Balcha Tegenu, Semahegn Agumasie, Tamiru Dawit, Yadeta Elias, Abdisa Lemesa, Tesfaye Gezahegn
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
SAGE Open Med. 2022 Jun 27;10:20503121221107792. doi: 10.1177/20503121221107792. eCollection 2022.
The main aim of this study was to assess health care providers' attitudes toward safe abortion services and its associated factors in public health facilities of Harar city, Eastern Ethiopia.
Facility-based cross-sectional study was conducted among 411 health care providers who were working at public health facilities in Harari regional state, in eastern Ethiopia. A simple random sampling technique was used to select study participants. Data were collected using self-administered questionnaires, and collected data were entered into EpiData version 4.6 and then exported to SPSS version 26 for cleaning and analysis. Descriptive statistics, bivariable, and multivariable logistic regression analysis were carried out to compute the prevalence of the outcome variables and to identify factors associated with the outcome variable, respectively. Adjusted odds ratio at 95% confidence interval and p-value < 0.05 was used to declare a significant association.
More than half (58.4%, 95% confidence interval: 53.8-63.2) of the health care providers had a favorable attitude toward safe abortion care. Being male (adjusted odds ratio = 2.90; 95% confidence interval: 1.80-4.65), ever trained on safe abortion (adjusted odds ratio = 2.55; 95% confidence interval: 1.39-4.66), familiarity with the current abortion law of Ethiopia (adjusted odds ratio = 2.38; 95% confidence interval: 1.40-4.05), preference of unrestricted abortion law (adjusted odds ratio = 1.86; 95% confidence interval: 1.15-3.02), and being medical doctors or health officers (adjusted odds ratio = 1.90; 95% confidence interval: 1.06-3.41) were the factors significantly associated with health care providers' favorable attitude toward safe abortion care.
Approximately three in five of the health care providers working at public health facilities had a favorable attitude toward safe abortion care in eastern Ethiopia. We suggest giving pre-service or in-service training on safe abortion care and supporting health care providers to be familiar with the country's abortion laws are crucial to improve health care providers' attitudes toward safe abortion service in Ethiopia.
本研究的主要目的是评估埃塞俄比亚东部哈勒尔市公共卫生机构中医疗服务提供者对安全堕胎服务的态度及其相关因素。
在埃塞俄比亚东部哈勒尔地区州公共卫生机构工作的411名医疗服务提供者中进行了基于机构的横断面研究。采用简单随机抽样技术选择研究参与者。使用自填式问卷收集数据，收集的数据录入EpiData 4.6版本，然后导出到SPSS 26版本进行清理和分析。分别进行描述性统计、双变量和多变量逻辑回归分析，以计算结果变量的患病率并确定与结果变量相关的因素。使用95%置信区间的调整比值比和p值<0.05来表明存在显著关联。
超过一半（58.4%，95%置信区间：53.8 - 63.2）的医疗服务提供者对安全堕胎护理持积极态度。男性（调整比值比 = 2.90；95%置信区间：1.80 - 4.65）、接受过安全堕胎培训（调整比值比 = 2.55；95%置信区间：1.39 - 4.66）、熟悉埃塞俄比亚现行堕胎法律（调整比值比 = 2.38；95%置信区间：1.40 - 4.05）、倾向于无限制堕胎法律（调整比值比 = 1.86；95%置信区间：1.15 - 3.02）以及是医生或卫生官员（调整比值比 = 1.90；95%置信区间：1.06 - 3.41）是与医疗服务提供者对安全堕胎护理持积极态度显著相关的因素。
在埃塞俄比亚东部，在公共卫生机构工作的医疗服务提供者中约五分之三对安全堕胎护理持积极态度。我们建议提供关于安全堕胎护理的岗前或在职培训，并支持医疗服务提供者熟悉该国的堕胎法律，这对于改善埃塞俄比亚医疗服务提供者对安全堕胎服务的态度至关重要。
