Most of the women experience issues in choosing and initiating a contraceptive method at the time of an abortion. A gap exists between the regular clinical practice and existing evidence on motivational and person-centered counseling, as well as on the use of LARC. This study was done with the purpose to describe and evaluate a QIC designed to enhance contraceptive services, with regard to changes in HCPs counseling in clinical practice, and in women’s subsequent choice of, and access to, contraception.

The sample size consisted of two women contributing to provide an explanation of user experience, and participated in a QIC. We collected and analyzed both quantitative and qualitative data using the case study method.

The teams welcomed the development of a performance feedback system regarding women’s post-abortion contraception. While the majority of women counseled during the QIC chose LARC, only 20%–40% received it within 30 days post-abortion.

The study concluded through its findings that the QIC helped HCPs to develop capability in providing contraceptive services at the time of an abortion. Timely access to LARC remains a challenge in the present setting.

Reference: https://srh.bmj.com/content/45/3/190

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