Demand for Contraception after Self -Managed Medical Abortion: The Case of Nakuru County, Kenya
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Date
2025-06
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The Brooklyn Research and Publishing Institute, 442 Lorimer St, Brooklyn, NY 11206, United States
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 selfmanaged 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 decisionsupport strategies and targeted interventions may help increase contraceptive use post-abortion, informing policy and programmatic approaches in similar contexts.
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Sigu, S. B., & Omondi, F. (2025). Demand for Contraception after self -Managed Medical Abortion: The case of Nakuru County, Kenya. International Journal of Business and Social Science, 16, 56-68. https://doi.org/10.30845/ijbss.vol16p4
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https://www.researchgate.net/profile/Steve-Sigu/publication/392529493_Demand_for_Contraception_after_self_-Managed_Medical_Abortion_The_case_of_Nakuru_County/links/684799726b5a287c304a274d/Demand-for-Contraception-after-self-Managed-Medical-Abortion-The-case-of-Nakuru-County.pdf
https://ir-library.ku.ac.ke/handle/123456789/30188
https://ir-library.ku.ac.ke/handle/123456789/30188