Service Delivery and Clinical Care Characteristics of Clients Receiving Any Postabortion Contraceptiona at the Time of Abortion Care in 10 Countries, Bivariate and Adjusted Analysis, 2011–2015
| Accepted Postabortion Contraception (n=709,192) No. (%) | Did Not Accept Postabortion Contraception (n=212,726) No. (%) | Bivariate Analysis (n=921,918) | Adjusted Analysisb (n=816,880) | |||
|---|---|---|---|---|---|---|
| OR | 95% CI | AOR | 95% CI | |||
| Facility sector | ||||||
| Private | 187,124 (26) | 45,831 (22) | Reference | Reference | ||
| Public | 522,068 (74) | 166,895 (78) | 0.77*** | (0.76, 0.78) | 0.88 | (0.71, 1.10) |
| Ipas-trained provider | ||||||
| Yes | 449,492 (63) | 102,044 (48) | 1.88*** | (1.86, 1.90) | 1.37*** | (1.20, 1.57) |
| No | 259,700 (37) | 110,682 (52) | Reference | Reference | ||
| Client age | ||||||
| ≤19 | 48,725 (7) | 19,540 (9) | 0.71*** | (0.70, 0.72) | 0.87** | (0.79, 0.96) |
| 20–24 | 215,964 (30) | 66,731 (31) | 0.92*** | (0.91, 0.93) | 0.96 | (0.92, 1.01) |
| ≥25 | 444,503 (63) | 126,455 (59) | Reference | Reference | ||
| Gestational age, weeksc | ||||||
| ≤12 | 663,391 (96) | 178,937 (91) | Reference | Reference | ||
| ≥13 | 25,777 (4) | 17,894 (9) | 0.39*** | (0.38, 0.40) | 0.73*** | (0.65, 0.81) |
| Missing | 20,024 | 15,895 | ||||
| Type of abortionc | ||||||
| Induced abortion | 438,742 (65) | 79,965 (41) | Reference | Reference | ||
| PAC | 238,504 (35) | 113,977 (59) | 0.38*** | (0.38, 0.39) | 0.55*** | (0.45, 0.67) |
| Other/missing | 31,946 | 18,784 | ||||
| Abortion methodc | ||||||
| MVA/EVA | 514,163 (75) | 150,299 (72) | Reference | Reference | ||
| Medical abortion | 151,801 (22) | 36,366 (17) | 1.22*** | (1.20, 1.24) | 1.20* | (1.01, 1.43) |
| D&C/D&E/other | 20,645 (3) | 22,459 (11) | 0.27*** | (0.26, 0.27) | 0.34*** | (0.27, 0.42) |
| Other/missing | 22,583 | 3,602 | ||||
Abbreviations: AOR, adjusted odds ratio; CI, confidence interval; D&C, dilation and curettage; D&E, dilation and evacuation; EVA, electric vacuum aspiration; MVA, manual vacuum aspiration; OR, odds ratio; PAC, postabortion care.
↵* P<.05; ** P<.01; *** P<.001.
↵a Sterilization excluded.
↵b Adjusted odds ratios control for country variation and cluster on facility (using non-missing data only).
↵c Other/missing data were not included in the calculation of percentages.