Political science · Population · Pregnancy · Reproductive health · Somali · Unintended pregnancy · Unsafe abortion · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · Law · Medicine · Nursing · Reproductive Health and Contraception