巴希尔达镇医疗机构寻求堕胎服务的妇女堕胎后计划生育利用及其相关因素的研究——埃塞俄比亚西北部基于机构的横断面研究
Magnitudes of post-abortion family planning utilization and associated factors among women who seek abortion service in Bahir Dar Town health facilities, Northwest Ethiopia, facility-based cross-sectional study.
机构信息
Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia.
School of Public Health, Bahir Dar University, Bahir Dar, Ethiopia.
出版信息
PLoS One. 2021 Jan 20;16(1):e0244808. doi: 10.1371/journal.pone.0244808. eCollection 2021.
INTRODUCTION
Globally an estimated 55.9 million abortions occur each year. The majority of abortions occur due to unintended pregnancies, which is a result of the non-use of family planning methods. World health organization recommends all clients to utilize modern contraceptive methods after any abortion procedure. However, post-abortion family planning utilization is still low in Ethiopia including the study area. Therefore, this study was expected to determine the utilization of post-abortion family planning and associated factors in Bahir Dar city health facilities in Northwest Ethiopia.
METHOD
Institution based cross-sectional study was conducted among 408 women from March 1 to April 30, 2019. Data were collected through face-to-face interview using a structured and pre-tested questionnaire. Systematic random sampling was used to select the study participants. Data were cleaned, coded, and entered into epi data and exported to SPSS for further analysis. Both bivariable and multivariable logistic regression were employed. Those variables that had a p-value of less than 0.2 during the bivariate analysis were retained for the multivariable analysis. P-value and confidence interval were used to measure the level of significance on multi-variable analysis and those variables whose P-value, less than 0.05 was considered as statistically significant.
RESULTS
The finding of this study showed that the magnitude of post-abortion family planning (PAFP) utilization was 61% with 95% CI (55, 65). Secondary education level(AOR, 4.58; 95% CI (1.96, 10.69)), certificate and above education level (AOR, 3.06; 95% CI (1.32, 7.08)), Manual Vacuum Aspiration(MVA) (AOR, 7.05; 95% CI (2.94, 16.90)), both medication and Manual Vacuum Aspiration (AOR, 5.34; 95% CI (2.56, 11.13)) and received Post Abortion Family Planning (PAFP) counseling (AOR, 5.99; 95% CI (3.23, 11.18)) were significantly associated with PAFP utilization.
CONCLUSION
Post-abortion family planning utilization in Bahir Dar health facilities was low compared with the national figure. Secondary and above educational level, respondents who were managed by Manual Vacuum Aspiration (MVA), both Manual Vacuum Aspiration (MVA) and medication and receiving Post Abortion Family Planning (PAFP) counseling were predictors of post-abortion family planning service utilization.
简介
全球每年估计有 5590 万例堕胎。大多数堕胎是由于意外怀孕造成的，这是由于没有使用计划生育方法的结果。世界卫生组织建议所有客户在任何堕胎手术后使用现代避孕方法。然而，在包括研究区域在内的埃塞俄比亚，堕胎后计划生育的利用率仍然很低。因此，本研究旨在确定在埃塞俄比亚西北部的巴赫达尔市医疗机构中，堕胎后计划生育的利用情况及其相关因素。
方法
这是一项 2019 年 3 月 1 日至 4 月 30 日期间在 408 名妇女中进行的基于机构的横断面研究。通过面对面访谈使用结构化和预测试问卷收集数据。系统随机抽样用于选择研究参与者。数据经过清理、编码并输入 epi 数据，然后导出到 SPSS 进行进一步分析。采用单变量和多变量逻辑回归。在单变量分析中 p 值小于 0.2 的变量被保留用于多变量分析。p 值和置信区间用于测量多变量分析的显著性水平，p 值小于 0.05 的变量被认为具有统计学意义。
结果
本研究结果表明，堕胎后计划生育（PAFP）的利用程度为 61%，95%CI（55，65）。中等教育程度（AOR，4.58；95%CI（1.96，10.69））、证书及以上教育程度（AOR，3.06；95%CI（1.32，7.08））、手动真空抽吸（MVA）（AOR，7.05；95%CI（2.94，16.90））、药物和手动真空抽吸（AOR，5.34；95%CI（2.56，11.13））和接受堕胎后计划生育（PAFP）咨询（AOR，5.99；95%CI（3.23，11.18））与 PAFP 的利用显著相关。
结论
与全国数据相比，巴赫达尔卫生机构的堕胎后计划生育利用率较低。中等及以上教育程度、接受手动真空抽吸（MVA）治疗的受访者、同时接受手动真空抽吸（MVA）和药物治疗以及接受堕胎后计划生育（PAFP）咨询的受访者是堕胎后计划生育服务利用的预测因素。
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