{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T14:29:30Z","timestamp":1793456970044,"version":"4.5.0"},"reference-count":42,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2021,7,30]],"date-time":"2021-07-30T00:00:00Z","timestamp":1627603200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Biosoc. Sci."],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Post-abortion care (PAC) integrates elements that are vital for women\u2019s survival after abortion complications and their ability to meet their subsequent fertility intentions. Currently, the utilization of PAC among women in need remains too low, particularly in settings where unsafe abortion is an appreciable cause of maternal mortality. Interventions have aimed at addressing unmet need; however, these still require information on the extent to which women value different aspects of PAC. This paper presents such evidence from Dakar, Senegal. Exit interviews with 729 PAC clients in 2018 at eight health facilities obtained information on patient characteristics, content of services received and women\u2019s perceptions of the quality of care, both overall and according to subject-specific domains. These domains reflect aspects of PAC that are relevant to clients\u2019 satisfaction: accessibility, facility environment, information and counselling, family planning, provider technical competence and readiness and client\u2013staff interaction. Ordinal logistic regression models were estimated to identify factors that were associated with women\u2019s rating of overall quality of care (on a scale of 1 to 5, 1 being lowest). Predictors that were significantly associated with the outcome were used in a multivariate ordinal logistic regression model that estimated the probability of positive differences in the outcome associated with women\u2019s classification of each predictor. Women reported a mean rating of 3.7 for overall quality of care. The lowest domain-specific rating was for quality of information and counselling (mean=2.4) and the highest was for client\u2013staff interaction (mean=3.8). Factors associated with clients\u2019 higher odds of being more satisfied with PAC were: physical comfort during the procedure, recall of counselling on treatment procedure, privacy, perceived availability of supplies and medicines, facility admission process, facility cleanliness, waiting time, clarity of counselling and access to different contraceptive methods. Interventions that target these factors may improve the utilization of PAC in Dakar, Senegal.<\/jats:p>","DOI":"10.1017\/s0021932021000365","type":"journal-article","created":{"date-parts":[[2021,7,30]],"date-time":"2021-07-30T07:27:49Z","timestamp":1627630069000},"page":"760-775","source":"Crossref","is-referenced-by-count":14,"title":["Clients\u2019 perceptions of the quality of post-abortion care in eight health facilities in Dakar, Senegal"],"prefix":"10.1017","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7513-6568","authenticated-orcid":false,"given":"Colin","family":"Baynes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Diadhiou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Lusiola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"O\u2019Connell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thierno","family":"Dieng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2021,7,30]]},"reference":[{"key":"S0021932021000365_ref21","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-16-00052"},{"key":"S0021932021000365_ref34","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2017.1301513"},{"key":"S0021932021000365_ref35","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2019.03.044"},{"key":"S0021932021000365_ref6","doi-asserted-by":"publisher","DOI":"10.1363\/3604410"},{"key":"S0021932021000365_ref13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9566.2004.00385.x"},{"key":"S0021932021000365_ref32","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4465.1999.00017.x"},{"key":"S0021932021000365_ref40","volume-title":"Safe Abortion: Technical and Policy Guidance for Health Systems.","year":"2012"},{"key":"S0021932021000365_ref10","volume-title":"Evaluation des prog\u00e8s de l\u2019initiative Africaine Francophone pour les Soins Apr\u00e8s Avortement","author":"Dieng","year":"2008"},{"key":"S0021932021000365_ref39","volume-title":"Safe Abortion: Technical and Policy Guidelines for Health Systems","year":"2003"},{"key":"S0021932021000365_ref2","doi-asserted-by":"publisher","DOI":"10.1363\/3719111"},{"key":"S0021932021000365_ref20","volume-title":"Abortion in Senegal: Fact Sheet","year":"2015"},{"key":"S0021932021000365_ref31","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1034\/j.1600-0412.1998.770216.x","article-title":"Quality of care in abortion services in Finland","volume":"77","author":"Sihvo","year":"1998","journal-title":"Acta Obstetricia et Gynecologica Scandinavica"},{"key":"S0021932021000365_ref5","unstructured":"CEFOREP (1998) Introduction des soins obst\u00e9tricaux d\u2019urgence et de la planification familiale pour les patients pr\u00e9sentant des complications li\u00e9es \u00e0 un avortment incomplete. 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