Abstract
BackgroundUnsafe abortion in the developing world accounts for 13% of all maternal deaths. Ethiopia is one of the developing countries with the highest maternal mortality ratio (673 per 100,000 live births) in the world. Unsafe abortion was estimated to account for 32% of all maternal deaths in Ethiopia.ObjectiveTo assess post abortion care quality status in health facilities of Guraghe zone.MethodsA facility based cross-sectional study design with both quantitative and qualitative methods was conducted. Patient interview, direct service observation, provider self administered questionnaire and inventory of equipment and supplies were used for the assessment. Six health centers, two hospitals and 422 post-abortion patients were included in the study.ResultsPatient-provider interaction was generally satisfactory from the patient’s perspective. The majority of the respondents (93.5%) said that they were treated with politeness and respect. More than half 226(56.5%) of the clients have received post abortion family planning. Overall, 83.5% of the patients were satisfied with the services. Those who said waiting time was long were less satisfied and unemployed women were more satisfied than others.ConclusionThe study has revealed several improvements as well as problems in the provision of post-abortion care service in the studied health facilities.
Highlights
Unsafe abortion in the developing world accounts for 13% of all maternal deaths
83.5% of the patients were satisfied with the services. Those who said waiting time was long were less satisfied and unemployed women were more satisfied than others
World Health Organization (WHO) defines unsafe abortion as a procedure for terminating an unintended pregnancy carried out either by persons lacking the necessary skills or in an environment that does not conform to minimal medical standards, or both
Summary
Unsafe abortion in the developing world accounts for 13% of all maternal deaths. Ethiopia is one of the developing countries with the highest maternal mortality ratio (673 per 100,000 live births) in the world. Unsafe abortion was estimated to account for 32% of all maternal deaths in Ethiopia. Unsafe abortion and deaths due to complications of unsafe abortion continue to afflict the lives of many women, mostly in developing countries. Unsafe abortion is the cause of serious complications and disability for millions of women each year and is a prominent cause of maternal death [1]. Among the causes of maternal mortality in developing countries, unsafe abortion accounts for 13% of maternal. The participants called for prompt, high quality and sympathetic medical services to treat the complications of unsafe abortion. The ICPD emphasized the importance of postabortion counseling and family planning services as part of a comprehensive package of post-abortion care to promote reproductive health and prevent repeated abortions [4]
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