Postabortion Family Planning and Associated Factors Among Women Attending Abortion Service in Dire Dawa Town Health Facilities, Eastern Ethiopia

Motuma, Venus Shewangizaw; Yadeta, Tesfaye Assebe; Alemu, Addisu; Yuya, Mohammed; Eshetu, Bajrond; Balis, Bikila; Bekana, Miressa; Merga, Bedasa Taye; Oljira, Lemessa

doi:10.3389/frph.2022.860514

Cited by 4 publications

(5 citation statements)

References 26 publications

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“…This study pointed out that married women were 2.6 times more likely to utilize post abortion contraceptives than their counterparts. This is supported by studies conducted in a different part of Ethiopia 42 – 44 . One possible explanation is that married women live with their husbands, making them more prone to sexual exposure.…”

Section: Discussionsupporting

confidence: 64%

“…This finding is supported by the study conducted in Gambella 41 and Bahir Dar 35 . This implies that the government should prioritize meeting the family planning needs of those groups in order to avoid early pregnancy and childbirth-related complications 41 , 42 . This study pointed out that married women were 2.6 times more likely to utilize post abortion contraceptives than their counterparts.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence and predictors of post-abortion modern contraceptive utilization among reproductive age women in Ethiopia

Belachew,

Negash,

Asmamaw

et al. 2023

Sci Rep

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The development of a post-abortion family plan is an integral part of comprehensive abortion care. In spite of this, it received insufficient attention as a means of breaking the cycle of repeated abortions, unintended pregnancies, and maternal deaths resulting from abortion. Therefore, this study examined post abortion modern contraceptive utilization among Ethiopian women as well as associated factors. The study was based on secondary data analysis of the Ethiopian Demographic and Health Survey 2016 data. A total weighted sample of 1236 reproductive age women was included. A multilevel mixed-effect binary logistic regression model was fitted to identify the significant associated factors of post abortion contraceptive use. Statistical significance was determined using Adjusted Odds Ratio (AOR) with 95% confidence interval. Overall prevalence of post abortion contraceptive use was observed to be 25.6% (95% CI: 23.24, 28.12). Women's age 15–24 (AOR = 2.34; 95% CI: 1.11, 4.93), and 25–34 (AOR = 1.94; 95% CI: 1.27, 2.98), married women (AOR = 2.6; 95% CI: 1.43, 4.96), women who had 1–4 (AOR = 4.13; 95% CI: 1.79, 9.57) and ≥ 5 number of children (AOR = 8.80; 95% CI: 3.30, 13.49), Being in metropolitan region (AOR = 9.14; 95% CI: 1.79, 12.48), women being in urban area (AOR = 1.85; 95% CI: 1.32, 2.24), and community media exposure (AOR = 1.75; 95% CI: 1.11, 3.56) were associated with post abortion modern contraceptive use. Post abortion modern contraceptive use in this study was low. Women age, current marital status, number of living children, residency, community media exposure, and region were significantly associated with post abortion modern contraceptive utilization. Therefore, it is better to provide ongoing health information about post-abortion family planning and its benefits, especially for people who live in rural and small peripheral regions, and public health policymakers should take both individual and community level factors into account when designing family planning programmes.

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Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of post-abortion modern contraceptive utilization among reproductive age women in Ethiopia

Belachew,

Negash,

Asmamaw

et al. 2023

Sci Rep

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“…This finding is in line with studies done in a tertiary Hospital in Northwest Ethiopia, and Addis Ababa 31 , 32 but contrary to studies done in Dire Dawa. 33 This indicated that income is not a grantee to use post-abortion family planning.…”

Section: Discussionmentioning

confidence: 99%

Post-abortion contraceptive utilization and associated factors among women who attended abortion services: A health facility cross-sectional study

Shiferaw,

Kokeb,

Bantie

et al. 2024

SAGE Open Medicine

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Background: Post-abortion contraceptive utilization prevents unintended pregnancies, reduces the number of abortions, and lowers the morbidity and mortality related to obstetric complications. It plays a central role in improving maternal health and reducing child mortality. However, many women are suffering from unintended pregnancy and its complications after abortion care. Hence, the main objective of this study was to determine the magnitude of post-abortion contraceptive utilization and its associated factors in Bahir Dar City. Methods: Health-facility-based cross-sectional study was conducted in Bahir Dar city health facilities from April 1 to May 30, 2018. A systematic random sampling technique was used to select 354 eligible study participants. A pre-tested semi-structured questionnaire was used to collect the data. Data entry was done using Epi Data version 3.7 software and analyzed by SPSS v23 software. Descriptive statistics were done based on the nature of the data. A simple logistic regression model was used to identify the association and strength of exploratory variables and the outcome variables. Associations were announced at a 95% confidence interval and p-value <0.05 with adjusted odds ratio. Model fitness was checked by the Hosmer–Lemeshow goodness of fit test for logistic regression. Results: In this study, 348 aborted participants were involved with a mean age of 24.37 (±5.73) years. About 40% of the participants were not currently married and 12.9% were unable to read and write. The magnitude of post-abortion contraceptive utilization was 65.8%. The number of alive children (adjusted odds ratio: 7.0, 95% confidence interval: 1.54, 31.95), lower income (adjusted odds ratio: 0.14, 95% confidence interval: 0.03, 0.60), and (adjusted odds ratio: 0.11, 95% confidence interval: 0.02, 0.46), primary school education (adjusted odds ratio: 0.18, 95% confidence interval: 0.03, 0.97), and currently unemployed (adjusted odds ratio: 0.23, 95% confidence interval: 0.06, 0.85) were significantly associated with the post-abortion contraceptive utilization. Conclusion: The level of post-abortion contraceptive utilization is low as per the national plan. The number of alive children, lower income, lower education, and currently unemployed were the identified factors affecting post-abortion contraceptive utilization. Therefore, a collaborative effort is needed among stakeholders to increase the utilization and avoid factors that prevent the utilization of post-abortion contraceptive utilization.

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“…It appears, FP integration with abortion care is effective, because provision of FP is one component of comprehensive abortion care, as indicated in the Technical and Procedural Guideline for Safe Abortion Services in Ethiopia (23). Previous studies also demonstrated that relatively large proportion of women were offered and used post abortion FP service (24,25). Whereas, integration of FP with other PHC services including MCH services appear limited, which lead to large proportion of, missed opportunity and unmet need for FP among women.…”

Section: Discussionmentioning

confidence: 99%

Family Planning Integration in Ethiopia’s Primary Health Care System: A qualitative study on opportunities, challenges and best practices

Titiyos,

Mehretie,

Alemayehu

et al. 2023

Preprint

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Background Family planning (FP) service integration into primary health care (PHC) is an effective approach to improve FP use, and maternal and child health outcomes. The Ethiopian government promotes integration of FP services into primary health care. However, there is paucity of evidence on the status of FP service integration. The aim of this study is to explore the state of FP integration into PHC services and identify facilitators and barriers to integration. Methods A qualitative study nested with a larger national study was conducted from July to October 2022. A total of 60 interviews were conducted with FP stakeholders including, government organizations, non-governmental organizations, donors, service providers, and clients. Interviews were audio recorded, transcribed, and coded using OpenCode 4.03. The coded data were analyzed using framework analysis approach, using the Primary Health Care Performance Initiative (PHCPI) framework. Direct quotes and results from the coding and categorization were used to develop the report. Results Family planning is largely provided in designated units by dedicated staff within PHC facilities. The provision of integrated FP service within each service unit is in its early stage. Successful examples of integration include integration of FP with postnatal care, abortion care, and youth-friendly service centers. Facilitators of integration include commitment of the government and partners, the presence of policies and guidelines, and positive attitude of service providers and clients. However, integration of FP also faces challenges that are largely related to challenges of the FP program even before integration. These include resource shortage, health workers shortage, health workers’ capacity/skill gaps, misconceptions about FP, religious and socio-cultural norms, and lack of awareness. Conclusions Integration of FP with PHC services in the Ethiopian public health facilities is viable. Pre-existing challenges of the FP program continued to be barriers to integration. Expanding the experiences of good practices in the integration of FP with post abortion care, post-natal care, and youth-friendly service centers to other components of PHC warrants attention. Addressing both supply- and demand-side challenges of the FP program is needed to facilitate the integration of FP with other PHC services.

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Postabortion Family Planning and Associated Factors Among Women Attending Abortion Service in Dire Dawa Town Health Facilities, Eastern Ethiopia

Cited by 4 publications

References 26 publications

Prevalence and predictors of post-abortion modern contraceptive utilization among reproductive age women in Ethiopia

Prevalence and predictors of post-abortion modern contraceptive utilization among reproductive age women in Ethiopia

Post-abortion contraceptive utilization and associated factors among women who attended abortion services: A health facility cross-sectional study

Family Planning Integration in Ethiopia’s Primary Health Care System: A qualitative study on opportunities, challenges and best practices

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