Postabortion care availability, facility readiness and accessibility in Nigeria and Côte d’Ivoire

Abstract Postabortion care (PAC) is an essential component of emergency obstetric care (EmOC) and is necessary to prevent unsafe abortion-related maternal mortality, but we know little regarding the preparedness of facilities to provide PAC services, the distribution of these services and disparitie...

Full description

Saved in:
Bibliographic Details
Published in:Health policy and planning 2021-08, Vol.36 (7), p.1077-1089
Main Authors: Bell, Suzanne O, Shankar, Mridula, Ahmed, Saifuddin, OlaOlorun, Funmilola, Omoluabi, Elizabeth, Guiella, Georges, Moreau, Caroline
Format: Article
Language:English
Subjects:
Abortion
Access
Accessibility
Availability
Complications
Health care facilities
Maternal mortality
Morbidity
Mortality
Original
Rural communities
Rural poverty
Services
Unsafe
Women
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Postabortion care (PAC) is an essential component of emergency obstetric care (EmOC) and is necessary to prevent unsafe abortion-related maternal mortality, but we know little regarding the preparedness of facilities to provide PAC services, the distribution of these services and disparities in their accessibility in low-resource settings. To address this knowledge gap, this study aims to describe PAC service availability, evaluate PAC readiness and measure inequities in access to PAC services in seven states of Nigeria and nationally in Côte d’Ivoire. We used survey data from reproductive-age women and the health facilities that serve the areas where they live. We linked facility readiness information, including PAC-specific signal functions, to female data using geospatial information. Findings revealed less than half of facilities provide basic PAC services in Nigeria (48.4%) but greater PAC availability in Côte d’Ivoire (70.5%). Only 33.5% and 36.9% of facilities with the capacity to provide basic PAC and only 23.9% and 37.5% of facilities with the capacity to provide comprehensive PAC had all the corresponding signal functions in Nigeria and Côte d’Ivoire, respectively. With regard to access, while ∼8 out of 10 women of reproductive age in Nigeria (81.3%) and Côte d’Ivoire (79.9%) lived within 10 km of a facility providing any PAC services, significantly lower levels of the population lived
ISSN:1460-2237
0268-1080
1460-2237
DOI:10.1093/heapol/czab068