Assessment of Post-abortion Care Services in Two Health Facilities in Conakry, Guinea
), Jean P. Leno(2), Sidikiba Sidibé(3), Oumou H. Bah(4), Alexandre Delamou(5), Yolande Hyjazi(6),
(1) National Training and Research Centre in Rural Health of Maferinyah, Forecariah,
(2) Health District of Lélouma, Ministry of Health, Conakry, Guinea
(3) National Training and Research Centre in Rural Health of Maferinyah, Forecariah, Guinea; Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
(4) Department of Gynaecology and Obstetrics, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
(5) National Training and Research Centre in Rural Health of Maferinyah, Forecariah, Guinea; Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
(6) Department of Gynaecology and Obstetrics, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea
Corresponding Author
Abstract
High quality post-abortion care (PAC) is needed to curb maternal deaths by providing effective treatment and preventing future unintended pregnancies through PAC family planning. This study aimed at assessing PAC services with a focus on women’s satisfaction with care they received in two health facilities in Conakry. We conducted a cross-sectional mixed method study with 426 PAC clients from March 1st to August 31st, 2014. Data analyses were performed using Stata software version 14 for quantitative data and using a thematic approach for qualitative data. Overall, 92.5% of women were satisfied with PAC services they received. The short waiting time (< 30 min), the appropriate management of pain during the treatment, the affordable cost of the treatment, the confidentiality of services, the good patient-provider interaction and the cleanliness of the premises were factors statistically significantly associated with the satisfaction of women (P-value ˂ 0.001). This study showed a high rate of women’s satisfaction. Nevertheless, health authorities should assure a regular follow-up on the application of official prices for the treatment of PAC patients; and providers should further consider aspects such as pain management during treatment, confidentiality of services, patient-provider interaction for optimal satisfaction of clients with PAC services. (Afr J Reprod Health 2020; 24[2]: 96-105).
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