article · Contraception and Reproductive Medicine
Between September and December 2014, an institutional case-control study was conducted at Felegehiwot Referral Hospital in Northwest Ethiopia to identify determinants of induced abortion. Primary interview data were gathered from 175 cases and 350 controls selected through systematic random sampling, followed by binary logistic regression analysis. The findings showed that unmarried women, students, and individuals with a monthly income below 500 Ethiopian Birr faced a significantly higher likelihood of seeking an induced abortion. Conversely, women older than 24 years and those with a prior history of induced abortion had lower odds of obtaining the service. The study concludes that demographic and economic characteristics heavily influence the demand for induced abortion, underscoring the need for targeted health interventions addressing these specific population groups.
Identifying the primary socio-demographic drivers of induced abortion allows public health officials and medical administrators to design targeted reproductive health services. By pinpointing the groups most likely to seek abortion care, such as young, low-income, and unmarried women, regional healthcare systems can better tailor family planning support, educational initiatives, and maternal health interventions to meet client needs.
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BACKGROUND: According to the World Health Organization (WHO) estimate, one-third of pregnancies end in miscarriage, stillbirth, or induced abortion in the world. There are various reasons for a woman to seek induced abortion. However, limited information is available so far in the country and particularly in the study area. Therefore, the aim of the current study was to identify the determinants of induced abortion among clients coming for abortion care services at Bahirdar Felegehiwote referral hospital, Northwest Ethiopia. METHODS: Institutional based unmatched case-control study was conducted from September to December 2014. Interview administered questioner was used to collect primary data. Enumeration and systematic random sampling (K = 3) method was used to select 175 cases and 350 controls. A binary logistic regression model was fitted to identify determinant factors. Odds ratio with 95% CI was computed to assess the strength and significance of the association. RESULT: All sampled cases and controls were actually interviewed. The likelihood of abortion was higher among non-married women [AOR: 18.23, 95% CI: 8.04, 41.32], students [AOR: 11.46, 95% CI: 6.29, 20.87], and women having a monthly income of less than 500 ETB [AOR: 11.46, 95% CI: 6.29, 20.87]. However, the likelihood of abortion was lower among women age greater than 24 years [AOR: 0.29, 95% CI: 0.11, 0.79] and who had the previous history of induced abortion [AOR: 0.31, 95% CI: 0.15, 0.65]. CONCLUSION: The study identified being non-married, student, women age less than 24 years, having the previous history of induced abortion, and low monthly income as an independent determinant of induced abortion. Interventions focused on the identified determinant factors are recommended.
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DOI: 10.1186/s40834-017-0038-5
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