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Title: Assessment of Practice of Post abortion Care Service among Government Health Centers in Addis Ababa
???metadata.dc.contributor.*???: Alemayehu Mekonnen (MD, MPH)
Yeshiwass Beyene
Keywords: Unsafe abortion is a major public health problem in many countries.
Issue Date: May-2011
Publisher: AAU
Abstract: ABSTRACT Background: unsafe abortion is a major public health problem in many countries. A woman die every eight minutes somewhere in developing countries due to complications arising from unsafe abortion. A complication of unsafe abortion contributes to 13% of global maternal mortality. In Sub-Saharan Africa, abortion complications represent 20 to 50% of maternal morbidity and mortality. Unsafe abortion is the most common cause of maternal mortality, accounting for up to 32% of maternal deaths in Ethiopia Objective: The study was conducted to assess practice of post abortion Care Service among government health centers in Addis Ababa. Method: A facility based cross-sectional study was conducted in Addis Ababa from January to February 2011. A pre-tested structured questionnaire and assessment of supply & equipments were employed. A single proportion formula was used to calculate the sample size. Data were entered and analyzed by SPSS version.. Result: A total of three hundred fifty eight health professionals working on post abortion care in 24 government health centers were participated in the study Of 358 health professionals working on PAC Service 56% were between the age group of 20—30 years. Study subjects were nurses 80% followed by nurse midwives17%. Among all study subjects only 38% took refresher training. In the last three months, 27% of the respondents provided FP for post abortion patients. Sixty eight percent of the study subjects responded the appropriate place for post abortion FP service was at FP room and only 4% preferred in the delivery room. 79% of the study participants responded that patients express a desire for FP after PAC service. It was found out that among the 24 government health centers in Addis Ababa, 46% and 39% lacked IEC materials and MVA double valve syringes respectively. Those health professionals who took refresher training were more likely to practice post abortion family planning service.Conclusion and Recommendation; The majority of health providers did not take refresher training on post abortion care. Some health centers lack basic equipments required for providing post abortion care service. In general the importance of practice of Post Abortion Care Service could be improved in accordance with the national health policy and involvement of NGOs. Therefore, an increased Post Abortion Care Service training program, with an emphasis on post abortion FP service, is recommended for health professionals to improve the overall Post Abortion Care service delivery
Description: A Thesis Submitted to the School of Graduate Studies of Addis Ababa University in Partial Fulfillment of the Requirements for the Degree of Master in Public Health.
Appears in Collections:Thesis - Public Health

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