Knowledge, Attitude, and Practice of Medication Abortion and associated factors among reproductive age women in selected sexual and reproductive Health clinics of Addis Ababa, Ethiopia, 2018: Cross sectional study
Abstract Background Abortion rates following unintended pregnancies is increasing in developing countries and unsafe abortion is commonly neglected reproductive health care problem. In Ethiopia, the number of women receiving treatment for complications from unsafe abortion nearly doubled from 2008-2014. Medication abortion is one of the safest abortion interventions. Adequate level of knowledge and attitude of reproductive age woman on medication abortion contributes to prevention of unsafe abortion. Objective Knowledge, attitude and practice of medication abortion and associated factors among reproductive age women in selected SRH clinics of Addis Ababa, Ethiopia, 2018. Method A cross-sectional quantitative study design was conducted to collect data from study participants in sexual and reproductive health clinics of Addis Ababa from February–March 30, 2018. Study participants were selected through systematic random sampling. The data was coded and entered into Epi data version 4.2 and SPSS version 23 was used for analysis. Bivariate and multivariate analysis with 95% CI was employed. Variables found to have a P-value<0.2 in the binary logistic regression were entered into multivariate analysis and strength of association was declared at P value<0.05. Results The overall knowledge, attitude and practice of medication abortion were 72.1%, 44.2% and 33% respectively. Majority (36.5%) of the study participants would advise someone with unwanted pregnancy to undergo an abortion. Participants level of education (2ndry education((AOR=3.54, 95% CI[1.02, 12.26]), college/university(AOR=3.49, 95% CI[1.02, 11.92])), father education(up to 2ndry education(AOR=2.03, 95% CI [1.01, 4.10], college/university(AOR=2.80, 95% CI[1.42, 5.52]), income(AOR=2.19, 95% CI[1.02, 4.75]) and history of unwanted pregnancy(AOR=11.7, 95% CI(1.11, 12.46]) were some of the factors associated with medication abortion. Conclusion and recommendations this study provided that women were relatively knowledgeable but their attitude and practice on medication abortion is low. Low attitude and practice of medication abortion calls health care providers giving due attention on awareness creation and strengthened action to provide quality of maternal care for childbearing mothers towards medication abortion and unsafe abortion in particular.