The study conducted in Kenya, with the
increasing incidence of induced abortion, it is highly likely that the rate of
repeat induced abortions will also increase and
indicates that over 17 % of women who had an unwanted pregnancy and 12 %
who had a mistimed (not wanted then) pregnancy had had a previous induced abortion
and also the higher proportion of repeat abortions among women aged 20–24 than
25 and above.( 25
A cross sectional study done in Addis
Ababa revealed that 30% of women seeking abortion-related services at urban
public and private facilities in Addis Ababa, Ethiopia had had a previous
abortion.
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A cross sectional study conducted in
jimma indicates, 40.5% of the clients never want to be pregnant. It is also
shown in a study done in addis ababa which 31.7% of the women never want to become pregnant at all
19. The number of women who want to limit pregnancy is still high in both
studies which imply that there is a high family planning demand to space or
limit their next pregnancy calling that post-abortion setting continues to be an
important opportunity to provide post-abortion family planning counseling and
initiate family planning methods.
Thirty per cent of clients overall were
treated with medical abortion. Postabortion contraception
uptake was slightly less among women who
were treated with medical abortion than vacuum aspiration, a pattern which has
been seen in other settings ().26
Socio demography related factors
Studies shows that,client’s age was one of the
associated factors with the post abortion family planning utilization and those
in the age group between 18 and 24 years and 25 to 30 years are 9.3 and 6.5
times more likely to adopt post abortion family planning compared to clients
with age less than 18 years respectively. Married clients are 6.7 times more
likely to adopt PAFP than single clients.
A study on utilization of post abortion
family planning in Jimma Ethiopia shows that, younger and single clients were
less likely to utilize PAFP and this could be due to wrong perception of the
clients that they are at low or no risk of repeated unwanted pregnancy, fear of
side effects and misconceptions related with family planning which could be
addressed with good client provider interactions during the PAFP counseling sessions.(27
In most studies,
marital status of client is affects PAFP utilization, married women were 55 %
likely to utilize PAFP than the single women. The possible reason could be
Married women involve their partner and there may be partner disapproval.
Two-sided decision is not as easy like single and also married women less
likely to fear unwanted pregnancy than unmarried. Unmarried have strong desire
to use contraceptive due to fear of cultural out cast out cast and social
discrimination 16, 35,36.
Studies on associated factors of post
abortion family planning reveals that, educational status of women highly
affects utilization of contraceptive acceptance that Women with Higher and
secondary Education have 2 times more likely to utilize post abortion
contraceptives as compared to those who are unable to read and write.(28)