Outcome of an intervention to improve the quality of private sector provision of postabortion care in northern Nigeria

R Ogu, F Okonofua, A Hammed… - … of Gynecology & …, 2012 - Wiley Online Library
R Ogu, F Okonofua, A Hammed, E Okpokunu, A Mairiga, A Bako, T Abass, D Garba, A Alani…
International Journal of Gynecology & Obstetrics, 2012Wiley Online Library
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 …
Abstract
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.
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