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ORIGINAL ARTICLE
Open Access

Reducing Barriers to Postabortion Contraception: The Role of Expanding Coverage of Postabortion Care in Dar es Salaam, Tanzania

Benjamin Stephens, Isihaka Jossey Mwandalima, Amani Samma, Jean Lyatuu, Kathryn Mimno and Joseph Komwihangiro
Global Health: Science and Practice August 2019, 7(Supplement 2):S258-S270; https://doi.org/10.9745/GHSP-D-19-00146
Benjamin Stephens
aPathfinder International, Watertown, MA, USA.
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  • For correspondence: bstephens@pathfinder.org
Isihaka Jossey Mwandalima
bPathfinder International, Dar es Salaam, Tanzania.
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Amani Samma
bPathfinder International, Dar es Salaam, Tanzania.
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Jean Lyatuu
bPathfinder International, Dar es Salaam, Tanzania.
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Kathryn Mimno
aPathfinder International, Watertown, MA, USA.
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Joseph Komwihangiro
bPathfinder International, Dar es Salaam, Tanzania.
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  • FIGURE 1
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    FIGURE 1

    Total MVA and Postabortion Contraceptive Uptake

    Abbreviations: HF, health facility; MVA, manual vacuum aspiration; PAC, postabortion care.

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    FIGURE 2

    Method Mix Among Postabortion Contraceptors

    Abbreviations: IUDs, intrauterine devices; PMs, permanent methods.

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    FIGURE 3

    Average Semesterly PAC Client Load per Facility

    Abbreviations: HF, health facility; MVA, manual vacuum aspiration; PAC, postabortion care.

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    FIGURE 4

    Average PAC Provider Performance on Key Contraceptive Indicators

    Abbreviations: PAC, postabortion care; SRH, sexual and reproductive health.

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    FIGURE 5

    Average PAC Provider Mentorship Performance on Key Contraceptive Indicators, by Provider Cadre

    Abbreviations: PAC, postabortion care; SRH, sexual and reproductive health.

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    TABLE.

    Summary of Selected Results From the Baseline Assessment of PAC Among 36 Facilities in Temeke District, Dar es Salaam, Tanzania (February 2015)

    ElementResults
    PAC services• 12 (33.3%) facilities offered MVA treatment for incomplete abortion.
    • No facilities offered all components of PAC.
    • 1 (2.8%) facility offered contraception (pills only) post-procedure.
    • No facilities had a dedicated private room for PAC.
    • 4 providers in 3 facilities had training in PAC.
    • 1 (2.8%) facility had PAC guidelines.
    Commodities and equipment• 8 (22%) facilities had ergometrine available.
    • 10 (27%) and 3 (8%) facilities did not have sodium hypochlorite or analgesics, respectively.
    • 32 (89%) facilities had either no or poor-quality MVA equipment.
    • 18 (50%) facilities had either no or poor-quality sterilization equipment.
    • 16 (44%) facilities had either no or poor-quality examination tables.
    Registers• No facilities had standardized registers, reporting tools, or procedures for documenting PAC.
    • Abbreviations: MVA, manual vacuum aspiration; PAC, postabortion care.

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Global Health: Science and Practice: 7 (Supplement 2)
Global Health: Science and Practice
Vol. 7, No. Supplement 2
August 22, 2019
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Reducing Barriers to Postabortion Contraception: The Role of Expanding Coverage of Postabortion Care in Dar es Salaam, Tanzania
Benjamin Stephens, Isihaka Jossey Mwandalima, Amani Samma, Jean Lyatuu, Kathryn Mimno, Joseph Komwihangiro
Global Health: Science and Practice Aug 2019, 7 (Supplement 2) S258-S270; DOI: 10.9745/GHSP-D-19-00146

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Reducing Barriers to Postabortion Contraception: The Role of Expanding Coverage of Postabortion Care in Dar es Salaam, Tanzania
Benjamin Stephens, Isihaka Jossey Mwandalima, Amani Samma, Jean Lyatuu, Kathryn Mimno, Joseph Komwihangiro
Global Health: Science and Practice Aug 2019, 7 (Supplement 2) S258-S270; DOI: 10.9745/GHSP-D-19-00146
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