Postabortion care service availability, readiness, and access in Burkina Faso: results from linked female-facility cross-sectional data

Yentéma Onadja, Institut Supérieur des Sciences de la Population (ISSP)/Université Joseph Ki-Zerbo
Rachidatou Compaoré, Institut de Recherche en Sciences de la Santé (IRSS)
Danielle Belemsaga, Institut de Recherché en Sciences de la Santé
Haley L. Thomas, Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health
Georges Guiella, Institut Supérieur des Sciences de La Population de L’Université Joseph Ki-Zerbo
Siaka Lougué, Institut de Recherche en Sciences de la Santé (IRSS)
Henri Gautier Ouedraogo, Institut de Recherche en Sciences de la Santé (IRSS)
Fiacre Bazie, ISSP-UJKZ
Seni Kouanda, Institut de Recherche en Sciences de la Santé (IRSS)
Caroline Moreau, INSERM/INED and Johns Hopkins School of Public Health
Suzanne Bell, Johns Hopkins Bloomberg School of Public Health

This study aims to evaluate PAC service availability, readiness, and accessibility in Burkina Faso. Data for this study come from the Performance Monitoring for Action (PMA) Burkina Faso project and the Harmonized Health Facility Assessment (HHFA). We assessed readiness to provide basic and comprehensive PAC using the signal functions framework. PAC services were available in 46.4% of health facilities nationwide; only 38.3% and 35.0% of eligible facilities had all basic and comprehensive PAC signal functions, respectively. 50.5% and 17.4% of women lived within 5 km of a facility providing all basic PAC and all comprehensive PAC signal functions, respectively. Women with more education, greater wealth, and those living in urban areas had greater odds of living within 5 km of a facility with offering PAC. Results indicate a need for increased PAC availability and readiness, prioritizing basic PAC services at the primary level, which would reduce structural disparities in access.