International Journal of Business and Social Science

ISSN 2219-1933 (Print), 2219-6021 (Online) DOI: 10.30845/ijbss

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Original Research Article | Open Access | Peer Reviewed update icon Check for updates

Demand for Contraception after Self -Managed Medical Abortion: The Case of Nakuru County, Kenya

Steve Biko Sigu MA Email and Francis Omondi PhD Email
Abstract This study examined demographic and socioeconomic determinants of post-medical abortion contraceptive demand using data from 401 women who obtained medical abortion drugs at 21 pharmacies in Nakuru, Kenya, as part of the PMAC project pilot. A probit model was used to identify key factors. Although 60% of women initially chose to bundle abortion drugs with contraceptives, only 43% used contraception after self- managed abortion. Socioeconomic factors such as effective demand, exposure to contraceptive promotional interventions, abortion decision-making, and prior contraceptive use significantly influenced post-abortion contraceptive uptake, alongside demographic factors like age, marital status, and education level. The findings highlight the multifaceted nature of contraceptive decision-making following self-managed abortion, shaped by both individual and contextual factors. The study concludes that aligning decision- support strategies and targeted interventions may help increase contraceptive use post-abortion, informing policy and programmatic approaches in similar contexts.
Full Text: PDF   |   DOI: https://doi.org/10.30845/ijbss.v16p4
Article History:
18 April 2025 | Accepted: 23 May 2025 | Published: 2 June 2025
Reviewer(s): Dr. Limor Rimer, Department of Obstetrics and Gynecology, Maccabi Health Services, Israel; ORCID iD: https://orcid.org/0000- 0001-5027-5115.
Email: [email protected] Ziyad Hazim Ibrahim, Public Health Directorate, Iraqi MoH, Iraq; ORCID iD: 0000-0002-4432-0247; Phone Number: 00964-7901998801.
Email: [email protected]
Address for Correspondence: Steve Biko Sigu, Department of Economic Theory. Kenyatta University.
[email protected]
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