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Assessment of Quality of Comprehensive Abortion Care in Selected Health Institution of Addis Ababa, Ethiopia

Received: 19 August 2022    Accepted: 28 September 2022    Published: 13 July 2023
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Abstract

Back ground: The risks of unsafe abortion are not only just to the woman involved and her family butalso the costs of unsafe abortion are carried by the whole of the society. Howeverunsafe abortion is commonly neglected reproductive health care problem in developing countries like Ethiopia. Therefore, the aim of this study was todetermine the level of quality comprehensive abortion care and its associated factor in selected hospitals of Addis Ababa Ethiopia. Method: An institution based cross sectional study was conducted. Three public hospitals, 113 cleints and 46 health care providers were included in the study. Data was collected through a standard structured pre-defined observation checklist adopted from WHO, client exit interview and providers self adminster questioners. Frequency tables and graphs were used to describe the study variables and a logistic regression model was used to measure the association between the outcome and the predictor variable. Statistical significance was declared at p-value<0.05. Direction and strength of association were expressed using OR and 95% CI. Result: Only 36 (31.9%) of the participants were counseled on contraceptive use and 54.3% of the providers were trained on comprehensive abortion care services. Consent was taken verbally from 41 (36.3%) of the clients' and privacy was maintained for 34 (30.1%) of the clients during physical examination. Over all 52 (46%) of clients were satisfied by abortion care services. Clients with no history of previous pregnancy and muslim religions and protestant were more likely satisfied by CAC service compared to clients with a history of previous pregnancy and orthodox religion respectively. Conclusion: The proportion of quality of comprehensive abortion care was low. Religion and previous history of pregnancy were significantly associated with quality of comprehensive abortion care. Policymakers and other concerned bodies should focus on those areas to improve the quality of comprehensive abortion care.

Published in Journal of Gynecology and Obstetrics (Volume 11, Issue 4)
DOI 10.11648/j.jgo.20231104.11
Page(s) 80-89
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Comprehensive Abortion Care, Quality, Service, Ethiopia

References
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  • APA Style

    Tatek Tesfaye, Ephrem Mamo, Trhas Tadesse, Yared Tesfaye, Gelane Lelise, et al. (2023). Assessment of Quality of Comprehensive Abortion Care in Selected Health Institution of Addis Ababa, Ethiopia. Journal of Gynecology and Obstetrics, 11(4), 80-89. https://doi.org/10.11648/j.jgo.20231104.11

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    ACS Style

    Tatek Tesfaye; Ephrem Mamo; Trhas Tadesse; Yared Tesfaye; Gelane Lelise, et al. Assessment of Quality of Comprehensive Abortion Care in Selected Health Institution of Addis Ababa, Ethiopia. J. Gynecol. Obstet. 2023, 11(4), 80-89. doi: 10.11648/j.jgo.20231104.11

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    AMA Style

    Tatek Tesfaye, Ephrem Mamo, Trhas Tadesse, Yared Tesfaye, Gelane Lelise, et al. Assessment of Quality of Comprehensive Abortion Care in Selected Health Institution of Addis Ababa, Ethiopia. J Gynecol Obstet. 2023;11(4):80-89. doi: 10.11648/j.jgo.20231104.11

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  • @article{10.11648/j.jgo.20231104.11,
      author = {Tatek Tesfaye and Ephrem Mamo and Trhas Tadesse and Yared Tesfaye and Gelane Lelise and Ayele Teshome and Selahadin Seid and Jemal Mohammed and Tamerat Assefa},
      title = {Assessment of Quality of Comprehensive Abortion Care in Selected Health Institution of Addis Ababa, Ethiopia},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {11},
      number = {4},
      pages = {80-89},
      doi = {10.11648/j.jgo.20231104.11},
      url = {https://doi.org/10.11648/j.jgo.20231104.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231104.11},
      abstract = {Back ground: The risks of unsafe abortion are not only just to the woman involved and her family butalso the costs of unsafe abortion are carried by the whole of the society. Howeverunsafe abortion is commonly neglected reproductive health care problem in developing countries like Ethiopia. Therefore, the aim of this study was todetermine the level of quality comprehensive abortion care and its associated factor in selected hospitals of Addis Ababa Ethiopia. Method: An institution based cross sectional study was conducted. Three public hospitals, 113 cleints and 46 health care providers were included in the study. Data was collected through a standard structured pre-defined observation checklist adopted from WHO, client exit interview and providers self adminster questioners. Frequency tables and graphs were used to describe the study variables and a logistic regression model was used to measure the association between the outcome and the predictor variable. Statistical significance was declared at p-valueResult: Only 36 (31.9%) of the participants were counseled on contraceptive use and 54.3% of the providers were trained on comprehensive abortion care services. Consent was taken verbally from 41 (36.3%) of the clients' and privacy was maintained for 34 (30.1%) of the clients during physical examination. Over all 52 (46%) of clients were satisfied by abortion care services. Clients with no history of previous pregnancy and muslim religions and protestant were more likely satisfied by CAC service compared to clients with a history of previous pregnancy and orthodox religion respectively. Conclusion: The proportion of quality of comprehensive abortion care was low. Religion and previous history of pregnancy were significantly associated with quality of comprehensive abortion care. Policymakers and other concerned bodies should focus on those areas to improve the quality of comprehensive abortion care.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Assessment of Quality of Comprehensive Abortion Care in Selected Health Institution of Addis Ababa, Ethiopia
    AU  - Tatek Tesfaye
    AU  - Ephrem Mamo
    AU  - Trhas Tadesse
    AU  - Yared Tesfaye
    AU  - Gelane Lelise
    AU  - Ayele Teshome
    AU  - Selahadin Seid
    AU  - Jemal Mohammed
    AU  - Tamerat Assefa
    Y1  - 2023/07/13
    PY  - 2023
    N1  - https://doi.org/10.11648/j.jgo.20231104.11
    DO  - 10.11648/j.jgo.20231104.11
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 80
    EP  - 89
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20231104.11
    AB  - Back ground: The risks of unsafe abortion are not only just to the woman involved and her family butalso the costs of unsafe abortion are carried by the whole of the society. Howeverunsafe abortion is commonly neglected reproductive health care problem in developing countries like Ethiopia. Therefore, the aim of this study was todetermine the level of quality comprehensive abortion care and its associated factor in selected hospitals of Addis Ababa Ethiopia. Method: An institution based cross sectional study was conducted. Three public hospitals, 113 cleints and 46 health care providers were included in the study. Data was collected through a standard structured pre-defined observation checklist adopted from WHO, client exit interview and providers self adminster questioners. Frequency tables and graphs were used to describe the study variables and a logistic regression model was used to measure the association between the outcome and the predictor variable. Statistical significance was declared at p-valueResult: Only 36 (31.9%) of the participants were counseled on contraceptive use and 54.3% of the providers were trained on comprehensive abortion care services. Consent was taken verbally from 41 (36.3%) of the clients' and privacy was maintained for 34 (30.1%) of the clients during physical examination. Over all 52 (46%) of clients were satisfied by abortion care services. Clients with no history of previous pregnancy and muslim religions and protestant were more likely satisfied by CAC service compared to clients with a history of previous pregnancy and orthodox religion respectively. Conclusion: The proportion of quality of comprehensive abortion care was low. Religion and previous history of pregnancy were significantly associated with quality of comprehensive abortion care. Policymakers and other concerned bodies should focus on those areas to improve the quality of comprehensive abortion care.
    VL  - 11
    IS  - 4
    ER  - 

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Author Information
  • Obstetrics and Gynaecology Department, Yekatit 12 Hospital Medical Colege, Addis Ababa, Ethiopia

  • Public Health Department, Yekatit 12 Hospital Medical Colege, Addis Ababa, Ethiopia

  • Public Health Department, Yekatit 12 Hospital Medical Colege, Addis Ababa, Ethiopia

  • Obstetrics and Gynaecology Department, Yekatit 12 Hospital Medical Colege, Addis Ababa, Ethiopia

  • Obstetrics and Gynaecology Department, Yekatit 12 Hospital Medical Colege, Addis Ababa, Ethiopia

  • Obstetrics and Gynaecology Department, Yekatit 12 Hospital Medical Colege, Addis Ababa, Ethiopia

  • Meristopes International Ethiopia, Addis Ababa, Ethiopia

  • Armaure Hansen Research Institute, Addis Ababa, Ethiopia

  • Armaure Hansen Research Institute, Addis Ababa, Ethiopia

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