{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T11:53:06Z","timestamp":1751370786446,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T00:00:00Z","timestamp":1650499200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2022,12]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>To evaluate an intervention that aimed at strengthening voluntary access to long\u2010acting reversible contraception (LARC) within postabortion care (PAC) in hospitals in mainland Tanzania and Zanzibar.<\/jats:p><\/jats:sec>Methods<\/jats:title>From 2016 to 2018, we conducted PAC quality improvement interventions, emphasizing family planning (FP) counseling and voluntary access to LARC. Researchers conducted an interrupted time\u2010series analysis of service statistics compiled from 2014 to 2020 using segmented linear mixed effects regression models to assess the interventions' effect on postabortion contraceptive uptake.<\/jats:p><\/jats:sec>Results<\/jats:title>The intervention in mainland Tanzania was associated with an immediate 38% increase in postabortion LARC uptake, a trend that declined from late 2016 to mid\u20102020 to 34%. In Zanzibar, the intervention was associated with a gradual increase in LARC uptake that peaked in late 2018 at 23% and stabilized at approximately 15% by mid\u20102020. Whereas the interventions in mainland facilities did not generate significant changes in postabortion FP uptake overall, the launch of interventions in Zanzibar in mid\u20102016 was associated with a precipitous rise in that outcome over time, which plateaued at approximately 54% by 2019.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Increased voluntary uptake of postabortion contraception was associated with the introduction of training in PAC, including FP, and quality improvement interventions and gains were sustained over time.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14203","type":"journal-article","created":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T11:04:36Z","timestamp":1648983876000},"page":"662-671","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The effects of interventions to integrate long\u2010acting reversible contraception with treatment for incomplete abortion: Results of a 6\u2010year interrupted time series analysis in hospitals in mainland Tanzania and Zanzibar"],"prefix":"10.1002","volume":"159","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7513-6568","authenticated-orcid":false,"given":"Colin","family":"Baynes","sequence":"first","affiliation":[{"name":"EngenderHealth Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn A.","family":"O\u2019Connell","sequence":"additional","affiliation":[{"name":"EngenderHealth Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace","family":"Lusiola","sequence":"additional","affiliation":[{"name":"EngenderHealth Dar es Salaam Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Garfinkel","sequence":"additional","affiliation":[{"name":"EngenderHealth Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Kahwa","sequence":"additional","affiliation":[{"name":"EngenderHealth Dar es Salaam Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0133933"},{"volume-title":"Trends in Maternal Mortality, 2000\u20102017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division","year":"2019","author":"World Health Organization","key":"e_1_2_9_3_1"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-19-00026"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2012.07.014"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2014.11.025"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1011600"},{"key":"e_1_2_9_8_1","unstructured":"International federation of Gynecology and Obstetrics International Confederation of Midwives International Council of Nurses USAID.Postabortion family planning a key component of postabortion care: consens Statement;2009. Accessed April 19 2022.https:\/\/respond\u2010project.org\/archive\/files\/1\/1.1\/1.1.6\/PAC\u2010Consensus\u2010Statement\u20102013.pdf"},{"volume-title":"High Impact Practices in Family Planning (HIP), Postabortion family planning: a critical component of postabortion care","year":"2019","author":"USAID","key":"e_1_2_9_9_1"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-018-0687-9"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0021932020000607"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4465.1999.00017.x"},{"key":"e_1_2_9_13_1","doi-asserted-by":"crossref","unstructured":"SavelievaI PileJM SacciI LoganathanR.Postabortion family planning operations research study in Perm Russia Frontiers Final Report;2003.Population Council.","DOI":"10.31899\/rh4.1202"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-18-00344"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-15-00301"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(06)27235-5"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.02.026"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-19-00050"}],"container-title":["International Journal of Gynecology & Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.14203","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.14203","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.14203","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T09:49:05Z","timestamp":1692438545000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.14203"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,21]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1002\/ijgo.14203"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.14203","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"type":"print","value":"0020-7292"},{"type":"electronic","value":"1879-3479"}],"subject":[],"published":{"date-parts":[[2022,4,21]]},"assertion":[{"value":"2021-05-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}