Back ground: The risks of unsafe abortion are not only just to the woman involved and her family butalso the costs of unsafe abortion are carried by the whole of the society. Howeverunsafe abortion is commonly neglected reproductive health care problem in developing countries like Ethiopia. Therefore, the aim of this study was todetermine the level of quality comprehensive abortion care and its associated factor in selected hospitals of Addis Ababa Ethiopia. Method: An institution based cross sectional study was conducted. Three public hospitals, 113 cleints and 46 health care providers were included in the study. Data was collected through a standard structured pre-defined observation checklist adopted from WHO, client exit interview and providers self adminster questioners. Frequency tables and graphs were used to describe the study variables and a logistic regression model was used to measure the association between the outcome and the predictor variable. Statistical significance was declared at p-value<0.05. Direction and strength of association were expressed using OR and 95% CI. Result: Only 36 (31.9%) of the participants were counseled on contraceptive use and 54.3% of the providers were trained on comprehensive abortion care services. Consent was taken verbally from 41 (36.3%) of the clients' and privacy was maintained for 34 (30.1%) of the clients during physical examination. Over all 52 (46%) of clients were satisfied by abortion care services. Clients with no history of previous pregnancy and muslim religions and protestant were more likely satisfied by CAC service compared to clients with a history of previous pregnancy and orthodox religion respectively. Conclusion: The proportion of quality of comprehensive abortion care was low. Religion and previous history of pregnancy were significantly associated with quality of comprehensive abortion care. Policymakers and other concerned bodies should focus on those areas to improve the quality of comprehensive abortion care.
Published in | Journal of Gynecology and Obstetrics (Volume 11, Issue 4) |
DOI | 10.11648/j.jgo.20231104.11 |
Page(s) | 80-89 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Comprehensive Abortion Care, Quality, Service, Ethiopia
[1] | World health organization. International Safe Abortion Day Report. 2020. |
[2] | Sageer R, Kongnyuy E, Adebimpe, WO. et al. Causes and contributory factors of maternal mortality: evidence from maternal and perinatal death surveillance and response in Ogun state, Southwest Nigeria. BMC Pregnancy Childbirth 2019; 19 (63). https://doi.org/10.1186/s12884-019-2202-1 |
[3] | RehnströmLoi U, Lindgren M, Faxelid E. et al. Decision-making preceding induced abortion: a qualitative study of women’s experiences in Kisumu, Kenya. Reprod Health. 2018; 15 (166). https://doi.org/10.1186/s12978-018-0612-6 |
[4] | Ushie BA, Juma K, Kimemia G, Ouedraogo R, Bangha M, Mutua M. Community perception of abortion, women who abort and abortifacients in Kisumu and Nairobi counties, Kenya. PLoS ONE. 2019; 14 (12): e0226120. https://doi.org/10.1371/journal.pone.0226120 |
[5] | WHO. Medical management of abortion.2018. |
[6] | Engender Health and Ipas. Taking Post abortion Care Services Scale: Quality, Access, and Sustainability. Report of an International Workshop Held in Mombasa, Kenya. 2001. |
[7] | WHO. Maternal mortality fact sheet. 2018. |
[8] | Melkamu Y, Enquselassie F, Ali A, Gebresilassie H, Yusuf L. Assessment of quality of post abortion care in government hospitals in Addis Ababa, Ethiopia. Ethiop Med J. 2005 Jul; 43 (3): 137-49. PMID: 16370545. |
[9] | Alemayehu M, Yebyo H, Medhanyie A. A. et al. Determinants of repeated abortion among women of reproductive age attending health facilities in Northern Ethiopia: a case-control study. BMC Public Health. 2017; 17 (188). https://doi.org/10.1186/s12889-017-4106-1 |
[10] | The Royal College of Obstetricians and Gynaecologists. Best practice in comprehensive postabortion care. Best Practice Paper. 2016; 3. |
[11] | Herd P, Higgins J, Sicinski K, Merkurieva I. The Implications of Unintended Pregnancies for Mental Health in Later Life. Am J Public Health. 2016; 106 (3): 421-429. DOI: 10.2105/AJPH.2015.302973. |
[12] | Sawhill IV, Guyot K. Preventing Unplanned Pregnancy: Lessons from the States. The economic studies at Brookings. 2019. |
[13] | Blystad A, Haukanes H, Tadele, G. et al. The access paradox: abortion law, policy, and practice in Ethiopia, Tanzania, and Zambia. Int J Equity Health. 2019; 18 (126). https://doi.org/10.1186/s12939-019-1024-0 |
[14] | Mossie CB, Abera AD, Andualem AT. Dimensions of patient satisfaction with comprehensive abortion care in Addis Ababa, Ethiopia. Reprod Health 2016; 13 (144). https://doi.org/10.1186/s12978-016-0259-0 |
[15] | WHO. Health worker roles in providing safe abortion care and post-abortion contraception. Publications of the World Health Organization. 2015. available on the WHO website (www.who.int). |
[16] | World Health Organization. Preventing unsafe abortion.2020. https://www.who.int/news-room/fact-sheets/detail/preventing-unsafe-abortion |
[17] | Haddad LB, Nour NM. Unsafe abortion: unnecessary maternal mortality. Rev Obstet Gynecol. 2009; 2 (2): 122-126. |
[18] | Owolabi OO, Biddlecom A, and Whitehead HS. Health systems’ capacity to provide post-abortion care: a multicounty analysis using signal functions. Lancet Glob Health 2019; 7: e 110–18. |
[19] | Kitila SB, Yadassa F. Client Satisfaction with Abortion Service and Associated Factors among Clients Visiting Health Facilities in Jimma Town, Jimma, South West, Ethiopia. Quality in primary health care. 2016; 24 (2): 67-76, |
[20] | Tesfaye G, Oljira L. Post abortion care quality status in health facilities of Guraghe zone, Ethiopia. Reproductive Health 2013; 10: 35. |
[21] | Becker D, Díaz-Olavarrieta C, Juárez C, García SG, Sanhueza P, Cynthia C. Harper. Clients’ Perceptions of the Quality of Care in Mexico City’s Public-Sector Legal Abortion Programm. International Perspectives on Sexual and Reproductive Health, 2011; 37 (4) 191–201, doi: 10.1363/3719111. |
[22] | Wu PJ, Godfrey EM, Prine L, Andersen KL, MacNaughton H, Gold M. Women’s Satisfaction With Abortion Care in Academic Family Medicine Centers.(Fam Med 2015; 47 (2): 98-106. |
[23] | Ceylan A, Ertem M, Saka G and Akdeniz N. Post abortion family planning counseling as a tool to increase contraception use. BMC Public Health 2009, 9: 20 doi: 10.1186/1471-2458-9-20. |
[24] | Mustafa G, Azmat SK, Hameed W, Ali S, Ishaque M, Hussain W, Ahmed A, Munroe E. Family Planning Knowledge, Attitudes, and Practices among Married Men and Women in Rural Areas of Pakistan: Findings from a Qualitative Need Assessment Study. International Journal of Reproductive Medicine. 2015. https://doi.org/10.1155/2015/190520 |
[25] | Muchie A, Getahun FA, Bekele YA, Samual T, Shibabaw T. Magnitudes of postabortion family planning utilization and associated factors among women who seek abortion service in Bahir Dar Town health facilities, Northwest Ethiopia, facility-based cross-sectional study. PLoS ONE 2021; 16 (1): e0244808. https://doi.org/10.1371/ journal.pone.0244808 |
[26] | Mugore S, Kassouta NT, Sebikali B, Lundstrom L, Saad A. Improving the Quality of Postabortion Care Services in Togo Increased Uptake of Contraception. Glob Health SciPract. 2016; 4 (3): 495-505. Published 2016 Sep 29. doi: 10.9745/GHSP-D-16-00212. |
[27] | Riley T, Madziyire GM, Owolabi O, Sully EA and Chipato T. Evaluating the quality and coverage of post-abortion care in Zimbabwe: a cross-sectional study with a census of health facilities. BMC Health Serv Res 2020; 20 (244). https://doi.org/10.1186/s12913-020-05110-y |
[28] | Nebsu Asamrew, Abduilhafiz A. Endris, Musse Tadesse, "Level of Patient Satisfaction with Inpatient Services and Its Determinants: A Study of a Specialized Hospital in Ethiopia", Journal of Environmental and Public Health. 2020. https://doi.org/10.1155/2020/2473469 |
[29] | Cleeve A, Oguttu M, Ganatra B, Atuhairwe S, Larsson EC, Makenzius M. K. Time to act—comprehensive abortion care in east Africa.www.thelancet.com/lancetgh. 2016. |
[30] | Ansari1 N, Zainullah P, Kim YM, Tappis H, Kols A, Currie S, Haver J, Roosmalen JV, Broerse JE and Stekelenburg J. Assessing post-abortion care in health facilities in Afghanistan: a cross-sectional study. BMC Pregnancy and Childbirth. 2015; 15. |
APA Style
Tatek Tesfaye, Ephrem Mamo, Trhas Tadesse, Yared Tesfaye, Gelane Lelise, et al. (2023). Assessment of Quality of Comprehensive Abortion Care in Selected Health Institution of Addis Ababa, Ethiopia. Journal of Gynecology and Obstetrics, 11(4), 80-89. https://doi.org/10.11648/j.jgo.20231104.11
ACS Style
Tatek Tesfaye; Ephrem Mamo; Trhas Tadesse; Yared Tesfaye; Gelane Lelise, et al. Assessment of Quality of Comprehensive Abortion Care in Selected Health Institution of Addis Ababa, Ethiopia. J. Gynecol. Obstet. 2023, 11(4), 80-89. doi: 10.11648/j.jgo.20231104.11
AMA Style
Tatek Tesfaye, Ephrem Mamo, Trhas Tadesse, Yared Tesfaye, Gelane Lelise, et al. Assessment of Quality of Comprehensive Abortion Care in Selected Health Institution of Addis Ababa, Ethiopia. J Gynecol Obstet. 2023;11(4):80-89. doi: 10.11648/j.jgo.20231104.11
@article{10.11648/j.jgo.20231104.11, author = {Tatek Tesfaye and Ephrem Mamo and Trhas Tadesse and Yared Tesfaye and Gelane Lelise and Ayele Teshome and Selahadin Seid and Jemal Mohammed and Tamerat Assefa}, title = {Assessment of Quality of Comprehensive Abortion Care in Selected Health Institution of Addis Ababa, Ethiopia}, journal = {Journal of Gynecology and Obstetrics}, volume = {11}, number = {4}, pages = {80-89}, doi = {10.11648/j.jgo.20231104.11}, url = {https://doi.org/10.11648/j.jgo.20231104.11}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231104.11}, abstract = {Back ground: The risks of unsafe abortion are not only just to the woman involved and her family butalso the costs of unsafe abortion are carried by the whole of the society. Howeverunsafe abortion is commonly neglected reproductive health care problem in developing countries like Ethiopia. Therefore, the aim of this study was todetermine the level of quality comprehensive abortion care and its associated factor in selected hospitals of Addis Ababa Ethiopia. Method: An institution based cross sectional study was conducted. Three public hospitals, 113 cleints and 46 health care providers were included in the study. Data was collected through a standard structured pre-defined observation checklist adopted from WHO, client exit interview and providers self adminster questioners. Frequency tables and graphs were used to describe the study variables and a logistic regression model was used to measure the association between the outcome and the predictor variable. Statistical significance was declared at p-valueResult: Only 36 (31.9%) of the participants were counseled on contraceptive use and 54.3% of the providers were trained on comprehensive abortion care services. Consent was taken verbally from 41 (36.3%) of the clients' and privacy was maintained for 34 (30.1%) of the clients during physical examination. Over all 52 (46%) of clients were satisfied by abortion care services. Clients with no history of previous pregnancy and muslim religions and protestant were more likely satisfied by CAC service compared to clients with a history of previous pregnancy and orthodox religion respectively. Conclusion: The proportion of quality of comprehensive abortion care was low. Religion and previous history of pregnancy were significantly associated with quality of comprehensive abortion care. Policymakers and other concerned bodies should focus on those areas to improve the quality of comprehensive abortion care.}, year = {2023} }
TY - JOUR T1 - Assessment of Quality of Comprehensive Abortion Care in Selected Health Institution of Addis Ababa, Ethiopia AU - Tatek Tesfaye AU - Ephrem Mamo AU - Trhas Tadesse AU - Yared Tesfaye AU - Gelane Lelise AU - Ayele Teshome AU - Selahadin Seid AU - Jemal Mohammed AU - Tamerat Assefa Y1 - 2023/07/13 PY - 2023 N1 - https://doi.org/10.11648/j.jgo.20231104.11 DO - 10.11648/j.jgo.20231104.11 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 80 EP - 89 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20231104.11 AB - Back ground: The risks of unsafe abortion are not only just to the woman involved and her family butalso the costs of unsafe abortion are carried by the whole of the society. Howeverunsafe abortion is commonly neglected reproductive health care problem in developing countries like Ethiopia. Therefore, the aim of this study was todetermine the level of quality comprehensive abortion care and its associated factor in selected hospitals of Addis Ababa Ethiopia. Method: An institution based cross sectional study was conducted. Three public hospitals, 113 cleints and 46 health care providers were included in the study. Data was collected through a standard structured pre-defined observation checklist adopted from WHO, client exit interview and providers self adminster questioners. Frequency tables and graphs were used to describe the study variables and a logistic regression model was used to measure the association between the outcome and the predictor variable. Statistical significance was declared at p-valueResult: Only 36 (31.9%) of the participants were counseled on contraceptive use and 54.3% of the providers were trained on comprehensive abortion care services. Consent was taken verbally from 41 (36.3%) of the clients' and privacy was maintained for 34 (30.1%) of the clients during physical examination. Over all 52 (46%) of clients were satisfied by abortion care services. Clients with no history of previous pregnancy and muslim religions and protestant were more likely satisfied by CAC service compared to clients with a history of previous pregnancy and orthodox religion respectively. Conclusion: The proportion of quality of comprehensive abortion care was low. Religion and previous history of pregnancy were significantly associated with quality of comprehensive abortion care. Policymakers and other concerned bodies should focus on those areas to improve the quality of comprehensive abortion care. VL - 11 IS - 4 ER -