Receiving Abortion Services at Non-governmental Health Facilities as a Significant Variable for Post Abortion Family Planning Utilization: A comparative Cross-sectional Study

Abstract Background: Ethiopia is one of the developing countries with a high prevalence of unintended pregnancy and unsafe abortion. The aim of this study was to assess the utilization of post-abortion family planning and associated factors among women seeking abortion service in Asella Town health facilities, 2019. Methods: A facility based cross-sectional study design was conducted among women who came for abortion service from July 15 to October 15, 2019. Two hundred seventy-six participants were included using systematic random sampling technique. Both descriptive and logistic regression analyses were conducted. In multivariate analysis, variables which had a p-value < 0.05 was considered as significantly associated with the outcome variable. Results: Postabortion family planning utilization among study participants was 146 (53.7%) (95% CI=47.4, 59.2). Formal education (AOR=4.45: 95% CI: (1.18, 16.74)), previous history of abortion (AOR=0.35; 95% CI: (0.14, 0.85)), positive attitude to towards family planning (AOR=2.62; 95% CI: (1.09, 6.27)) and counseled on post abortion family planning utilization (AOR=3.12; 95% CI: (1.30, 7.51)) were significantly associated with post abortion family planning utilization. Conclusions: In this study, nearly fifty percent of the respondents did not utilize Postabortion Family Planning (PAFP). Educational status, history of pervious abortion, a decision when to have a child, attitude toward PAFP utilization and counseling about PAFP were significantly associated with post-abortion family planning utilization. The health care providers who give abortion service should give counseling for all women who get abortion service. More accents should be given to misperception of PAFP to change the negative attitude of utilization of PAFP.

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Post-Abortion Family Planning Utilization and Associated Factors Among Women Seeking Abortion Service: Cross-Sectional Study

10.21203/rs.3.rs-74227/v1 ◽

2020 ◽

Author(s):

Dereje Woldemichael ◽

Gabi Agaro ◽

Aman Jima ◽

Bedasa Woldemichael

Keyword(s):

Family Planning ◽

Associated Factors ◽

Cross Sectional Study ◽

Abortion Service ◽

Outcome Variable ◽

Care Providers ◽

Sectional Study ◽

Cross Sectional ◽

History Of ◽

Post Abortion

Abstract Background - Ethiopia is one of the countries which suffer with highest unintended pregnancies and unsafe abortion. The aim of this study was to assess the utilization of post-abortion family planning and associated factors among women seeking abortion service in Asella town health facilities 2019.Methods: A facility based cross-sectional study design was conducted among women who came for abortion service from July 15 to October 15, 2019. Two hundred seventy-six participants were included using systematic random sampling technique. Both descriptive and logistic regression analysis were conducted. In multivariate analysis, variables which had p-value < 0.05 was considered as significantly associated with the outcome variable. Results: Postabortion family planning utilization among study participants was 146 (53.7%) (95% CI=47.4, 59.2). Formal education (AOR=4.45: 95% CI: (1.18, 16.74) , previous history of abortion (AOR=0.35; 95% CI: (0.14, 0.85), positive attitude (AOR=2.62; 95% CI: (1.09, 6.27), counseled on post abortion family planning utilization (AOR=3.12; 95% CI: (1.30, 7.51) were significantly associated with post abortion family planning utilization.Conclusions: In this study, nearly fifty percent of the respondents did not utilize Postabortion Family Planning (PAFP). Educational status, history of pervious abortion, decision when to have a child, attitude toward PAFP utilization and counseling about PAFP were significantly associated with post-abortion family planning use. The health care providers who give abortion service should give counseling for all women who get abortion service. More accents should be given to misperception of PAFP to change the negative attitude of utilization of PAFP.

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Barriers and determinants of postpartum family planning uptake among postpartum women in Western Ethiopia: a facility-based cross-sectional study

Archives of Public Health ◽

10.1186/s13690-022-00786-6 ◽

2022 ◽

Vol 80 (1) ◽

Author(s):

Temesgen Tilahun ◽

Tariku Tesfaye Bekuma ◽

Motuma Getachew ◽

Rut Oljira ◽

Assefa Seme

Keyword(s):

Family Planning ◽

Statistical Significance ◽

Unmet Need ◽

Cross Sectional Study ◽

Health Facilities ◽

Postpartum Women ◽

Sectional Study ◽

Cross Sectional ◽

Postpartum Family Planning ◽

Western Ethiopia

Abstract Background Despite Ethiopia’s efforts to avail postpartum family planning (PPFP) services, the unmet need for family planning among postpartum women remains high. Therefore, this study is aimed to assess barriers and determinants of postpartum family-planning uptake among women visiting Maternal, Neonatal, and Child Health (MNCH) services in public health facilities of western Ethiopia. Methods A facility-based cross-sectional study design with a quantitative method was conducted on 989 postpartum women in Western Ethiopia from September 1 to October 30, 2020. Data were collected through face-to-face interviews using pretested structured questionnaires, entered using EPI-INFO version 7.0, and analyzed by SPSS version 25. Descriptive analysis and logistic regressions were performed. The adjusted odds ratio with a 95% confidence interval was used and statistical significance was declared at P-value < 0.05. Result In this study, 56.1% of participants had used PPFP in the last year. The most commonly used method was injectable (51.7%). Family planning use before the index pregnancy (AOR = 2.09;95%CI:1.29,3,41),counselling on PPFP during antenatal care and delivery (AOR = 4.89;95%CI:2.31,10.37),health facility delivery (AOR = 7.61;95%CI:4.36,13.28), skilled birth attendance (AOR = 4.99;95%CI:2.88,8.64),COVID-19 restrictions (AOR = 0.59;95%CI:0.39,0.90) were factors associated with PPFP utilization. Being breastfeeding and amenorrhea were major reasons for not using postpartum family planning. Conclusion Post-partum family planning utilization among study participants was low. Given the associated factors, it is recommended that health facilities should make postpartum family planning one of their top priorities and focus on these factors to improve its utilization.

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Family planning utilization and factors associated among women receiving abortion services in health facilities of central zone towns of Tigray, Northern Ethiopia: a cross sectional Study

BMC Women s Health ◽

10.1186/s12905-018-0582-4 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 3

Author(s):

Goshu Hagos ◽

Gurmesa Tura ◽

Gizienesh Kahsay ◽

Kebede Haile ◽

Teklit Grum ◽

...

Keyword(s):

Family Planning ◽

Central Zone ◽

Cross Sectional Study ◽

Health Facilities ◽

Northern Ethiopia ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated

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Evaluating the quality and coverage of post-abortion care in Zimbabwe: a cross-sectional study with a census of health facilities

BMC Health Services Research ◽

10.1186/s12913-020-05110-y ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Taylor Riley ◽

Mugove G. Madziyire ◽

Onikepe Owolabi ◽

Elizabeth A. Sully ◽

Tsungai Chipato

Keyword(s):

Cross Sectional Study ◽

Health Facilities ◽

Sectional Study ◽

Cross Sectional ◽

Abortion Care ◽

Post Abortion Care ◽

Post Abortion

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Prevalence and determinants of post--abortion family planning utilization in a tertiary Hospital of Northwest Ethiopia: a cross sectional study

Contraception and Reproductive Medicine ◽

10.1186/s40834-020-00143-4 ◽

2020 ◽

Vol 5 (1) ◽

Author(s):

Enyew Abate ◽

Yolanda R. Smith ◽

Walelign Kindie ◽

Addisu Girma ◽

Yonas Girma

Keyword(s):

Family Planning ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Sectional Study ◽

Family Planning Services ◽

Cross Sectional ◽

North West ◽

Abortion Care ◽

North West Ethiopia ◽

Post Abortion

Abstract Background Provision of post abortion contraception following an abortion is an excellent opportunity to address unmet family planning needs of women. In Ethiopia, post abortion family planning is minimal and underutilized. The objective of this study is to assess determinant factors for utilization of contraception following any abortion process (induced and/or spontaneous) among reproductive age women (15–49 years) in a tertiary hospital of North West Ethiopia. Methods A cross-sectional study was conducted on 423 clients who presented for either spontaneous or induced abortion care from September 2016 to August 2017 in Felege Hiwot referral hospital, North West Ethiopia. Respondents were identified using a consecutive sampling method. Data was collected in clinic using an interviewer administered pre-tested questionnaire administered after services were completed. Factors associated with use of post-abortion family planning were explored using multivariable logistic regression analysis. Results 64.8% of clients who presented for abortion care received family planning services before discharge from the hospital. Family planning counseling during service provision [AOR: 25.47, 95% CI: (9.11, 71.58)], having previous information about family planning [AOR: 2.16, 95% CI: (1.09, 4.23)], gestational age of index pregnancy less than 3 months [AOR: 1.78, 95% CI:(1.13, 3.05)], being a housewife [AOR: 0.32, 95% CI: (0.16, 0.65)] and monthly income > 5000 ETB [AOR: 0.38, 95% CI:(0.16,0.98)] are significantly associated with post abortion family planning utilization. Conclusions The proportion of post abortion family planning utilization is good but could be improved. Education before and especially at the time of abortion services strongly influenced the usage of family planning services. The government and regional health bureau at large as well as health care providers at each health system level have an opportunity to provide information and counsel women on family planning methods to increase utilization of post abortion contraception.

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