Department of Nursing Management and Education, School of Nursing and Public Health, The University of Dodoma, P. O. Box 259, Dodoma, Tanzania.
BMC Public Health. 2024 May 28;24(1):1427. doi: 10.1186/s12889-024-18921-z.
BACKGROUND: Unsafe abortion is now a global agenda because 45% of all global abortions are unsafe, and 97% are occurring in developing countries. In Tanzania, one million reproductive-aged women face unplanned pregnancies per year, and 39% end up with abortion. About 16% of maternal deaths are reported per year in Tanzania, and unsafe abortion takes the second position. There are several efforts to prevent and intervene unsafe abortions, such as equipping healthcare facilities across all levels of healthcare, approval of Misoprostol use, establishment of comprehensive post-abortion care (PAC), revising policy guidelines and standards, provision of emergency contraceptives, and capacity building of healthcare providers. There is little documentation about how the constructs of the theory of planned behaviour, knowledge, and sociodemographics influence the practice of abortion. OBJECTIVES: To assess the association of knowledge level, sociodemographic characteristics, and constructs of the theory of planned behaviour (TPB) to the practice of unsafe abortion among postnatal mothers at Mkonze Health Center in the Dodoma region. METHODOLOGY: It is an analytical cross-sectional study design conducted in Dodoma-Tanzania and involved 206 postnatal women. A validated questionnaire was used and analysis was performed in the Statistical Package for the Social Sciences (SPSS), through descriptive and inferential statistics. RESULTS: The practice of unsafe abortion in the current study is 28/206 (13.6%), influenced bytheir lower educational level and being single women. It was found that the majority had adequate knowledge of unsafe abortion 129 (62.6%), positive attitude 130 (63.1%), good subjective norms 113 (54.9%), and positive perceived behavioral control111 (53.9%). Knowledge, attitude, subjective norms, and perceived behavioral control were not significantly associated with the practice of unsafe abortion. CONCLUSION: The majority of the respondents had high knowledge, attitudes, subjective norms, and perceived behavior control on unsafe abortion. This is an indicator that the implemented initiatives are effective. Maintaining the ongoing effort and improving strategies are promising to mitigate the burden of unsafe abortion. Future research needs to find out hidden factors associated with attitude and how health beliefs might influence someone's attitude towards unsafe abortion.
背景:不安全堕胎现在是一个全球性的议题,因为全球所有堕胎中有 45%是不安全的,而其中 97%发生在发展中国家。在坦桑尼亚,每年有 100 万育龄妇女面临意外怀孕,其中 39%以堕胎告终。坦桑尼亚每年报告约 16%的孕产妇死亡,而不安全堕胎位居第二。为了防止和干预不安全堕胎,坦桑尼亚已经采取了多项措施,例如为各级医疗保健设施配备设备、批准米索前列醇的使用、建立全面的堕胎后护理 (PAC)、修订政策指导方针和标准、提供紧急避孕药具以及为医疗保健提供者提供能力建设。关于理论的计划行为、知识和社会人口统计学结构如何影响堕胎实践的文献很少。
目的:评估知识水平、社会人口统计学特征和计划行为理论(TPB)结构与 Dodoma 地区 Mkonze 保健中心产后母亲不安全堕胎实践之间的关联。
方法:这是一项在坦桑尼亚 Dodoma 进行的分析性横断面研究设计,涉及 206 名产后妇女。使用了经过验证的问卷,并在统计软件包社会科学(SPSS)中进行了描述性和推断性统计分析。
结果:当前研究中不安全堕胎的实践率为 28/206(13.6%),这受到她们较低教育水平和单身女性身份的影响。研究发现,大多数人对不安全堕胎有足够的了解(62.6%),态度积极(63.1%),主观规范良好(54.9%),对行为的感知控制良好(53.9%)。知识、态度、主观规范和感知行为控制与不安全堕胎的实践没有显著关联。
结论:大多数受访者对不安全堕胎有较高的知识、态度、主观规范和感知行为控制。这表明实施的举措是有效的。维持正在进行的努力和改进策略有望减轻不安全堕胎的负担。未来的研究需要找出与态度相关的隐藏因素以及健康信念如何影响人们对不安全堕胎的态度。
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