Assessment of Quality of Postabortion Care in Government Hospitals in Addis Ababa
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Date
2002-04
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Addis Ababa University
Abstract
Abortion related complications are major causes of maternal morbidity, mortality and
disability in developing countries including Ethiopia. Countries have been trying to
improve postabortion care (PAC) services in the last decade.
A cross sectional descriptive study was conducted on quality of PAC in government
hospitals in Addis Ababa, Ethiopia, from November 2001- February 2002. Assessments
conducted involved interactions between providers and patients, information provision,
postabortion FP counseling and method provision, provider’s technical competence and
equipment and supplies of the hospitals. Patient interview, direct observation, provider
interview and inventory of equipment and supplies were used for the assessment.
Interaction between providers and patients was found to be satisfactory whereas
information provisions on important aspects of care such as danger signs and follow-up
needs were very limited. Postabortion FP counseling and method provision were also
found to be very low. About 20% and only 3% received FP counseling and contraceptives
respectively. Other reproductive health related issues such as STDs and HIV/AIDS are
rarely raised by the providers during managing patients. Overall, 92.3% of the patients
responded that they were satisfied with the services. Those who responded that waiting
time was too long, who had difficulty in locating or getting services and those who
responded that the general information provision was inadequate appeared to be less
satisfied. Those with spontaneous abortion of current pregnancy were also less satisfied
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with the services they received. Significant proportions of the providers were trained on
PAC and related issues.
Implications of the findings were discussed and recommendations were made
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Keywords
Post Abortion Care