Assessment of Post Abortion Contraceptive Intention and Associated Factors among Abortion Clients in Gondar Town, North West Ethiopia, 2013

Abstract

Unintended pregnancies continue to be a major global tragedy for millions of women and abortion is an issue which affects every country in the world. The World Health Organization estimates that 20 million unsafe abortions take place each year, in which 80,000 maternal deaths occur due to complications. Cross- sectional study was employed to assess post abortion contraceptive intention and associated factors among abortion clients in Gondar town, Northwest Ethiopia 2013. Six hundred thirty study subjects were included in the study by using a simple random sampling technique. The collected data entered and analyzed by using SPSS version 20.0 software packages. The degree of association between independent and dependent variables were assessed using odds ratio with 95% confidence interval and p-value ≤0.05. The data analyzed using bivariate and multivariate logistic regression. A total of 630 study participants with abortion were assessed. The extent of the post abortion contraceptive intention among 630 clients was (73.5%). Divorced/widowed women [AOR: 0.277, 95% CI :( 0.151, 0.508).] was a factor negatively associated with the post abortion contraceptive intention whereas married women [AOR: 1.747, 95% CI :( 1.046, 2.916)], abortion from unintended pregnancy [AOR: 3.430, 95% CI (1.597, 7.366) and post abortion contraceptive counseling [AOR: 2.627, 95% CI: (1.366, 5.049)] were factors positively associated with post abortion contraceptive intention. Generally, the post abortion contraceptive intention found in this study was low as compared with others study. Variables like married women, divorced/widowed, abortion from unintended pregnancy and post abortion contraceptive counseling were significant predictors of the post abortion contraceptive intention.