Assessment of Knowledge, Attitude and Practice Women of Reproductive Age Group Towards Abortion Care at Gambella Health Facilities, South West of Ethiopia

Abstract

Abortion is an important cause of bleeding during pregnancy. It is one of the five Leading causes of maternal death in the developing world. Moreover, in developing country, abortion is the major cause of maternal mortality, which in Ethiopia safe abortion accounts 60% considering the huge number of maternal deaths due to abortion. The aim of this study is to Assessment of KAP Women of Reproductive Age Group towards Abortion Care at Gambella health facilities. An institutional based cross-sectional study will be conducted at 4 Health facilities in Gambella town from August 15 to September 30, 2019. A total of 412 pregnant women will be selected by systematic random sampling technique. Data will be coded and entered into Epi-info version 3.1 and exported to SPSS V-20 for cleaning and analysis. At bivariate logistic regression analysis, independent variables with cut off P-value<0.25 was included. In the multivariable binary logistic regression analyses were used to assess the independent effect of various explanatory variables on the dependent and to control potential confounder. P values <0.05 were considered to identify the significant factors associated with the dependent variable. Out of 422 sampled women of reproductive age group (15-49 years of age), 412 were interviewed making up a response rate of 97.6%. The majority of 39.1% participants had knowledge about legal abortion service and 69.5% of women in reproductive age group had inadequate knowledge towards safe abortion and who think about abortion, 174 (42.2%) were said that it is Sin against God, 52 (12.5%) were said that it is good, 67 (16.2%) were said that it is harm full practice and 40 (9.6%) were they don’t knew. Attitude towards safe abortion about, One hundred Eight two (29.9%) women of reproductive age group have positive attitude towards safe abortion to be legal and accessible under any circumstance. The majority of 322 (78.1%), of them knew at least one type of abortion complication. From the total respondents 405 (98.3%) of them had sexual intercourse at least once. Only 66 (16.3%) of respondents had induced abortion before. Conclusion and Recommendation: More than 30.5%, 29.9% of the respondents were inadequate knowledge and lacking knowledge and had negative attitude towards induced abortion respectively. Therefore, it would be better to disseminate health education to increase awareness and knowledge, Practice regarding induced abortion and also strengthening family planning implementation.