Abstract
Unintended pregnancies continue to be a major global tragedy for millions of women and abortion is an issue which affects every country in the world. The World Health Organization estimates that 20 million unsafe abortions take place each year, in which 80,000 maternal deaths occur due to complications. Cross- sectional study was employed to assess post abortion contraceptive intention and associated factors among abortion clients in Gondar town, Northwest Ethiopia 2013. Six hundred thirty study subjects were included in the study by using a simple random sampling technique. The collected data entered and analyzed by using SPSS version 20.0 software packages. The degree of association between independent and dependent variables were assessed using odds ratio with 95% confidence interval and p-value ≤0.05. The data analyzed using bivariate and multivariate logistic regression. A total of 630 study participants with abortion were assessed. The extent of the post abortion contraceptive intention among 630 clients was (73.5%). Divorced/widowed women (AOR: 0.277, 95% CI :( 0.151, 0.508).) was a factor negatively associated with the post abortion contraceptive intention whereas married women (AOR: 1.747, 95% CI :( 1.046, 2.916)), abortion from unintended pregnancy (AOR: 3.430, 95% CI (1.597, 7.366) and post abortion contraceptive counseling (AOR: 2.627, 95% CI: (1.366, 5.049)) were factors positively associated with post abortion contraceptive intention. Generally, the post abortion contraceptive intention found in this study was low as compared with others study. Variables like married women, divorced/widowed, abortion from unintended pregnancy and post abortion contraceptive counseling were significant predictors of the post abortion contraceptive intention.
Highlights
The level of post abortion contraceptive intention in this study was 73.5% based on the structured questionnaire
Factors found to be associated with the dependent variable were married, divorced/widowed, desire of pregnancy and post abortion family planning counseling have found to be a significant effect on the outcome variable
The finding of this study 73.5% of post abortion contraceptive intention was below the study done in India and Nepal which were 100% [11] and 83% [10] respectively
Summary
Among them 75 million pregnancies become unwanted and 585,000 Maternal Mortality occur related to pregnancy complication. Among the maternal mortality , 99% occur in the developing world [1]. Different factors contribute to this large number of maternal mortality, among them abortion accounts for approximately 13% of all maternal mortality [2]. Abortion is an issue which affects every country in the world. World Health Organization estimates that 20 million unsafe abortions take place each year, in which 80,000 maternal deaths occur due to complication [3]. The unsafe abortion defined by WHO as a procedure for terminating an unintended pregnancy either by persons lacking the necessary skills or in an environment lacking the minimal medical standards, or both[4]
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