Factors Associated with Choice of Post-Abortion Contraception in Addis Ababa, Ethiopia
), Suzanne Bell(2), Martine Holston(3), Caitlin Gerdts(4), Yilma Melkamu(5),
(1)
(2)
(3)
(4)
(5)
Corresponding Author
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
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