Abstract
BackgroundProvision of post abortion contraception following an abortion is an excellent opportunity to address unmet family planning needs of women. In Ethiopia, post abortion family planning is minimal and underutilized. The objective of this study is to assess determinant factors for utilization of contraception following any abortion process (induced and/or spontaneous) among reproductive age women (15–49 years) in a tertiary hospital of North West Ethiopia.MethodsA cross-sectional study was conducted on 423 clients who presented for either spontaneous or induced abortion care from September 2016 to August 2017 in Felege Hiwot referral hospital, North West Ethiopia. Respondents were identified using a consecutive sampling method. Data was collected in clinic using an interviewer administered pre-tested questionnaire administered after services were completed. Factors associated with use of post-abortion family planning were explored using multivariable logistic regression analysis.Results64.8% of clients who presented for abortion care received family planning services before discharge from the hospital. Family planning counseling during service provision [AOR: 25.47, 95% CI: (9.11, 71.58)], having previous information about family planning [AOR: 2.16, 95% CI: (1.09, 4.23)], gestational age of index pregnancy less than 3 months [AOR: 1.78, 95% CI:(1.13, 3.05)], being a housewife [AOR: 0.32, 95% CI: (0.16, 0.65)] and monthly income > 5000 ETB [AOR: 0.38, 95% CI:(0.16,0.98)] are significantly associated with post abortion family planning utilization.ConclusionsThe proportion of post abortion family planning utilization is good but could be improved. Education before and especially at the time of abortion services strongly influenced the usage of family planning services. The government and regional health bureau at large as well as health care providers at each health system level have an opportunity to provide information and counsel women on family planning methods to increase utilization of post abortion contraception.
Highlights
Provision of post abortion contraception following an abortion is an excellent opportunity to address unmet family planning needs of women
Design and population The study was an institutional cross-sectional study using quantitative data collection methods. It was conducted at Felege Hiwot referral hospital (FHRH), Bahir Dar, northwest Ethiopia from September 1, 2016 to August 31, 2017
A little more than one third of women (35.2%) didn’t receive any type of family planning and among them,30% of women said nobody discussed the issue of contraception and another one third (30%) said they wanted to be pregnant in the near future
Summary
Provision of post abortion contraception following an abortion is an excellent opportunity to address unmet family planning needs of women. In Ethiopia, 38% of pregnancies are unintended, with an estimated 620,300 induced abortions performed each year. Post abortion family planning is family planning that is provided to clients or individuals after a spontaneous or an induced abortion [6]. This post abortion period is a time when women are highly motivated to avoid or delay another pregnancy [7, 8]. This provides an opportunity to offer services immediately after the provision of abortion care
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