Prevalence and predictors of contraceptives use among women age (15-49) with induced abortion history in Ghana

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Abstract Background Abortion incidence in Ghana ranges from 27 per 1000 to 61 per 1000 women, causing major gynecological complications or problems and maternal mortality. Though, the use of modern contraceptives has been documented to be a reliable public health preventive measure towards reducing unwanted pregnancies, only 19% of women aged (15-49) with abortion history receive post-abortion contraception support. This study therefore aimed at determining the proportion and identifying predictors of contraceptives use in these underreported and vulnerable population.Methods This study used secondary data from the 2017 Ghana Maternal Health Survey (GMHS) for the analysis. The analysis is on a weighted sample of 3,039 women aged (15-49 years) with history of induced abortion. Both descriptive and inferential methods were employed. Chi- Square test, univariate and multivariate logistic regression techniques were used to assess statistical associations between the outcome variable and the predictors. Statistical significance was set at 95% confidence interval and p-values <0.05.Results Out of the 3039 participants, 37% (95% CI: 34.6, 38.84) used contraceptives. We identified women age, union, place of residence, knowledge of fertile period, total pregnancy outcomes, and region as strong significant (95% CI p<0.005) predictors of post induced abortion contraceptives use.Conclusion Contraceptives use among this vulnerable population is low. Therefore, there is the need to provide widespread access to post-abortion contraception services and enhance efforts to efficiently integrate the safe abortion practices law into health services in Ghana.

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