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ORIGINAL ARTICLE
Open Access

“They Love Their Patients”: Client Perceptions of Quality of Postabortion Care in North and South Kivu, the Democratic Republic of the Congo

Julianne Deitch, Jean Pierre Amisi, Stephanie Martinez, Janet Meyers, Jean-Baptiste Muselemu, Jean Jose Nzau, Erin Wheeler and Sara E. Casey
Global Health: Science and Practice August 2019, 7(Supplement 2):S285-S298; https://doi.org/10.9745/GHSP-D-18-00368
Julianne Deitch
aReproductive Health Access, Information and Services in Emergencies (RAISE) Initiative, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY, USA.
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Jean Pierre Amisi
bCARE Democratic Republic of the Congo, Goma, DRC.
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Stephanie Martinez
aReproductive Health Access, Information and Services in Emergencies (RAISE) Initiative, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY, USA.
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Janet Meyers
cSave the Children USA, Washington, DC, USA.
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Jean-Baptiste Muselemu
dSave the Children Democratic Republic of the Congo, Goma, DRC.
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Jean Jose Nzau
eCARE USA, Atlanta, GA, USA.
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Erin Wheeler
fInternational Rescue Committee, New York, NY, USA.
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Sara E. Casey
aReproductive Health Access, Information and Services in Emergencies (RAISE) Initiative, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY, USA.
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  • For correspondence: sec42@columbia.edu
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Figures & Tables

Tables

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    TABLE 1.

    Postabortion Care Register Review Results

    TotalKayna/LuberoMasisi/MwesoKabare/KaleheP Value
    (N=1,769)(n=477)(n=644)(n=648)
    Age, years, mean (SD)28.5 (7.3)27.4 (7.0)28.6 (7.2)29.3 (7.5).001
    Age group, years, No. (%)
    <25570 (32.6)186 (39.1)192 (30.4)192 (29.9)
    25–34751 (42.9)204 (42.9)273 (43.3)274 (42.6)
    ≥35429 (24.5)86 (18.1)166 (26.3)177 (27.5)
    Parity, mean (SD)4.4 (3.2)3.2 (2.8)5.0 (3.1)4.8 (3.3).001
    Parity, No. (%).001
    0169 (10.6)80 (17.3)31 (6.0)58 (9.5)
    1–3548 (34.4)205 (44.4)152 (29.3)191 (31.3)
    4–6456 (28.6)118 (25.5)163 (31.4)175 (28.6)
    ≥7419 (26.3)59 (12.8)173 (33.3)187 (30.6)
    Gestational age, weeks, No. (%).001
    <13 weeks1,331 (85.2)416 (89.7)414 (79.0)501 (87.1)
    ≥13 weeks232 (14.8)48 (10.3)232 (21.0)110 (12.9)
    Uterine evacuation performed, No. (%)1,367 (81.3)428 (93.9)359 (61.3)580 (90.6).001
    MVAN/A408 (95.3)340 (94.7)No data
    MisoprostolN/A3 (0.7)0 (0.0)No data
    D&CN/A17 (4.0)19 (5.3)No data
    Postabortion contraceptive use, No. (%).001
    No modern method422 (24.8)116 (24.8)158 (24.7)148 (24.8)
    IUD513 (30.1)145 (31.0)104 (16.3)264 (44.2)
    Implant436 (25.6)118 (25.3)175 (27.4)143 (24.0)
    Tubal ligation2 (0.1)1 (0.2)0 (0.0)1 (0.2)
    Injectable228 (13.4)42 (9.0)151 (23.6)35 (5.9)
    Pills100 (5.9)44 (9.4)50 (7.8)6 (1.0)
    Condoms2 (0.1)1 (0.2)1 (0.2)0 (0.0)
    Facility type, No. (%)
    Health center1,055 (59.6)96 (20.1)395 (61.3)564 (87.0)
    Referral health center548 (31.0)299 (62.7)249 (38.7)N/A
    Hospital166 (9.4)82 (17.2)N/A84 (13.0)
    • Abbreviations: D&C, dilation and curettage; IUD, intrauterine device; MVA, manual vacuum aspiration.

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    TABLE 2.

    Sociodemographic Characteristics and Reproductive History of Postabortion Care Clients Interviewed (N=50)

    No.
    Age group, years
    18–248
    25–3422
    35–4920
    Marital status
    Married42
    Unmarried7
    Unknown1
    Level of education
    None16
    Any primary12
    Any secondary or higher21
    Unknown1
    Gestational age
    First trimester39
    Second trimester11
    No. of lifetime pregnancies
    1–311
    4–617
    ≥721
    Unknown1
    Postabortion contraceptive use
    Long-acting method20
    Short-acting method15
    Modern method, unspecified3
    No modern method12
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Global Health: Science and Practice: 7 (Supplement 2)
Global Health: Science and Practice
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“They Love Their Patients”: Client Perceptions of Quality of Postabortion Care in North and South Kivu, the Democratic Republic of the Congo
Julianne Deitch, Jean Pierre Amisi, Stephanie Martinez, Janet Meyers, Jean-Baptiste Muselemu, Jean Jose Nzau, Erin Wheeler, Sara E. Casey
Global Health: Science and Practice Aug 2019, 7 (Supplement 2) S285-S298; DOI: 10.9745/GHSP-D-18-00368

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“They Love Their Patients”: Client Perceptions of Quality of Postabortion Care in North and South Kivu, the Democratic Republic of the Congo
Julianne Deitch, Jean Pierre Amisi, Stephanie Martinez, Janet Meyers, Jean-Baptiste Muselemu, Jean Jose Nzau, Erin Wheeler, Sara E. Casey
Global Health: Science and Practice Aug 2019, 7 (Supplement 2) S285-S298; DOI: 10.9745/GHSP-D-18-00368
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