Dr.Demissew, Rahel (MD, Ass. Prof of OBGYN)Dr. Kumbi, Solomon(MD, Ass. Prof of OBGYN)Mengistu, Mekonnen2022-01-282025-01-082022-01-282025-01-082021-07https://etd.aau.edu.et/handle/123456789/29779Introduction: The demand for sexual and reproductive health services and education for women over the globe has increased gradually. Studies show that, 99 % maternal deaths recorded in middle, low-income countries are die due to birth, and pregnancy related complications. Abortion is one of the leading causes of maternal death. Unsafe abortion accounts for at least 13% of global maternal mortality and 95% of unsafe abortions occur in developing countries where abortion is restricted by laws. Objective: To assess knowledge, attitude and practice, and associated factors towards safe abortion provision among residents, and Obstetricians & Gynecologists in Tikur Anbessa Specialized Hospital and Saint Paul Hospital Millennium Medical College. Method: Cross sectional survey used from March to June, 2021 and using proportional simple random sampling with sample size of 174 (seniors n= 32 and residents, n=142) at Tikur Anbessa Specialized Hospital & Saint Paul Hospital Millennium Medical College Obstetrics & Gynecology residents who were attending their specialty programs and Gynecologists & Obstetricians working in both hospitals. Data collected via self-administered questionnaires with closed ended questions from study participants. Data entered and analyzed by SPSS Version 20. Descriptive frequency & analysis used for socio-demographic characteristics. Binary and multivariable logistic regression analysis conducted to identify associated factors. P-value <0.05, 95% confidence level were used to declare statistical significance. Result: The prevalence of good knowledge on safe abortion care was 56.6% and using subgroup analysis 54.2% of residents and 67.8% seniors had good knowledge. Accordingly, the odds ratio OBGYN seniors had much knowledgeable than year one residents. [AOR=4.6 (1.35, 16.56, P<0.05)]. Participants having good practice on safe abortion care had favorable attitude than those who had poor practice on safe abortion care [AOR=4.3 (2.19, 8.37)]. Male had good practice towards safe abortion 2.5times than females (AOR = 2.5, CI = 1.08, 5.62). Providers who had favorable attitude towards safe abortion had a better practice on SAC (AOR= 4.7, 2.27, 9.79). Ninety-four point eight percent (94.83%) were providing post abortion family planning; Implanon was the most common (86.1%). Conclusion: In this, study the overall good knowledge, favorable attitude and good practice of physicians on safe abortion care provision were 56.6%, 57.2% and 54% respectively. Level of education affects knowledge score. Male had good practice towards safe abortion. Had a good practice on safe abortion care had significantly influenced providers’ attitude, towards favorable attitude than those who have poor practice. Based on the study the overall knowledge, attitude and practice score was lower and works to be done to improve residents’ knowledge on safe abortion care through onsite or induction training at the beginning of residency program.en-USSafe abortion, Practice, OBGYN resident, Obstetrician &GynecologistThesis