MAGNITUDE OF INDUCED ABORTION AND ASSOCIATED FACTORS AMONG WOMENS WHO SEEK POST ABORTION CARE AT CHIRO GENERAL HOSPITAL, OROMIA, ETHIOPIA

Abstract

Background: Induced Abortion is the intentional termination of a pregnancy before the fetus can live independently. An abortion may be elective (based on a woman's personal choice) or therapeutic (to preserve the health or save the life of a pregnant woman). Approximately 20 million unsafe abortions are performed worldwide every year. From the studies conducted in our country, Ethiopia, we can see that the prevalence of induced abortion and its negative consequences are increasing from time to time and thus related information needed to make aware the magnitude of the problem to those professionals who give abortion care services especially in this hospital and to make informed decision towards prevention of this major reproductive health problem. Objective: To assess magnitude and associated factors of induced abortion among women who seek post abortion care from sep 1, 2016 up to sep 1, 2018 G.C at Chiro General Hospital. Data was collected from july, 15-25/2018. Method: A facility based cross-sectional study design was conducted among women who seek post abortion care using a structured questionnaire with a calculated sample size of 422. Using simple random sampling technique, Data was collected with all women who recieved post induced abortion care that fulfilled the inclusive criteria were included in the study and study was carried out from july,15 -2018 up to july, 25- 2018 . Statistical software Epi data version 3.1 and SPSS version 23 was used. Descriptive statistics, bi variate and multivariate logistic regression models for identifying the association was used; interpreting the degree of association, Odds Ratios (ORs) with 95 % Confidence Intervals was computed & p - value < 0.05 was considered as significantly associated with the dependent variable. Results: A total of 182(43.1%) induced abortions were detected from 422 participants. Majority of the womens 53(71.9%) were aged 15–19 years and relatively equal 91(44%) & 91(42%) were from the urban and rural area. moreover, 74 (83%) were students. 89 (43 %) were Muslims followed by orthodox Christians 81(47.3). Those variables which were significant at P< 0.05 in binary logistic regression entered into multivariate logistic regressions. four independent variables were analyzed in logistic regression with outcome variable to know their association. This multivariate analysis had identified that participant’s age, occupation, and reason of abortion had significantly associated with induced abortion. x Those participants whose age were in between 15-19 had 2.8 times [95% CI: AOR, 2.8(1.03- 7.8), p-value = 0.044] more likely to carry out induced abortion than those who age were >40 years, Participants’ who were students in their occupation were 5.4 times [95% CI: AOR, 5.4 (1.3 - 22.6), p-value=0.021] more likely to had induced abortion compared to Participants who were house wives. Additionaly, clients who came due to Incest&Rape were 12 and 6.8 times more likely to carry out Induced abortion Compared to clients who came due to medical problems[(95% CI: AOR, 12(1.3-109.8), p-value=0.027) and (95% CI: AOR, 6.8(2.1-22.4), pvalue= 0.002)] respectively. Conclusion: Generally, the study revealed a high level of induced abortion; this implied that unwanted pregnancy is high among the aborted clients in the study area. In this study, age, occupation and reasons of abortion were significantly associated with induced abortion. Recommendations For Chiro General Hospital Since Induced abortion was high; increased access to high-standard family planning service, strict counseling about family planning method, and partner involvement in family planning service should be emphasized.