Socio-demographic and reproductive characteristics of clients that accepted contraceptives at abortion centre at the Charlotte Maxeke Johannesburg Academic hospital, Johannesburg (CMJAH), South Africa: A cross-sectional study

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Abstract Background: Access to family planning services is an important preventive strategy against maternal mortality as it can considerably reduce unintended pregnancies and prevent sequalae of unsafe abortion. We aimed to describe the sociodemographic and reproductive characteristics of abortion seekers and investigate factors associated with uptake of contraception following induced abortion at Charlotte Maxeke Johannesburg academic Hospital, Johannesburg, South Africa.Method: This study was a cross-sectional study among women who had legal termination of unwanted pregnancy at Charlotte Maxeke Johannesburg Academic Hospital (CMJAH), from 1 January 2021 to July 2021. Questionnaires were administered to 80 consenting consecutive clientsafter undergoing induced abortion . Information on socio demographic and reproductive characteristics and pattern of contraceptive uptake of the respondents were obtained. Descriptive and bivariate analysis were conducted to determine the pattern and relationship of sociodemographic and reproductive characteristics and contraceptive uptake.Results:. The mean age of the 80 respondents was 25.6 ± 6.6 years, and the youngest and oldest respondents were 14 and 39 years respectively. Majority of the participants were of the Black race (96.25%, n= 77/80), single (90.00%, n= 72/80), of the Christian faith (80.00%, n= 64/80) and unemployedThe median number of children alive among the clients was 1(0-2), with about 37.5% of the participants being nulliparous. About 16.25% of the participants had had at least one previous termination of pregnancy.The prevalence of postabortion contraceptive uptake was 97.5% (95%CI: 90.36% - 99.39%, N=78/80). More than half chose injectable contraceptive (53.85%, 95%CI: 42.60% - 64.71%, N= 42/78), followed by Oral Contraceptive Pills (21.79%, 95%CI: 13.90% - 32.49% N= 17/78).We found no association between socio-demographic and reproductive characteristics, and contraceptive uptake among the abortion clients (p values >0.05).Conclusion: The immediate postabortion contraceptive uptake in our facility is very high. Majority of the clients accepted injectable contraceptives. The demographic and reproductive characteristics of our clients did not affect uptake of postabortion contraception. More education is needed to improve uptake of other long-acting contraception that may not require frequent contact with the health facility.

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