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Outcome of an intervention to improve the quality of private sector provision of postabortion care in northern Nigeria
Author(s) -
Ogu Rosemary,
Okonofua Friday,
Hammed Afolabi,
Okpokunu Edoja,
Mairiga Abdulkarim,
Bako Abubakar,
Abass Tajudeen,
Garba Danjuma,
Alani Akinyade,
Agholor Kingsley
Publication year - 2012
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/s0020-7292(12)60010-1
Subject(s) - medicine , abortion , intervention (counseling) , private sector , family planning , family medicine , nursing , obstetrics , pregnancy , environmental health , population , research methodology , economic growth , genetics , economics , biology
The outcomes of an intervention aimed at improving the quality of postabortion care provided by private medical practitioners in 8 states in northern Nigeria are reported. A total of 458 private medical doctors and 839 nurses and midwives were trained to offer high‐quality postabortion care, postabortion family planning, and integrated sexually transmitted infection/HIV care. Results showed that among the 17009 women treated over 10 years, there was not a single case of maternal death. In a detailed analysis of 2559 women treated during a 15‐month period after the intervention was established, only 33 women experienced mild complications, while none suffered major complications of abortion care. At the same time, there was a reduction in treatment cost and a doubling of the contraceptive uptake by the women. Building the capacity of private medical providers can reduce maternal morbidity and mortality associated with induced abortion in northern Nigeria.