Assessment of Practice of Post abortion Care Service among Government Health Centers in Addis Ababa
No Thumbnail Available
Date
2011-05
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
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.
v
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
Keywords
Abortion Care service delivery