POST ABORTION CONTRACEPTION ACCEPTANCE AND ASSOCIATED FACTORS IN ADDIS ABABA

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.