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Utilization of abortion services from an unsafe provider and associated factors among women with history of induced abortion in Ghana

BACKGROUND: In sub-Saharan Africa (SSA), numerous studies have examined women’s choice of abortion methods and services using hospital-based data, community-based surveys and nationally representative data. Little research focuses on the factors influencing a woman’s choice of abortion provider. Thi...

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Autores principales: Klu, Desmond, Yeboah, Isaac, Kayi, Esinam Afi, Okyere, Joshua, Essiaw, Mary Naana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9469529/
https://www.ncbi.nlm.nih.gov/pubmed/36100858
http://dx.doi.org/10.1186/s12884-022-05034-x
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author Klu, Desmond
Yeboah, Isaac
Kayi, Esinam Afi
Okyere, Joshua
Essiaw, Mary Naana
author_facet Klu, Desmond
Yeboah, Isaac
Kayi, Esinam Afi
Okyere, Joshua
Essiaw, Mary Naana
author_sort Klu, Desmond
collection PubMed
description BACKGROUND: In sub-Saharan Africa (SSA), numerous studies have examined women’s choice of abortion methods and services using hospital-based data, community-based surveys and nationally representative data. Little research focuses on the factors influencing a woman’s choice of abortion provider. This study sought to identify factors that are associated with why a woman seeks abortion care services from an unsafe provider in Ghana. METHODS: We used nationally representative data of women from the 2017 Ghana Maternal Health Survey (GMHS). Data analysis was restricted to women aged 15–49 with a recent history of induced abortion. Analyses focused on a weighted sample of 1,880. Descriptive analysis and the chi-square test were used to examine the proportion of women utilizing abortion services from unsafe providers. Factors hypothesized to affect the utilization of abortion services from unsafe providers were examined using both bivariable and multivariable logistic regression analyses. RESULTS: The proportion of survey respondents who reported that they utilize abortion service from unsafe providers were 57.5%. After adjusting for confounders, those who have knowledge of abortion legality [aOR: 0.381 (0.271–0.541)] and those who have attained secondary or higher education [aOR: 0.613 (0.411–0.914)] were less likely to use abortion services from unsafe providers. On the other hand, women belonging to the Ewe ethnic group [aOR: 0.696 (0.508–0.953)], those residing in the middle belt zone [aOR: 1.743 (1.113–2.728)], younger women aged 15–29 years [aOR: 2.037 (1.234–3.362)] were more likely to use abortion services from unsafe abortion providers. CONCLUSIONS: This research suggests that increasing the knowledge of women on the legal status of abortion through public education and encouraging more women to pursue secondary or higher education can contribute to reducing the use of abortion services from unsafe providers. These interventions should be targeted among younger women and those who reside in the middle belt zones of Ghana.
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spelling pubmed-94695292022-09-14 Utilization of abortion services from an unsafe provider and associated factors among women with history of induced abortion in Ghana Klu, Desmond Yeboah, Isaac Kayi, Esinam Afi Okyere, Joshua Essiaw, Mary Naana BMC Pregnancy Childbirth Research BACKGROUND: In sub-Saharan Africa (SSA), numerous studies have examined women’s choice of abortion methods and services using hospital-based data, community-based surveys and nationally representative data. Little research focuses on the factors influencing a woman’s choice of abortion provider. This study sought to identify factors that are associated with why a woman seeks abortion care services from an unsafe provider in Ghana. METHODS: We used nationally representative data of women from the 2017 Ghana Maternal Health Survey (GMHS). Data analysis was restricted to women aged 15–49 with a recent history of induced abortion. Analyses focused on a weighted sample of 1,880. Descriptive analysis and the chi-square test were used to examine the proportion of women utilizing abortion services from unsafe providers. Factors hypothesized to affect the utilization of abortion services from unsafe providers were examined using both bivariable and multivariable logistic regression analyses. RESULTS: The proportion of survey respondents who reported that they utilize abortion service from unsafe providers were 57.5%. After adjusting for confounders, those who have knowledge of abortion legality [aOR: 0.381 (0.271–0.541)] and those who have attained secondary or higher education [aOR: 0.613 (0.411–0.914)] were less likely to use abortion services from unsafe providers. On the other hand, women belonging to the Ewe ethnic group [aOR: 0.696 (0.508–0.953)], those residing in the middle belt zone [aOR: 1.743 (1.113–2.728)], younger women aged 15–29 years [aOR: 2.037 (1.234–3.362)] were more likely to use abortion services from unsafe abortion providers. CONCLUSIONS: This research suggests that increasing the knowledge of women on the legal status of abortion through public education and encouraging more women to pursue secondary or higher education can contribute to reducing the use of abortion services from unsafe providers. These interventions should be targeted among younger women and those who reside in the middle belt zones of Ghana. BioMed Central 2022-09-13 /pmc/articles/PMC9469529/ /pubmed/36100858 http://dx.doi.org/10.1186/s12884-022-05034-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Klu, Desmond
Yeboah, Isaac
Kayi, Esinam Afi
Okyere, Joshua
Essiaw, Mary Naana
Utilization of abortion services from an unsafe provider and associated factors among women with history of induced abortion in Ghana
title Utilization of abortion services from an unsafe provider and associated factors among women with history of induced abortion in Ghana
title_full Utilization of abortion services from an unsafe provider and associated factors among women with history of induced abortion in Ghana
title_fullStr Utilization of abortion services from an unsafe provider and associated factors among women with history of induced abortion in Ghana
title_full_unstemmed Utilization of abortion services from an unsafe provider and associated factors among women with history of induced abortion in Ghana
title_short Utilization of abortion services from an unsafe provider and associated factors among women with history of induced abortion in Ghana
title_sort utilization of abortion services from an unsafe provider and associated factors among women with history of induced abortion in ghana
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9469529/
https://www.ncbi.nlm.nih.gov/pubmed/36100858
http://dx.doi.org/10.1186/s12884-022-05034-x
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