Abstract:

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.

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