Abstract：
Postabortion care services provide lifesaving treatment for abortion-related complications and addresses women\'s needs by offering family planning (FP) counseling and voluntary access to contraception. Between 2016 and 2020, the Government of Tanzania sought to strengthen its PAC program by enhancing FP counseling and clients\' access to a wide range of contraceptive options. The project team conducted a pre-post evaluation in 17 public sector healthcare facilities in mainland Tanzania and 8 in Zanzibar. It comprised structured client exit interviews (CEIs), completed first in 2016 (n=412) and again in 2020 (n=484). These data complemented an evaluation that used routine service statistics to demonstrate the intervention\'s effects on client-reported outcomes. Primary outcomes of the CEIs reflected client experience and satisfaction with services, and researchers compared pre-post differences using chi-square tests. There were improvements in numerous indicators, including client waiting times, recall of emergency procedure counseling, contraceptive uptake, and satisfaction with the quality of overall counseling and FP information and services; however, triangulation of CEI data with service statistics indicated that some outcomes, though still improved since baseline, attenuated. Strengthening the FP component of PAC is feasible in Tanzania and Zanzibar, but strategies to sustain quality improvements over time are needed.
摘要：
堕胎后护理服务为堕胎相关并发症提供救生治疗，并通过提供计划生育（FP）咨询和自愿避孕来满足妇女的需求。在2016年至2020年之间，坦桑尼亚政府试图通过加强FP咨询和客户获得广泛的避孕选择来加强其PAC计划。项目团队在坦桑尼亚大陆的17个公共部门医疗机构和桑给巴尔的8个公共部门医疗机构进行了事后评估。它包括结构化客户退出面试(CEI)，2016年首次完成(n=412)，2020年再次完成(n=484)。这些数据补充了使用常规服务统计数据来证明干预措施对客户报告结果的影响的评估。CEI的主要结果反映了客户体验和服务满意度，研究人员使用卡方检验比较了前后的差异。许多指标都有所改善，包括客户等待时间，召回紧急程序咨询，避孕吸收，以及对整体咨询和FP信息和服务的质量的满意度；然而，CEI数据与服务统计数据的三角剖分表明，一些结果，尽管自基线以来仍有所改善，衰减。在坦桑尼亚和桑给巴尔，加强PAC的FP部分是可行的，但随着时间的推移，需要保持质量改进的策略。
