Postabortion Family Planning and Associated Factors Among Women Attending Abortion Service in Dire Dawa Town Health Facilities, Eastern Ethiopia
- PMID: 36303617
- PMCID: PMC9580676
- DOI: 10.3389/frph.2022.860514
Postabortion Family Planning and Associated Factors Among Women Attending Abortion Service in Dire Dawa Town Health Facilities, Eastern Ethiopia
Abstract
Background: Postabortion family planning is a part of comprehensive package of postabortion care. However, it did not receive due attention to break the cycle of repeated abortion, unintended pregnancies, and abortion-related maternal morbidity and mortality. Therefore, this study aimed to determine the utilization of postabortion family planning and associated factors among women attending abortion service in Dire Dawa health facilities, Eastern Ethiopia.
Methods: A facility-based cross-sectional study design was employed among 483 clients who sought abortion service in Dire Dawa from 15 May to 30 June 2020. A structured interviewer-administered questionnaire was used for data collection. The collected data were entered into EpiData version 3.2 and exported to SPSS version 22 for analysis. The multivariate logistic regression models were fitted to identify factors associated with utilization of postabortion family planning. Adjusted odds ratios (AORs) along with 95% CI were estimated to measure the strength of the association and statistical association was declared statistical at a p-value < 0.05.
Results: More than three-fourths (77.8%) [95% CI: (73.4-81.6%)] of respondents were utilized postabortion family planning methods. Respondents with age 15-24 years [AOR: 5.59, (95% CI: (1.5, 19.7)], attended postsecondary [AOR: 7.6, (95% CI: (2.7, 21.2)], single marital status [AOR: 11.1, (95% CI: (4.6, 26.5)], a monthly income 500-1,000 birr [AOR: 7.9, (95% CI: (3.2, 19.4)], parity ≥ 5 [AOR: 0.41, (95% CI: (0.18, 0.92)], desire of current pregnancy [AOR: 4.2, (95% CI: (1.9, 9.3)], and ever used family planning [AOR: 4.4, (95% CI: (2.2, 8.9)] were major factors significantly associated with postabortion family planning utilization.
Conclusion: In this study, more than three-fourths of respondents utilize postabortion family planning. Most of the factors associated with postabortion family planning were modifiable. Therefore, policymakers and health planners need to integrate with comprehensive abortion care to improve the utilization of postabortion family planning.
Keywords: Dire Dawa; Ethiopia; family planning; postabortion; women.
Copyright © 2022 Motuma, Yadeta, Alemu, Yuya, Eshetu, Balis, Bekana, Merga and Oljira.
Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Similar articles
-
Cervical Cancer Screening Utilization and Associated Factors Among Women Aged 30 to 49 Years in Dire Dawa, Eastern Ethiopia.Cancer Control. 2020 Jan-Dec;27(1):1073274820958701. doi: 10.1177/1073274820958701. Cancer Control. 2020. PMID: 33034204 Free PMC article.
-
Quality of family planning services and associated factors among reproductive age women attending family planning unit at public health facilities in Dire Dawa, Eastern Ethiopia, 2021.Contracept Reprod Med. 2023 May 23;8(1):33. doi: 10.1186/s40834-023-00231-1. Contracept Reprod Med. 2023. PMID: 37221622 Free PMC article.
-
Receiving abortion services at nongovernmental health facilities as a significant variable for postabortion family planning utilization: a comparative cross-sectional study.AJOG Glob Rep. 2021 Dec 24;2(1):100047. doi: 10.1016/j.xagr.2021.100047. eCollection 2022 Feb. AJOG Glob Rep. 2021. PMID: 36274970 Free PMC article.
-
Post-abortion family planning use, method preference, and its determinant factors in Eastern Africa: a systematic review and meta-analysis.Syst Rev. 2021 Jun 9;10(1):172. doi: 10.1186/s13643-021-01731-4. Syst Rev. 2021. PMID: 34108044 Free PMC article.
-
Surgery for Family Planning, Abortion, and Postabortion Care.In: Debas HT, Donkor P, Gawande A, Jamison DT, Kruk ME, Mock CN, editors. Essential Surgery: Disease Control Priorities, Third Edition (Volume 1). Washington (DC): The International Bank for Reconstruction and Development / The World Bank; 2015 Apr 2. Chapter 7. In: Debas HT, Donkor P, Gawande A, Jamison DT, Kruk ME, Mock CN, editors. Essential Surgery: Disease Control Priorities, Third Edition (Volume 1). Washington (DC): The International Bank for Reconstruction and Development / The World Bank; 2015 Apr 2. Chapter 7. PMID: 26741012 Free Books & Documents. Review.
Cited by
-
Family planning integration in Ethiopia's primary health care system: a qualitative study on opportunities, challenges and best practices.Reprod Health. 2023 Dec 1;20(1):176. doi: 10.1186/s12978-023-01709-6. Reprod Health. 2023. PMID: 38041131 Free PMC article.
-
Prevalence and predictors of post-abortion modern contraceptive utilization among reproductive age women in Ethiopia.Sci Rep. 2023 Sep 23;13(1):15932. doi: 10.1038/s41598-023-42911-7. Sci Rep. 2023. PMID: 37741903 Free PMC article.
-
Post-abortion contraceptive utilization and associated factors among women who attended abortion services: A health facility cross-sectional study.SAGE Open Med. 2024 Feb 14;12:20503121231223617. doi: 10.1177/20503121231223617. eCollection 2024. SAGE Open Med. 2024. PMID: 38357403 Free PMC article.
-
Post-abortion contraceptive uptake, choices, and factors associated with it among women seeking abortion services in Africa: a systematic review and meta-analysis.Front Glob Womens Health. 2025 Jun 16;6:1478797. doi: 10.3389/fgwh.2025.1478797. eCollection 2025. Front Glob Womens Health. 2025. PMID: 40589863 Free PMC article.
-
Post-abortion family planning use and its determinants among women who received abortion care in sub-Saharan Africa: a systematic review and meta-analysis.Syst Rev. 2025 Jun 10;14(1):126. doi: 10.1186/s13643-025-02837-9. Syst Rev. 2025. PMID: 40495240 Free PMC article.
References
-
- WHO . Maternal Mortality. (2017). Avaliable online at: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality (Accessed May 20, 2021).
-
- WHO . Preventing Unsafe Abortion. (2020). Available online at: https://www.who.int/news-room/fact-sheets/detail/preventing-unsafe-abortion
-
- Bearak J, Popinchalk A, Ganatra B, Moller A-B, Tunçalp Ö, Beavin C, et al. . Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990–2019. Lancet Globl Health. (2020) 8:e1152–e61. 10.1016/S2214-109X(20)30315-6 - DOI - PubMed
LinkOut - more resources
Full Text Sources