Factors Influencing Management of Post-Abortion Care by Doctors and Nurses in Health Facilities in South West Nigeria

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DOI: 10.21522/TIJPH.2013.08.02.Art003

Authors : Ayomide Rachael Afolabi, Ademola Amosu


Background: Unsafe abortion practices are of great public health concern as they remain a leading cause of maternal mortality worldwide. Post-abortion care and management especially post-abortion contraception have been identified as a cost-effective method of preventing unintended pregnancies from occurring thus improving maternal health.

Objective: This study sort to investigate how information, motivation and behavioral constructs influence the management of post-abortion care specifically contraception care giving by healthcare providers (doctors and nurses) in South Western, Nigeria.

Methodology: A descriptive cross-sectional design was conducted among 420 participants using a 44-item validated structured questionnaire. Descriptive statistics, and correlation analysis was conducted to give statistical responses to the research questions and hypotheses using SPSS version 25.

Results: Respondents level of information was 9.44 ± 2.351 with a prevalence score of 52.4%, mean score for motivation was 24.62 ± 3.628 with a prevalence of 68.4%, mean score for self-efficacy was 15.76 ± 3.640 with prevalence of 75.0% while mean score for practice was 10.55 ± 2.502 with a prevalence of 70.3%. Motivation level and Self-efficacy level is significantly associated with practice of post abortion contraception (r^2 = 0.23, P <0.001; r^2 = 0.34, P <0.001).

Conclusion: There is need for more sensitization and dissemination of information on post-abortion contraception especially on early return to fertility after an abortion, counselling, importance of ensuring the woman leaves the facility with a method/referral and eliminating provider bias.

Keywords: Post-abortion care, contraception, Information, Motivation, Self-efficacy.


[1].   World Health Organization, 2019, Preventing unsafe abortion. Retrieved from


[2].   Guttmacher Institute, 2018, Induced Abortion Worldwide. Retrieved from https://www.guttmacher.org/fact-sheet/induced-abortion-worldwide

[3].   Guttmacher Institute, 2017, Worldwide, an Estimated 25 Million Unsafe Abortions Occur Each Year. Retrieved from https://www.guttmacher.org/news-release/2017/worldwide-estimated-25-million-unsafe-abortions-occur-each-year

[4].   Brink, S., 2017, Nearly half of all abortions are unsafe in developing countries. National Public Radio. Retrieved from https://www.npr.org/sections/goatsandsoda/2017/10/03/555317349/nearly-half-of-all-abortions-unsafe-in-developing-countries

[5].   Guttmacher Institute, 2015, Abortion in Nigeria. Retrieve from https://www.guttmacher.org/fact-sheet/abortion-nigeria

[6].   Corbett, M. R., and Turner, K. L., 2003, Essential Elements of Post Abortion Care: Origins, Evolution and Future Directions. International family planning perspective, 29(3), 106-111.

[7].   Cutis, C., Huber, D., and Moss-Knight, T., 2010, Post-abortion Family Planning: Addressing the Cycle of Repeat Unintended Pregnancy and Abortion. Guttmacher Institute, 36 (1), 44-48.

[8].   Mielke, E., Huber, D., Curtis, C., & Malarcher, S., 2019, Postabortion family planning: a critical component of postabortion care. High Impact Practices in Family Planning (HIP). Retrieved from https://www.fphighimpactpractices.org/briefs/postabortion-family-planning/

[9].   Lamina, M. A., 2015, Prevalence of Abortion and Contraceptive Practice among Women Seeking Repeat Induced Abortion in Western Nigeria. Journal of pregnancy. https://doi.org/10.1155/2015/486203

[10].  Adinma, J. Ikeako, L., Adinma, E. D., Ezeama, C. O., & Ugboaja, J. O., 2010, Awareness and Practice of Post-Abortion Care Services among Health Care professionals in Southeastern Nigeria. Southeast Asian Journal of Tropical Medicine and Public Health, 41(3): 696-704.

[11].  Paul, M., Gemzell-Danielsson, K., Kiggundu, C., Namugenyi, R., & Klingberg-Allvin, M., 2014, Barriers and facilitators in the provision of post-abortion care at district level in central Uganda – a qualitative study focusing on task sharing between physicians and midwives. BMC Health Services Research, 14(28). https://doi.org/10.1186/1472-6963-14-28.

[12].  Tang, L., Wu, S., Li, J., Wang, K., Xu, J., Temmerman, M., Zhang, W., and INPAC Consortium, 2017, Post-abortion family planning counselling practice among abortion service providers in China: a nationwide cross-sectional study. The European Journal of Contraception & Reproductive Health Care, 22(1), 24-29.

[13].  Wang, L., Puri, M., Rocca, C. H., Blum, M. and Henderson, J. T., 2015, Service provider perspectives on post-abortion contraception in Nepal. Culture, Health and Sexuality, 18(2), 1-13.

[14].  Thompson, K. M., Speidel, J. J., Saporta, V., and Waxman, N. J., 2011, Contraceptive policies affect post-abortion provision of long-acting reversible contraception. Pubmed, 83(1), 41-7.

[15].  Kalu, C. A., Umeora, O., and Sunday-Adeoye, I., 2012, Experiences with Provision of Post-Abortion Care in a University Teaching Hospital in South-East Nigeria: A Five-Year Review. African Journal of Reproductive Health; 16(1), 105

[16].  Faleyimu, O. I., Agbeja, B. O., and Akinyemi, O., 2013, State of forest regeneration in South Western Nigeria. African Journal of Agricultural research, 8(26): 3381-3383.

[17].  Action on Armed Violence & Nigeria Working Group on Armed Violence, 2013, The Violent Road: Nigeria’s South West. Retrieved from https://aoav.org.uk/2013/the-violent-road-nigeria-south-west

[18].  Etuk, S. J., Ebong, F. E., and Okonufua, F. E., 2004, Knowledge, Attitude and Practice of Private Medical Practitioners in Calabar towards Post-Abortion Care. African Journal of Public Health, 7(3):55-64.

[19].  Okonofuna, F. E., Shittu, S. O., Oronsaye, F., Ogunsakin, D., Ogbomwan S. and Zayyan, M., 2005, Attitudes and practices of private medical providers towards family planning and abortion services in Nigeria. Acta Obstetricia et Gynecologica Scandinavica, 84: 270–280.