Individual, Family, and Provider Encounter Level Determinants of Short-Term Post-Abortion Contraceptive Uptake and Method Selection in Bangladesh

Erin Pearson, Johns Hopkins University
Kamal Kanti Biswas, Ipas
Rezwana Chowdhury, Ipas
Kathryn Andersen, Ipas
Sharmin Sultana, Ipas
S. M. Shahidullah, Ipas

WHO recommends provision of post-abortion contraception as an effective way of reducing subsequent unwanted pregnancy and repeat abortion. Currently, 80% of women receive short-term post-abortion contraceptive methods in Bangladesh, which are less effective and more likely to be discontinued compared to long-term methods. Studies have shown that counseling and contraceptive provision are not enough to prevent repeat abortion; the method selected and context in which a woman uses contraception is important. This study is guided by the social-ecological model, focusing on three levels: individual, family, and provider encounter factors. This prospective study enrolled a facility-based sample of 498 women who accepted short-term post-abortion contraceptive methods or no methods. Logistic and multinomial logistic regression models will be used to identify the determinants of short-term post-abortion contraceptive uptake and method selection.