Enyew Mihretu Molla
Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, PO box 196, Gondar, Ethiopia.
BMC Pregnancy Childbirth. 2020 Nov 10;20(1):676. doi: 10.1186/s12884-020-03382-0.
In developing countries, abortion is often unsafe and a significant cause of maternal morbidity and mortality accounting for about 8% (4.7-13.2%) of maternal mortality worldwide. Internationally, safe abortion services are recognized as reducing maternal mortality, and liberalized abortion laws are associated with reduced mortality resulting from unsafe abortion procedures. However, health care providers have moral, social and gender-based reservations that affects their willingness towards providing induced abortion services. The purpose of this study was to assess willingness to perform induced abortion and associated factors among graduating Midwifery, Medical, Nursing, and Public health officer students of University of Gondar.
Institution based cross sectional study was conducted from March 29 to May 30, 2019. All graduating students available during data collection period were considered as study population. Stratified simple random sampling technique was used to select 424 study participants. Pre tested, semi- structured, self-administered questionnaire was used to collect data. Data analysis was done using SPSS version 20. Ethical clearance was obtained from School of midwifery under the delegation of institutional review board of university of Gondar.
Two hundred ninety students out of 424 students were willing to perform induced abortion for indications supported by Ethiopian abortion law, making a proportion of 68.4% (95%Cl: 64.2, 72.9). Sex (Being male (AOR = 4.89, 95%CI: 3.02, 7.89)), religion (being orthodox than protestant (AOR = 10.41, 95%CI: 3.02, 21.57)), being Muslim than protestant (AOR = 5.73, 95%CI: 1.37, 15.92)) and having once or less a week religious attendance (AOR = 2.00, 95% CI: 1.20, 3.34) were factors associated with willingness towards performing induced abortion.
According to this study willingness of students towards providing induced abortion services was good. However female students, protestant followers and those students with more than once a week religious attendance should be encouraged to support women's access to induced abortion services by referring them to other health care professionals willing to provide induced abortion services.
在发展中国家，堕胎往往不安全，是孕产妇发病和死亡的一个重要原因，约占全球孕产妇死亡的8%（4.7 - 13.2%）。在国际上，安全堕胎服务被认为可降低孕产妇死亡率，而放宽堕胎法律与不安全堕胎程序导致的死亡率降低相关。然而，医疗保健提供者在道德、社会和性别方面存在保留意见，这影响了他们提供人工流产服务的意愿。本研究的目的是评估贡德尔大学即将毕业的助产、医学、护理和公共卫生官员专业学生进行人工流产的意愿及相关因素。
2019年3月29日至5月30日进行了基于机构的横断面研究。数据收集期间所有可获得的即将毕业的学生被视为研究人群。采用分层简单随机抽样技术选取424名研究参与者。使用预先测试的、半结构化的、自我管理的问卷收集数据。使用SPSS 20版进行数据分析。在贡德尔大学机构审查委员会的授权下，获得了助产学院的伦理批准。
424名学生中有290名学生愿意为埃塞俄比亚堕胎法支持的适应症进行人工流产，比例为68.4%（95%CI：64.2，72.9）。性别（男性（优势比 = 4.89，95%CI：3.02，7.89））、宗教（东正教徒比新教徒（优势比 = 10.41，95%CI：3.02，21.57））、穆斯林比新教徒（优势比 = 5.73，95%CI：1.37，15.92））以及每周参加宗教活动一次或更少（优势比 = 2.00，95%CI：1.20，3.34）是与进行人工流产意愿相关的因素。
根据本研究，学生提供人工流产服务的意愿良好。然而，应鼓励女学生、新教信徒以及那些每周参加宗教活动不止一次的学生，通过将有需求的妇女转介给愿意提供人工流产服务的其他医疗保健专业人员，来支持妇女获得人工流产服务。
