Assessing Readiness to Provide Comprehensive Abortion Care in the Democratic Republic of the Congo After Passage of the Maputo Protocol

Dados Bibliográficos

ID19544827
AutoresAnnie Glover (0000-0001-6073-5760, University of North Carolina at Chapel Hill), Glover Glover, Patrick Kayembe (0000-0002-5693-2144, Ministry of Public Health), Kayembe Kayembe, Didine Kaba (0000-0002-3582-5147, Ministry of Public Health), Kaba Kaba, Pélagie Babakazo (0000-0001-5561-696X, Ministry of Public Health), Babakazo Babakazo
Ano2020
Volume46
FascículoSupplement 1
Páginas3
Data de publicação2020-01-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoInternational Perspectives on Sexual and Reproductive Health (JOURNAL)
Identificadores do periódicoISSN: 1944-0391 • E-ISSN: 1944-0405
EditoraGuttmacher Institute (PUBLISHER • US)
DOI10.1363/46e0420
PMID33326395
OpenAlexW3111534972
IdiomaEN
Citações recebidas5

CONTEXT: The Democratic Republic of the Congo (DRC) decriminalized abortion under certain circumstances in 2018 through the Maputo Protocol. However, little is known about the readiness of the country's health facilities to provide comprehensive abortion care. METHODS: Data on 1,380 health facilities from the 2017-2018 DRC Service Provision Assessment (SPA) inventory survey were used to assess readiness to provide abortion care in four domains: termination of pregnancy, basic treatment of postabortion complications, comprehensive treatment of postabortion complications and postabortion contraceptive care. Analyses used a modified application of the emergency obstetric care signal function approach; criteria for readiness were based on World Health Organization guidelines. RESULTS: Thirty-one percent of DRC facilities met the criteria for readiness to provide abortions. The proportion of facilities classified as ready was higher among urban facilities than rural ones (50% vs. 26%), and among hospitals than health centers or reference health centers (72% vs. 25% and 45%, respectively). Few facilities were ready to provide either basic or comprehensive treatment of postabortion complications (4% and 1%); readiness to provide these services was greatest among hospitals (14% and 11%). Only a third of facilities displayed readiness to provide postabortion contraceptive care. Inadequate supplies of medication (e.g., misoprostol, antibiotics, contraceptives) and equipment were the greatest barrier to readiness. CONCLUSIONS: Most DRC facilities were not ready to provide comprehensive abortion care. Improving supplies of vital health commodities will improve readiness, and has the potential to reduce the prevalence of unplanned pregnancies and future demand for abortions

Abortion · Economic growth · Environmental health · Family medicine · Family planning · Health care · Health facility · Health services · Medical emergency · Misoprostol · Population · Pregnancy · Research methodology · Global Health and Surgery · Global Maternal and Child Health · Medicine · Nursing · Reproductive Health and Contraception