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Post-abortion family planning utilization and associated factors in health facilities of Wolaita Zone, Southern Ethiopia: Mixed study

BACKGROUND: Unintended pregnancy due to disuse of family planning is the main cause of abortion globally. Women with a history of abortion are at higher risk of developing another unintended pregnancy, which may lead to repeated abortions and life-threatening complications. The immediate post-aborti...

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Autores principales: Tekle Lencha, Tizita, Alemayehu Gube, Addisu, Mesele Gessese, Molalegn, Tsegay Abadi, Mulugeta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9165889/
https://www.ncbi.nlm.nih.gov/pubmed/35657945
http://dx.doi.org/10.1371/journal.pone.0267545
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author Tekle Lencha, Tizita
Alemayehu Gube, Addisu
Mesele Gessese, Molalegn
Tsegay Abadi, Mulugeta
author_facet Tekle Lencha, Tizita
Alemayehu Gube, Addisu
Mesele Gessese, Molalegn
Tsegay Abadi, Mulugeta
author_sort Tekle Lencha, Tizita
collection PubMed
description BACKGROUND: Unintended pregnancy due to disuse of family planning is the main cause of abortion globally. Women with a history of abortion are at higher risk of developing another unintended pregnancy, which may lead to repeated abortions and life-threatening complications. The immediate post-abortion period before women leave health institutions is a crucial time to provide family planning services. In Ethiopia, many women leave health facilities without using family planning methods. Therefore, this study aimed to determine the utilization of post-abortion family planning and its associated factors in health institutions in Wolaita Zone, Southern Ethiopia. METHODS: Facility-based mixed cross sectional study was conducted between April 1 and June 30, 2018. A systematic sampling method was used to select the 408 participants. Seven key informants were selected for in-depth interviews and observations were made using a checklist. Data were collected through face-to-face interviews using a structured questionnaire. Data were entered into EPI INFO 3.5.1 and exported to SPSS 21 for cleaning and analysis. Bivariate analysis was employed and a P-value <0.25 was considered for the multivariable analysis. Qualitative data were coded and thematically analyzed to support the quantitative findings. RESULTS: Data were obtained from 400 participants (response rate, 98%). The magnitude of post-abortion family planning was 67.3% [95% CI (62.8, 71.8)]. Marital status [AOR 95% CI 3.86(1.9, 7.8)], Good knowledge about post-abortion family planning [AOR 95% CI 2.48(1.22, 5.03)], Non-governmental health facility [AOR 95% CI 6.62(3.47, 12.6)] Counseling [AOR 95% CI 3.6(2.02, 6.4)] and husbands’ support [AOR 95% CI 3.21(1.81–5.7)] were significantly associated with Post-abortion family planning utilization. CONCLUSION: The utilization of post-abortion family planning was low in Wolaita Sodo health institutions. Marital status, knowledge of post-abortion family planning, use of services at non-governmental health facilities, counseling, and husbands’ support were determinants of post-abortion family planning.
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spelling pubmed-91658892022-06-05 Post-abortion family planning utilization and associated factors in health facilities of Wolaita Zone, Southern Ethiopia: Mixed study Tekle Lencha, Tizita Alemayehu Gube, Addisu Mesele Gessese, Molalegn Tsegay Abadi, Mulugeta PLoS One Research Article BACKGROUND: Unintended pregnancy due to disuse of family planning is the main cause of abortion globally. Women with a history of abortion are at higher risk of developing another unintended pregnancy, which may lead to repeated abortions and life-threatening complications. The immediate post-abortion period before women leave health institutions is a crucial time to provide family planning services. In Ethiopia, many women leave health facilities without using family planning methods. Therefore, this study aimed to determine the utilization of post-abortion family planning and its associated factors in health institutions in Wolaita Zone, Southern Ethiopia. METHODS: Facility-based mixed cross sectional study was conducted between April 1 and June 30, 2018. A systematic sampling method was used to select the 408 participants. Seven key informants were selected for in-depth interviews and observations were made using a checklist. Data were collected through face-to-face interviews using a structured questionnaire. Data were entered into EPI INFO 3.5.1 and exported to SPSS 21 for cleaning and analysis. Bivariate analysis was employed and a P-value <0.25 was considered for the multivariable analysis. Qualitative data were coded and thematically analyzed to support the quantitative findings. RESULTS: Data were obtained from 400 participants (response rate, 98%). The magnitude of post-abortion family planning was 67.3% [95% CI (62.8, 71.8)]. Marital status [AOR 95% CI 3.86(1.9, 7.8)], Good knowledge about post-abortion family planning [AOR 95% CI 2.48(1.22, 5.03)], Non-governmental health facility [AOR 95% CI 6.62(3.47, 12.6)] Counseling [AOR 95% CI 3.6(2.02, 6.4)] and husbands’ support [AOR 95% CI 3.21(1.81–5.7)] were significantly associated with Post-abortion family planning utilization. CONCLUSION: The utilization of post-abortion family planning was low in Wolaita Sodo health institutions. Marital status, knowledge of post-abortion family planning, use of services at non-governmental health facilities, counseling, and husbands’ support were determinants of post-abortion family planning. Public Library of Science 2022-06-03 /pmc/articles/PMC9165889/ /pubmed/35657945 http://dx.doi.org/10.1371/journal.pone.0267545 Text en © 2022 Tekle Lencha et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Tekle Lencha, Tizita
Alemayehu Gube, Addisu
Mesele Gessese, Molalegn
Tsegay Abadi, Mulugeta
Post-abortion family planning utilization and associated factors in health facilities of Wolaita Zone, Southern Ethiopia: Mixed study
title Post-abortion family planning utilization and associated factors in health facilities of Wolaita Zone, Southern Ethiopia: Mixed study
title_full Post-abortion family planning utilization and associated factors in health facilities of Wolaita Zone, Southern Ethiopia: Mixed study
title_fullStr Post-abortion family planning utilization and associated factors in health facilities of Wolaita Zone, Southern Ethiopia: Mixed study
title_full_unstemmed Post-abortion family planning utilization and associated factors in health facilities of Wolaita Zone, Southern Ethiopia: Mixed study
title_short Post-abortion family planning utilization and associated factors in health facilities of Wolaita Zone, Southern Ethiopia: Mixed study
title_sort post-abortion family planning utilization and associated factors in health facilities of wolaita zone, southern ethiopia: mixed study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9165889/
https://www.ncbi.nlm.nih.gov/pubmed/35657945
http://dx.doi.org/10.1371/journal.pone.0267545
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