Induced abortion among female students in higher education institutions in Ethiopia: A systematic review and meta-analysis

Kefale, Bereket; Damtie, Yitayish; Arefaynie, Mastewal; Yalew, Melaku; Adane, Bezawit; Dilnesa, Tenagnework; Zewdie, Segenet; Wasihun, Yitbarek; Adane, Metadel

doi:10.1371/journal.pone.0280084

Cited by 3 publications

(2 citation statements)

References 28 publications

(47 reference statements)

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“…The result of this study is much higher than the studies carried out in the Globe and Ethiopia with the same study design, which revealed 5.81% and 5.06% [66,67] respectively. Similarly, studies conducted in East Africa, worldwide in 2010-14, Sierra Leone, Indonesia, Iran, Turkey, Ethiopia, and Australia revealed that 7.79%, 35 abortions occurred annually per 1000 women, 9%, 42.5 abortions per 1,000 women, 3.8%, 10.9%, 23 per 1,000 women and 2.1/100 women [68][69][70][71][72][73][74][75] respectively.…”

Section: Plos Onecontrasting

confidence: 78%

Induced abortion in Africa: A systematic review and meta-analysis

Haile,

Abraha,

Gebremeskel

et al. 2024

PLoS ONE

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Background One of the main factors contributing to maternal morbidity and mortality is induced abortion. The WHO estimates that over 44 million induced abortions take place annually around the world. The majority of these abortions—about 50%—are unsafe, significantly increasing maternal morbidity and contributing to 13% of maternal deaths. Thus, this review aimed to estimate the pooled prevalence of induced abortion and its associated factors in Africa. Methods To find literature on the prevalence of induced abortion and its associated factors, a thorough search of the internet databases such as PubMed/MEDLINE, African Journals Online, and Google Scholar was conducted. The data were extracted using a structured method of data collection. Software called STATA 14 was used to do the analysis. funnel plot and Egger regression test were used to evaluate potential publication bias. I2 statistics and Cochrane’s Q were used to measure the heterogeneity at a p-value < 0.05. Results 976 studies were found through a thorough search of electronic databases. Finally, 46 full-text abstract papers were included in this study. The estimated pooled prevalence of induced abortion was 16% (95% CI: 13%-19%). According to the sub-group analysis, most studies were conducted in Ethiopia, and the pooled prevalence was 19% (95% CI: 10%–30%). Similarly, the subgroup analysis by year of study showed that the prevalence of induced abortion was 39% (95% CI: 17%–64%) among studies conducted in 2019. Conclusion The results of this study thus imply that the pooled prevalence of induced abortion is higher than that of earlier studies that were published in some nations. the data from this study are needed to support reproductive and adolescent health programmers and policymakers and to formulate recommendations for future clinical practice and guidelines.

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Section: Plos Onecontrasting

confidence: 78%

Induced abortion in Africa: A systematic review and meta-analysis

Haile,

Abraha,

Gebremeskel

et al. 2024

PLoS ONE

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“…Approximately one-fifth of respondents in our study reported ever experiencing an unwanted pregnancy, and 14% reported having had an abortion. These numbers are higher than past research; a recent meta-analysis identified a pooled prevalence of induced abortion among female university students at 5.1% (36), however the magnitude of induced abortion at universities in Ethiopia ranged from 2.8% to 18.8% across studies (37,38). We found that SRH information and services were limited at the four universities, and often considered by both students and key informants to be of poor quality.…”

Section: Discussioncontrasting

confidence: 63%

Sexual and reproductive health experiences, access to services, and sources of information among university students in Ethiopia

Chekol,

Sheehy,

Siraneh

2023

Front. Reprod. Health

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IntroductionAdolescence and youth are times of major growth and change that can place young people at elevated risk of poor sexual and reproductive health (SRH) outcomes, particularly when they are living away from home for the first time. Understanding the barriers that young people face when accessing SRH services and information is imperative for addressing their SRH needs; our study explored this topic among university students in Ethiopia. Specifically, we explore university students' SRH experiences, access to services, and preferred sources of information.MethodsWe draw on mixed-methods research conducted in four public universities across Ethiopia in early 2020. A random sample of 822 male and female students completed a cross-sectional survey that explored SRH knowledge, attitudes, experiences, and sources of information. We also conducted 8 focus group discussions with students and 8 key informant interviews across the four universities. Survey data were analyzed using descriptive statistics and we used structural coding and inductive analysis to analyze qualitative data.ResultsThe survey data demonstrated that condoms and emergency contraceptive pills were the most used contraceptive methods. Nearly 18% of female students had experienced an unwanted pregnancy, and 14% reported having had an abortion. Approximately one-third of students reported encountering gender-based violence in the past 6 months. Most students preferred receiving SRH information from mass media, and male students were more likely than female students to seek information from friends. Our qualitative findings highlight a lack of comprehensive SRH care available on university campuses, and services that are available are often of poor quality; participants described a lack of privacy, confidentiality and respect when accessing SRH care at school. University students also lack regular opportunities to learn about SRH while on campus, and their preferred sources of information varied widely.DiscussionEthiopian university students have considerable unmet demand for SRH services and often face significant barriers to accessing high-quality information and services on campus. Consistent commitment and investment by universities and the government is vital to meeting the SRH needs of young people during this potentially vulnerable time.

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Exploring experiences of sexual behavior practices among adolescent girls and young women in higher learning institutions in Tanzania; A qualitative study

Mwalukunga,

Moshi,

Kibusi

2024

Preprint

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Background Sexual behaviors among young adults, particularly those aged 15–24, have an increased susceptibility to sexually transmitted infections, HIV, and unintended pregnancies. This vulnerability is heightened among students in Higher Learning Institutions due to factors like reduced parental oversight, transient lifestyles, and peak sexual activity years. Research indicates that, despite awareness, contextual influences like economic coercion and peer pressure hinder healthy behavior adoption. This population group faces challenges due to newfound autonomy, diverse social environments, and sexual activity. Methods A qualitative descriptive study explored the experiences of sexual behavior practices among adolescent girls and young women from two universities in Dodoma. Data were collected using in-depth interviews with 13 participants aged 19 to 24 years. Thematic analysis was done to identify themes and sub-themes. Results Nine sub-themes were identified, such as consensual first sexual experience, traumatic first sexual experience, consistent condom use, communication challenges regarding condom use, abortion, and reproductive health, casual sexual relationships and encounters, transactional sexual relationships, sex under the influence of alcohol, and sexual risky behavior in nightlife. Five themes, namely contrast sexual debut, condom use communication, sexual and reproductive health challenges, non-committal sexual practices, and inebriated promiscuity, were then derived. Conclusion The study’s findings emphasize the importance of comprehensive sexual education programs in higher learning institutions in lower and middle-income countries. It advocates for improved access to sexual and reproductive health services and peer support. It also highlights the need for reinforced policies against sexual coercion and harassment and sustained research on sexual behaviors among Adolescent Girls and Young Women.

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Induced abortion among female students in higher education institutions in Ethiopia: A systematic review and meta-analysis

Cited by 3 publications

References 28 publications

Induced abortion in Africa: A systematic review and meta-analysis

Induced abortion in Africa: A systematic review and meta-analysis

Sexual and reproductive health experiences, access to services, and sources of information among university students in Ethiopia

Exploring experiences of sexual behavior practices among adolescent girls and young women in higher learning institutions in Tanzania; A qualitative study

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