Prevalence and determinants of post--abortion family planning utilization in a tertiary Hospital of Northwest Ethiopia: a cross sectional study
Abstract Background Provision of post abortion contraception following an abortion is an excellent opportunity to address unmet family planning needs of women. In Ethiopia, post abortion family planning is minimal and underutilized. The objective of this study is to assess determinant factors for ut...
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| Format: | Article |
| Language: | English |
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BMC
2020-12-01
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| Series: | Contraception and Reproductive Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40834-020-00143-4 |
| _version_ | 1819061013985624064 |
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| author | Enyew Abate Yolanda R. Smith Walelign Kindie Addisu Girma Yonas Girma |
| author_facet | Enyew Abate Yolanda R. Smith Walelign Kindie Addisu Girma Yonas Girma |
| author_sort | Enyew Abate |
| collection | DOAJ |
| description | Abstract Background Provision of post abortion contraception following an abortion is an excellent opportunity to address unmet family planning needs of women. In Ethiopia, post abortion family planning is minimal and underutilized. The objective of this study is to assess determinant factors for utilization of contraception following any abortion process (induced and/or spontaneous) among reproductive age women (15–49 years) in a tertiary hospital of North West Ethiopia. Methods A cross-sectional study was conducted on 423 clients who presented for either spontaneous or induced abortion care from September 2016 to August 2017 in Felege Hiwot referral hospital, North West Ethiopia. Respondents were identified using a consecutive sampling method. Data was collected in clinic using an interviewer administered pre-tested questionnaire administered after services were completed. Factors associated with use of post-abortion family planning were explored using multivariable logistic regression analysis. Results 64.8% of clients who presented for abortion care received family planning services before discharge from the hospital. Family planning counseling during service provision [AOR: 25.47, 95% CI: (9.11, 71.58)], having previous information about family planning [AOR: 2.16, 95% CI: (1.09, 4.23)], gestational age of index pregnancy less than 3 months [AOR: 1.78, 95% CI:(1.13, 3.05)], being a housewife [AOR: 0.32, 95% CI: (0.16, 0.65)] and monthly income > 5000 ETB [AOR: 0.38, 95% CI:(0.16,0.98)] are significantly associated with post abortion family planning utilization. Conclusions The proportion of post abortion family planning utilization is good but could be improved. Education before and especially at the time of abortion services strongly influenced the usage of family planning services. The government and regional health bureau at large as well as health care providers at each health system level have an opportunity to provide information and counsel women on family planning methods to increase utilization of post abortion contraception. |
| first_indexed | 2024-12-21T14:36:08Z |
| format | Article |
| id | doaj.art-3208430384cb497da7d52d59100fd373 |
| institution | Directory Open Access Journal |
| issn | 2055-7426 |
| language | English |
| last_indexed | 2024-12-21T14:36:08Z |
| publishDate | 2020-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Contraception and Reproductive Medicine |
| spelling | doaj.art-3208430384cb497da7d52d59100fd3732022-12-21T19:00:19ZengBMCContraception and Reproductive Medicine2055-74262020-12-01511610.1186/s40834-020-00143-4Prevalence and determinants of post--abortion family planning utilization in a tertiary Hospital of Northwest Ethiopia: a cross sectional studyEnyew Abate0Yolanda R. Smith1Walelign Kindie2Addisu Girma3Yonas Girma4College of Medicine and Health Sciences, Department of Obstetrics and Gynecology, Bahir Dar UniversityDepartment of Obstetrics and Gynecology, University of Michigan and Centers for International Reproductive Health Training (CIRHT)College of Medicine and Health Sciences, Department of Obstetrics and Gynecology, Bahir Dar UniversityDebre Birhan Referral HospitalCenters for International Reproductive Health Training (CIRHT)Abstract Background Provision of post abortion contraception following an abortion is an excellent opportunity to address unmet family planning needs of women. In Ethiopia, post abortion family planning is minimal and underutilized. The objective of this study is to assess determinant factors for utilization of contraception following any abortion process (induced and/or spontaneous) among reproductive age women (15–49 years) in a tertiary hospital of North West Ethiopia. Methods A cross-sectional study was conducted on 423 clients who presented for either spontaneous or induced abortion care from September 2016 to August 2017 in Felege Hiwot referral hospital, North West Ethiopia. Respondents were identified using a consecutive sampling method. Data was collected in clinic using an interviewer administered pre-tested questionnaire administered after services were completed. Factors associated with use of post-abortion family planning were explored using multivariable logistic regression analysis. Results 64.8% of clients who presented for abortion care received family planning services before discharge from the hospital. Family planning counseling during service provision [AOR: 25.47, 95% CI: (9.11, 71.58)], having previous information about family planning [AOR: 2.16, 95% CI: (1.09, 4.23)], gestational age of index pregnancy less than 3 months [AOR: 1.78, 95% CI:(1.13, 3.05)], being a housewife [AOR: 0.32, 95% CI: (0.16, 0.65)] and monthly income > 5000 ETB [AOR: 0.38, 95% CI:(0.16,0.98)] are significantly associated with post abortion family planning utilization. Conclusions The proportion of post abortion family planning utilization is good but could be improved. Education before and especially at the time of abortion services strongly influenced the usage of family planning services. The government and regional health bureau at large as well as health care providers at each health system level have an opportunity to provide information and counsel women on family planning methods to increase utilization of post abortion contraception.https://doi.org/10.1186/s40834-020-00143-4Post abortion family planningAbortion servicesBahir DarEthiopia |
| spellingShingle | Enyew Abate Yolanda R. Smith Walelign Kindie Addisu Girma Yonas Girma Prevalence and determinants of post--abortion family planning utilization in a tertiary Hospital of Northwest Ethiopia: a cross sectional study Contraception and Reproductive Medicine Post abortion family planning Abortion services Bahir Dar Ethiopia |
| title | Prevalence and determinants of post--abortion family planning utilization in a tertiary Hospital of Northwest Ethiopia: a cross sectional study |
| title_full | Prevalence and determinants of post--abortion family planning utilization in a tertiary Hospital of Northwest Ethiopia: a cross sectional study |
| title_fullStr | Prevalence and determinants of post--abortion family planning utilization in a tertiary Hospital of Northwest Ethiopia: a cross sectional study |
| title_full_unstemmed | Prevalence and determinants of post--abortion family planning utilization in a tertiary Hospital of Northwest Ethiopia: a cross sectional study |
| title_short | Prevalence and determinants of post--abortion family planning utilization in a tertiary Hospital of Northwest Ethiopia: a cross sectional study |
| title_sort | prevalence and determinants of post abortion family planning utilization in a tertiary hospital of northwest ethiopia a cross sectional study |
| topic | Post abortion family planning Abortion services Bahir Dar Ethiopia |
| url | https://doi.org/10.1186/s40834-020-00143-4 |
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