Availability, accessibility and utilization of post-abortion care in Sub-Saharan Africa: A systematic review Posted on 15/01/2020 by Moreen Nkonge PUBLICATIONS RESOURCES // PUBLICATIONS Journal Articles Availability, accessibility and utilization of post-abortion care in Sub-Saharan Africa: A systematic review Population Dynamics and Urbanization in Africa January 2020 At the 1994 ICPD, sub-Saharan African (SSA) states pledged, inter alia, to guarantee quality post-abortion care (PAC) services. We synthesized existing research on PAC services provision, utilization and access in SSA since the 1994 ICPD. Generally, evidence on PAC is only available in a few countries in the sub-region. The available evidence, however, suggests that PAC constitutes a significant financial burden on public health systems in SSA; that accessibility, utilization, and availability of PAC services have expanded during the period; and that worrying inequities characterize PAC services. Manual and electrical vacuum aspiration and medication abortion drugs are increasingly common PAC methods in SSA, but poor-quality treatment methods persist in many contexts. Complex socio-economic, infrastructural, cultural and political factors mediate the availability, accessibility, and utilization of PAC services in SSA. Interventions that have been implemented to improve different aspects of PAC in the sub-region have had variable levels of success. Underexplored themes in the existing literature include the individual and household level costs of PAC; the quality of PAC services; the provision of non-abortion reproductive health services in the context of PAC; and health care provider-community partnerships. Download CONTRIBUTORS Associate Research Scientist Frederick Murunga Wekesah Frederick Murunga Wekesah is an epidemiologist and a researcher. He… View Profile SIMILAR PUBLICATIONS Journal Articles Who are the male sexual partners of adolescent girls and young women? Comparative analysis of population data in three settings prior to DREAMS roll-out Journal Articles Who Are the Male Sexual Partners of Adolescent Girls and Young Women? Comparative Analysis of Population Data in Three Settings Prior to Dreams Roll-Out Briefing Papers What it takes: Meeting unmet need for family planning in East Africa Factsheet Understanding the Lived Experiences of Pregnant and Parenting Adolescents in Burkina Faso’s Central Region (English) Factsheet Understanding the Experiences of Pregnant and Parenting Adolescents in Blantyre, Southern Malawi Briefing Papers Understanding the Experiences of Pregnant and Parenting Adolescents in Blantyre, Southern Malawi Technical Reports Understanding the Experiences of Pregnant and Parenting Adolescents in Blantyre, Southern Malawi Journal Articles Timing of Sexual Debut among Unmarried Youths aged 15–24 years in sub-Saharan Africa Briefing Papers The Status of Post-Abortion Care in Kenya