School of nursing, Wolaita Sodo University, Wolaita, Ethiopia.
School of Public Health, Wolaita Sodo University, Wolaita, Ethiopia.
BMC Womens Health. 2024 May 14;24(1):287. doi: 10.1186/s12905-024-03139-3.
The client's satisfaction after abortion care is the key to sustaining abortion care and increasing the health status of those who had complications from abortion. Nevertheless, research conducted in Ethiopia stated that the major problem is the need for post-abortion care for females. One of the ways to improve the qualities involved in post abortion care and decrease the mortality and morbidity rates caused by unsafe abortion is by ensuring client satisfaction with abortion care. Strategy making and policy formulation based on systematic review take on the highest priority in developing countries. However, although some independent studies had been carried out in Ethiopia, their findings might not have been representative and conclusive. The main purpose of this systematic review and meta-analysis article is to establish the proportion of abortion clients who are satisfied with their abortion care and the factors that contribute to such satisfaction among clients in Ethiopia.
Only published articles were considered in this review. The main databases included Medline/Pubmed, Web of Science, Embase, Cinael, Med Nar, Google Scholar, Scopus, the Ethiopian University Repository Online, and the Cochrane Library. The review includes cross-sectional studies that meet the requirements and were written in English. A random effects model was used to calculate the pooled prevalence of client satisfaction with abortion care. The study heterogeneity was tested using Cochrane Q-Static and I2. Publication bias was checked using the Eggers test and funnel plot. PRISMA was used to select and direct the selection of articles for this review. Statistical analyses were conducted using STATA version 14.
A review of ten studies comprised 2740 women. In summary, the pooled prevalence of client's satisfaction with abortion care in Ethiopia was 56.13% [95% CI (42.35; 69.91), I2 = 99.1%, p < 0.001]. In terms of subgroup analysis, Gambella had the highest prevalence of client satisfaction with abortion care at 87.40% [95% CI: 82.38 and 91.82]. However, Amhara had the lowest: 25.00% [95% CI: 21.59, 28.41]. The review also found that client satisfaction with abortion care had a statistical correlation with the type of procedure [OR: 0.25, CI [0.07, 0.42], I2: 76.9%, p-value: 0.041] and the participant's education level [OR: 0.29, CI [0.09, 0.48], I2: 80.4%, p-value: 0.006].
This review found that 56% of Ethiopian women were satisfied with their abortion care. Since this requires a boost to the quality of abortion care in the health facility, understanding women's expectations and perceptions, training of health care providers, and strict monitoring of the quality of abortion care services by stakeholders like the Ethiopian government, non-governmental organizations, and high-level management of the health facility would help to improve the level of women's satisfaction with abortion care. Those factors, namely, the type of method to use for the patient and women's educational level, should be changed through improving awareness among the patients about what procedure to conduct and the health education provided to women about abortion care.
客户对堕胎护理的满意度是维持堕胎护理和提高堕胎并发症患者健康状况的关键。然而，在埃塞俄比亚进行的研究表明，主要问题是需要为女性提供堕胎后护理。提高堕胎后护理质量，降低不安全堕胎造成的死亡率和发病率的方法之一是确保客户对堕胎护理的满意度。基于系统评价制定战略和政策在发展中国家具有最高优先级。然而，尽管埃塞俄比亚已经进行了一些独立研究，但它们的结果可能没有代表性和结论性。本文进行系统回顾和荟萃分析的主要目的是确定对堕胎护理满意的堕胎客户的比例，以及导致客户满意度的因素。
本综述仅考虑已发表的文章。主要数据库包括 Medline/Pubmed、Web of Science、Embase、Cinael、Med Nar、Google Scholar、Scopus、埃塞俄比亚大学在线知识库和 Cochrane 图书馆。综述包括符合要求并以英文撰写的横断面研究。使用随机效应模型计算客户对堕胎护理满意度的汇总流行率。使用 Cochrane Q-Static 和 I2 测试研究异质性。使用 Eggers 检验和漏斗图检查发表偏倚。PRISMA 用于选择和指导本文综述的文章选择。使用 STATA 版本 14 进行统计分析。
对十项研究进行综述，共纳入 2740 名女性。总的来说，埃塞俄比亚客户对堕胎护理的满意度汇总流行率为 56.13%[95%CI（42.35；69.91）]，I2=99.1%，p<0.001]。在亚组分析中，甘贝拉地区客户对堕胎护理的满意度最高，为 87.40%[95%CI：82.38 和 91.82]。然而，阿姆哈拉地区的满意度最低，为 25.00%[95%CI：21.59，28.41]。该综述还发现，客户对堕胎护理的满意度与手术类型[OR：0.25，CI [0.07，0.42]，I2：76.9%，p 值：0.041]和参与者的教育水平[OR：0.29，CI [0.09，0.48]，I2：80.4%，p 值：0.006]存在统计学相关性。
本综述发现，56%的埃塞俄比亚女性对她们的堕胎护理感到满意。由于这需要提高医疗机构堕胎护理的质量，了解女性的期望和看法，培训医疗保健提供者，以及利益相关者（如埃塞俄比亚政府、非政府组织和医疗机构高层管理人员）对堕胎护理服务质量的严格监测，将有助于提高女性对堕胎护理的满意度。通过提高患者对要进行的程序的认识和向女性提供有关堕胎护理的健康教育，可以改变患者使用的方法类型和女性教育水平等因素。
