Motuma Venus Shewangizaw, Yadeta Tesfaye Assebe, Alemu Addisu, Yuya Mohammed, Eshetu Bajrond, Balis Bikila, Bekana Miressa, Merga Bedasa Taye, Oljira Lemessa
CARE International Ethiopia, Nutrition Project, Harar, Ethiopia.
School of Nursing and Midwifery, College of Health and Medical Science, Haramaya University, Harar, Ethiopia.
Front Reprod Health. 2022 Jun 16;4:860514. doi: 10.3389/frph.2022.860514. eCollection 2022.
Postabortion family planning is a part of comprehensive package of postabortion care. However, it did not receive due attention to break the cycle of repeated abortion, unintended pregnancies, and abortion-related maternal morbidity and mortality. Therefore, this study aimed to determine the utilization of postabortion family planning and associated factors among women attending abortion service in Dire Dawa health facilities, Eastern Ethiopia.
A facility-based cross-sectional study design was employed among 483 clients who sought abortion service in Dire Dawa from 15 May to 30 June 2020. A structured interviewer-administered questionnaire was used for data collection. The collected data were entered into EpiData version 3.2 and exported to SPSS version 22 for analysis. The multivariate logistic regression models were fitted to identify factors associated with utilization of postabortion family planning. Adjusted odds ratios (AORs) along with 95% CI were estimated to measure the strength of the association and statistical association was declared statistical at a -value < 0.05.
More than three-fourths (77.8%) [95% CI: (73.4-81.6%)] of respondents were utilized postabortion family planning methods. Respondents with age 15-24 years [AOR: 5.59, (95% CI: (1.5, 19.7)], attended postsecondary [AOR: 7.6, (95% CI: (2.7, 21.2)], single marital status [AOR: 11.1, (95% CI: (4.6, 26.5)], a monthly income 500-1,000 birr [AOR: 7.9, (95% CI: (3.2, 19.4)], parity ≥ 5 [AOR: 0.41, (95% CI: (0.18, 0.92)], desire of current pregnancy [AOR: 4.2, (95% CI: (1.9, 9.3)], and ever used family planning [AOR: 4.4, (95% CI: (2.2, 8.9)] were major factors significantly associated with postabortion family planning utilization.
In this study, more than three-fourths of respondents utilize postabortion family planning. Most of the factors associated with postabortion family planning were modifiable. Therefore, policymakers and health planners need to integrate with comprehensive abortion care to improve the utilization of postabortion family planning.
流产后计划生育是流产后综合护理套餐的一部分。然而，它并未得到应有的重视，无法打破重复流产、意外怀孕以及与流产相关的孕产妇发病率和死亡率的循环。因此，本研究旨在确定埃塞俄比亚东部迪雷达瓦卫生设施中接受流产服务的女性对流产后计划生育的利用率及相关因素。
2020年5月15日至6月30日期间，在迪雷达瓦寻求流产服务的483名服务对象中采用了基于机构的横断面研究设计。使用结构化的访谈式问卷进行数据收集。收集到的数据录入EpiData 3.2版本，并导出到SPSS 22版本进行分析。采用多变量逻辑回归模型来确定与流产后计划生育利用率相关的因素。估计调整后的优势比（AOR）以及95%置信区间，以衡量关联强度，当P值<0.05时宣布存在统计学关联。
超过四分之三（77.8%）[95%置信区间：（73.4 - 81.6%）]的受访者采用了流产后计划生育方法。年龄在15 - 24岁的受访者[AOR：5.59，（95%置信区间：（1.5，19.7）]、接受过高等教育的[AOR：7.6（95%置信区间：（2.7，21.2）]、单身婚姻状况的[AOR：11.1，（95%置信区间：（4.6，26.5）]、月收入500 - 1000比尔的[AOR：7.9，（95%置信区间：（3.2，19.4）]、产次≥5的[AOR：0.41，（95%置信区间：（0.18，0.92）]、当前怀孕意愿的[AOR：4.2，（95%置信区间：（1.9，9.3）]以及曾经使用过计划生育的[AOR：4.4，（95%置信区间：（2.2，8.9）]是与流产后计划生育利用率显著相关的主要因素。
在本研究中，超过四分之三的受访者采用了流产后计划生育。与流产后计划生育相关的大多数因素是可改变的。因此，政策制定者和卫生规划者需要将其与全面的流产护理相结合，以提高流产后计划生育的利用率。
