scholarly journals Constrains for seeking post-abortion care among adolescents and young women in Guangzhou, China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yiding Wang ◽  
Jinzhi Liu ◽  
Ribo Xiong ◽  
Yan Liu
Keyword(s):  
Young Women ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Sectional Study ◽  
Cross Sectional ◽  
Services Utilization ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion ◽  
Youth Friendly

Abstract Background In China, post-abortion care (PAC) services mainly focus on married couples, such that adolescents and unmarried young womenhave limited access to those services for contraception counseling. The provision of youth-friendly PAC services in public hospitals is a new concept in China. This study examined the magnitude of PAC services utilization as well as factors influencing it’s uptake among adolescents and young women in Guangzhou, China. Methods A cross-sectional study was performed from 1st March 2020 to 30th September 2020 using anonymous self-administered questionnaire among 688 women aged 15–24 years in Tianhe district, Guangzhou. The Multivariate logistic regression was used to determine factors that were significantly associated with the uptake of PAC services. Results The magnitude of PAC services utilization was 35.9% among adolescents and young women in Guangzhou, China. Students were 69.0% significantly less likely to use PAC services compared to women who had no job. Immigrants were 59.0% significantly less likely to use PAC services than their native counterparts. Women who had a feeling of stigma were 70.0% significantly less likely to use PAC services compared to those who did not feel stigmatized. Conclusions The study highlights the need to strengthen youth-friendly PAC services provision, and emphasizes the importance of education about both family planning and abortion services among disadvantaged sub-groups of women in the study setting.

scholarly journals Factors Associated with Unsafe Induced Abortion among Women who attended Fitche Hospital, Oromia, Ethiopia: Cross-sectional study

2019 ◽  
Author(s):  
Abebe Feyissa Amhare ◽  
Dereje Gobena Alemayehu ◽  
Alemtsehay Adam Bogale
Keyword(s):  
Care Service ◽  
Traditional Birth Attendant ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Induced Abortion ◽  
Sectional Study ◽  
Cross Sectional ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion

Abstract Background Unsafe induced abortion is one of the most medical and public health problems in developing countries including Ethiopia. Ethiopia has permitted abortion in specific legal circumstances when the conception of the fetus is caused by rape, incest, when continuation of pregnancy endangers the mother’s life. The aim of this study is to assess the magnitude and associated risk factors of unsafe induced abortion among women who received post abortion care service in Fitche Hospital. Methods Institutional based cross-sectional study was carried out among women who received post abortion care service at Fitche hospital from November 30, 2017 up to May 30, 2018. The data was collected using pre tested questionnaire and entered to EpiData version 3.1 software and analyzed using SPSS version 24. Descriptive statistics, multivariate logistic regression analysis and chi-square test were conducted. Results Three hundred and eight respondents (100% response rate) with mean age of 30 ± 9 years were participated in this study. From respondents, 45% had history of unsafe induced abortion and 27% of them reported the abortion was performed in house by traditional birth attendant. Single women were more likely practice unsafe induced abortion than widowed women [OR: 9.71; 95%CI (1.30 – 72.42)]. Women who had low monthly income [OR: 6.72; 95%CI (2.15 - 20.97)] and house wives [OR: 12.29; 95%CI (1.70 - 88.63)] were more likely practice unsafe induced abortion than counterparts. Failure of contraceptive methods, place of interference, method used for interference, a person who induced the abortion, a condition after procedure, and reasons to induce abortion were identified as association factors of unsafe induced abortion at P < 0.001. Conclusion The study assessed the magnitude and reported a significant association between unsafe induced abortion and socio-demographic factors, contraceptive practice, and abortion related items. These findings are positive enough to warrant a large-scale study to better understand the unsafe abortion vulnerability factors in Ethiopia.

scholarly journals Factors associated with seeking post-abortion care among women in Guangzhou, China

2020 ◽  
Author(s):  
Hui Wang ◽  
Yan Liu ◽  
Ribo Xiong
Keyword(s):  
Public Hospitals ◽  
Multivariate Logistic Regression Model ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
National Network ◽  
Services Utilization ◽  
Factors Associated ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion

Abstract Background: In China, the vast majority of induced abortion are performed in public hospitals. However, post-abortion care (PAC) services are provided through the national network of family planning clinics, which are independent of the health care system. The integration of PAC services into abortion clinics in public hospitals is a new concept. This study aimed to assess post-abortion care (PAC) utilization among abortion patients, and identify the possible factors associated with PAC uptake in Guangzhou, China. Methods: A cross-sectional survey was conducted among 431 women aged 15-43 years in Tianhe district of Guangzhou, China during the period of June to September 2018. We estimated multivariate logistic regression model to examine the factors associated with utilization of PAC services. Results: The rate of PAC services utilization was 42.1%. Marital status, household registration place, knowledge of the time of fertility return after abortion and the decision maker on receiving contraception were significantly associated with PAC services utilization. Conclusions: The rate of PAC utilization in Guangzhou, China was low. There’s an urgent need for public hospitals to strengthen PAC services and take an active role in engaging immigrant women in their needs. Social support and culturally tailored programs should also be developed to enhance community’s awareness focusing on women’s own decision making in receiving contraception.

scholarly journals Assessing post-abortion care in health facilities in Afghanistan: a cross-sectional study

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Nasratullah Ansari ◽  
Partamin Zainullah ◽  
Young Mi Kim ◽  
Hannah Tappis ◽  
Adrienne Kols ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Health Facilities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion

scholarly journals Impact of contraceptive counselling, an essential element of post-abortion care, on uptake of contraceptives: a cross-sectional study of adolescents who received post-abortion care services in Makueni County, Kenya

2021 ◽  
Vol 9 (1) ◽  
pp. 66
Author(s):  
Rachel N. Ngugi ◽  
James Musovya ◽  
Wacuka G. Njoroge ◽  
Maurice O. Kodhiambo
Keyword(s):  
Contraceptive Method ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Contraceptive Counselling ◽  
Abortion Care ◽  
Care Services ◽  
Post Abortion Care ◽  
Post Abortion ◽  
The Impact

Background: Contraceptive counselling and provision of contraceptives are essential elements of the post-abortion care model which was first published in 1994 with an aim of promoting post-abortion care as an effective public health strategy. Despite being core elements of this model, they are often overlooked during provision of post-abortion care services as health care workers focus on emergency services and removing the retained products of conception. The aim of this study was to assess the impact of contraceptive counselling on uptake of contraceptives among adolescents presenting for post-abortion care.Methods: A cross-sectional study involving 100 adolescent girls who presented for post-abortion care at the Kibwezi-east sub-county hospital, Makueni county, Kenya. Self- administered questionnaires were used for data collection and data was analyzed using SPSS version 25. Chi-square was used to compare study participants who received/did not receive contraceptive counselling and their uptake of contraceptives.Results: The mean age of the 100 participants was 17 years (SD=1.457). 98% of them were formally educated, 57% had the mother as their only guardian and majority of them were of Christian religion (56%). 41% (n=41) received contraceptive counselling services and 59% (n=59) were not counselled. Among the 41 participants who received contraceptive counselling, 92% (n=37) of them took up a contraceptive method and 8% (n=4) did not take up any method and among the 59 participants who did not receive contraceptive counselling, 51% (n=30) of them took up a contraceptive method while 49% (n=29) did not.Conclusions: Contraceptive counselling remains an integral part of post abortion care and in this study it was found to have a positive correlation with utilization of post abortion contraceptives (rs=0.412, p=0.000).

Prevalence and determinants associated with second trimester termination of pregnancy in Harari city, Ethiopia; Cross sectional study.

2021 ◽  
Author(s):  
Murad Mohammed ◽  
Million Wesenu
Keyword(s):  
Logistic Regression ◽  
Cross Sectional Study ◽  
Termination Of Pregnancy ◽  
Reproductive Age ◽  
Second Trimester ◽  
Sectional Study ◽  
Cross Sectional ◽  
Abortion Care ◽  
Post Abortion ◽  
Age Category

Abstract Background: Abortion is a termination of pregnancy before the fetus has become viable, i.e., capable of independent existence once delivered by the mother. The purpose of this study was to assess the prevalence and determinants associated with second trimester termination of pregnancy among the women in the reproductive age. Methods: Cross sectional study, design was conducted from September 1-30, 2020. Eight hundreds thirty-five sample of women with induced abortion complication were used. The data were entered into statistical package and service solutions (SPSS) version 23.0 for cleaning and data analysis. Chi-square test of association was used to test the association between the response variable. Binary logistic regression was employed for variables one by one in bivariate logistic regression to determine the significant association between response variables and predictors at p-value 0.15. A 95% confidence interval (CI) and level of significance less than 0.05 were used to determine statistical significance. Results: The prevalence of second trimester termination of pregnancy in the reproductive Age (15-49 years) was found to be 18.2%. As a result multivariable logistic regression model, women with age category 20-24 years [Adjusted odds ratio(AOR)=2.055, 95% CI=1.102-3.831], age category 30-34 years [AOR=3.084, 95%CI=1.348-7.056] , age category greater than or equal to 35 had adjusted odds ratio(AOR=3.021, 95% CI=1.199-7.610), having safe abortion care (AOR=0.294, 95%CI=0.132-0.656), taking treatment in health care/hospital (AOR=2.385, 95% CI=1.057-5.382) and repeatedly acceptor of post-abortion contraception (AOR=0.533, 95%CI=0.291-0.979) were potential determinants associated with women’s in the reproductive age with second trimester termination of pregnancy. Conclusions: Second trimester termination of pregnancy is strongly affected by age of mother, abortion care, place of managed abortion and post-abortion contraception. Strategies on Antenatal care and task-oriented services should be given to community level about the second trimester medical termination of pregnancy to decrease further complications and maternal mortality.

scholarly journals Disparities in utilization of sexual and reproductive health services among high school adolescents from youth friendly service implemented and non-implemented areas of South Ari district, South Omo zone, Southern Ethiopia: a comparative cross-sectional study.

2020 ◽  
Author(s):  
Bayu Haile ◽  
Mulugeta Shegaze ◽  
Tesfaye Feleke ◽  
Mustefa Glagn ◽  
Eshetu Andarge
Keyword(s):  
Sexual And Reproductive Health ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Services Utilization ◽  
Significant Difference ◽  
Open Discussion ◽  
Youth Friendly Service ◽  
Youth Friendly

Abstract Background: In recent years, much effort was made to improve access to sexual and reproductive health services (SRH) to adolescents and youths in Ethiopia particularly through establishment of youth friendly service (YFS) corners as part of the existing health care facilities. The existing evidences focused on the utilization of SRH services at YFS alone. There is a dearth of evidence which compares the SRH service use between the YFS implemented and non-implemented areas so that evidences can be drawn to suggest on the successes of the expansion of youth friendly corners. Methods: A school-based comparative cross-sectional study with multistage cluster sampling method was employed. Self-administered questionnaire was used to collect data and the collected data were entered in to Epi data version 4.4.1 software and then exported to SPSS version 20 for analysis. χ2 test was used to see significant difference in magnitude of SRH service utilization between YFS implemented and non-implanted areas. The association between the SRH services utilization and the independent variables was examined using binary logistic regression. Finally, variables having p-value less than or equal to 0.05 in the multivariable logistic regression model were considered as statistically significant.Results: There was a significant difference in the rate of SRH service utilization between YFS implemented (33.8%) and YFS non- implemented (9.9%) areas (χ2=37.49, p<0.001). Higher educational status of mothers (AOR=2.588, 95 % CI: 1.220, 5.491), having open discussion with family (AOR=3.175, 95%CI: 1.624, 6.206), good knowledge (AOR= 4.511, 95% CI: 2.458, 8.278) and having positive attitude (AOR= 5.084, 95% CI: 2.764, 9.352) were positively associated with SRH services utilization.Conclusion: Compared with high schools from YFS implemented areas, the magnitude of utilization of SRH services was significantly lower among students from high schools where health facilities had not yet implemented YFS. There is a need for more efforts to scale up SRH services in YFS non implemented areas among stakeholders at different hierarchies. Such interventions should target on improving open discussion at family level, knowledge and attitude on SRH issues and women education at large.

scholarly journals Factors associated with seeking post-abortion care among women in Guangzhou, China

2020 ◽  
Author(s):  
Hui Wang ◽  
Yan Liu ◽  
Ribo Xiong
Keyword(s):  
Contraceptive Use ◽  
Public Hospitals ◽  
Multivariate Logistic Regression Model ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
National Network ◽  
Factors Associated ◽  
Abortion Care ◽  
Post Abortion Care ◽  
Post Abortion

Abstract Background: In China, the vast majority of induced abortions are performed in public hospitals. However, post-abortion care (PAC) services are provided through the national network of family planning clinics, which are independent of the health care system. The integration of PAC services into abortion clinics in public hospitals is a new concept. This study aimed to assess PAC utilization among abortion patients, and identify the possible factors associated with PAC uptake in Guangzhou, China. Methods: A cross-sectional survey was conducted among 431 women aged 15-43 years in Tianhe district of Guangzhou, China from June to September 2018. We estimated multivariate logistic regression model to examine the factors associated with utilization of PAC services. Results: Less than half (42%) of the participants used PAC services. Married women were 2.7 times significantly more likely to use PAC services than their unmarried counterparts. Immigrants were 52% significantly less likely to use PAC services than non-immigrants. Women who perceived that their fertility could return later and those who did not know were 45% and 61% significantly less likely to use PAC services compared to those who knew that their fertility could return soon after an abortion. Women with limited decision-making autonomy regarding contraceptive use were 54% significantly less likely to use PAC services than those who made such decisions themselves.Conclusions: The findings suggest the need for policies and programs to not only strengthen the provision of PAC services but also promote uptake among disadvantaged sub-groups of women in the study setting.

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