In Kenya, 49% of all pregnancies are unintended, of which 41% end in abortion (Mohamed et al., 2015). 13% of maternal mortality in Kenya is strongly associated with incomplete abortions alone (APHRC, 2019). Women and girls who self-manage MA outside of health facilities and want to prevent future unintended pregnancies may not have adequate opportunities for contraceptive services leading to missed opportunities for post medical abortion contraception care.
What is happening specifically outside health facilities is not well-documented but could present an undeveloped market to increase access to and continuation of contraception post-MA, thereby averting subsequent abortions and the associated morbidity and mortality.
PMAC aims to increase post MA FP uptake (objective) to support the reduction of unintended pregnancy and the associated morbidity and mortality (goal).