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Post Abortion Family Planning Utilization and Associated Factors Among Women Received Abortion Services at Adama Hospital Medical College, Oromia, Ethiopia

Received: 14 December 2021    Accepted: 5 January 2022    Published: 14 January 2022
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Abstract

Worldwide post abortion contraceptive prevalence varies within a range of from 69% in Eastern and Southern Europe to 78% in Northern Europe. In Asia, South America and Africa post-abortion family planning utilization variation is ranging from 61 to 97%. In Ethiopia 48– 59% of clients left their institution with post-abortion family planning services which showed wide variations in the percentage of women who received post-abortion contraception. Post-abortion family planning has been proposed as a key strategy to decrease unintended pregnancy and repeat induced abortions. Now it is important to investigate the level post abortion family planning and act on the factors accordingly. So this study aimed to assess post abortion family planning utilization and associated factors among women getting abortion services at Adama Hospital Medical College, 2021. Method: Institutional based cross-sectional study was conducted from january-1 to february-28, 2021. A sample of 471 women were enrolled consecutively. Data was collected by semi-structured questionnaires which were administered via face to face interview. Data was entered using Epi-Info version 7 then exported to SPSS version 20 for processing and analysis. Descriptive statistics was used to explore the participant’s characteristics. Binary & multiple logistic regression was used to assess the association between dependent & independent variables. The magnitude of association between dependent & independent variables were measured by odds ratios along with estimated 95% confidence interval. Finally the significance of association was declared by p-value of less than 0.05. Results: The magnitude of post abortion contraceptive was found to be 73.9% (95% CI: 70.1-77.9). The odds of using post abortion family planning for women having diploma level of education was 28.37 (AOR=28.37; 95% CI: 4.09-196.834) times higher than those having no formal educations. After surgical termination the odds of post abortion contraceptive use was 58.9% (AOR=0.411; 95% CI: 0.169-0.991) times lesser than for medical abortion. Conclusion & recommendations: The magnitude of post abortion family planning in this study seems lesser. Independent predictors like maternal education, procedure done, counseling, reason of termination and knowledge status were significantly associated with the outcome variable. So attention should be given for counseling & level of education for consistent & efficient use.

Published in Journal of Gynecology and Obstetrics (Volume 10, Issue 1)
DOI 10.11648/j.jgo.20221001.12
Page(s) 6-13
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Abortion, Adama Hospital, Post Abortion, Post Abortion Family Planning

References
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[2] Van Look, P. F. and J. Cottingham, The World Health Organization’s Safe Abortion Guidance Document. American journal of public health, 2013. 103 (4): p. 593-596.
[3] Adeleye, O., et al., Barriers and knowledge of benefits regarding family planning methods among women attending antenatal clinics in a southern Nigerian community. Asian Journal of Medical Sciences, 2010. 2 (4): p. 190-194.
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[7] Singh, S., et al., Adding it up: the benefits of investing in sexual and reproductive health care. 2003: New York.
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[9] Darroch, J. E., E. Sully, and A. Biddlecom, Adding It Up: Investing in Contraception and Maternal and Newborn Health, 2017—Supplementary Tables. New York, NY: The Guttmacher Institute, 2017.
[10] Shah, I. and E. Åhman, Unsafe abortion: global and regional incidence, trends, consequences, and challenges. Journal of Obstetrics and Gynaecology Canada, 2009. 31 (12): p. 1149-1158.
[11] Csa, I., Central statistical agency (CSA)[Ethiopia] and ICF. Ethiopia demographic and health survey, Addis Ababa, Ethiopia and Calverton, Maryland, USA, 2016.
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[13] Ilboudo, P. G., et al., Costs and consequences of abortions to women and their households: a cross-sectional study in Ouagadougou, Burkina Faso. Health Policy and Planning, 2015. 30 (4): p. 500-507.
[14] Gebreselassie, H., et al., Caring for women with abortion complications in Ethiopia: national estimates and future implications. International perspectives on sexual and reproductive health, 2010: p. 6-15.
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[16] Kesetebirhan, A., National guideline for family planning services in Ethiopia. Federal Democratic Republic of Ethiopia, Ministry of Health, 2011.
[17] Jiang, H., et al., Opportunities, challenges and systems requirements for developing post-abortion family planning services: Perceptions of service stakeholders in China. PloS one, 2017. 12 (10).
[18] Nieburg, P., Improving Maternal Mortality and other aspects of women’s health. Washington, DC: center for strategic and international studies, 2012.
[19] Puri, M., et al., Post-abortion contraceptive use and continuation in Nepal. 2011.
[20] Goldstone, P., et al., Factors predicting uptake of long-acting reversible methods of contraception among women presenting for abortion. Medical Journal of Australia, 2014. 201 (7): p. 412-416.
[21] Benson, J., et al., What contraception do women use after abortion? An analysis of 319, 385 cases from eight countries. Global public health, 2018. 13 (1): p. 35-50.
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    Usmael Mohammed, Hunde Lemi, Ephrem Manekullih. (2022). Post Abortion Family Planning Utilization and Associated Factors Among Women Received Abortion Services at Adama Hospital Medical College, Oromia, Ethiopia. Journal of Gynecology and Obstetrics, 10(1), 6-13. https://doi.org/10.11648/j.jgo.20221001.12

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    ACS Style

    Usmael Mohammed; Hunde Lemi; Ephrem Manekullih. Post Abortion Family Planning Utilization and Associated Factors Among Women Received Abortion Services at Adama Hospital Medical College, Oromia, Ethiopia. J. Gynecol. Obstet. 2022, 10(1), 6-13. doi: 10.11648/j.jgo.20221001.12

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    AMA Style

    Usmael Mohammed, Hunde Lemi, Ephrem Manekullih. Post Abortion Family Planning Utilization and Associated Factors Among Women Received Abortion Services at Adama Hospital Medical College, Oromia, Ethiopia. J Gynecol Obstet. 2022;10(1):6-13. doi: 10.11648/j.jgo.20221001.12

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  • @article{10.11648/j.jgo.20221001.12,
      author = {Usmael Mohammed and Hunde Lemi and Ephrem Manekullih},
      title = {Post Abortion Family Planning Utilization and Associated Factors Among Women Received Abortion Services at Adama Hospital Medical College, Oromia, Ethiopia},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {10},
      number = {1},
      pages = {6-13},
      doi = {10.11648/j.jgo.20221001.12},
      url = {https://doi.org/10.11648/j.jgo.20221001.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221001.12},
      abstract = {Worldwide post abortion contraceptive prevalence varies within a range of from 69% in Eastern and Southern Europe to 78% in Northern Europe. In Asia, South America and Africa post-abortion family planning utilization variation is ranging from 61 to 97%. In Ethiopia 48– 59% of clients left their institution with post-abortion family planning services which showed wide variations in the percentage of women who received post-abortion contraception. Post-abortion family planning has been proposed as a key strategy to decrease unintended pregnancy and repeat induced abortions. Now it is important to investigate the level post abortion family planning and act on the factors accordingly. So this study aimed to assess post abortion family planning utilization and associated factors among women getting abortion services at Adama Hospital Medical College, 2021. Method: Institutional based cross-sectional study was conducted from january-1 to february-28, 2021. A sample of 471 women were enrolled consecutively. Data was collected by semi-structured questionnaires which were administered via face to face interview. Data was entered using Epi-Info version 7 then exported to SPSS version 20 for processing and analysis. Descriptive statistics was used to explore the participant’s characteristics. Binary & multiple logistic regression was used to assess the association between dependent & independent variables. The magnitude of association between dependent & independent variables were measured by odds ratios along with estimated 95% confidence interval. Finally the significance of association was declared by p-value of less than 0.05. Results: The magnitude of post abortion contraceptive was found to be 73.9% (95% CI: 70.1-77.9). The odds of using post abortion family planning for women having diploma level of education was 28.37 (AOR=28.37; 95% CI: 4.09-196.834) times higher than those having no formal educations. After surgical termination the odds of post abortion contraceptive use was 58.9% (AOR=0.411; 95% CI: 0.169-0.991) times lesser than for medical abortion. Conclusion & recommendations: The magnitude of post abortion family planning in this study seems lesser. Independent predictors like maternal education, procedure done, counseling, reason of termination and knowledge status were significantly associated with the outcome variable. So attention should be given for counseling & level of education for consistent & efficient use.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Post Abortion Family Planning Utilization and Associated Factors Among Women Received Abortion Services at Adama Hospital Medical College, Oromia, Ethiopia
    AU  - Usmael Mohammed
    AU  - Hunde Lemi
    AU  - Ephrem Manekullih
    Y1  - 2022/01/14
    PY  - 2022
    N1  - https://doi.org/10.11648/j.jgo.20221001.12
    DO  - 10.11648/j.jgo.20221001.12
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 6
    EP  - 13
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20221001.12
    AB  - Worldwide post abortion contraceptive prevalence varies within a range of from 69% in Eastern and Southern Europe to 78% in Northern Europe. In Asia, South America and Africa post-abortion family planning utilization variation is ranging from 61 to 97%. In Ethiopia 48– 59% of clients left their institution with post-abortion family planning services which showed wide variations in the percentage of women who received post-abortion contraception. Post-abortion family planning has been proposed as a key strategy to decrease unintended pregnancy and repeat induced abortions. Now it is important to investigate the level post abortion family planning and act on the factors accordingly. So this study aimed to assess post abortion family planning utilization and associated factors among women getting abortion services at Adama Hospital Medical College, 2021. Method: Institutional based cross-sectional study was conducted from january-1 to february-28, 2021. A sample of 471 women were enrolled consecutively. Data was collected by semi-structured questionnaires which were administered via face to face interview. Data was entered using Epi-Info version 7 then exported to SPSS version 20 for processing and analysis. Descriptive statistics was used to explore the participant’s characteristics. Binary & multiple logistic regression was used to assess the association between dependent & independent variables. The magnitude of association between dependent & independent variables were measured by odds ratios along with estimated 95% confidence interval. Finally the significance of association was declared by p-value of less than 0.05. Results: The magnitude of post abortion contraceptive was found to be 73.9% (95% CI: 70.1-77.9). The odds of using post abortion family planning for women having diploma level of education was 28.37 (AOR=28.37; 95% CI: 4.09-196.834) times higher than those having no formal educations. After surgical termination the odds of post abortion contraceptive use was 58.9% (AOR=0.411; 95% CI: 0.169-0.991) times lesser than for medical abortion. Conclusion & recommendations: The magnitude of post abortion family planning in this study seems lesser. Independent predictors like maternal education, procedure done, counseling, reason of termination and knowledge status were significantly associated with the outcome variable. So attention should be given for counseling & level of education for consistent & efficient use.
    VL  - 10
    IS  - 1
    ER  - 

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Author Information
  • School of Public Health, Adama Hospital Medical College, Adama, Ethiopia

  • School of Public Health, Adama Hospital Medical College, Adama, Ethiopia

  • School of Public Health, Adama Hospital Medical College, Adama, Ethiopia

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