INTENTION TO USE POST ABORTION CONTRACEPTIVE AND ASSOCIATED FACTORS AMONG WOMEN VISITING HEALTH FACILITIES FOR ABORTION CARE IN HARARI REGION AND DIRE DAWA CITY ADMINISTRATION, EASTERN ETHIOPIA

Abstract

Background: Intention defined as expressed motivation to perform some behavior. In Ethiopia one hundred women die in health facilities each year from abortion-related complications. Ethiopian Ministry of Health has led integrating safe abortion and post abortion contraception but there is high abortion rate around study area additionally there is no clear evidence showing about intention to use post abortion contraceptive using behavioral model which is mandatory to study intention behavior. Objective: This study tried to assess intention to use post abortion contraceptive and associated factors among women visiting health facilities for abortion services in Harari region and Dire Dawa City Administration, eastern Ethiopia, March 1-April 6, 2019. Methods: an institutional based cross -sectional study design was conducted. It was done among 609 women. Sequential sampling technique was used. Structured questioner and interview data collection method was used for data collection. Data were coded and entered using EpiData version 3.1 software and exported to SPSS window version 20. Binary logistic regression was done. Variable which have P≤0.25 in the bivariable analysis was entered in to the multivariable analysis. Variables with p<0.05 were declared as statistically significant. Result: The overall magnitude of intention to use post abortion contraceptive was 74.7% (95% CI: 71.3-78.2). Women who had contraceptive use history, no pregnancy plan within the next two years , positive attitude ,high level of subjective norm and high level of perceived behavioral control were found positive association with intention to use post abortion contraceptive with AOR and 95%CI of 2.580;(1.216-5.473), 2.859 ; (1.451-5.635), 3.335; (1.831-6.077), 3.348; (1.805- 6.210)], 6.784; (3.650-12.607) respectively. Women who were divorced and had wanted pregnancy abortion were negatively associated with intention to use post abortion contraceptive with AOR and 95%CI of 0.149; (0.039-0.578), 0.336; (0.153-0.735) respectively. Conclusion and Recommendations- Generally, there was good magnitude of intention towards contraceptive after abortion service. Marital status, contraceptive use history, desire for pregnancy, plan for pregnancy with in the next 2 years, attitude, level of subjective norm and level of perceived behavioural control were an independent factors of women’s intention towards post abortion contraceptive use. To increase women’s intention, it is better to direct the counseling method for improving women attitude and ability to control behavior.