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Facilitating Uptake of Post-abortion Contraception for Young People in Kenya

Globally, maternal mortality is unacceptably high, and unsafe abortion is the most easily preventable cause of maternal death. Post-abortion contraception, recognized as a High Impact Practice in Family Planning, can reduce rates of unintended pregnancies and unsafe abortion and ultimately save live...

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Autores principales: Mbehero, Faith, Momanyi, Ruth, Hesel, Kate
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8810546/
https://www.ncbi.nlm.nih.gov/pubmed/35128527
http://dx.doi.org/10.3389/fgwh.2021.733957
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author Mbehero, Faith
Momanyi, Ruth
Hesel, Kate
author_facet Mbehero, Faith
Momanyi, Ruth
Hesel, Kate
author_sort Mbehero, Faith
collection PubMed
description Globally, maternal mortality is unacceptably high, and unsafe abortion is the most easily preventable cause of maternal death. Post-abortion contraception, recognized as a High Impact Practice in Family Planning, can reduce rates of unintended pregnancies and unsafe abortion and ultimately save lives. Implementation of this, however, is limited, especially for young people. This case study documents strategies, results, and lessons learned from Planned Parenthood Global's project in South West Kenya, which improved access to and provision of comprehensive abortion care, including safe abortion, post-abortion care and post-abortion contraception, at 80 public and private health facilities. By prioritizing training and mentorship of mid-level providers on both medical and surgical abortion care, post-abortion contraception and youth friendly services, in addition to community engagement and referrals, this intervention removes common barriers to care for women and young people. Eighty-five percent of abortion care clients served by the project accepted same-day contraception, with the vast majority—including 90% of clients aged 24 and under—choosing long-acting reversible contraception. The Closing the Gap project was funded by an anonymous donor.
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spelling pubmed-88105462022-02-04 Facilitating Uptake of Post-abortion Contraception for Young People in Kenya Mbehero, Faith Momanyi, Ruth Hesel, Kate Front Glob Womens Health Global Women's Health Globally, maternal mortality is unacceptably high, and unsafe abortion is the most easily preventable cause of maternal death. Post-abortion contraception, recognized as a High Impact Practice in Family Planning, can reduce rates of unintended pregnancies and unsafe abortion and ultimately save lives. Implementation of this, however, is limited, especially for young people. This case study documents strategies, results, and lessons learned from Planned Parenthood Global's project in South West Kenya, which improved access to and provision of comprehensive abortion care, including safe abortion, post-abortion care and post-abortion contraception, at 80 public and private health facilities. By prioritizing training and mentorship of mid-level providers on both medical and surgical abortion care, post-abortion contraception and youth friendly services, in addition to community engagement and referrals, this intervention removes common barriers to care for women and young people. Eighty-five percent of abortion care clients served by the project accepted same-day contraception, with the vast majority—including 90% of clients aged 24 and under—choosing long-acting reversible contraception. The Closing the Gap project was funded by an anonymous donor. Frontiers Media S.A. 2022-01-20 /pmc/articles/PMC8810546/ /pubmed/35128527 http://dx.doi.org/10.3389/fgwh.2021.733957 Text en Copyright © 2022 Mbehero, Momanyi and Hesel. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Global Women's Health
Mbehero, Faith
Momanyi, Ruth
Hesel, Kate
Facilitating Uptake of Post-abortion Contraception for Young People in Kenya
title Facilitating Uptake of Post-abortion Contraception for Young People in Kenya
title_full Facilitating Uptake of Post-abortion Contraception for Young People in Kenya
title_fullStr Facilitating Uptake of Post-abortion Contraception for Young People in Kenya
title_full_unstemmed Facilitating Uptake of Post-abortion Contraception for Young People in Kenya
title_short Facilitating Uptake of Post-abortion Contraception for Young People in Kenya
title_sort facilitating uptake of post-abortion contraception for young people in kenya
topic Global Women's Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8810546/
https://www.ncbi.nlm.nih.gov/pubmed/35128527
http://dx.doi.org/10.3389/fgwh.2021.733957
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