Post-abortion care (PAC) integrates elements that are vital for women’s survival after abortion complications and their ability to meet their subsequent fertility intentions. Currently, the utilization of PAC among women in need remains too low, particularly in settings where unsafe abortion is an appreciable cause of maternal mortality. Interventions have aimed at addressing unmet need; however, these still require information on the extent to which women value different aspects of PAC. This paper presents such evidence from Dakar, Senegal. Exit interviews with 729 PAC clients in 2018 at eight health facilities obtained information on patient characteristics, content of services received and women’s perceptions of the quality of care, both overall and according to subject-specific domains. These domains reflect aspects of PAC that are relevant to clients’ satisfaction: accessibility, facility environment, information and counselling, family planning, provider technical competence and readiness and client–staff interaction. Ordinal logistic regression models were estimated to identify factors that were associated with women’s rating of overall quality of care (on a scale of 1 to 5, 1 being lowest). Predictors that were significantly associated with the outcome were used in a multivariate ordinal logistic regression model that estimated the probability of positive differences in the outcome associated with women’s classification of each predictor. Women reported a mean rating of 3.7 for overall quality of care. The lowest domain-specific rating was for quality of information and counselling (mean=2.4) and the highest was for client–staff interaction (mean=3.8). Factors associated with clients’ higher odds of being more satisfied with PAC were: physical comfort during the procedure, recall of counselling on treatment procedure, privacy, perceived availability of supplies and medicines, facility admission process, facility cleanliness, waiting time, clarity of counselling and access to different contraceptive methods. Interventions that target these factors may improve the utilization of PAC in Dakar, Senegal.

流产后护理 (PAC) 整合了对流产并发症后妇女的生存至关重要的要素以及她们满足随后生育意愿的能力。目前，有需要的妇女对 PAC 的使用率仍然太低，特别是在不安全流产是导致孕产妇死亡的一个明显原因的环境中。干预措施旨在解决未满足的需求；然而，这些仍然需要有关女性对 PAC 不同方面的重视程度的信息。本文介绍了来自塞内加尔达喀尔的此类证据。2018 年，在 8 个医疗机构对 729 名 PAC 客户进行了退出访谈，获得了有关患者特征、接受的服务内容以及女性对整体和根据特定学科领域的护理质量的看法的信息。这些领域反映了与客户满意度相关的 PAC 方面：可访问性、设施环境、信息和咨询、计划生育、提供者技术能力和准备情况以及客户与员工的互动。估计有序逻辑回归模型以确定与女性对整体护理质量评分相关的因素（1 到 5 分，1 分最低）。与结果显着相关的预测因子被用于多元序数逻辑回归模型，该模型估计与每个预测因子的女性分类相关的结果的正差异概率。女性报告的整体护理质量平均评分为 3.7。最低的特定领域评级是信息和咨询质量（平均值=2. 4）最高的是客户与员工的互动（平均值=3.8）。与客户对 PAC 更满意的较高几率相关的因素是：手术过程中的身体舒适度、治疗过程咨询的回忆、隐私、供应和药品的感知可用性、设施入院过程、设施清洁度、等待时间、咨询的清晰度并获得不同的避孕方法。针对这些因素的干预措施可能会提高 PAC 在塞内加尔达喀尔的利用率。咨询的清晰度和获得不同避孕方法的机会。针对这些因素的干预措施可能会提高 PAC 在塞内加尔达喀尔的利用率。咨询的清晰度和获得不同避孕方法的机会。针对这些因素的干预措施可能会提高 PAC 在塞内加尔达喀尔的利用率。