Prevalence and Associated Factors of Induced Abortion Among Women of Reproductive Age Group in Gondar Town, Northwest Ethiopia
Science Journal of Public Health
Volume 7, Issue 3, May 2019, Pages: 66-73
Received: Mar. 28, 2019;
Accepted: Apr. 28, 2019;
Published: May 27, 2019
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Mohammed Oumer, Department of Human Anatomy, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Amhara, Ethiopia;p Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Amhara, Ethiopia
Agmas Manaye, Departments of Nursing, College of Medical Sciences, MTY Abyssinia Medical Science College, Gondar, Amhara, Ethiopia
Background:Abortion is the termination of pregnancy by the expulsion of a fetus or embryo from the uterus before viability. An estimated 56 million induced abortions occurred worldwide each year. Ethiopia has the fifth highest number of maternal deaths in the world: one in twenty-seven women die from complications of pregnancy and childbirth annually. Objective:To assess the prevalence of induced abortion and associated factors among women of reproductive age group in Gondar Town, Northwest Ethiopia. Methods:A descriptive cross sectional study design was conducted in450 reproductive age women, using a pre-tested and structured questionnaire with face-to-face interview, from January 01 to August 07, 2018. Respondents were randomly selected using systematic random sampling method. Descriptive analysis, binary and multivariable logistic regression analysis were used to analyze the data. Results:In this study, the prevalence rate of induced abortion was 40 per 1000 women, making it higher from the previous national rate of abortion for Ethiopia (28/1000 women aged 15-44). Among respondents those are committing induced abortions, 83.33% was safe abortion. Factors like women’s age at first pregnancy (15-19 years [AOR (Adjusted Odds Ratio) = 4.38, 95% CI (1.21, 15.81)];single marital status [AOR =45.05, 95% CI (12.02, 168.85)];unwanted pregnancy [AOR=3.21, 95% CI (1.16, 8.90)] and attending school at the time of interfered abortion [AOR=5.28, 95% CI (1.80, 15.49)]were significantly associated with committing induced abortion. Conclusions:The study revealed a medium level of prevalence rateof induced abortionamong women of reproductive age group in Gondar Town. Factors like women’s ageat first pregnancy, single marital status, unwanted pregnancy and attending school at the time of interfered induced abortion were independently and significantly associated with committing induced abortion.
Prevalence and Associated Factors of Induced Abortion Among Women of Reproductive Age Group in Gondar Town, Northwest Ethiopia, Science Journal of Public Health.
Vol. 7, No. 3,
2019, pp. 66-73.
Leveno K, Cunningham F, Alexander J, Bloom S, Casey B, Dashe J. Williams’s Manual of Obstetrics: Pregnancy Complications, McGraw Hill Professional. 2007; 163:63-67.
Niguss Cherie N, Asmerom B. Proportion of Safe Abortion and Associated Factors among Women who Seek Abortion Care Services inFamily Guidance and Marie Stopes International Clinic inDessie Town, North-East Ethiopia. Journal of Public Health andEpidemiology.2017;9(10):279-85.
World Health Organization. Safe and Unsafe Induced Abortion: Global and Regional Levels in 2008, and Trends during 1995-2008, World Health Organization, Geneva, Switzerland, 2012; 2-8.
World Health Organization, Unsafe Abortion Global and Regional Estimates of theIncidence of Unsafe Abortion and Associated Mortality in 2008, World Health Organization, Geneva, Switzerland, 6th edition, 2011.
Induced Abortion Worldwide: Global Incidence and Trends. Fact Sheet, TheGuttmacher Institute, New York, USA, 2018.
Tesfaye G, Teshome M, Semahegn A, Induced Abortion and Associated Factors in Health Facilities ofGuraghe Zone, Southern Ethiopia, Journal of Pregnancy,2014; 1-8.
Gemzell-Danielsson K, KallnerK, Faúndes A. Contraception Following Abortion and the Treatment of Incomplete Abortion, International Journal of Gynecology and Obstetrics, 2014; 126:52-6.
Induced Abortion and Post Abortion Care in Ethiopia, Fact Sheet, TheGuttmacher Institute, New York, USA, 2017.
Facts on Unintended Pregnancy and Abortion in Ethiopia, IPAS, the Guttmacher Institute. New York, USA, 2017.
Central Statistical Agency, Ethiopia and ORC Macro. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ORC Macro; 2012.
Technical and Procedural Guidelines For Safe Abortion Servicesin Ethiopia, Ministry of Health, Addis Ababa, Ethiopia, 2006.
Singh S, Fetters T, Gebreselassie H. The Estimated Encidence of Induced Abortion in Ethiopia, 2008, InternationalPerspectives on Sexual and Reproductive Health, 2010; 36(1):16-25.
Mpangile S, Leshabari T, Kihwele J. Factors Associated with Induced Abortion in Public Hospitals in Dar Es-Salaam, Tanzania.1992.
Wilson A. Prepared Remarks for the International Planned Parenthood Federation Conference on Unsafe Abortion and Post Abortion Family Planning in Africa,1994; 102-45.
Justesen A, Kapiga SH, Van Asten AG. Abortions in a Hospital Setting: Hidden Realities in Dar Es-Salaam, Tanzania, Studies in Family Planning, 1992; 23(5):325-29.
Judith W, Elizabeth O, Noel M. Post Abortion Care, a Reference Manual for Improving Quality of Care, Post AbortionCare Consortium,1995; 9 (16):1-9.
Hassen F, Analysis of Factors for Unwanted Pregnancy among Women in Reproductive Age Group Attending Health Institutions in Jimma Town, 2000.
Post Abortion Care Consortium Community Task Force. Essential Elements of Post Abortion Care: an Expanded and Updated Model, Post Abortion Care Consortium, 2002.
Madebo T, G/Tsadik T. A six-month Prospective Study on Different Aspects of Abortion, Ethiopian Medical Journal,1993; 31(3):165-72.
Senbeto E, Degu G, Abesno N, Yeneneh H. Prevalence and Associated Risk Factors of Induced Abortion inNorth-West Ethiopia, Ethiopian Journal of Health Development,2005; 19 (1):38-44.
Admasie A, Nigussie K, Mekonen T. Magnitude and Risk Factors of Abortion among Regular Female Students in WolaitaSodo University, Ethiopia, Bio Med Central Women's Health, 2014; 14 (50): 2-9.
Awusi VO, Okeleke V. Post Induced Abortion Morbidity and Mortality in Oleh, Nigeria, Benin Journal of Postgraduate Medicine, 2011; 12 (1).
Sibihatu B, Zerezghi H, Asrat K, Tsegai T. Determinants of Immediate Complications of Abortion: A Study Done in Mekane-Hiwot Maternity, Eritrea. Journal of Eritrean Medical Association, 2006.
Worku S, Fantahun M. Unintended Pregnancy and Induced Abortion in a Town withaccessible Family Planning Services: The Case of HararinEastern Ethiopia, Ethiopian Journal of Health Development, 2006; 20 (2): 80-83.
Kebede S, Jira C, W/Mariam D. A Survey of Illegal Abortion in Jimma Hospital Southwest Ethiopia, Ethiopian Medical Journal, 2000; 38(1): 35-42.
W/ Meskel Y, Chekol A. Induced Abortion and Prevalence of Sexually Transmitted Infections and Contraceptive Behavior in Abortion Cases, Gambella Hospital, Ethiopian Journal of Health Development, 1999; 9(2):77-83.
Desalegn M. Abortion as a Social Problem in Jimma Town, South-West Ethiopia, Department of Sociology, Addis Ababa University, 1993.
IvaluBonnen K, Negussie D, Rasch V. Determinants of First and Second Trimester Induced Abortion: Results from a Cross-Sectional Study Taken Place 7 Years After Abortion Law Revisions in Ethiopia, Bio Med Central Pregnancy and Childbirth,2014; 14 (416):3-9.
Yilma M, Fikre E, Ahmed A, Hailemichael G, Lukman Y. Fertility Awareness and Post Abortion Pregnancy Intention in Addis Ababa, Ethiopia, Ethiopian Journal of Health Development, 2003; 17(3): 167-174.