File Name: prevalence and associated factors of safe abortion in ethiopia 2017 .zip
Globally, approximately million pregnancies occur each year, about 75 million are unwanted pregnancies.
Metrics details. Induced abortion is a common undergo in many societies of the world. Every year, around 20 million unsafe abortions are done worldwide. From fragmented studies conducted in Ethiopia, the prevalence of induced abortion and its adverse effects are increasing over time.
The aim of this study was to assess factors associated with induced abortion among female preparatory school students in Guraghe zone. A cross-sectional study was conducted among female students of preparatory schools in April Systematic random sampling technique was employed to select students from the total of female preparatory school students in the study area.
Data was collected through self-administered questionnaires. Descriptive summary, binary and multivariate analyses were underwent to identify factors associated with induced abortion. The study was ethically approved by institutional review board of Wolkite University. The response rate of this study was The odds of induced abortion undergo was 2. Students without sexual health education were 6.
A high lifetime prevalence of induced abortion among young adolescent was observed. Being rural residence, not having reproductive health education, and alcohol consumption were found to be independent predictors of induced abortion undergo.
Peer Review reports. In certain practical circumstance; it may be deemed as safe or unsafe [ 1 , 2 ]. More than 36, of these women die from complications of the procedure, whereas millions more experience acute or chronic illness that may lead to disability. Acute complications of induced abortion include; infection, cervical and uterine trauma and haemorrhage. Long-term post-abortion complications include secondary infertility.
In Ethiopia, the demand for induced abortion is common in the rural community, and may be associated with low contraceptive use and high levels of unwanted pregnancy. For instance, only In , an estimated , induced abortions were reported, and 52, women were suspected to have post-abortion complications [ 3 , 4 , 5 ].
This ranks the country as having the fifth largest number of maternal death [ 3 , 6 , 7 ]. Every year, more than 70, women die as a result of unsafe abortion and hundreds of thousands may eventually suffer from a serious health consequence, and often, a permanent disability [ 1 ]. A nationwide study in Ethiopia indicated that an estimated , induced abortions were underwent and 52, women were treated for complications of abortions.
There were an estimated , legal abortion procedures underwent in health facilities of the country. From different studies and report, the burden of induced abortion and its negative consequences keep increasing over time in the country [ 11 ].
Furthermore, the likelihood of short- and long-term complications among abortion-undergod mothers were 20 times higher than her non abortion-undergod counterpart [ 12 ]. Being adolescent is a phase for lifestyle and behavioral changes. In addition, at this age students are living away from their parents for the first time.
Because of inaccessibility of nearby schools, many are forced to re-locate to distant towns, and to live in rental accommodation without parental supervision. This may increase the risks of unsafe sexual exposure and involvement, leading to un-intended pregnancy.
In essence, at this age may often a unique setting to study the possible contributory factors which lead to unsafe sexual behavior, un-intended pregnancy, induced abortion and its various consequences. In Ethiopia and to the best of our knowledge, there is no published article focused on induced abortion among secondary school students. Therefore, the aim of the study was to assess the magnitude and predisposing factors of induced abortion among Guraghe zone preparatory students.
We are of the opinion that this study may help offer insights that could contribute to designing an effective intervention strategy in Ethiopia and beyond. Guraghe zone is located in South Ethiopia. In this zone there were 31 public secondary schools during data collection period of which 12 were preparatory schools that had students on their roll.
Of which of them were female students [ 12 ]. A cross sectional study design was employed to assess the magnitude and associated factors of induced abortion among female preparatory students in Guraghe zone. All female students of Guraghe zone preparatory schools were source population whereas randomly selected female students of Guraghe zone preparatory schools were study population.
Accordingly, the calculated sample size for finite population was female students. After preparing a sampling frame, systematic random sampling technique was employed to select the study units. Sampling interval was calculated by dividing total cumulative population into the calculated sample size, giving approximately: Using the Microsoft Excel random number generating tool, numbers between 1 and 10; 4 were randomly selected. The 4th female from the list was the first sample and the second sample was the 14th order of the cumulative frequency and the rest samples were identified in the same fashion.
The questionnaire was adapted in English and translated into the local language Amharic and then retranslated back into English by another reasonably-skilled translator. Supervision and daily based check-up on the field was made by the research team. Three days of training was given to school unit leaders prior to the process of data collection and the need to assure confidentiality for all respondents.
Furthermore, double data entry protection was made using Epi-data software for validation. A descriptive statistical summary like mean and proportions were computed. Backward stepwise logistic regression was applied to describe the functional relationship between independent factors and the outcome variable. A response was obtained from female respondents, giving the response rate of More than half of the study participants were Orthodox faith: The lifetime prevalence of induced abortion among respondents was: 55 Exposure to sexual health education was admitted by Among those who had no admission for sexual health education, 43 Majority of the respondents, However, among those who consumed alcohol, 40 9.
Among the respondents who undergod induced abortion, 55 On the other hand, the main reason for abortion service demand was not to interrupt their on-going education 33 Both bivariate and multivariate analysis of the exposure variables were employed to identify the final predictors of induced abortion among preparatory school students. Finally, female students from family of rural residents were 2. On the other hand, young females with no sexual health education were 6.
Moreover, students who often consume alcohol were four times more likely to perform induced abortion, and those who consume alcohol sometimes were 3. In this assessment the lifetime prevalence of induced abortion was However; a study done in Adwa high school Northern Ethiopia indicated that of Similarly another study done in Aleta Wondo southern Ethiopia high school students indicated that This might be due to the difference in socio-demographic characteristics of the respondents among southern and northern Ethiopia.
These figures are also lower compared to those from developed countries: for example, in a report from the American college of paediatricians, up to In contrast to other studies which were done in Ethiopia; a 4. The major determinants of induced abortion in this assessment were parental residence, sexual health education, and alcohol consumption. Accordingly, female students whose family residences from rural were more likely to be exposed for induced abortion.
Similar to our finding a study done in Aleta Wondo Southern Ethiopia showed that urban family residence was protective from premarital sexual exposure and its possible consequence of induced abortion [ 15 ]. This could be due to parental proximity and supervision or this might be due to lack of an open discussion about safe sexual health from the very beginning of adolescent age in the rural community. On the other hand, young females with no sexual health education were more exposed to abortion than those who had sexual health education at school.
Additionally, alcohol consumption was an important predictor as it is the conventional predisposing factor for sexuality in youths, so students who often consume alcohol were more prone to induced abortion than with no history of alcohol consumption because alcohol consumption obviously, exposed them for unprotected sexual intercourse.
In this study we acknowledged the following limitations. Most importantly, it lacks triangulation with qualitative findings to address unexpected issues, as well as it might be affected by a culture-based variation in self-disclosure and the information may be subjected to recall bias and social desirability bias.
Furthermore, the study design does not allow establishing a cause-effect relationship. From this survey a remarkable high lifetime prevalence of induced abortion was observed among female preparatory students. Thus, we recommended that; the Ethiopian Ministry of health and Ministry of education should work together with schools to design and execute Information, Education and Communications IEC programs emphasizing on sexual and reproductive health particularly on sex education, focusing on youth-friendly services, delaying sexual activity, access to contraceptive options and safe and legal abortion services to reduce un-intended pregnancy and induced abortion.
The datasets used and analysed during the study available from the corresponding author on reasonable request. Kenneth J , Steven L. AbortionJohn C edits. Equity and maternal health in Ghana, Ethiopia and Kenya.
East African Journal of Public Health. Google Scholar. Ethiopia Demographic and Health Survey. The incidence of abortion, supplement, international family planning perspectives, vol. Rasha D, Farzaneh RF.
Abortion in the Middle East and North Africa; A global database of abortion laws, policies, health standards and guidelines. Bull World Health Organ.
Yirgu G, Tippawan L. Trends of abortion complications in a transition of abortion law revisions in Ethiopia. J Public Health. Ethiopian Ministry of Finance.
Background: Pregnancy termination is a major public health globally in the highly important for maternal mortality. In this study, we have assessed cross-sectional data from Ethiopian Demographic and Health Survey to identify the occurrence of pregnancy termination and its risk factors from various women socioeconomic and demographic and characteristics. Methods: The information collected from 15, women of the reproductive age group was considered in the study, and variables like maternal social and demographic characteristics were considered as risk factors of pregnancy termination. The study used descriptive statistics and binary logistic regression model to identify significant risk factors attributed to pregnancy termination. Results: The descriptive statistics in the study revealed that out of total women aged included in the study 7.
Background: Unintended pregnancy has direct relation with poor utilization of maternal health care services and also associated with unhealthy behaviors during pregnancy. Few studies have examined the association between unintended pregnancy and maternal health behaviors during pregnancy in developing countries including Ethiopia. The purpose of the study was to determine the association of unintended pregnancy with use of antenatal care during pregnancy among pregnant women in Hadiya zone, southern Ethiopia. Methods: Community based cross sectional study design was employed in Hadiya zone, southern Ethiopia in Study participants were selected by simple random sampling technique.
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The prevalence of unsafe abortion is associated with restricted abortion law, poor quality of health service, and low community awareness. Hence, the aim of this systematic review and meta-analysis is to identify and summarize the available evidence to generate an abridged evidence on the prevalence of unsafe abortion and its associated factors in Sub-Saharan Africa. The development of the systematic review methodology has followed the procedural guideline depicted in the preferred reporting items for systematic review and meta-analysis protocol statement. Observational studies that have been conducted from January 1, , up to December 31, , in Sub-Saharan African countries will be included in the systematic review and meta-analysis. Relevant studies will be retrieved using the search strings applied to different sources.
There has been a significant reduction of abortion rates in high-income countries, while the rates remain unchanged in low- and middle-income countries. In Ethiopia, for example, the number of women of reproductive age seeking an induced abortion is increasing. However, there is limited information concerning the reasons why the occurrence of this procedure is increasing. Thus, this study aimed to identify factors associated with having induced abortion in Addis Ababa, Ethiopia. An unmatched case-control study was conducted using a semi-structured, interviewer-administered questionnaire from October to December
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