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Effect of post‐menstrual regulation family‐planning service quality on subsequent contraceptive use in Bangladesh
Author(s) -
Sultana Farhana,
Nahar Quamrun,
Marions Lena,
Oliveras Elizabeth
Publication year - 2013
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2013.07.007
Subject(s) - medicine , family planning , residence , logistic regression , demography , confidence interval , family medicine , population , gynecology , obstetrics , environmental health , research methodology , sociology
Objective To determine whether the quality of post‐menstrual regulation family‐planning services (post‐MRFP) affected contraceptive use at 3‐month follow‐up. Methods 915 women who received post‐MRFP in 2 public and 1 NGO clinics in a district in Bangladesh were interviewed to obtain information on service quality and other characteristics. Quality was scored based on 21 items and the score divided into 3 categories: low (0–6); medium (7–11); and high (12–21). Three months after menstrual regulation, 902 of the women were interviewed at their residence or a clinic and contraceptive status was recorded. Adjusted odd ratios (aORs) for using contraception were calculated via multivariate logistic regression. Results Contraceptive use was positively correlated with the level of service quality, with 78% use among women who received the lowest‐quality care and 92% use among women who received the highest‐quality care. The aOR for contraceptive use was 1.80 (95% confidence interval [CI], 1.11–2.93) among women who received moderate‐quality services and 3.01 (95% CI, 1.43–6.37) among women receiving high‐quality services compared with those who received poor‐quality services. Conclusion Good‐quality post‐MRFP increases contraceptive use, at least in the short term.