Cargando…
The effects of interventions to integrate long‐acting reversible contraception with treatment for incomplete abortion: Results of a 6‐year interrupted time series analysis in hospitals in mainland Tanzania and Zanzibar
OBJECTIVE: To evaluate an intervention that aimed at strengthening voluntary access to long‐acting reversible contraception (LARC) within postabortion care (PAC) in hospitals in mainland Tanzania and Zanzibar. METHODS: From 2016 to 2018, we conducted PAC quality improvement interventions, emphasizin...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9790721/ https://www.ncbi.nlm.nih.gov/pubmed/35368096 http://dx.doi.org/10.1002/ijgo.14203 |
_version_ | 1784859243371823104 |
---|---|
author | Baynes, Colin O’Connell, Kathryn A. Lusiola, Grace Garfinkel, Danielle Kahwa, Justin |
author_facet | Baynes, Colin O’Connell, Kathryn A. Lusiola, Grace Garfinkel, Danielle Kahwa, Justin |
author_sort | Baynes, Colin |
collection | PubMed |
description | OBJECTIVE: To evaluate an intervention that aimed at strengthening voluntary access to long‐acting reversible contraception (LARC) within postabortion care (PAC) in hospitals in mainland Tanzania and Zanzibar. METHODS: From 2016 to 2018, we conducted PAC quality improvement interventions, emphasizing family planning (FP) counseling and voluntary access to LARC. Researchers conducted an interrupted time‐series analysis of service statistics compiled from 2014 to 2020 using segmented linear mixed effects regression models to assess the interventions' effect on postabortion contraceptive uptake. RESULTS: The intervention in mainland Tanzania was associated with an immediate 38% increase in postabortion LARC uptake, a trend that declined from late 2016 to mid‐2020 to 34%. In Zanzibar, the intervention was associated with a gradual increase in LARC uptake that peaked in late 2018 at 23% and stabilized at approximately 15% by mid‐2020. Whereas the interventions in mainland facilities did not generate significant changes in postabortion FP uptake overall, the launch of interventions in Zanzibar in mid‐2016 was associated with a precipitous rise in that outcome over time, which plateaued at approximately 54% by 2019. CONCLUSION: Increased voluntary uptake of postabortion contraception was associated with the introduction of training in PAC, including FP, and quality improvement interventions and gains were sustained over time. |
format | Online Article Text |
id | pubmed-9790721 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-97907212022-12-28 The effects of interventions to integrate long‐acting reversible contraception with treatment for incomplete abortion: Results of a 6‐year interrupted time series analysis in hospitals in mainland Tanzania and Zanzibar Baynes, Colin O’Connell, Kathryn A. Lusiola, Grace Garfinkel, Danielle Kahwa, Justin Int J Gynaecol Obstet Clinical Articles OBJECTIVE: To evaluate an intervention that aimed at strengthening voluntary access to long‐acting reversible contraception (LARC) within postabortion care (PAC) in hospitals in mainland Tanzania and Zanzibar. METHODS: From 2016 to 2018, we conducted PAC quality improvement interventions, emphasizing family planning (FP) counseling and voluntary access to LARC. Researchers conducted an interrupted time‐series analysis of service statistics compiled from 2014 to 2020 using segmented linear mixed effects regression models to assess the interventions' effect on postabortion contraceptive uptake. RESULTS: The intervention in mainland Tanzania was associated with an immediate 38% increase in postabortion LARC uptake, a trend that declined from late 2016 to mid‐2020 to 34%. In Zanzibar, the intervention was associated with a gradual increase in LARC uptake that peaked in late 2018 at 23% and stabilized at approximately 15% by mid‐2020. Whereas the interventions in mainland facilities did not generate significant changes in postabortion FP uptake overall, the launch of interventions in Zanzibar in mid‐2016 was associated with a precipitous rise in that outcome over time, which plateaued at approximately 54% by 2019. CONCLUSION: Increased voluntary uptake of postabortion contraception was associated with the introduction of training in PAC, including FP, and quality improvement interventions and gains were sustained over time. John Wiley and Sons Inc. 2022-04-21 2022-12 /pmc/articles/PMC9790721/ /pubmed/35368096 http://dx.doi.org/10.1002/ijgo.14203 Text en © 2022 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Articles Baynes, Colin O’Connell, Kathryn A. Lusiola, Grace Garfinkel, Danielle Kahwa, Justin The effects of interventions to integrate long‐acting reversible contraception with treatment for incomplete abortion: Results of a 6‐year interrupted time series analysis in hospitals in mainland Tanzania and Zanzibar |
title | The effects of interventions to integrate long‐acting reversible contraception with treatment for incomplete abortion: Results of a 6‐year interrupted time series analysis in hospitals in mainland Tanzania and Zanzibar |
title_full | The effects of interventions to integrate long‐acting reversible contraception with treatment for incomplete abortion: Results of a 6‐year interrupted time series analysis in hospitals in mainland Tanzania and Zanzibar |
title_fullStr | The effects of interventions to integrate long‐acting reversible contraception with treatment for incomplete abortion: Results of a 6‐year interrupted time series analysis in hospitals in mainland Tanzania and Zanzibar |
title_full_unstemmed | The effects of interventions to integrate long‐acting reversible contraception with treatment for incomplete abortion: Results of a 6‐year interrupted time series analysis in hospitals in mainland Tanzania and Zanzibar |
title_short | The effects of interventions to integrate long‐acting reversible contraception with treatment for incomplete abortion: Results of a 6‐year interrupted time series analysis in hospitals in mainland Tanzania and Zanzibar |
title_sort | effects of interventions to integrate long‐acting reversible contraception with treatment for incomplete abortion: results of a 6‐year interrupted time series analysis in hospitals in mainland tanzania and zanzibar |
topic | Clinical Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9790721/ https://www.ncbi.nlm.nih.gov/pubmed/35368096 http://dx.doi.org/10.1002/ijgo.14203 |
work_keys_str_mv | AT baynescolin theeffectsofinterventionstointegratelongactingreversiblecontraceptionwithtreatmentforincompleteabortionresultsofa6yearinterruptedtimeseriesanalysisinhospitalsinmainlandtanzaniaandzanzibar AT oconnellkathryna theeffectsofinterventionstointegratelongactingreversiblecontraceptionwithtreatmentforincompleteabortionresultsofa6yearinterruptedtimeseriesanalysisinhospitalsinmainlandtanzaniaandzanzibar AT lusiolagrace theeffectsofinterventionstointegratelongactingreversiblecontraceptionwithtreatmentforincompleteabortionresultsofa6yearinterruptedtimeseriesanalysisinhospitalsinmainlandtanzaniaandzanzibar AT garfinkeldanielle theeffectsofinterventionstointegratelongactingreversiblecontraceptionwithtreatmentforincompleteabortionresultsofa6yearinterruptedtimeseriesanalysisinhospitalsinmainlandtanzaniaandzanzibar AT kahwajustin theeffectsofinterventionstointegratelongactingreversiblecontraceptionwithtreatmentforincompleteabortionresultsofa6yearinterruptedtimeseriesanalysisinhospitalsinmainlandtanzaniaandzanzibar AT baynescolin effectsofinterventionstointegratelongactingreversiblecontraceptionwithtreatmentforincompleteabortionresultsofa6yearinterruptedtimeseriesanalysisinhospitalsinmainlandtanzaniaandzanzibar AT oconnellkathryna effectsofinterventionstointegratelongactingreversiblecontraceptionwithtreatmentforincompleteabortionresultsofa6yearinterruptedtimeseriesanalysisinhospitalsinmainlandtanzaniaandzanzibar AT lusiolagrace effectsofinterventionstointegratelongactingreversiblecontraceptionwithtreatmentforincompleteabortionresultsofa6yearinterruptedtimeseriesanalysisinhospitalsinmainlandtanzaniaandzanzibar AT garfinkeldanielle effectsofinterventionstointegratelongactingreversiblecontraceptionwithtreatmentforincompleteabortionresultsofa6yearinterruptedtimeseriesanalysisinhospitalsinmainlandtanzaniaandzanzibar AT kahwajustin effectsofinterventionstointegratelongactingreversiblecontraceptionwithtreatmentforincompleteabortionresultsofa6yearinterruptedtimeseriesanalysisinhospitalsinmainlandtanzaniaandzanzibar |