scholarly journals Women’s perception about accessibility of safe abortion care services at selected public institutions in Addis Ababa, Ethiopia.

2019 ◽  
Author(s):  
Endalew Gemechu Sendo ◽  
Negalign Getahun Dinegde ◽  
Fekadu Aga ◽  
Debela Gela Negassa ◽  
Jembere Tesfaye Deressa
Keyword(s):  
Data Analysis ◽  
Traditional Healer ◽  
Addis Ababa ◽  
Public Institutions ◽  
Reproductive Age ◽  
Unique Contribution ◽  
Safe Abortion ◽  
Abortion Care ◽  
Care Services ◽  
Significant Difference

Abstract Background Ethiopia ratified its abortion law in 2005, primarily to reduce the incidence of unsafe abortion and the availability of safe abortion services has increased. However, service availability has not led to a significant reduction in unsafe abortion.Objective The aim of this study was to assess women’s perception about accessibility of safe abortion care services at selected public institutions in Addis Ababa, Ethiopia.Method Institution-based cross-sectional study was conducted among 432 women of reproductive age who work in non-health related public institutions. A structured questionnaire was used to collect the data. Data were entered into Epi-data and cleaned and exported to SPSS version 24.0 for data analysis. Data analysis involved descriptive statistics, independent-sample t-test, one-way analysis of variance (ANOVA), and linear regression. Statistical significance was set at 5%. Multi-categorical independent variables were dummy coded before entering into the models. Results In this study, more than half (60.2%) of the participants reported that they had pregnancy at least once. Seventy eight respondents (18.1%) had history of previous miscarriage, among these the greater number (74.4%) has happened due to spontaneous abortion. Among the respondents studied, 283 (65.5%) of them have heard of abortion care and media was the major source of information. Closely half of (46.2%) the females who had miscarriage history were treated at governmental health institutions; followed by private clinics (35.9%) and traditional methods (6.4%). Whereas, 11.5% of them didn’t get any abortion care service. There was significant difference in mean scores of participants faced post abortion complications and treated at traditional healer, and particularly the respondents attended traditional healer makes the strongest unique contribution to explaining the perception score.Conclusion Over the past two decades, the safe abortion services has advanced and expanded increasingly in Ethiopia. However, this study indicated that significant number of women still unheard about accessibility of the safe abortion care and attending the traditional and risky procedure of care. There is an urgent need for the government and other stakeholders to provide more awareness on the accessibility and advantage of safe abortion services in the community.

scholarly journals Knowledge of Safe Abortion Care Services and Associated Factors Among Women of Reproductive Age Working at Non-Health Sector Public Institutions in Addis Ababa, Ethiopia

2021 ◽  
Author(s):  
endalew Sendo ◽  
Fekadu Bulti ◽  
Debela Gela ◽  
jembere deressa ◽  
Negalign Dinagde
Keyword(s):  
Associated Factors ◽  
Addis Ababa ◽  
Care Service ◽  
T Test ◽  
Reproductive Age ◽  
P Value ◽  
Women Of Reproductive Age ◽  
Safe Abortion ◽  
Abortion Care ◽  
Care Services

Background: Health-related knowledge is among the essential factors to enable women to be aware of their rights to seek health services. However, little is known about knowledge of safe abortion care services among women of reproductive age in Ethiopia. The main purpose of the study was to assess knowledge of safe abortion care services and associated factors among women of reproductive age in Addis Ababa, Ethiopia. Methods: A cross-sectional study was conducted from April-June 2019 among 432 respondents. Bivariate statistics including correlation coefficients, student t-test, one-way analysis of variance, and linear regressions, and multiple linear regression analyses were used. A significant statistical test was determined at a 95% confidence interval and p-value <0.05. Results: About 65.5% had heard about safe abortion care services; media being the main source of information for 79.5%. The finding from an independent-sample t-test shows that the place where the respondents grew up (p< 0.006), history of past miscarriage, and previous information of abortion care service were significantly associated with the knowledge about safe abortion care services (p< 0.001). Conclusions: Women without prior health experiences and those with rural origin could be targeted for reproductive health information interventions including safe abortion care provision.

scholarly journals 10 years evolution of induced abortion practice in Paris region

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B Matulonga Diakiese ◽  
C Menguy ◽  
L Desplanques ◽  
V Féron ◽  
I Grémy
Keyword(s):  
Medical Abortion ◽  
Induced Abortion ◽  
Medical Professional ◽  
Reproductive Age ◽  
Abortion Care ◽  
Care Services ◽  
Healthcare Insurance ◽  
Paris Region ◽  
Legislative Reforms ◽  
Surgical Abortion

Abstract Background In France, induced abortion (IA) has first been authorized in 1975. To improve access to abortion care services, several legislative reforms have been adopted with the most recent consisted of removal of the mandatory cooling off period before abortion, reimbursement of all expense related to abortion and approval for midwives to perform medical abortion. All these changes could affect practice of IA. The objective of the present research was to describe the evolution of abortion practices in Paris region from 2007 to 2017 Methods Exhaustive data from Paris region healthcare insurance system was use to account for all abortions performed among women living in this region Results More than 50,000 abortions are performed in Paris region each year, which represents over one-quarter of national IA. This number decreased from 58,319 in 2007 to 52,080 in 2017 and the abortion rate has decreased over the past decade (19 IA per 1000 reproductive age women in 2007 and 17‰ in 2017). However, there was found territorial disparity with higher rate of abortion in the lower incomes municipalities (22‰ in the poorer Paris region municipality in 2017). This rate remained higher among women aged 18-34 (27.8‰ in 2007 vs 24.6‰ in 20017). Abortion methods have shifted over the years, with increase of medical abortion (47% in 2007 vs 67% in 2017) and decrease of surgical abortion. The analyses have also shown that the average gestational age at the time of abortion decreased with 65% of abortion performed before 9 weeks of amenorrhea in 2007 and 80% in 2017. There rate of abortion performed by liberal practitioners increased from 15% in 2007 to 33% in 2017 Conclusions The measures such as removing the mandatory cooling-off period, increasing number of medical professional involved in abortion have improved access to abortion care services result in much early IA and higher rate of medical abortion. Improved access to contraception might partly explain the decline in IA rate over time Key messages Legislative reforms such as removing the mandatory cooling-off period have improved access to abortion care services. In this last decade, abortion among Paris women are performed much early and there are increasing number of medical professional involved in abortion.

scholarly journals Post Abortion Contraception Model: A Comprehensive Package for Improving Safe Abortion Care in Developing Countries

2018 ◽  
Vol 1 (1) ◽  
pp. 12-21
Author(s):  
Fred Yao Gbagbo
Keyword(s):  
Developing Countries ◽  
Induced Abortion ◽  
Health Facilities ◽  
Capital City ◽  
Safe Abortion ◽  
Governmental Organization ◽  
Abortion Care ◽  
Care Services ◽  
Wide Availability ◽  
Post Abortion

Background: Despite liberal abortion laws and wide availability of contraceptives in Ghana, declining Post Abortion Contraception remains a public health challenge due to early unplanned pregnancies and recurrent abortions. The development of this model was therefore to address challenges of low contraception following induced abortion in health facilities within the capital city of Ghana. Method: The development of this model was an outcome of a nested study title: ‘decision making for induced abortion in Accra metropolis, Ghana’ in 2014. This model was piloted for four years using Marie Stopes, Ipas and Ghana Health Service trained abortion providers with family planning skills in one hundred purposively selected health facilities comprising 90 private and 10 Non-Governmental Organization mandated by law to provide safe abortion care services in the capital city of Ghana. The model mainly focused on contraceptive products, pricing, placement, promotion and people. Results: There was an increase (90% average) in Post Abortion Contraception across the selected facilities following the intervention using the model. Conclusion: The study concludes that an integration of products, pricing, placement, promotion and people with options counselling prior to an induced abortion are key considerations for an improved post abortion contraception uptake in developing countries.

scholarly journals Pattern of Abortion Care in a Tertiary Level Maternity Hospital in Nepal

2013 ◽  
Vol 52 (191) ◽  
Author(s):  
Punya Paudel ◽  
Luna Paudel ◽  
Manisha Bhochhibhoya ◽  
Sapana Amatya Vaidhya ◽  
Nabina Shah ◽  
...  
Keyword(s):  
Hospital Admissions ◽  
Tertiary Care ◽  
Unwanted Pregnancy ◽  
Safe Motherhood ◽  
Unsafe Abortion ◽  
Care Hospital ◽  
Safe Abortion ◽  
Abortion Care ◽  
Care Services ◽  
The Future

Introduction: Complications from unsafe abortion are believed to account for the largest proportion of hospital admissions for gynaecological services in developing countries and not to mention the cost it imparts to the health system of a country. Therefore, it is equally important to find out the prevalence and the pattern of abortion among the women who utilize the safe abortion care services and provide a framework to target various health promotion programs including safe-motherhood and reproductive health; such that the future interventions to avoid the unintended pregnancy and unsafe abortion can be implemented accordingly.Methods: A cross-sectional study was conducted in a tertiary care hospital in Kathmandu, Nepal. Social and demographic information of all the women seeking induced abortions from January 2011 to December 2012 were included and the result was analyzed.Result: Abortion contributed to about 1.68% of the total patient served in the hospital that provides both obstetrical and gynecological services. Of the total 4830 patients who underwent induced abortion in this period, the mean age was 27, 92.3% were from the Kathmandu valley and more than one-third women (35.2%) were illiterate who couldn't read and write. Majorities were more than two parity and belonged to higher caste.Conclusion: The socio-demographic profile of the abortion clients in Nepal has remained similar over the years. We need to address the accessibility and availability to the safe abortion care services along with other safe motherhood programs guaranteeing access to safe abortion and post-abortion care to all group of women and also, women education regarding contraception to avoid repeated abortions or unwanted pregnancy in the future._______________________________________________________________________________________Keywords: abortion; pattern; socio-demographic.

scholarly journals Knowledge, attitude and practice (KAP) of health providers towards safe abortion provision in Addis Ababa health centers

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Endalkachew Mekonnen Assefa
Keyword(s):  
Health Care Providers ◽  
Positive Attitude ◽  
Service Providers ◽  
Addis Ababa ◽  
Health Centers ◽  
Care Providers ◽  
Safe Abortion ◽  
Abortion Law ◽  
Abortion Care ◽  
Adequate Knowledge

Abstract Background Unsafe abortion remains a reality for many Ethiopian women and will remain so until safe abortion is more accessible across the country. The house of representatives of Federal Democratic Republic of Ethiopia (FDRE) revised the abortion law and Ministry of Health (MoH) of FDRE developed a revised technical and procedural guideline for safe abortion services in Ethiopia; emphasizing the need to increase knowledge and practice of health service providers on safe abortion care (SAC) and access to safe terminations of pregnancy at high standard and quality. Methods A facility based descriptive cross-sectional study using structured self-administered questionnaire was conducted between July and August 2015. A total of 405 mid-level providers (MLPs) including midwives, clinical nurses and health officers were included from 30 randomly selected health centers in Addis Ababa. SPSS version-21 was used for data entry, cleaning and analysis. The results were presented using frequency tables, percentages, means, Odds ratio and 95% confidence limits. Results Among 405 MLPs 71.9% knew the definition of abortion in the in Ethiopia context, 81.5% participants were familiar with the revised abortion law. 53.1% of respondents had adequate knowledge on safe abortion care and working for 3–5 years (AOR 3.1 with CI 1.6, 5.7) and midwives (AOR = 2.9 with CI 1.8, 4.7) had better knowledge on abortion. Only eighty-three (20.5%) of MLPs were trained on safe abortion and among them sixty-eight (81.9%) were practising/used to practice safe abortion services. Half of respondents gave post abortion family planning methods. 54.1% respondents had positive attitude towards safe abortion. MLPs’ who had adequate knowledge on safe abortion care (AOR 2.02, 95% CI 1.3–3.1) and male providers (AOR 1.6, 95% CI 1.04–2.4) were more likely to have positive attitude towards safe abortion. MLPs who had adequate knowledge on abortion 3.4 times (CI of 95% =1.1–10.6) were more likely to practise safe abortion care. Conclusion The majority claimed to know the current abortion law; however, many failed to understand the specific provisions of the law. Type of profession and years of experiences were important in explaining providers’ knowledge related to abortion. Being male and having the knowledge significantly influenced providers’ attitude toward safe abortion. Knowledge related to abortion also influenced the practice of SAC. Efforts to improve mid-level as well as other health care providers’ knowledge on abortion are necessary, for example, through pre−/on-service training.

EFEKTIVITAS STRATEGI CLOZE STORY MAPPING TERHADAP KEMAMPUAN MEMBACA PEMAHAMAN PADA SISWA KELAS V DI SD 2 PADOKAN KASIHAN BANTUL

2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Danuri Danuri ◽  
Dwendha Lahitani
Keyword(s):  
Data Analysis ◽  
Learning Strategy ◽  
T Test ◽  
Effective Learning ◽  
Average Value ◽  
Story Mapping ◽  
Analysis Technique ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Class Average

This study aims to determine the effectiveness of CSM strategies on comprehension reading skills in classes V Padokan 2 Elementary School. The research method used is a quasi-experimental method. In this study the subjects of the study were VA class students as the control class and V C as the experimental class with 28 VA and VC class students. Quantitative data analysis technique used is the calculation of independent sample t-test. Based on data analysis and discussion, researchers can conclude that CSM strategies are more effective than conventional methods of reading comprehension learning. The results of this study indicate that there is a significant difference between the experimental class and the control class as evidenced by the results of the independent sample t-test obtained by the value of Asymp. Sig (2-Tailed) 0.014 <0.05. CSM strategy is an effective learning strategy seen from the average value of the experimental class posstest which is 81.61 higher than the control class average value of 72.96.

Understanding the Abortion Experiences of Young People to Inform Quality Care in Argentina, Bangladesh, Ethiopia, and Nigeria

2021 ◽  
pp. 0044118X2110110
Author(s):  
Laura E. Jacobson ◽  
Ana Maria Ramirez ◽  
Chiara Bercu ◽  
Anna Katz ◽  
Caitlin Gerdts ◽  
...  
Keyword(s):  
Young People ◽  
Quality Care ◽  
First Trimester ◽  
Structural Barriers ◽  
Structured Interviews ◽  
Safe Abortion ◽  
Medication Abortion ◽  
Abortion Care ◽  
The Mean ◽  
Reproductive Healthcare

Young people face social and structural barriers when accessing abortions. High-quality, sexual and reproductive healthcare is needed; however, literature on youth-informed abortion services is limited. This study assesses accounts of youth who obtained an abortion in Argentina, Bangladesh, Ethiopia, and Nigeria and provides recommendations to improve person-centered aspects of abortion quality. We analyzed 48 semi-structured interviews with clients recruited from clinics, safe abortion hotlines, and patent and proprietary medicine vendors. We coded transcripts and conducted a thematic analysis. The mean age was 21 years (range 16–24), and the majority had a first trimester, medication abortion. Prominent themes included access to information; privacy; stigma associated with age or marital status; the decision-making process; and comfort and rapport with providers. Youth-centered abortion care should anticipate the distinct needs of younger clients. Supportive providers have an important role in offering a non-judgmental service that makes young clients feel comfortable and prepared.

Household and Population-Level Behavioural Changes Due to COVID-19 Pandemic: A Smart Thermostat Based Comparative Data Analysis

2021 ◽  
Vol 10 (1) ◽  
pp. 1-6
Author(s):  
Kirti Sundar Sahu ◽  
Arlene Oetomo ◽  
Niloofar Jalali ◽  
Plinio P. Morita
Keyword(s):  
Data Analysis ◽  
Population Level ◽  
World Health ◽  
Motion Sensors ◽  
Household Level ◽  
Work From Home ◽  
Significant Difference ◽  
Health Organization ◽  
Smart Thermostat ◽  
The Impact

The World Health Organization declared the coronavirus outbreak as a pandemic on March 11, 2020. To inhibit the spread of COVID-19, governments around the globe, including Canada, have implemented physical distancing and lockdown measures, including a work-from-home policy. Canada in 2020 has developed a 24-Hour Movement Guideline for all ages laying guidance on the ideal amount of physical activity, sedentary behaviour, and sleep (PASS) for an individual in a day. The purpose of this study was to investigate changes on the household and population-level in lifestyle behaviours (PASS) and time spent indoors at the household level, following the implementation of physical distancing protocols and stay-at-home guidelines. For this study, we used 2019 and 2020 data from ecobee, a Canadian smart Wi-Fi thermostat company, through the Donate Your Data (DYD) program. Using motion sensors data, we quantified the amount of sleep by using the absence of movement, and similarly, increased sensor activation to show a longer duration of household occupancy. The key findings of this study were; during the COVID-19 pandemic, overall household-level activity increased significantly compared to pre-pandemic times, there was no significant difference between household-level behaviours between weekdays and weekends during the pandemic, average sleep duration has not changed, but the pattern of sleep behaviour significantly changed, specifically, bedtime and wake up time delayed, indoor time spent has been increased and outdoor time significantly reduced. Our data analysis shows the feasibility of using big data to monitor the impact of the COVID-19 pandemic on the household and population-level behaviours and patterns of change.

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