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Service users’ attributes associated with the uptake of medical versus surgical abortion at public health facilities in Vietnam
Author(s) -
Ngo Thoai D.,
Free Caroline,
Le Hoan T.,
Edwards Phil,
Pham Kiet H.T.,
Nguyen Yen B.T.,
Nguyen Thang H.
Publication year - 2014
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.2013.11.015
Subject(s) - medicine , abortion , confidence interval , odds ratio , vacuum aspiration , quarter (canadian coin) , public health , reproductive health , demography , medical abortion , family medicine , family planning , obstetrics , environmental health , population , pregnancy , nursing , genetics , misoprostol , archaeology , sociology , research methodology , biology , history
Objective To investigate the attributes of service users associated with uptake of medical abortion (MA) versus manual vacuum aspiration (MVA) at public health facilities in Vietnam. Methods Structured exit interviews were conducted among women who underwent termination at 62 public health facilities in Hanoi, Khanh Hoa, and Ho Chi Minh City (HCMC) between August and December 2011. Data on sociodemographic, abortion‐related, and service‐related factors were compared between women who underwent MVA versus MA. Results Overall, 1233 women completed the study survey: 541 (43.9%) from Hanoi; 163 (13.2%) from Khanh Hoa; and 529 (42.9%) from HCMC. Almost one‐quarter of women (23.1%) had chosen MA. After controlling for sociodemographic factors, women living in Khanh Hoa (odds ratio [OR], 13.4; 95% confidence interval [CI], 5.3–33.8) and HCMC (OR, 5.8; 95% CI, 2.1–15.9) were more likely to have undergone MA than women in Hanoi. Older women were less likely to have undergone MA ( P < 0.05), and those who had previously heard of MA were twice as likely to have undergone MA ( P = 0.020). Conclusion Uptake of MA was lower than that of MVA and varied by province. Women in Vietnam will make their own judgment about which method to choose if they have prior knowledge of both.