Assessment of Knowledge, Attitude and Practice Women of Reproductive Age Group Towards Abortion Care at Gambella Health Facilities, South West of Ethiopia
International Journal of Biomedical Engineering and Clinical Science
Volume 6, Issue 2, June 2020, Pages: 29-40
Received: Dec. 19, 2019;
Accepted: Feb. 4, 2020;
Published: Jun. 4, 2020
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Ataguadil Mekonnen, Department of Human Nutrition and Dietetics, School of Public Health, College of Health Sciences, Gambella Health Science College, Gambella, Ethiopia
Zemnu Awoke, Department of Agriculture, Gambela University, Gambella, Ethiopia
Abortion is an important cause of bleeding during pregnancy. It is one of the five Leading causes of maternal death in the developing world. Moreover, in developing country, abortion is the major cause of maternal mortality, which in Ethiopia safe abortion accounts 60% considering the huge number of maternal deaths due to abortion. The aim of this study is to Assessment of KAP Women of Reproductive Age Group towards Abortion Care at Gambella health facilities. An institutional based cross-sectional study will be conducted at 4 Health facilities in Gambella town from August 15 to September 30, 2019. A total of 412 pregnant women will be selected by systematic random sampling technique. Data will be coded and entered into Epi-info version 3.1 and exported to SPSS V-20 for cleaning and analysis. At bivariate logistic regression analysis, independent variables with cut off P-value<0.25 was included. In the multivariable binary logistic regression analyses were used to assess the independent effect of various explanatory variables on the dependent and to control potential confounder. P values <0.05 were considered to identify the significant factors associated with the dependent variable. Out of 422 sampled women of reproductive age group (15-49 years of age), 412 were interviewed making up a response rate of 97.6%. The majority of 39.1% participants had knowledge about legal abortion service and 69.5% of women in reproductive age group had inadequate knowledge towards safe abortion and who think about abortion, 174 (42.2%) were said that it is Sin against God, 52 (12.5%) were said that it is good, 67 (16.2%) were said that it is harm full practice and 40 (9.6%) were they don’t knew. Attitude towards safe abortion about, One hundred Eight two (29.9%) women of reproductive age group have positive attitude towards safe abortion to be legal and accessible under any circumstance. The majority of 322 (78.1%), of them knew at least one type of abortion complication. From the total respondents 405 (98.3%) of them had sexual intercourse at least once. Only 66 (16.3%) of respondents had induced abortion before. Conclusion and Recommendation: More than 30.5%, 29.9% of the respondents were inadequate knowledge and lacking knowledge and had negative attitude towards induced abortion respectively. Therefore, it would be better to disseminate health education to increase awareness and knowledge, Practice regarding induced abortion and also strengthening family planning implementation.
Assessment of Knowledge, Attitude and Practice Women of Reproductive Age Group Towards Abortion Care at Gambella Health Facilities, South West of Ethiopia, International Journal of Biomedical Engineering and Clinical Science. Special Issue: Adolescent Health.
Vol. 6, No. 2,
2020, pp. 29-40.
World health organization (WHO), Unsafe abortion, Global & regional estimates of the incidence of unsafe abortion and associated mortality in 2012, 5th edition Geneva Switzerland, WHO.
Yemaneh Y. Assessment of Attitudes Towards Induced Abortion Among Adults Residing In Mizan-Aman Town Bench-Maji Zone, Snnprs, South West Ethiopia 2017. Journal of Gynecology and Obstetrics. 2017; 5 (4): 50.-57.
Federal Democratic Republic of Ethiopia, Ministry of Health, Family Health Department: Technical and Procedural Guidelines for Safe Abortion Services in Ethiopia. Addis Ababa; 2006.
Baggaley RF, Burgin J, Campbell OM. The potential of medical abortion to reduce maternal mortality in Africa: what benefits for Tanzania and Ethiopia. PLoS One. 2010; 5 (10): 13260-13269.
Borkowski L, Strasser J, Allina A, Wood S. Medication Abortion: Overview of Research & Policy in the United States-References by Topic Area. 2015. 260-271.
Clinic WLIHR. U.S. Foreign Policy as an Obstacle to the Implementation of Ethiopia’s Liberalized Abortion Law 2010.
Solomon H. and Mesganaw F. knowledge, attitude and practice assessment towards induced abortion among evangelical women residing in Addis Ababa. 2015. 20 (2): 79- 83.
Tesfaye G, Hambisa MT, Semahegn A. Induced abortion and associated factors in health facilities of Guraghe Zone, southern Ethiopia. Journal of pregnancy. 2014; 760-769.
Assifi AR, Berger B, Tuncalp O, Khosla R, Ganatra B. Women's Awareness and Knowledge of Abortion Laws: A Systematic Review. PLoS One. 2016; 11 (3): 0152224.
Alemu FF. MinorsΓÇÖ. Awareness about the new abortion law and access to safe abortion services in Ethiopia: the Case of Marie Stopes International Ethiopia Centers in Addis Ababa. Unpublished thesis, University of Amsterdam, Addis Ababa. 2010.; 11 (3).
Yilma, M., Fekrie, E., Ahmed, A., Hilemicheal, G., Lukuman Y. Assessment of quality post abortion case in government Hospital A. A Ethiopia, Ethiopia Med 1.2005, 43 (3): 35.
Hagose A. Assessment of attitude e of 15-49 years old women towards legalization of abortion in Mekele Town, Tigray Ethiopia. un published paper, department of community health Addis Ababa university medical faculty Addis Ababa Ethiopia, 2006.
Singh S, Fetters T, Gebreselassie H, Abdella A, Gebrehiwot Y, Kumbi S, et al. The estimated incidence of induced abortion in Ethiopia, 2008. International perspectives on sexual and reproductive health. 2010: 16-25.
Banteyerga, H, Boosting Maternal Health Care Seeking Behavior in Rural Low Income Communities: A Case Study of West Gojam and South Wollo Zones in Amhara, Ethiopia. American Journal of Health Research. 2014; 2 (6): 378-386.
Moore AM, Gebrehiwot Y, Fetters T, Wado YD, Bankole A, Singh S, et al. The estimated incidence of induced abortion in Ethiopia, 2014: Changes in the provision of services since 2008. International perspectives on sexual and reproductive health. 2016; 42 (3): 111-20.
Iyengar K, Klingberg Allvin M, Iyengar SD, Danielsson KG, Essen B. "Who Wants to Go Repeatedly to the Hospital?" Perceptions and Experiences of Simplified Medical Abortion in Rajasthan, India. Global qualitative nursing research. 2016; 3 (2).
Minda T, Assessment of attitude towards more liberalization of abortion law among health science students. Addis Ababa Ethiopia: Addis Ababa University, 2007.
Becker D, SandraG, LarsenU, etal. Knowledge and Opinions about Abortion Law Among Mexican Youth. Mexico: Mexican university; 2000.
Risal Hand Tuladhar A. Level of awareness about legalization of abortion in Nepal: A study at Nepal Medical College Teaching Hospital. Nepal Med Coll J. 2010; 12 (2): 76-80.
Morroni C, Tibazarwa K: Knowledge of the abortion legislation among South African women: a cross-sectional study. BMC Reproductive Health 2006, 3: 7. 10.1186/1742-4755-3.
R. Vibeke, M. Hamed, U. Ernest, and B. Staffan, “The problem of illegally induced abortion: results from a hospital-based study conducted at district level in Dar es Salaam,” Tropical Medicine and International Health, vol. 5, no. 7, pp. 495–502, 2000.
Tara A. Norman W, Knowledge-Assessment Survey of Undergraduate Medical Students. University of British Columbia: Vancouver BC; May 2010.
Abraham T. Knowledge, attitude and practice of public health practitioners towards safe abortion care services. Tigray regional state, Ethiopia: Umeå University; Sweden, 2011.
Desalegn S., G/selassie A., Desta A. et Knowledge, Attitude and Determinants of Safe Abortion among first year students in Mekelle University, Tigray, Ethiopia, 2015.
Brodahl A, Jarlsdatter Hovind M. Knowledge and attitudes towards abortion among the first year medical students. Argentina: University of Buenos Aires; 2011/2012.
Richard J. Fehring,” Attitudes intentions and ethical stance of advanced Practice Nursing Students toward Abortion Provision” university of Washington, United States 2005.
Stephanie B. Wheeler, Leah L. Zullig, Bryce B. Reeve, etal. Attitudes and intentions Regarding Abortion Provision among Medical School Students. South Africa: University College London, London, United Kingdom; 2007
Lanre Olatan. O Attitudes of university students towards abortion in Nigeria: 26 May, 2011
Justin LussyPaluku et al. Knowledge and attitudes about induced abortions among female youths attending Naguru Teenage Information and Health Centre, Kampala, Uganda. Journal of Public Health and Epidemiology. 2013; 5 (4): p. 178-185
Tarekegn A. assessment of knowledge, attitude and intension of health science students towards safe abortion care provision. Debre Markose: Addis Ababa University; 2011
Kebede S. et.al.. A survey of illegal abortion in Jimma Hospital, South West Ethiopia. Ethiop med J. 2000; 38 (1).
HestvikHHaLK. Knowledge and attitudes towards abortion among medical students at the University of Buenos Aires, Argentina. Medical student research project. 2014
Tolera Gudissa, Firaol Regea, Abdi Bagire et al. Assessment of Knowledge, Attitude and Practice toward Induced Abortion among Gedo Secondary and Preparatory School Female Students of Chelia Woreda, Oromia Region. International Journal of Medical and pharmaceutical Sciences. 2015; 1 (1): 31-35.