Prevalence and Factors Associated with Induced Abortion among Family Planning Service Utilizers in three Teaching Hospitals of Addis Ababa University
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Date
2024-06-19
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Addis Ababa University
Abstract
Background: There has been a significant reduction in the rate of induced abortion in high income countries, while the rate remains unchanged in low- and middle-income countries. In Ethiopia, in particular, the number of women of reproductive age seeking an induced abortion is increasing. However, there is limited information concerning the reasons why it is increasing. Abortion, besides its significant psycho-social impact, is associated with medical complications including anemia, shock, genital tract infection, incomplete evacuation, peritonitis, and renal failure, which account for increased maternal morbidity and mortality.
Objective: To determine the prevalence and identify the factors associated with induced abortion among women who come for family planning services in three teaching hospitals of Addis Ababa University in Addis Ababa in 2024.
Methods: A facility based cross sectional study was conducted on 411women, who came for family planning services in the three teaching hospitals of Addis Ababa University, Department of Obstetrics and Gynecology from January 1, 2024 to April 30, 2024. Data was collected using a self-administered structured questionnaire, entered and analyzed by SPSS version 25 software. Logistic regression model was fitted to determine the predictors of induced abortion and those variables with p value <0.2 in binary logistic regression was entered into a multi-variable logistic regression analysis. Finally, variables with a p value of <0.05 in multi-variable logistic regression model was declared as statistically significant.
Result: Among the 411 study participants the prevalence of induced abortion was 28%. Age 2529 and 30-34 years with AOR=6.5, 95%CI=1.77, 24.08 & AOR=5.5, 95%CI=1.59, 18.86 respectively, high level of education with AOR=3.8, 95%CI=1.52, 9.23, having two or more lifetime sexual partners with AOR=7.3, 95%CI=, 3.57, 14.88, having the first sex at <18 years of age with AOR=12.6, 95%CI=6.39, 68.68) were significant associated with having an induced abortion.
Conclusion and Recommendation: In this study the prevalence of totalinduced abortion was 29.3% and the prevalence of non medically indicated induced abortion was 28%. The determinant factor for induced abortion were age of 25-29 and 30-34 years (AOR=6.5, 95%CI=1.77, 24.08 & AOR=5.5, 95%CI=1.59, 18.86 8 respectively), high level of education (AOR=3.8, 95%CI=1.52, 9.23), having experience of more than one sexual partner (AOR=7.3, 95%CI=, 3.57, 14.88), first sexual intercourse at <18 years of age (AOR=12.6, 95%CI=6.39, 68.68) were statistically significant factor for induced abortion. Based on the findings the following are recommendation made inorder to reduce prevalence of induced abortion :
Proper sexual education at lower educational level:
Public education
Proper awareness creation in higher educations
Enhanced Access to Contraceptives
Tailored Communication Strategies
Counseling and Support Services
Policy and Advocacy
Parental and Partner Involvement
Key word: Prevalence, Induced abortion, Reproductive age group.
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Keywords
Prevalence Induced abortion Reproductive age, ,