Post abortion contraceptive use differs across countries,but some suggesting the need for country-level research to identify barriers and suggest appropriate interventions. All women seeking abortion services should receive counselling on a range of contraceptive methods including short-acting; long-acting reversible and non-reversible methods is ensure women are offered methods that best meet their reproductive health needs.
Long-acting reversible contraceptives (LARCs); such as intrauterine devices (IUDs) and sub-dermal implants, offer the highest level of reversible protection against pregnancy and for a longer time [3 years to 12 years]. Multiple barriers prevent the use of contraceptive methods in Nepal and result in unintended pregnancies.
Coming to this socio-cultural factors, women’s empowerment, low community demand, and lack of familiarity with contraceptive methods are client-related barriers;whereas availability of services, supplies and human resource capacity and low quality of contraceptive counselling is identifying as key health system barriers to contraceptive use in Nepal
Post abortion long-acting reversible contraceptive
This study aimed to identify the prevalence and correlates of post abortion long-acting reversible contraceptive (LARC) use among women aged 24 or younger in Nepal. By using this cohort study Health Management Information System (HMIS) data where individual case records of women seeking induced abortion or post abortion care were documented using structured HMIS 3.7 records.
Analysis is performing on the individual case records of 20,307 women 24 years or younger; who received induced abortion or post abortion care services in the three-year period; from July 2014 to June 2017 at 433 public and private health facilities.
Public sector health facilities
This study deterring overall, LARC uptake during the study period was 11%. The odds of LARC acceptance was higher for young women (24 and below); who belonged to and Jamaats as compared to Dalits; but young women who had an induced abortion compared with post abortion care; and those receiving service from public sector health facilities (AOR = 4.00; 95% CI: 2.06–7.75) compared with private sector health facilities.
But some among young women (24 and below) receiving abortion services;but some of the proportion accepting a post abortion LARC method was 11%. Predictors of LARC uptake were ethnicity, abortion diagnosis, and health facility sector.
But in some findings from this study indicate the need to focus on barriers to acceptance of LARC among several groups of young women (24 and below) receiving abortion care in Nepal; Muslims; nulliparous women; and those receiving services at private sector health facilities.
Providing quality contraceptive counselling to health workers ;this account for specific needs of young women and consider the diversity among youth and strengthen linkages between contraceptive and abortion care at public and private facilities.