Abdi Jemilla, Gebremariam Mulugeta B
University of Gondar, School of Health Sciences, Department of Midwifery, Gondar, Ethiopia.
Afr J Reprod Health. 2011 Mar;15(1):31-6.
In Ethiopia, unsafe abortion accounts up to 32% of maternal deaths. The perception of health providers towards safe abortion provision at selected health facilities in Addis Ababa, Ethiopia was assessed. A stratified random sampling was used to select 431 health providers. A cross-sectional study was conducted from March 25-April 15, 2008 using a structured self-administered questionnaire. The results were interpreted using descriptive statistics and odds ratios. A majority of the health providers (96.4%) recognized that unsafe abortion was a serious health problem. Providers who had safe abortion practice were 2.57 (95% CI 1.49-4.44) times more likely to have favorable attitude towards safe abortion than those without practice. Similarly, providers who knew the law governing abortion were 1.77 (95% CI 1.12-2.78) times more likely to have this favorable attitude than those who lack this knowledge. In conclusion, training of health providers on safe abortion and reproductive rights are essential to reduce maternal mortality.
在埃塞俄比亚，不安全堕胎导致的死亡占孕产妇死亡总数的32%。对埃塞俄比亚亚的斯亚贝巴部分医疗机构中医疗服务提供者对提供安全堕胎服务的看法进行了评估。采用分层随机抽样法选取了431名医疗服务提供者。于2008年3月25日至4月15日使用结构化自填问卷进行了一项横断面研究。结果采用描述性统计和比值比进行解读。大多数医疗服务提供者（96.4%）认识到不安全堕胎是一个严重的健康问题。有安全堕胎实践经验的提供者对安全堕胎持支持态度的可能性是没有实践经验者的2.57倍（95%置信区间1.49 - 4.44）。同样，了解堕胎相关法律的提供者持这种支持态度的可能性是不了解者的1.77倍（95%置信区间1.12 - 2.78）。总之，对医疗服务提供者进行安全堕胎和生殖权利方面的培训对于降低孕产妇死亡率至关重要。
