Abstract:
Problem Statement: Abortion is one of the major causes for maternal mortality in the world as
well as in our country. Unintended pregnancies which end up in abortion occur due to
contraception method non use or misuse. To limit unintended pregnancies and avoid repeated
abortions promoting immediate post abortion contraception is crucial.
Objective: The objective of the study was to assess the proportion of post abortion contraception
acceptance among abortion served clients and identify factors associated with post-abortion
contraception acceptance/non-acceptance.
Methods: A cross-sectional study was undertaken in 16 health centers in Addis Ababa from
January 2011 to June 2011. Three hundred abortion clients were interviewed in the health centers
on the use/ acceptance of post abortion family planning (PAFP). And, eight in depth interviews
were made with abortion care service providers on the post abortion family planning (PAFP)
provision.
Results: Among four hundred twenty two study subjects, two hundred sixty seven (63.3%) of
the respondents who has got abortion care service accepted PAFP. From the group of women
participated in the study, students had high PAFP acceptance with AOR=7.1, 95%CI (2.4, 20.8)
which has positive significant association at P-value=0.01. A plan to have a child after five years
has negative significant association with PAFP acceptance with AOR=0.39 95%CI (0.17, 0.94)
and P-value=0.035. It is also showed that, as the time plan to have child increase the likely hood
to use PAFP decreases. Post abortion women with history of previous contraceptive use had
lesser acceptance of PAFP with AOR=0.33, 95% CI (0.17, 0.64) and negative significant
association. SAC service and PAFP acceptance also has negative association, which means
women who came for SAC service found to accept PAFP lesser than who needed PAC service,
OR=0.23, 95% CI(0.08, 0.63) and P-value 0.004.
Conclusion: Post- abortion family planning acceptance is high and being a student has strongly
positive association with it. Previous contraceptive knowledge doesn’t have any association but
previous contraceptive use has negative significant association.
Recommendation: Even though PAFP acceptance is high, emphasis should be given to increase
the rate to the maximum since most pregnancies which end up with abortion are unintended.
