Factors Associated with Choice of Post-Abortion Contraception in Addis Ababa, Ethiopia

Ndola Prata, Suzanne Bell, Martine Holston, Caitlin Gerdts, Yilma Melkamu

Abstract

The high demand for abortion related services in Addis Ababa, Ethiopia indicates a reliance on abortion to control fertility and highlights an opportunity to increase access to contraceptives and improve post-abortion care. We analyzed the medical records of 1,200 women seeking abortion related services. Logistic regression was used to determine factors associated with use of modern or long-acting contraceptive post-abortion. Multivariate results illustrate that women aged 40-44, students, employed women, receipt of services in private clinics, number of children, and number of previous abortions were significantly associated with the odds of adopting any modern contraceptive post-abortion. The odds of choosing a long-active contraceptive method were significantly and positively associated with being age 25-29, attaining secondary or higher education, and number of children. Improved services and information along with reliable access to modern and long-acting contraceptives can reduce the need to use abortion to control fertility among women in Addis (Afr J Reprod Health 2011; 15[3]:51-57).

 

Résumé

Facteurs lies au choix du contraceptive du post-avortement à Addis Abéba, Ethiopie : La demande augmentée des services relatifs à l’avortement à Addis Abéba, Ethiopie, montre une indépendance de l’avortement pour contrôler la fertilité et souligne une opportunité pour augmenter l’accès aux contraceptifs et améliorer les soins du post-avortement.  Nous avons analysé les dossiers des 1200 femmes qui recherchaient des services liés à l’avortement.  Nous nous sommes servis de la régression logistique pour déterminer les facteurs liés à l’utilisation du contraceptif du post-avortement modern ou à action prolongée.  Des résultats  ont montré que les femmes âgées de 40-44 ans, les étudiantes,  les femmes employées, fréquentation des cliniques privées pour les services, nombre d’enfants et nombre d’avortements antérieurs, ont été significativement liés à la possibilité d’adopter n’importe quel contraceptif du post-abortion modern.  La possibilité de choisir une méthode contraceptive à action prolongée a  été considérablement et positivement  liée au fait d’avoir 25-29 ans, ayant acquis l’éducation du niveau secondaire ou tertiaire et le nombre d’enfants.  L’on peut réduire le besoin de contrôler la fertilité chez les femmes à Addis si  les services et l’information ainsi que l’accès fiable aux contraceptifs modernes et à action prolongée sont améliorés (Afr J Reprod Health 2011; 15[3]:51-57).

 

  Keywords: Abortion, Repeat abortion, Post-abortion contraception, Ethiopia

Full Text:

PDF

References

pregnancy in sub-Saharan Africa: magnitude of the

Colbourn T, Costello A, Pagel C. Maternal mortality for problem and potential role of contraceptive implants 181 countries, 1980-2008. Lancet 2010; 376:1390. to alleviate it. Contraception 2008; 78:73-8.

Sai F. International commitments and guidance on

Roberts H, Silva M, Xu S. Post abortion contraception unsafe abortion. Afr J Reprod Health 2004; 8:15-28. and its effect on repeat abortions in Auckland, New

Ethiopia Demographic and Health Survey 2005. Addis

Zealand. Contraception 2010; 82:260-5. Ababa, Ethiopia and Calverton, Maryland, USA:

Ruddick C. Long-acting reversible contraception: Central Statistical Agency and ORC Macro, 2006. reducing unintended pregnancies. Community Pract

Singh S, Fetters T, Gebreselassie H, Abdella A,

; 82:24-7.

Gebrehiwot Y, Kumbi S, Audam S. The estimated

Thorp JM, Hartmann KE, Shadigan E. Long-term incidence of induced abortion in Ethiopia, 2008. Int physical and psychological health consequences of Perspect Sex Reprod Health 2010; 36:16-25. induced abortion: a review of the evidence. Linacre

Ceylan A, Ertem M, Saka G, Akdeniz N. Post abortion

Q 2005; 72:44-69. family planning counseling as a tool to increase

Delvaux T, Soeur S, Rathavy T, Crabbe F, Buve A. contraception use. BMC Public Health 2009; 9:20.

Integration of comprehensive abortion-care services

Ferreira AL, Souza AI, Lima RA, Braga C. Choices on in a Maternal and Child Health clinic in Cambodia. contraceptive methods in post-abortion family

Trop Med Int Health 2008; 13:962-9. planning clinic in the northeast Brazil. Reprod

Ertopcu K, Inal MM, Ozelmas I. Demographic analysis Health 2010; 7:5. of post-abortive and interval-administered hormonal 7. Rasch V, Massawe S, Yambesi F, Bergstrom S. contraceptive methods. Eur J Contracept Reprod

Acceptance of contraceptives among women who

Health Care 2005; 10:1-5. had an unsafe abortion in Dar es Salaam. Trop Med

McCarraher DR, Chen-Mok M, Oronoz AS, Brito-

Int Health 2004; 9:399-405.

Anderson S, Grey T, Tucker H, Bailey PE. Meeting

Ujah IA. Contraceptive intentions of women seeking the needs of adolescent post-abortion care patients induced abortion in the city of Jos, Nigeria. J Obstet in the Dominican Republic. J Biosoc Sci 2010; Gynaecol 2000; 20:162-6.

:493-509.

Yassin AS, Cordwell D. Does dedicated pre-abortion

Bankole A, Singh S, Haas T. Characteristics of Women contraception counselling help to improve post-

Who Obtain Induced Abortion: A Worldwide abortion contraception uptake? J Fam Plann Reprod

Review. International Family Planning Perspectives Health Care 2005; 31:115-6.

; 25:68-77.

Blumenthal PD, Voedisch A, Gemzell-Danielsson K.

Rose SB, Lawton BA, Brown SA. Uptake and adherence Strategies to prevent unintended pregnancy: to long-acting reversible contraception postincreasing use of long-acting reversible abortion. Contraception 2010; 82:345-53.

Refbacks

  • There are currently no refbacks.