Melkamu Yilma, Enquselassie Fikre, Ali Ahmed, Gebresilassie Hailemichael, Yusuf Lukman
Pathfinder International, Addis Ababa, Ethiopia.
Ethiop Med J. 2005 Jul;43(3):137-49.
Unsafe abortion is the leading cause of maternal death in Ethiopia. It is also known to cause several acute and long-term complications leading to disabilities. In countries like Ethiopia where there is no access to safe abortion, improvement of the available postabortion care services is an important strategy.
The aim of the study is to assess the quality of health services with respect to postabortion care in hospitals in Addis Ababa, Ethiopia.
A cross sectional survey on quality of postabortion care was conducted among 422 postabortion patients attending four hospitals in Addis Ababa. Additionally, 42 service providers involved in providing postabortion care services were interviewed. Direct service delivery observation and inventory of equipment and supplies were also conducted. The data were analyzed using Statistical Package for Social Sciences.
Interaction between service providers and patients was found to be satisfactory whereas information provision on important aspects of care such as danger signs and follow-up needs were very limited. Only about 20% and 3% received family planning counseling and contraceptive methods respectively. Other reproductive health related issues such as STIs and HIV/AIDS were rarely raised by the service providers during caring for the patients. Overall 92.3% of the patients responded that they were satisfied with the services they have received.
The study has shown several missed opportunities and indicated important areas for future service delivery improvement.
不安全堕胎是埃塞俄比亚孕产妇死亡的主要原因。众所周知，它还会导致多种急性和长期并发症，进而导致残疾。在像埃塞俄比亚这样无法获得安全堕胎服务的国家，改善现有的堕胎后护理服务是一项重要策略。
本研究的目的是评估埃塞俄比亚亚的斯亚贝巴各医院堕胎后护理方面的卫生服务质量。
对在亚的斯亚贝巴四家医院就诊的422名堕胎后患者进行了关于堕胎后护理质量的横断面调查。此外，还对42名提供堕胎后护理服务的服务提供者进行了访谈。还进行了直接服务提供观察以及设备和用品盘点。使用社会科学统计软件包对数据进行了分析。
发现服务提供者与患者之间的互动令人满意，而关于护理重要方面（如危险信号和随访需求）的信息提供非常有限。分别只有约20%和3%的患者接受了计划生育咨询和避孕方法。在护理患者期间，服务提供者很少提及其他与生殖健康相关的问题，如性传播感染和艾滋病毒/艾滋病。总体而言，92.3%的患者表示对所接受的服务感到满意。
该研究显示出了几个错失的机会，并指出了未来服务提供改进的重要领域。
