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. 2022 Sep 13;22(1):705.
doi: 10.1186/s12884-022-05034-x.

Utilization of abortion services from an unsafe provider and associated factors among women with history of induced abortion in Ghana

Desmond Klu  1 , Isaac Yeboah  2 , Esinam Afi Kayi  3 , Joshua Okyere  4 , Mary Naana Essiaw  5
Affiliations

Utilization of abortion services from an unsafe provider and associated factors among women with history of induced abortion in Ghana

Desmond Klu et al. BMC Pregnancy Childbirth. .

Abstract

Background: In sub-Saharan Africa (SSA), numerous studies have examined women's choice of abortion methods and services using hospital-based data, community-based surveys and nationally representative data. Little research focuses on the factors influencing a woman's choice of abortion provider. This study sought to identify factors that are associated with why a woman seeks abortion care services from an unsafe provider in Ghana.

Methods: We used nationally representative data of women from the 2017 Ghana Maternal Health Survey (GMHS). Data analysis was restricted to women aged 15-49 with a recent history of induced abortion. Analyses focused on a weighted sample of 1,880. Descriptive analysis and the chi-square test were used to examine the proportion of women utilizing abortion services from unsafe providers. Factors hypothesized to affect the utilization of abortion services from unsafe providers were examined using both bivariable and multivariable logistic regression analyses.

Results: The proportion of survey respondents who reported that they utilize abortion service from unsafe providers were 57.5%. After adjusting for confounders, those who have knowledge of abortion legality [aOR: 0.381 (0.271-0.541)] and those who have attained secondary or higher education [aOR: 0.613 (0.411-0.914)] were less likely to use abortion services from unsafe providers. On the other hand, women belonging to the Ewe ethnic group [aOR: 0.696 (0.508-0.953)], those residing in the middle belt zone [aOR: 1.743 (1.113-2.728)], younger women aged 15-29 years [aOR: 2.037 (1.234-3.362)] were more likely to use abortion services from unsafe abortion providers.

Conclusions: This research suggests that increasing the knowledge of women on the legal status of abortion through public education and encouraging more women to pursue secondary or higher education can contribute to reducing the use of abortion services from unsafe providers. These interventions should be targeted among younger women and those who reside in the middle belt zones of Ghana.

Keywords: Abortion; Factors; Ghana; Induced abortion; Unsafe provider; Utilization.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Proportion of women using the services of abortion providers
See this image and copyright information in PMC

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References

    1. Abdi J, Gebremariam MB. Health providers’ perception towards safe abortion service at selected health facilities in Addis Ababa. Afr Journal Reprod Health. 2011;15(1):31. - PubMed
    1. Harries J, Stinson K, Orner P. Health care providers’ attitudes towards termination of pregnancy: A qualitative study in South Africa. BMC Public Health. 2009;9(1):296. 10.1186/1471-2458-9-296. - PMC - PubMed
    1. Henkel A, Shaw KA. First trimester abortion care in low-and middle-income countries. Clin Obstet Gynecol. 2021;64(3):449–459. doi: 10.1097/GRF.0000000000000626. - DOI - PubMed
    1. Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, Gülmezoglu AM, Temmerman M, Alkema L. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014;2(6):e323–e333. doi: 10.1016/S2214-109X(14)70227-X. - DOI - PubMed
    1. Maxwell L, Voetagbe G, Paul M, Mark A. Does the type of abortion provider influence contraceptive uptake after abortion? An analysis of longitudinal data from 64 health facilities in Ghana. BMC Public Health. 2015;15(1):1–9. doi: 10.1186/s12889-015-1875-2. - DOI - PMC - PubMed