Post-abortion contraceptive acceptance and choice determinants among women receiving abortion care at Saint Paul’s Hospital, Addis Ababa, Ethiopia
Ethiopian Journal of Reproductive Health, Volume 10, No. 1, February 2018
Matiyas Asrat, MD; Delayehu Bekele, MD, MPH; Sarah D. Rominski, PhD
Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
Department of Obstetrics and Gynecology, University of Michigan
ABSTRACT
BACKGROUND: The Ethiopian DHS in 2016 estimates that 412 women died of pregnancy related causes for
every 100,000 live births. In 2008, an estimated 382,000 induced abortions were performed in Ethiopia. To reduce
rates of unplanned pregnancy and unsafe abortion, increased access to high-quality contraceptive care is
needed.
OBJECTIVES: To determine the contraceptive acceptance rate and examine factors associated with choice of
contraception, in particular modern and long acting methods, in women after an abortion.
METHODS: A cross-sectional study was undertaken at Saint Paul’s Hospital Millennium Medical College in
Addis Ababa, Ethiopia. Women who received post abortion care service and had induced abortion from January
to June 2015 were included. Logistic regression was used to determine factors associated with acceptance and
choice of method of contraceptives.
MAJOR FINDINGS: A total of 552 women were included in the study; 90.6% of them adopted modern contraception
post-abortion and 19% received long acting reversible contraceptives.
Multivariable analysis showed that being a housewife, married and parity greater than one had statistically significant
association with the odds of adopting any modern method of contraception after abortion.
Adoption of LARC was positively associated with being student, with parity greater than one and induced type of abortion.
CONCLUSION: The post abortion contraceptive acceptance rate was higher than other studies done in Ethiopia.
Higher parity, being married and a housewife were independent predictors of modern contraceptive method
acceptance. Induced abortion, higher parity and being student were significant predictors of adoption of LARC.
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