Magnitude Of Induced Abortion And Associted Factors Among Women Undergone Abortion Care In Woliso Town Health Institutions, Woliso, Oromia, Ethiopia

Abstract

Background: Induced abortion is defined as the intentional termination of pregnancy using drugs or surgical interventions before the 28th weeks of gestation or before the fetus become independently viable outside of the womb. World health organization (WHO) estimated 42 million induced abortions annually, and result in the deaths of an estimated 47,000 women. Objective: To determine the magnitude of induced abortion and associated factors among women undergone abortion care in woliso town health institutions, Oromia, Ethiopia, 2022. Methods and materials: Facility-based cross sectional study design complemented by qualitative study was conducted from Sep.1/2022 to Oct.30/2022. A total of 363 women who undergone abortions were selected by SRS from 8 health institutions in Woliso town. The data was collected by face-to-face interview using a structured questionnaire. Ten purposely selected women undergone abortions care were included for in-depth interview. Data were entered using epi info version 7.1 and analyzed using SPSS version 20. Data analysis was done using descriptive statistics and binary logistic regression model. 95% confidence intervals (CI) with adjusted odds ratios (AOR) computed to identify the presence and strength of association. Statistical significance was declared at p-value < 0.05 along with 95% CI of the AOR. Qualitative data was initially transcribed and translated into English transcripts, then triangulated and presented in narration. Results: A total of 363 women of reproductive age were invited to participate and 357 of them responded making 98.3% response rate. The overall magnitude of induced abortion among women involved in the study was 65.0 % (CI: 60.2%, 70.0%). Being in the age of 15- 19 years (AOR=5.03, 95%CI: 1.29,19.68), urban residence (AOR=2.58, 95%CI: 1.40, 4.74), being single (AOR=5.96, 95%CI: 1.72, 20.63),having previous history of abortion (AOR=3.26, 95%CI: 1.77, 6.02), having multiple sexual partners (AOR= 2.70, 95%CI: 1.18, 6.17) and not having family or partner support to have child (AOR=4.05, 95%CI: 2.13, 7.71) were factors that were significantly associated with induced abortion. For in-depth interviews, ten women were participated from health facilities providing abortion care. Conclusion and recommendation: The magnitude of induced abortion in the study area was relatively high. The factors that were significantly associated with induced abortion were: being in the age of 15-19 years, urban residence, single marital status, having previous history of abortion, having multiple sexual partners and not having family or partner support to have child. Therefore, it is better to give attention for Youngers and those having multiple sexual partners, then strengthening of male involvement in provision of reproductive healthcare services are crucial.