Keywords
induced abortion
women of reproductive age
Harari region
How to Cite
Abstract
Background: Abortion is a very common experience in every culture and society. Out of the 210 million pregnancies that occur each year globally, an estimated 46 million (22%) end up in induced abortion, in relation to that, 19 million women experience unsafe abortions annually.
Objective: The aim of the study is to determine the prevalence and associated factors of induced abortion among women of reproductive age group in public health facilities from March 25– April 25, 2019, in Harari Region.
Methods: A cross sectional study design was conducted. The sample size was 620 abortion cases. Structured questionnaire was used for data collection. Data were entered to Epi-Data version 3.5.3 and analyzed using SPSS version 20. Descriptive statistics, binary and multivariate logistic regression and odds ratio with 95% confidence intervals was used to identify the independent factors of induced abortion cases status. P-value <0.05 was considered as statistically significant association.
Result: The mean age of the respondents was 29.5 years, with a standard deviation of 6.5. In this study the magnitude of induced abortion was 42.7%. Age >30, single marital status, occupational status students and commercial sex worker were statistically significant associated with induced abortion (p<0.05).
Conclusion: The study revealed a high level of induced abortion. Unwanted pregnancy is high among abortion patients in the study area. Hence, strict counseling about family planning method reminder, and partner involvement in family planning service should be recommended.
References
Abera, G. B., Berhanu, B., Kahsay, A. B., Gebru, H. B., & Aregay, A. (2012). Assessment of determinants of induced abortion among child bearing age women attending maternal and child health clinic in Mekelle town, Tigray, Ethiopia: a cross sectional study. International Journal of Pharmaceutical Sciences and Research, 3(12), 4745.
í…hman, E., & Shah, I. H. (2011). Unsafe Abortion: Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality in 2008: World Health Organization.
Awusi, V., & Okeleke, V. (2010). Post induced abortion morbidity and mortality in Oleh, Nigeria. Benin Journal of Postgraduate Medicine, 12(1).
Bonnen, K. I., Tuijje, D. N., & Rasch, V. (2014). Determinants of first and second trimester induced abortion-results from a cross-sectional study taken place 7 years after abortion law revisions in Ethiopia. BMC Pregnancy and Childbirth, 14(1), 416.
Cherie, N., & Asmerom, B. (2017). Proportion of safe abortion and associated factors among women who seek abortion care services in family guidance and Marie Stopes International Clinic in Dessie Town, North East Ethiopia. Journal of Public Health and Epidemiology. 9(10), 279-285.
Gelaye, A. A., Taye, K. N., & Mekonen, T. (2014). Magnitude and risk factors of abortion among regular female students in Wolaita Sodo University, Ethiopia. BMC Women's Health, 14(1), 50.
Ilboudo, P. G., Somda, S. M., & Sundby, J. (2014). Key determinants of induced abortion in women seeking postabortion care in hospital facilities in Ouagadougou, Burkina Faso. International Journal of Women's Health, 6, 565.
IPAS, & Guttmacher Institute. (2010). Facts on Unintended Pregnancy and Abortion in Ethiopia. New York: IPAS and Guttmacher Institute.
Leveno, K. J., Cunningham, F. G., Alexander, J. M., Bloom, S., Casey, B., & Dashe, J. (2007). Williams manual of obstetrics: Pregnancy complications: McGraw-Hill Medical.
Ministry of Health of Ethiopia. (2010). Health Sector Development Program IV in Line with GTP, 2010/11–2014/15. Addis Ababa, Ethiopia: Federal Democratic Republic of Ethiopia.
Schwandt, H. M., Creanga, A. A., Danso, K. A., Adanu, R. M., Agbenyega, T., & Hindin, M. J. (2011). A comparison of women with induced abortion, spontaneous abortion and ectopic pregnancy in Ghana. Contraception, 84(1), 87-93.
Singh, S., Fetters, T., Gebreselassie, H., Abdella, A., Gebrehiwot, Y., Kumbi, S., & Audam, S. (2010). The estimated incidence of induced abortion in Ethiopia, 2008. International Perspectives on Sexual and Reproductive Health, 16-25.
Tesfaye, G., Hambisa, M. T., & Semahegn, A. (2014). Induced abortion and associated factors in health facilities of Guraghe zone, southern Ethiopia. Journal of Pregnancy, 2014.
The Guttmacher Institute. (2017). Induced Abortion and Post Abortion Care in Ethiopia, Fact Sheet.
Worku, S., & Fantahun, M. (2006). Unintended pregnancy and induced abortion in a town with accessible family planning services: the case of Harar in eastern Ethiopia. Ethiopian Journal of Health Development, 20(2), 79-83.
World Health Organization. (2012). Safe and unsafe induced abortion: global and regional levels in 2008, and trends during 1995-2008. Geneva: World Health Organization.
Authors who publish with Public Health of Indonesia agree to the following terms:
- Authors retain copyright licensed under a Creative Commons Attribution-NonCommercial CC BY-NC 4.0, which allows others to remix, tweak, and build upon the authors' work non-commercially, and although the others' new works must also acknowledge the authors and be non-commercial, they don't have to license their derivative works on the same terms.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). Authors can archive pre-print and post-print or publisher's version/PDF.