埃塞俄比亚西南部甘贝拉保健机构育龄妇女对堕胎护理的知识、态度和做法评估

Ataguadil Mekonnen, Zemnu Awoke
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引用次数: 2

摘要

流产是妊娠期出血的一个重要原因。它是发展中国家产妇死亡的五大主要原因之一。此外,在发展中国家,堕胎是孕产妇死亡的主要原因,考虑到堕胎造成的孕产妇死亡人数巨大,在埃塞俄比亚,安全堕胎占60%。本研究的目的是评估KAP育龄妇女在甘贝拉保健机构接受堕胎护理的情况。将于2019年8月15日至9月30日在甘贝拉镇的4个卫生机构进行一项基于机构的横断面研究。采用系统随机抽样的方法,选取412名孕妇。数据将被编码并输入Epi-info 3.1版本,导出到SPSS V-20进行清洗和分析。双变量logistic回归分析纳入截止p值<0.25的自变量。在多变量的二元逻辑回归分析中,评估各种解释变量对因变量的独立影响,并控制潜在的混杂因素。考虑P值<0.05来识别与因变量相关的显著因素。在抽样调查的422名育龄妇女(15-49岁)中,有412人接受了采访,回复率为97.6%。39.1%的受访者对合法堕胎服务有所了解,69.5%的育龄妇女对安全堕胎的认识不足,认为堕胎是违背上帝的罪的有174人(42.2%),认为堕胎是好的有52人(12.5%),认为堕胎是有害的有67人(16.2%),不知道的有40人(9.6%)。对安全堕胎的态度约有102名育龄妇女(29.9%)对安全堕胎在任何情况下都是合法和可及的持积极态度。322例(78.1%)中,大多数患者至少知道一种流产并发症。其中405人(98.3%)至少有过一次性行为。仅有66人(16.3%)有过人工流产经历。结论与建议:30.5%以上的受访者对人工流产的认识不足,29.9%以上的受访者对人工流产的认识不足,持消极态度。因此,应加强健康教育,提高对人工流产的认识和认识,加强对人工流产的实践,加强计划生育的实施。
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Assessment of Knowledge, Attitude and Practice Women of Reproductive Age Group Towards Abortion Care at Gambella Health Facilities, South West of Ethiopia
Abortion is an important cause of bleeding during pregnancy. It is one of the five Leading causes of maternal death in the developing world. Moreover, in developing country, abortion is the major cause of maternal mortality, which in Ethiopia safe abortion accounts 60% considering the huge number of maternal deaths due to abortion. The aim of this study is to Assessment of KAP Women of Reproductive Age Group towards Abortion Care at Gambella health facilities. An institutional based cross-sectional study will be conducted at 4 Health facilities in Gambella town from August 15 to September 30, 2019. A total of 412 pregnant women will be selected by systematic random sampling technique. Data will be coded and entered into Epi-info version 3.1 and exported to SPSS V-20 for cleaning and analysis. At bivariate logistic regression analysis, independent variables with cut off P-value<0.25 was included. In the multivariable binary logistic regression analyses were used to assess the independent effect of various explanatory variables on the dependent and to control potential confounder. P values <0.05 were considered to identify the significant factors associated with the dependent variable. Out of 422 sampled women of reproductive age group (15-49 years of age), 412 were interviewed making up a response rate of 97.6%. The majority of 39.1% participants had knowledge about legal abortion service and 69.5% of women in reproductive age group had inadequate knowledge towards safe abortion and who think about abortion, 174 (42.2%) were said that it is Sin against God, 52 (12.5%) were said that it is good, 67 (16.2%) were said that it is harm full practice and 40 (9.6%) were they don’t knew. Attitude towards safe abortion about, One hundred Eight two (29.9%) women of reproductive age group have positive attitude towards safe abortion to be legal and accessible under any circumstance. The majority of 322 (78.1%), of them knew at least one type of abortion complication. From the total respondents 405 (98.3%) of them had sexual intercourse at least once. Only 66 (16.3%) of respondents had induced abortion before. Conclusion and Recommendation: More than 30.5%, 29.9% of the respondents were inadequate knowledge and lacking knowledge and had negative attitude towards induced abortion respectively. Therefore, it would be better to disseminate health education to increase awareness and knowledge, Practice regarding induced abortion and also strengthening family planning implementation.
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