Abstract

Benalfew Lake*, Belayneh Adane, Genet Degu and Nakachewmekonnen

ABSTRACT

Background: Induced Abortion is the intentional termination of a pregnancy before the fetus can live independently. An abortion may be elective (based on a woman's personal choice) or therapeutic (to preserve the health or save the life of a pregnant woman). Objective: To assess magnitude and associated factors of induced abortion at health facilities in Debre Markos Town, East Gojjam Zone, Ethiopia, 2016/17. Method: A facility-based cross-sectional study design was conducted using a structured questionnaire with a calculated sample size of 422. Data was collected with cases of post abortion care services whose gestational age less than 28 weeks that fulfilled the inclusive criteria were included in the study and was carried out from February 15, 2017 to March 15, 2017. Statistical software Epi data version 3.1 and SPSS version 23 was used. Descriptive statistics, bivariate and multivariate logistic regression models for identifying the association was used; interpreting the degree of association, Odds Ratios (ORs) with 95 % Confidence Intervals would be computed & p - value < 0.05 was considered as significantly associated with the dependent variable. Result: A total of 422respondents were included in this study and 195 induced abortions were detected from 422 participants, with the overall magnitude of 46.2 %.Those respondents whose age were in between 35-39 yrs had 0.38 times [95% CI: AOR, 0.381[039-.677] less likely to carry out induced abortion than those whose age were in between 15- 19 years and those who had had high monthly family income were 2.4 times [95% CI: AOR, 2.420[1.017 -5.321] more risk to have induced abortion than low monthly family income. And participants who had no fear of parents and public were 2.0 times [95% CI: AOR, 2.000 (1.020 - 3.021)] at higher risk to perform induced abortion than those who had fear of parents and public Conclusion and Recommendation: Generally, the study revealed a high level of induced abortion. So, increased access to high-standard family planning service, strict counseling and partner involvement in family planning service should be emphasized.