Journal des soins de santé des femmes
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Factors that influence post-abortion family planning utilization.in the Harari region, Harar, Ethiopia 2021

Arif Hussen Jamie*, Elias Sertse Gebremedhin

Introduction: Abortion is expulsion of a fetus from the uterus before it has reached the stage of viability, usually about the 20th week of gestation. It may occur spontaneously or induced. Methods and materials: Institutional based cross-sectional study design was conducted from September 1st - November 27th, 2021. All reproductive aged women who came for abortion care service formed the sampling frame. The Sample size was 385.Purposive Sampling Techniques was used to select the participants. IBM SPSS software package version 20.0 (Armonk, NY: IBM Corp) was used to assess the association between the dependent and independent variables.

Result: The overall Post-abortion contraception acceptance among the study participants in this study was 70.39 %. Among the rest who decline the care majority of them gave a reason for not using, fear of side effect followed by wanted child. This study indicated that the odds of being use post abortion family planning were 4 times higher among younger than old age (AOR=4.14; CI 95% 1.40–7.85; P=0.013). The odds of post-abortion family planning utilization was 3 times higher among who attended secondary educational level than those who is illiterate [AOR= 2.93 (95%CI: 1.57, 10.01)]. Client whose abortion procedure was performed using a MVA method were 4 more likely to use post abortion family planning than those whose abortion procedure was done using both method (AOR=4.13, 95% CI: 2.27,6.98, P=0.001).

Conclusion: Post-abortion family planning utilization is low in Jugal hospital, Harar which is 70.39 %. Age, educational status and type of abortion procedure were predictors of post-abortion family planning service utilization. The findings suggest that it is preferable to approach young ladies by creating a connection with educational institutions and strengthening family planning health education. Longer-term follow-up research with greater qualitative is essential to better understand reasons for objections to Post abortion family planning.