Felege Hiwot Comprehensive Specialized Hospital, P. Box: 079, Bahir Dar, Ethiopia.
Department of Reproductive Health and Population Studies, College of Medicine and Health Sciences, Bahir Dar University, P. Box: 079, Bahir Dar, Ethiopia.
Reprod Health. 2024 Jun 8;21(1):83. doi: 10.1186/s12978-024-01826-w.
A negative attitude towards abortion among health care providers providing abortion services could be an obstacle even under a law, which permits abortion on request. Healthcare providers are expected to perform and be change agents of abortion services. However, little information is known about the attitude toward safe abortion among healthcare providers in Ethiopia.
This study aimed to assess health care provider's attitudes towards safe abortion care and its associated factors at the public health facilities of Bahir Dar City, Northwest Ethiopia.
A health facility-based cross-sectional study was employed from March 1 to 30/2021 among 416 health-care providers. The data were collected by computer-based generated simple random sampling technique, entered, coded, and cleaned using Epi data version 4.2 and analyzed using Statistical Package of Social Sciences version 25.0. Bivariate and multivariable logistic regression analyses were employed to estimate the crude and adjusted odds ratio with a confidence interval of 95% and a P-value of less than 0.05 considered statistically significant.
The response rate of the study was 99.3%, and 70.2% [95% CI: 65.6-74.6] of health-care providers had a favorable attitude towards safe abortion care. Multivariable analysis indicated that health care providers who are found in the age group of 25-29, 30-34, and ≥ 35 years [AOR = 3.34, 95% CI = 1.03-10.85], [AOR = 4.58, 95% CI = 1.33- 15.83] and [AOR = 5.30, 95% CI = 1.43-19.66] respectively, male health care providers [AOR = 3.20, 95% CI = 1.55-6.60], midwives [AOR = 6.50, 95% CI = 2.40-17.44], working at hospital [AOR = 4.77, 95% CI = 1.53-14.91], ever trained on safe abortion [AOR = 5.09, 95% CI = 2.29-11.32], practicing of an abortion procedure [AOR = 2.52, 95%, CI = 1.13-5.60], knowledge of abortion [AOR = 7.35, 95% CI = 3.23-16.71], awareness on revised abortion law [AOR = 6.44, 95% CI = 3.15-13.17] and need further legalization of abortion law [AOR = 11.78, 95% CI = 5.52-24.26] were associated with a favorable attitude towards safe abortion care.
Healthcare providers who had a favorable attitude toward safe abortion care were relatively high compared to the previous studies. Age, sex, profession, workplace, training, knowledge, and practice-related factors were associated with a favorable attitude toward safe abortion. This study indicated that, a need for intervention to help improve the attitude of healthcare providers toward safe abortion care, especially for those working in the maternity care units.
在允许按需堕胎的法律下，医疗保健提供者对堕胎的消极态度可能是一个障碍。医疗保健提供者应提供堕胎服务并成为堕胎服务的变革推动者。然而，关于埃塞俄比亚医疗保健提供者对安全堕胎的态度，知之甚少。
本研究旨在评估巴希尔达尔市公立卫生机构医疗保健提供者对安全堕胎护理的态度及其相关因素。
2021 年 3 月 1 日至 30 日，在巴希尔达尔市的 416 名医疗保健提供者中进行了一项基于卫生设施的横断面研究。使用计算机生成的简单随机抽样技术收集数据，使用 Epi Data 版本 4.2 输入、编码和清理数据，并使用统计软件包版本 25.0 进行分析。使用双变量和多变量逻辑回归分析来估计粗比值比和调整比值比，置信区间为 95%，P 值小于 0.05 被认为具有统计学意义。
研究的应答率为 99.3%，70.2%（95%CI：65.6-74.6）的医疗保健提供者对安全堕胎护理持有利态度。多变量分析表明，年龄在 25-29、30-34 和≥35 岁的医疗保健提供者[比值比（AOR）=3.34，95%置信区间（CI）=1.03-10.85]、[AOR=4.58，95%CI=1.33-15.83]和[AOR=5.30，95%CI=1.43-19.66]的男性医疗保健提供者、男性医疗保健提供者[比值比（AOR）=3.20，95%置信区间（CI）=1.55-6.60]、助产士[比值比（AOR）=6.50，95%置信区间（CI）=2.40-17.44]、在医院工作的医疗保健提供者[比值比（AOR）=4.77，95%置信区间（CI）=1.53-14.91]、接受过安全堕胎培训的医疗保健提供者[比值比（AOR）=5.09，95%置信区间（CI）=2.29-11.32]、实施堕胎程序的医疗保健提供者[比值比（AOR）=2.52，95%置信区间（CI）=1.13-5.60]、对堕胎知识的了解[AOR=7.35，95%CI=3.23-16.71]、对修订堕胎法的认识[AOR=6.44，95%CI=3.15-13.17]和对堕胎法进一步合法化的需求[AOR=11.78，95%CI=5.52-24.26]与对安全堕胎护理的有利态度相关。
与之前的研究相比，对安全堕胎护理持有利态度的医疗保健提供者相对较高。年龄、性别、职业、工作场所、培训、知识和实践相关因素与对安全堕胎的有利态度有关。这项研究表明，需要采取干预措施来帮助改善医疗保健提供者对安全堕胎护理的态度，特别是在妇产科工作的医疗保健提供者。
