Post Abortion Family Planning Utilization and Associated Factors Among Women Received Abortion Services at Adama Hospital Medical College, Oromia, Ethiopia

Abstract

Worldwide post abortion contraceptive prevalence varies within a range of from 69% in Eastern and Southern Europe to 78% in Northern Europe. In Asia, South America and Africa post-abortion family planning utilization variation is ranging from 61 to 97%. In Ethiopia 48– 59% of clients left their institution with post-abortion family planning services which showed wide variations in the percentage of women who received post-abortion contraception. Post-abortion family planning has been proposed as a key strategy to decrease unintended pregnancy and repeat induced abortions. Now it is important to investigate the level post abortion family planning and act on the factors accordingly. So this study aimed to assess post abortion family planning utilization and associated factors among women getting abortion services at Adama Hospital Medical College, 2021. Method: Institutional based cross-sectional study was conducted from january-1 to february-28, 2021. A sample of 471 women were enrolled consecutively. Data was collected by semi-structured questionnaires which were administered via face to face interview. Data was entered using Epi-Info version 7 then exported to SPSS version 20 for processing and analysis. Descriptive statistics was used to explore the participant’s characteristics. Binary & multiple logistic regression was used to assess the association between dependent & independent variables. The magnitude of association between dependent & independent variables were measured by odds ratios along with estimated 95% confidence interval. Finally the significance of association was declared by p-value of less than 0.05. Results: The magnitude of post abortion contraceptive was found to be 73.9% (95% CI: 70.1-77.9). The odds of using post abortion family planning for women having diploma level of education was 28.37 (AOR=28.37; 95% CI: 4.09-196.834) times higher than those having no formal educations. After surgical termination the odds of post abortion contraceptive use was 58.9% (AOR=0.411; 95% CI: 0.169-0.991) times lesser than for medical abortion. Conclusion & recommendations: The magnitude of post abortion family planning in this study seems lesser. Independent predictors like maternal education, procedure done, counseling, reason of termination and knowledge status were significantly associated with the outcome variable. So attention should be given for counseling & level of education for consistent & efficient use.