POST ABORTION FAMILY PLANNING ACCEPTANCE AND ASSOCIATED FACTORS AMONG WOMEN UTILIZING ABORTION SERVICE, IN HEALTH FACILITIES OF HARARI REGION, EASTERN ETHIOPIAN

Abstract

Background: In Ethiopia, abortion is a leading cause of maternal mortality. Although there is some investigation on post-abortion family planning acceptance among women who utilize abortion services, the immediate post abortion period before women leave health instituition is a crucial time to provide family planning service. In Ethiopia, many women leave health facilities without using family planning planning method, therefore Understanding post abortion family planning acceptance is critical to reducing maternal mortality rates and improving reproductive health outcomes. Objectives: To assess the status of post abortion family planning acceptance and associated factors among women utilizing abortion services at selected public health facilities in Harari region, Eastern Ethiopia, from Augast, 30 to October 30, 2022. Methods: An institutional based cross sectional study design was conducted. A systematic random sampling method was used to select 355 women who utilized abortion care services in the selected health facilities. Data was collected using structured questionnaires, Data were entered into Epi data version 4.1 and exported to SPSS version 21 for data cleaning and analysis. Descriptive statistics were used to describe bivariable and multivariable logistic regression analysis was conducted to identify factors associated with post abortion family planning acceptance. The adjusted odd ratio at 95% confidence interval was used to declare the statistical significance of the association. Result: Among interviwed women 65.6 %,(95%, CI: 64.6-66.6).of them are received post abortion family planning acceptance,counseling about famiy planning (AOR=4.6, CI: 95 %( 1.63-13.1),Ever heard family planning(AOR=13.5, 95% CI:( 5.45-33.35),Ever used family planning (AOR=0.38, 95% CI:( 0.003-0.47),Plan to use family planning(AOR =0.002, 95% CI: (0.001-0.02)were found to be significantly associated with post abortion family planning method. Conclusion: The study found that more women who utilized abortion care services in the Harari health sector accepted post abortion family planning. However, factors such as fear of side effects and infrequent sexual activity were barriers to continued use of post abortion family planning acceptance. These findings highlight the need for xii improving post abortion family planning acceptance, counseling and education programs to increase acceptance and continuation of post abortion family planning.