Demand for Contraception after Self-Managed Medical Abortion: The Case of Nakuru County, Kenya.
| dc.contributor.author | Sigu, Steve Biko | |
| dc.date.accessioned | 2025-07-31T13:53:38Z | |
| dc.date.available | 2025-07-31T13:53:38Z | |
| dc.date.issued | 2025-06 | |
| dc.description | A Research Project Submitted to the Department of Economic Theory, School of Business Economics and Tourism in Partial Fulfilment of the Requirement for the Award of Degree of Master of Economics of Kenyatta University, June 2025. Supervisor Francis Omondi | |
| dc.description.abstract | The low utilization of contraception following medical abortion is a key factor in the high rate of repeated induced abortions, primarily because fertility returns quickly after the first trimester abortion. Women who obtain medical abortions through pharmacies often miss out on essential contraceptive counseling, which is crucial for informed method selection. Using data from Post medical Abortion contraception (PMAC) project pilot, the study analyzed the data from 401 women who obtained medical abortion drugs from 21 pharmacies in Nakuru to establish demographic and socioeconomic factors that determine demand for contraception use following medical abortion. Correlation between the variables, normality of data and heteroskedasticity was assessed to inform the list of variables to be included in the probit model. Marginal effect was used to establish the determinants of demand and signal the coefficients provided the extent of influence on demand. While 60% of women initially opt to bundle medical abortion drugs with contraceptive methods, only 43% were using contraception after a self-managed abortion. Significant socioeconomic factors affecting demand for post-abortion contraception include effective demand, exposure to promotional interventions, abortion decision-making, and past contraceptive use. Demographic factors such as age, marital status, and education level also play a significant role in influencing the demand for contraceptive use post-abortion. The study underscores the complexity of contraceptive seeking following self- medical abortion, contextualized by socioeconomic factors, intervention exposure, and personal decision-making dynamics. Such findings suggest an alignment between decision support and intervention delivery could be pivotal in promoting higher contraceptive utilization rates. Strengthening community based contraceptive service delivery model could potentially improve contraceptive coverage and prevalence rate. | |
| dc.identifier.uri | https://ir-library.ku.ac.ke/handle/123456789/30985 | |
| dc.language.iso | en | |
| dc.publisher | Kenyatta University | |
| dc.title | Demand for Contraception after Self-Managed Medical Abortion: The Case of Nakuru County, Kenya. | |
| dc.type | Thesis |