Nearly half a million induced abortions occurred in Kenya in 2012, according to a nationally representative study by the African Population and Health Research Center (APHRC). Women younger than 25 years constituted almost half of patients (49%) treated for severe complications of induced abortion in that year. More than a quarter of these young women (26%) received poor quality post-abortion care treatment (such as dilation and curettage and digital [bare finger] evacuation). Worse, 30% of those receiving post-abortion treatment did not receive contraceptives upon discharge.
The quality of post-abortion care (PAC) services for young people is compromised for a number of reasons, including barriers faced by health care providers themselves. This brief highlights findings of a study on the barriers faced by health providers in Kenya’s public and private health facilities in delivering PAC services to adolescents and young women. The study, conducted in 2014, relied on in-depth individual and focus group interviews with PAC providers. It is hoped that the research and recommendations will guide investment in better quality sexual and reproductive health services for young people.