{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:14:11Z","timestamp":1787026451572,"version":"build-2736575974"},"reference-count":108,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Glob. Women\u2019s Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In Africa, over one-third of women experience multiple abortions, often due to inadequate access to effective modern contraceptives. This highlights a critical gap in understanding the patterns and predictors of post-abortion contraceptive (PAC) use. To address this issue, a systematic review and meta-analysis were conducted to assess the uptake of PAC and associated factors among African women who received abortion services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Following the PRISMA guideline, all articles published between January 1, 2015, and December 30, 2023, were systematically retrieved from multiple databases. Articles reporting PAC uptake among African women were included. The pooled prevalence of Post-abortion contraceptive uptake was determined using a random effects model. The variation between the included studies was assessed using a funnel plot and\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      heterogeneity statistics. Sources of heterogeneity: Subgroup analysis was performed by country, publication period, study design, and sub-African region.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      From 48 articles, a total of 84,205 women who underwent abortion services were included in the analysis. The pooled prevalence of PAC uptake in Africa was 58.78% (95% CI: 52.36\u201365.21), with high heterogeneity (\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200999.8%, 95% CI: 99.2%-99.9%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). The subgroup analysis revealed variation by country, publication period, and sub-African region. The most widely used contraceptive methods were injectables (30.27%), followed by implants (25.13%), oral contraceptive pills (22.34%), and IUDs (10.47%). Attending formal education (OR\u2009=\u20091.46, 95% CI\u2009=\u20091.03, 2.07), knowing the period of fertility (OR\u2009=\u20091.72, 95% CI\u2009=\u20091.14, 2.59), counseling about contraceptives (OR\u2009=\u20093.40, 95% CI\u2009=\u20091.82, 6.35), not having a desire for pregnancy (OR\u2009=\u20093.08, 95% CI\u2009=\u20091.74, 5.35, 95% CI\u2009=\u20092.55, 7.42), and possessing contraceptive knowledge (OR\u2009=\u2009\u20092.30, 95% CI\u2009=\u20091.41, 3.76) had a statistically significant combined effect on PAC uptake in Africa.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The uptake of PAC in Africa stands at 58.78%, which is considered low according to the World Health Organization's recommendation that all women should postpone conception for six months following an abortion. There was also a decline of 20.22% between 2020 and 2023 compared to the pooled uptake between 2015 and 2019. To address this, it is crucial to enhance women's awareness of post-abortion contraception, the conception risks after abortion, and to strengthen client-centered counseling alongside women's education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic Review Registration<\/jats:title>\n                    <jats:p>\n                      <jats:uri>https:\/\/www.crd.york.ac.uk\/PROSPERO\/view\/CRD42024505129<\/jats:uri>\n                      , PROSPERO CRD42024505129.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fgwh.2025.1478797","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T01:23:34Z","timestamp":1750037014000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["Post-abortion contraceptive uptake, choices, and factors associated with it among women seeking abortion services in Africa: a systematic review and meta-analysis"],"prefix":"10.3389","volume":"6","author":[{"given":"Gizachew Worku","family":"Dagnew","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melash Belachew","family":"Asresie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,6,16]]},"reference":[{"key":"B1","article-title":"Transforming our world: the 2030 agenda for sustainable development, 21 October 2015. A\/RES\/70\/1","year":"2015"},{"key":"B2","article-title":"Maternal mortality key facts. World Health Organization","year":""},{"key":"B3","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1596\/978-1-4648-0348-2_ch3","article-title":"Levels and causes of maternal mortality and morbidity","author":"Filippi","year":"2016","journal-title":"Reproductive, Maternal, Newborn, and Child Health: Disease Control Priorities"},{"key":"B4","doi-asserted-by":"publisher","first-page":"e1152","DOI":"10.1016\/S2214-109X(20)30315-6","article-title":"Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990\u20132019","volume":"8","author":"Bearak","year":"2020","journal-title":"Lancet Glob Health"},{"key":"B5","volume-title":"Preventing unsafe abortion: evidence brief","year":"2019"},{"key":"B6","article-title":"Trends in maternal mortality 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division","year":"2019"},{"key":"B7","article-title":"Abortion care guideline","year":"2022"},{"key":"B8","volume-title":"Nearly Half of All Pregnancies Are Unintended\u2014a Global Crisis, Says New UNFPA Report","year":"2022"},{"key":"B9","volume-title":"Packages of Interventions for Family Planning, Safe Abortion Care, Maternal, Newborn, and Child Health","year":"2010"},{"key":"B10","doi-asserted-by":"publisher","first-page":"191","DOI":"10.9745\/GHSP-D-15-00374","article-title":"Investing in family planning: key to achieving the sustainable development goals","volume":"4","author":"Starbird","year":"2016","journal-title":"Glob Health Sci Pract"},{"key":"B11","article-title":"Family planning programs for the 21st century: rationale and design","author":"Bongaarts","year":"2012"},{"key":"B12","article-title":"FP2020: The Arc of Progress 2019\u20132020. Washington, DC. 488(2020):489","year":"2020"},{"key":"B13","article-title":"Postabortion family planning: a critical component of postabortion care","year":"2019"},{"key":"B14","doi-asserted-by":"publisher","first-page":"20503121231223617","DOI":"10.1177\/20503121231223617","article-title":"Post-abortion contraceptive utilization and associated factors among women who attended abortion services: a health facility cross-sectional study","volume":"12","author":"Shiferaw","year":"2024","journal-title":"SAGE Open Med"},{"key":"B15","doi-asserted-by":"publisher","first-page":"e0214049","DOI":"10.1371\/journal.pone.0214049","article-title":"Spatial and socio-economic correlates of effective contraception among women seeking post-abortion care in healthcare facilities in Kenya","volume":"14","author":"Mutua","year":"2019","journal-title":"PLoS One"},{"key":"B16","doi-asserted-by":"publisher","first-page":"908","DOI":"10.1017\/S0021932020000607","article-title":"Post-abortion fertility desires, contraceptive uptake and unmet need for family planning: voices of post-abortion care clients in Tanzania","volume":"53","author":"Baynes","year":"2020","journal-title":"J Biosoc Sci"},{"key":"B17","article-title":"National guideline for family planning services in Ethiopia. Federal Democratic Republic of Ethiopia, Ministry of Health","year":"2020"},{"key":"B18","volume-title":"National Family Planning Guidelines for Service Providers","year":"2018"},{"key":"B19","volume-title":"Sierra Leone Family Planning Costed Implementation Plan","author":"Leone","year":"2017"},{"key":"B20","article-title":"National Guidelines on Safe Termination of Pregnancy for Legal Indications","year":"2018"},{"key":"B21","article-title":"Technical and Procedural Guideline for Abortion Care Services in Ethiopia. Third Edition. Ethiopia, Addis Ababa","year":"2023"},{"key":"B22","article-title":"National clinical guideline for implementation of the choice on termination of pregnancy act. In: Health NDo, editor. ED. 1 ed: National Department of Health, Republic of South Africa","year":"2019"},{"key":"B23","article-title":"Technical and procedural guidelines for safe abortion services in Ethiopia. Ethiopia, Addis Ababa","year":"2014"},{"key":"B24","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1186\/s12978-019-0743-4","article-title":"Magnitude and associated factors of repeat induced abortion among reproductive age group women who seek abortion Care Services at Marie Stopes International Ethiopia Clinics in Addis Ababa, Ethiopia","volume":"16","author":"Alemayehu","year":"2019","journal-title":"Reprod Health"},{"key":"B25","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1186\/s13104-019-4542-3","article-title":"Repeat induced abortion and associated factors among reproductive age women who seek abortion services in Debre Berhan town health institutions, central Ethiopia, 2019","volume":"12","author":"Behulu","year":"2019","journal-title":"BMC Res Notes"},{"key":"B26","doi-asserted-by":"publisher","first-page":"17455057221122565","DOI":"10.1177\/17455057221122565","article-title":"Repeat-induced abortion and associated factors among reproductive-age women seeking abortion services in south Ethiopia","volume":"18","author":"Geta","year":"2022","journal-title":"Womens Health"},{"key":"B27","doi-asserted-by":"publisher","first-page":"e0277911","DOI":"10.1371\/journal.pone.0277911","article-title":"Pre and intra-COVID-19 trends of contraceptive use among women who had termination of pregnancy at Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa (2010\u20132020)","volume":"17","author":"Baffour-Duah","year":"2022","journal-title":"PLoS One"},{"key":"B28","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s40834-022-00199-4","article-title":"Second trimester post-abortion family planning uptake and associated factors in 14 public health facilities in central Uganda: a cross-sectional study","volume":"8","author":"Atuhairwe","year":"2023","journal-title":"Contracept Reprod Med"},{"key":"B29","doi-asserted-by":"publisher","first-page":"883710","DOI":"10.3389\/fpubh.2022.883710","article-title":"A systematic review and meta-analysis on post-abortion contraceptive utilization and associated factors in Ethiopia","volume":"10","author":"Wake","year":"2022","journal-title":"Front Public Health"},{"key":"B30","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1186\/s13643-021-01731-4","article-title":"Post-abortion family planning use, method preference, and its determinant factors in Eastern Africa: a systematic review and meta-analysis","volume":"10","author":"Bizuneh","year":"2021","journal-title":"Syst Rev"},{"key":"B31","doi-asserted-by":"publisher","first-page":"644","DOI":"10.9745\/ghsp-d-17-00085","article-title":"What factors contribute to postabortion contraceptive uptake by young women? A program evaluation in 10 countries in Asia and Sub-Saharan Africa","volume":"5","author":"Benson","year":"2017","journal-title":"Glob Health Sci Pract"},{"key":"B32","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/bmj.n160","article-title":"PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"Br Med J"},{"key":"B33","article-title":"JBI Manual for Evidence Synthesis JBI","author":"Aromataris","year":"2020"},{"key":"B34","doi-asserted-by":"publisher","first-page":"15932","DOI":"10.1038\/s41598-023-42911-7","article-title":"Prevalence and predictors of post-abortion modern contraceptive utilization among reproductive age women in Ethiopia","volume":"13","author":"Belachew","year":"2023","journal-title":"Sci Rep"},{"key":"B35","doi-asserted-by":"publisher","first-page":"157","DOI":"10.21203\/rs.3.rs-74227\/v1","article-title":"Postabortion family planning utilization and associated factors among women seeking abortion services: a cross-sectional study","volume":"15","author":"Woldemichael","year":"2023","journal-title":"Can J Fam Youth"},{"key":"B36","doi-asserted-by":"publisher","first-page":"20503121231187735","DOI":"10.1177\/20503121231187735","article-title":"Postabortion contraceptives uptake and its associated factors among clients visiting abortion care services in public hospitals in West Shewa zone, Oromia regional state, Ethiopia, 2021","volume":"11","author":"Hinkosa","year":"2023","journal-title":"SAGE Open Med"},{"key":"B37","doi-asserted-by":"publisher","first-page":"20","DOI":"10.24248\/eahrj.v7i1.704","article-title":"Factors affecting immediate use of contraception among women hospitalised for abortion in two public hospitals in Kigali, Rwanda: a cross-sectional study","volume":"7","author":"Sebazungu","year":"2023","journal-title":"East Afr Health Res J"},{"key":"B38","doi-asserted-by":"publisher","first-page":"2681478","DOI":"10.1155\/2022\/2681478","article-title":"Postabortion contraceptive utilization, preferences, and associated factors among women receiving abortion care services in health facilities of Ambo town, Ethiopia","volume":"2022","author":"Abebe","year":"2022","journal-title":"Int J Reprod Med"},{"key":"B39","doi-asserted-by":"publisher","first-page":"6","DOI":"10.11648\/j.jgo.20221001.12","article-title":"Post abortion family planning utilization and associated factors among women received abortion services at Adama Hospital Medical College, Oromia, Ethiopia","volume":"10","author":"Mohammed","year":"2022","journal-title":"J Gynecol Obstetr"},{"key":"B40","doi-asserted-by":"publisher","first-page":"860514","DOI":"10.3389\/frph.2022.860514","article-title":"Postabortion family planning and associated factors among women attending abortion service in dire Dawa town health facilities, eastern Ethiopia","volume":"4","author":"Motuma","year":"2022","journal-title":"Front Reprod Health"},{"key":"B41","doi-asserted-by":"publisher","first-page":"4050844","DOI":"10.1155\/2022\/4050844","article-title":"Postabortion contraceptive acceptance rate and its determinants among women receiving abortion service before discharge from the health facilities in Harar, eastern Ethiopia","volume":"2022","author":"Atnafu","year":"2022","journal-title":"Obstet Gynecol Int"},{"key":"B42","doi-asserted-by":"publisher","first-page":"e0267545","DOI":"10.1371\/journal.pone.0267545","article-title":"Post-abortion family planning utilization and associated factors in health facilities of Wolaita zone, southern Ethiopia: mixed study","volume":"17","author":"Tekle Lencha","year":"2022","journal-title":"PLoS One"},{"key":"B43","first-page":"35","article-title":"Uptake of post-abortion contraception and associated factors at the Women and Newborn Hospital, Lusaka, Zambia","volume":"49","author":"Kalenga","year":"2022","journal-title":"Med J Zambia"},{"key":"B44","doi-asserted-by":"publisher","first-page":"2950","DOI":"10.18203\/2320-1770.ijrcog20212939","article-title":"Determinants of contraceptive methods use after voluntary induced abortion at the Yaounde Central Hospital, Cameroon","volume":"10","author":"Fouelifack","year":"2021","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"B45","doi-asserted-by":"publisher","first-page":"e0244808","DOI":"10.1371\/journal.pone.0244808","article-title":"Magnitudes of post-abortion family planning utilization and associated factors among women who seek abortion service in Bahir Dar town health facilities, northwest Ethiopia, facility-based cross-sectional study","volume":"16","author":"Muchie","year":"2021","journal-title":"PLoS One"},{"key":"B46","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1002\/ijgo.13555","article-title":"Post-abortion contraceptive adoption in Ethiopia","volume":"154","author":"Teshome","year":"2021","journal-title":"Int J Gynaecol Obstet"},{"key":"B47","doi-asserted-by":"publisher","first-page":"20","DOI":"10.29063\/ajrh2021\/v25i6.3","article-title":"Contraception before and after induced abortion: trajectories of women in selected urban-poor settlements of Accra, Ghana","volume":"25","author":"Agula","year":"2021","journal-title":"Afr J Reprod Health"},{"key":"B48","doi-asserted-by":"publisher","first-page":"e0261005","DOI":"10.1371\/journal.pone.0261005","article-title":"Women\u2019s post-abortion contraceptive use: are predictors the same for immediate and future uptake of contraception? Evidence from Ghana","volume":"16","author":"Kayi","year":"2021","journal-title":"PLoS One"},{"key":"B49","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1080\/03630242.2020.1844358","article-title":"An examination of the characteristics and contraceptive acceptance of post-abortion clients in Ethiopia","volume":"61","author":"Wado","year":"2021","journal-title":"Women Health"},{"key":"B50","doi-asserted-by":"publisher","first-page":"780","DOI":"10.4103\/jfmpc.jfmpc_2167_20","article-title":"Post-abortion care services at red sea state, Sudan","volume":"10","author":"Satti","year":"2021","journal-title":"J Family Med Prim Care"},{"key":"B51","doi-asserted-by":"publisher","first-page":"182","DOI":"10.24248\/eahrj.v5i2.671","article-title":"Predictors and barriers to post abortion family planning uptake in Hai district, northern Tanzania: a mixed methods study","volume":"5","author":"Asubiojo","year":"2021","journal-title":"East Afr Health Res J"},{"key":"B52","first-page":"90","article-title":"Introduction of postpartum and post abortion family planning into three hospitals in South Sudan","volume":"13","author":"Malel","year":"2020","journal-title":"South Sudan Med J"},{"key":"B53","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1017\/S0021932020000309","article-title":"Postpartum and post-abortion contraceptive use among unmarried young women in Ghana","volume":"53","author":"Atiglo","year":"2021","journal-title":"J Biosoc Sci"},{"key":"B54","doi-asserted-by":"publisher","first-page":"2630905","DOI":"10.1155\/2020\/2630905","article-title":"Prevalence and predictors of contraceptive use among women aged 15\u201349 years with induced abortion history in Ghana","volume":"2020","author":"Salifu","year":"2020","journal-title":"Adv Prev Med"},{"key":"B55","doi-asserted-by":"publisher","first-page":"70","DOI":"10.17352\/ijsrhc.000016","article-title":"Factors influencing contraception usage: a cross-sectional study among mothers receiving abortion services in Orotta Maternity Hospital, Eritrea","volume":"3","author":"Idris","year":"2020","journal-title":"Int J Sex Reprod Health Care"},{"key":"B56","doi-asserted-by":"publisher","first-page":"9","DOI":"10.36346\/SARJNHC.2019.v01i02.005","article-title":"Contraception method following spontaneous abortion in N\u2019djamena Mother and Child Hospital","volume":"13","author":"Madou\u00e9","year":"2020","journal-title":"South Sudan Med J"},{"key":"B57","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s40834-020-00143-4","article-title":"Prevalence and determinants of post\u2013abortion family planning utilization in a tertiary hospital of northwest Ethiopia: a cross-sectional study","volume":"5","author":"Abate","year":"2020","journal-title":"Contracept Reprod Med"},{"key":"B58","doi-asserted-by":"publisher","first-page":"203","DOI":"10.11648\/j.cajph.20190505.14","article-title":"The uptake of modern contraceptive methods among clients of post-abortion care services in urban Guinea","volume":"5","author":"Millimouno","year":"2019","journal-title":"Central Afr J Public Health"},{"key":"B59","doi-asserted-by":"publisher","first-page":"S271","DOI":"10.9745\/GHSP-D-18-00344","article-title":"Findings and lessons learned from strengthening the provision of voluntary long-acting reversible contraceptives with postabortion care in Guinea","volume":"7","author":"Pfitzer","year":"2019","journal-title":"Glob Health Sci Pract"},{"key":"B60","doi-asserted-by":"publisher","first-page":"1327351","DOI":"10.1155\/2019\/1327351","article-title":"Postabortion contraception acceptance and associated factors in Dessie Health Center and Marie Stopes International Clinics, South Wollo Northeast, Amhara Region, 2017","volume":"2019","author":"Abebe","year":"2019","journal-title":"Int J Reprod Med"},{"key":"B61","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s40834-019-0099-8","article-title":"Postabortion contraceptive use in Bahir Dar, Ethiopia: a cross-sectional study","volume":"4","author":"Mekuria","year":"2019","journal-title":"Contracept Reprod Med"},{"key":"B62","doi-asserted-by":"publisher","first-page":"S258","DOI":"10.9745\/GHSP-D-19-00146","article-title":"Reducing barriers to postabortion contraception: the role of expanding coverage of postabortion care in Dar es Salaam, Tanzania","volume":"7","author":"Stephens","year":"2019","journal-title":"Glob Health Sci Pract"},{"key":"B63","doi-asserted-by":"publisher","first-page":"e0201214","DOI":"10.1371\/journal.pone.0201214","article-title":"Contraceptive uptake in post-care, secondary outcomes from a randomised controlled trial, Kisumu, Kenya","volume":"13","author":"Makenzius","year":"2018","journal-title":"PLoS One"},{"key":"B64","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1186\/s12905-018-0582-4","article-title":"Family planning utilization and factors associated among women receiving abortion services in health facilities of central zone towns of Tigray, northern Ethiopia: a cross-sectional study","volume":"18","author":"Hagos","year":"2018","journal-title":"BMC Womens Health"},{"key":"B65","doi-asserted-by":"publisher","first-page":"928","DOI":"10.1186\/s13104-018-4029-7","article-title":"Factors associated with uptake of post-abortion family planning in Shire town, Tigray, Ethiopia","volume":"11","author":"Moges","year":"2018","journal-title":"BMC Res Notes"},{"key":"B66","doi-asserted-by":"publisher","first-page":"14","DOI":"10.69614\/ejrh.v10i1.22","article-title":"4. Post-abortion contraceptive acceptance and choice determinants among women receiving abortion care at Saint Paul\u2019s Hospital, Addis Ababa, Ethiopia","volume":"10","author":"Asrat","year":"2018","journal-title":"Ethiopian J Reprod Health"},{"key":"B67","article-title":"Contraceptive use and choice following abortion and associated factors among female youth in Nakawa and Kawempe Divisions, Kampala-Uganda","author":"Agaba","year":"2018"},{"key":"B68","volume-title":"Utilization of Post Abortion Family Planning and Associated Factors among Women Coming to Abortion Services in Selected Abortion Clinics at Addis Ababa","author":"Kassahun","year":"2017"},{"key":"B69","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1080\/09688080.2017.1402670","article-title":"Uptake of postabortion care services and acceptance of postabortion contraception in Puntland, Somalia","volume":"25","author":"Chukwumalu","year":"2017","journal-title":"Reprod Health Matters"},{"key":"B70","doi-asserted-by":"publisher","first-page":"2061","DOI":"10.18535\/ijmsci\/v3i8.7","article-title":"Assessment of post abortion contraceptive intention and associated factors among abortion clients in Gambella Health Facilities, Gambella Town, South West Ethiopia","volume":"3","author":"Abamecha","year":"2016","journal-title":"Int J Med Sci Clin Inventions"},{"key":"B71","doi-asserted-by":"publisher","first-page":"5","DOI":"10.4172\/2167-0420.1000321","article-title":"Safe abortion care, utilization of post abortion contraception and associated factors, Jimma, Ethiopia","volume":"4","author":"Erko","year":"2016","journal-title":"J Womens Health Care"},{"key":"B72","doi-asserted-by":"publisher","first-page":"228","DOI":"10.4103\/0189-5117.192234","article-title":"Uptake of post-abortion contraception among women who had manual vacuum aspiration at Federal Medical Centre, Owerri: a 5-year review","volume":"33","author":"Onyegbule","year":"2016","journal-title":"Trop J Obstet Gynaecol"},{"key":"B73","doi-asserted-by":"publisher","first-page":"159","DOI":"10.21608\/asnj.2015.59017","article-title":"Effect of family planning counseling on post abortion women\u2019s awareness and practice of using contraceptive methods","volume":"3","author":"Ibrahim","year":"2015","journal-title":"Assiut Sci Nurs J"},{"key":"B74","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1186\/s12889-015-1875-2","article-title":"Does the type of abortion provider influence contraceptive uptake after abortion? An analysis of longitudinal data from 64 health facilities in Ghana","volume":"15","author":"Maxwell","year":"2015","journal-title":"BMC Public Health"},{"key":"B75","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1080\/17441692.2014.992799","article-title":"Post-abortion contraception choices of women in Ghana: a one-year review","volume":"10","author":"Rominski","year":"2015","journal-title":"Glob Public Health"},{"key":"B76","article-title":"Determinants of modern contraceptive uptake following immediate post abortion counselling among 15- 24 year old clients, Fhok 2014: University of Nairobi","author":"Uwera","year":"2015"},{"key":"B77","doi-asserted-by":"publisher","first-page":"2469","DOI":"10.23937\/2469-5793\/1510022","article-title":"Utilization of post abortion contraceptive and associated factors among women who came for abortion service: a hospital-based cross-sectional study","volume":"1","author":"Kokeb","year":"2015","journal-title":"J Fam Med Dis Prev"},{"key":"B78","article-title":"Abortion worldwide 2017: uneven Progress and unequal AccessAbortion worldwide 2017: uneven Progress and unequal access","author":"Singh","year":"2018"},{"key":"B79","article-title":"World Family Planning 2022: Meeting the changing needs for family planning: Contraceptive use by age and method. UN DESA\/POP\/2022\/TR\/NO 4","year":"2022"},{"key":"B80","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1016\/S0140-6736(22)00936-9","article-title":"Measuring contraceptive method mix, prevalence, and demand satisfied by age and marital status in 204 countries and territories, 1970\u20132019: a systematic analysis for the global burden of disease study 2019","volume":"400","author":"Haakenstad","year":"2022","journal-title":"Lancet"},{"key":"B81","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1111\/j.1728-4465.2015.00039.x","article-title":"Associations between abortion services and acceptance of postabortion contraception in six Indian states","volume":"46","author":"Banerjee","year":"2015","journal-title":"Stud Fam Plann"},{"key":"B82","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12978-019-0708-7","article-title":"Prevalence and correlates of postabortion long-acting reversible contraceptive (LARC) use among young women (24 and below) in Nepal: strategy in the search for improvements","volume":"16","author":"Mehata","year":"2019","journal-title":"Reprod Health"},{"key":"B83","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1080\/17441692.2016.1174280","article-title":"What contraception do women use after an abortion? An analysis of 319,385 cases from eight countries","volume":"13","author":"Benson","year":"2018","journal-title":"Glob Public Health"},{"key":"B84","doi-asserted-by":"publisher","first-page":"166","DOI":"10.9745\/GHSP-D-20-00119","article-title":"Contraception in the era of COVID-19","volume":"8","author":"Nanda","year":"2020","journal-title":"Glob Health Sci Pract"},{"key":"B85","doi-asserted-by":"publisher","first-page":"1874","DOI":"10.18203\/2320-1770.ijrcog20211504","article-title":"Abortion and contraception practices in the COVID-19 era","volume":"10","author":"Maheshwari","year":"2021","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"B86","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1111\/padr.12051","article-title":"Contraceptive practice in Sub-Saharan Africa","volume":"43","author":"Tsui","year":"2017","journal-title":"Popul Dev Rev"},{"key":"B87","first-page":"17","article-title":"Contraception access during the COVID-19 pandemic","volume-title":"Contracept Reprod Med","author":"Aly","year":"2020"},{"key":"B88","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1089\/jwh.2018.7210","article-title":"Predictors of more effective contraceptive method use at 12 weeks post-abortion: a prospective cohort study","volume":"28","author":"Nielsen","year":"2019","journal-title":"J Womens Health"},{"key":"B89","doi-asserted-by":"publisher","first-page":"535","DOI":"10.3390\/healthcare11040535","article-title":"Factors associated with the choice of contraceptive method following an induced abortion after receiving PFPS counseling among women aged 20\u201349 years in Hunan province, China","volume":"11","author":"Tong","year":"2023","journal-title":"Healthcare"},{"key":"B90","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1055\/s-0036-1571437","article-title":"Contraception in the developing world: special considerations","volume":"34","author":"Schivone","year":"2016","journal-title":"Semin Reprod Med"},{"key":"B91","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1186\/s12978-021-01195-8","article-title":"Utilization and its factors of post abortion modern contraceptive in Ethiopia: a systematic review and meta-analysis","volume":"18","author":"Beyene","year":"2021","journal-title":"Reprod Health"},{"key":"B92","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1080\/13625187.2016.1255939","article-title":"Post-abortion family planning counselling practice among abortion service providers in China: a nationwide cross-sectional study","volume":"22","author":"Tang","year":"2017","journal-title":"Eur J Contracept Reprod Health Care"},{"key":"B93","first-page":"4","article-title":"Post-abortion care family planning use in Pakistan","volume":"2","author":"Azmat","year":"2012","journal-title":"Pak J Public Health"},{"key":"B94","doi-asserted-by":"publisher","first-page":"2022","DOI":"10.18203\/2320-1770.ijrcog20171969","article-title":"Post abortion contraceptive behavior among Indian women","volume":"6","author":"Kumari","year":"2017","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"B95","doi-asserted-by":"publisher","first-page":"69","DOI":"10.11648\/j.jgo.20170506.11","article-title":"Systematic review: contraceptive knowledge and use in Saudi Arabia","volume":"5","author":"Bamufleh","year":"2017","journal-title":"J Gynecol Obstet"},{"key":"B96","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1007\/s10995-017-2351-7","article-title":"Adolescent reproductive and contraceptive knowledge and attitudes and adult contraceptive behavior","volume":"22","author":"Guzzo","year":"2018","journal-title":"Matern Child Health J"},{"key":"B97","doi-asserted-by":"publisher","first-page":"610","DOI":"10.11622\/smedj.2015181","article-title":"Knowledge and factors determining choice of contraception among Singaporean women","volume":"57","author":"Gosavi","year":"2016","journal-title":"Singapore Med J"},{"key":"B98","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1186\/s12978-018-0543-2","article-title":"Long-acting reversible contraceptive use in the post-abortion period among women seeking abortion in mainland China: intentions and barriers","volume":"15","author":"Luo","year":"2018","journal-title":"Reprod Health"},{"key":"B99","first-page":"61","article-title":"A review of the development and effect of contraceptive counseling after abortion","volume":"17","author":"Yu","year":"2022","journal-title":"\u4e9a\u6d32\u793e\u4f1a\u836f\u5b66"},{"key":"B100","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1016\/j.contraception.2018.11.010","article-title":"Predictors of postabortion contraception use in Cambodia","volume":"99","author":"Adelman","year":"2019","journal-title":"Contraception"},{"key":"B101","first-page":"174","article-title":"Contraceptive uptake among post abortion clients in the local population of Sargodha district, Pakistan","volume":"14","author":"Maqbool","year":"2019","journal-title":"J Islamic Int Med Coll"},{"key":"B102","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1186\/s12905-017-0458-z","article-title":"A qualitative exploration of perceptions and experiences of contraceptive use, abortion and post-abortion family planning services (PAFP) in three provinces in China","volume":"17","author":"Che","year":"2017","journal-title":"BMC Womens Health"},{"key":"B103","doi-asserted-by":"publisher","first-page":"2264688","DOI":"10.1080\/26410397.2023.2264688","article-title":"Why do most young women not take up contraceptives after post-abortion care? An ethnographic study on the effectiveness and quality of contraceptive counselling after PAC in Kilifi county, Kenya","volume":"31","author":"Mwadhi","year":"2023","journal-title":"Sex Reprod Health Matters"},{"key":"B104","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1186\/s12978-015-0087-7","article-title":"Contraceptive use following spontaneous and induced abortion and its association with family planning services in primary health care: results from a Brazilian longitudinal study","volume":"12","author":"Borges","year":"2015","journal-title":"Reprod Health"},{"key":"B105","article-title":"Factors Influencing Postabortion Contraceptive Choice among Women of Janakpur","author":"Jha","year":"2019"},{"key":"B106","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1080\/13625187.2018.1533546","article-title":"Misconceptions and current use of contraception among women of reproductive age in six major cities in Nigeria","volume":"23","author":"Saad","year":"2018","journal-title":"Eur J Contracept Reprod Health Care"},{"key":"B107","doi-asserted-by":"publisher","first-page":"e0247484","DOI":"10.1371\/journal.pone.0247484","article-title":"Low contraceptive utilization among young married women is associated with perceived social norms and belief in contraceptive myths in rural Ethiopia","volume":"16","author":"Dingeta","year":"2021","journal-title":"PLoS One"},{"key":"B108","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1016\/j.contraception.2014.12.003","article-title":"Barriers to and enablers of contraceptive use among adolescent females and their interest in an emergency department-based intervention","volume":"91","author":"Chernick","year":"2015","journal-title":"Contraception"}],"container-title":["Frontiers in Global Women's Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fgwh.2025.1478797\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T01:23:39Z","timestamp":1750037019000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fgwh.2025.1478797\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,16]]},"references-count":108,"alternative-id":["10.3389\/fgwh.2025.1478797"],"URL":"https:\/\/doi.org\/10.3389\/fgwh.2025.1478797","relation":{},"ISSN":["2673-5059"],"issn-type":[{"value":"2673-5059","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,16]]},"article-number":"1478797"}}