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Frontiers
Publications: OR Summary no. 44
BackgroundDespite declines in abortion rates in the last decade, abortion remains a primary means of fertility control in Russia and continues to be an important cause of preventable morbidity and mortality among women of reproductive age. In 2000, the Russian Research Center of Obstetrics, Gynecology and Perinatology and EngenderHealth, in collaboration with FRONTIERS and the Perm Health Department, began a three-year operations research study to test the effects of new postabortion family planning service delivery models for increasing contraceptive use and reducing the repeat abortion rate (around 40%) among abortion clients in Perm, Russia. This study used a quasi-experimental design to compare two interventions to institutionalize pre-discharge postabortion family planning counseling and services in five sites (two hospitals and three outpatient facilities). Model I consisted of training providers in family planning counseling and interpersonal communication skills and developing and supplying provider job aids and client education materials on postabortion family planning. Model II had the same intervention components, and in addition offered a free initial three-month supply of condoms, pills, DMPA or an IUD to all postabortion clients requesting a modern contraceptive method. The interventions were evaluated by comparing women assigned to each of the interventions to a control group of women attending the same facilities prior to the intervention. Researchers interviewed 1,516 women and observed 40 client-provider interactions prior to the clients being discharged. In addition, they interviewed 49 providers and conducted 1,079 13-month follow-up interviews with clients to assess contraceptive use and subsequent pregnancies. Findings
Receiving family planning counseling at the follow-up visit was an important factor in reducing repeat abortion. Non-repeat abortion clients were significant more likely to have received counseling during their follow-up visit as compared to those who received no counseling at their follow-up visit (50% versus only 39%). (see Table)
Utilization
Policy Implications
May 2004 Savelieva, Irina et al. 2003. “Postabortion Family Planning Operations Research Study in Perm, Russia,” FRONTIERS Final Report. Washington, D.C.: Population Council. For more information, contact: Population Council, 4301 Connecticut Avenue, N.W., Suite 280, Washington, D.C. 20008 USA. Tel: 202-237-9400; Fax: 202-237-8410; E-mail: frontiers@pcdc.org This project was conducted with support from the U.S. AGENCY FOR INTERNATIONAL DEVELOPMENT under Cooperative Agreement Number HRN-A-00-98-00012-00. |
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