Browsing by Author "Berhe Semarya (Prof)"

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    Knowledge, Attitude, and Practice of Medication Abortion and Associated Factors Among Reproductive Age Women in Selected Sexual and Reproductive Health Clinics of Addis Ababa, Ethiopia, 2018.
    (Addis Ababa University, 2018-06) Yeshambel Addisu; Berhe Semarya (Prof)
    Background: Abortion rates following unintended pregnancies is increasing in developing countries like Africa and unsafe abortion is commonly neglected reproductive health care problem. In Ethiopia, the number of women receiving treatment for complications from unsafe abortion nearly doubled from 2008-2014 which is 52,600 to 103,600. Medication abortion is one of the safest abortion interventions. Adequate level of knowledge and attitude among women of reproductive age group on MA contributes to prevention and control of unsafe abortion and the resulting mortality and morbidity. Objective: Knowledge, attitude and practice of medication abortion and associated factors among reproductive age women in selected SRH clinics of Addis Ababa, Ethiopia, 2018. Method: A cross-sectional quantitative study design was conducted to collect data from study participants in SRH clinics of Addis Ababa from February–March 30, 2018. Study participants were selected through systematic random sampling based on their proportional distribution of sample size to each clinic. Structured questionnaire was used to collect data. The data was coded and entered into Epi data version 4.2 and the analysis was carried out by using SPSS version 23. Bivariate and multivariate analysis with 95 % CI was employed. Variables found to have a P-value<0.2 in the binary logistic regression were entered into multivariate analysis and strength of association was declared at P value<0.05. Results: From the total of 423 mothers interviewed 412 responded the questionnaire with a response rate of (97.4%).The overall knowledge, attitude and practice of MA was 72.1 %, 44.2% and 33% respectively. Majority (36.5%) of the study participants would advise someone with unwanted pregnancy to undergo an abortion and 55.6% would consider abortion if they had unplanned pregnancy. From 205 respondents who had ever terminated their pregnancy, 136 (66.7%) used MA. Participants level of education, father education; income and history of unwanted pregnancy were some of the factors associated with MA. Conclusion and recommendations: this study provided that women were relatively knowledgeable but their attitude and practice on MA is low. Low attitude and practice of MA calls health care providers giving due attention on MA, women empowerment, awareness creation on MA in the community, strengthened action to provide quality of maternal care for all childbearing mothers towards MA and unsafe abortion in particular.