Particularly, female sex workers are exposed to the risk of unintended pregnancy, abortion and their consequences. Prevalence of unplanned pregnancy and factor among pregnant. Technical and procedural guidelines for safe abortion services in ethiopia. Pdf unintended pregnancy has been a major reproductive health challenge in resource poor. Prevalence and abortion methods employed by women working. In ethiopia in 2014, 44% of pregnancies among adolescents were unintended, and 46% of those unintended pregnancies ended in abortion. More than one third of women 35% reported that their most recent pregnancy was not intended.
Scope of the global epidemic outcomes of unintended pregnancy adverse impact of unintended pregnancy on women, children, and society factors that contribute to unintended pregnancy possible approaches to the problem including family planning hormonal contraception. The aim of this study was, therefore, to assess unintended pregnancy and associated factors among female sex workers in mekelle city, northern ethiopia. Unintended pregnancy is a global public health problem and its sequels are major causes for maternal and neonatal morbidity and mortality with its effect to maternal metal illness as well. Research article induced abortion and associated factors in health facilities of guraghe zone, southern ethiopia gezahegntesfaye, 1 mitikuteshomehambisa, 1 andagumasiesemahegn 2 department of public health, college of health and medical sciences, haramaya university, p. Thus, this study is aims to at determine the prevalence of unintended pregnancy and associated factors among pregnant married women residing in. Magnitude and risk factors of abortion among regular female. Dec 30, 2019 abortion is one of the major direct causes of maternal death, accounting for 7. Guttmacher institute, facts on unintended pregnancy and abortion in ethiopia. Yet, abortion is a very common experience in every culture and society.
Pdf correlates of unintended pregnancy in ethiopia. East africa has the highest rate, at 38, followed by middle africa at 36, west africa at 28 and north africa at 18. In ethiopia, the annual abortion rate is 28 per reproductive age group women 15, 16. Facts on abortion in africa incidence of abortion the annual number of induced abortions in africa rose between 2003 and 2008, from 5. Unintended pregnancy and induced abortion in a town with. Determinants of abortion among youth seeking reproductive.
Less is known about the factors associated with womens unwanted pregnancies in hossana town, southern ethiopia. Improve womens access to contraceptive information and counseling and to a full. Research article induced abortion and associated factors. Unintended pregnancies and the use of maternal health. Adolescent pregnancy has been considered as one of the major public health problems in ethiopia and efforts have been made to address this critical issue. International perspectives on sexual and reproductive health, 2010, 361. Research article induced abortion and associated factors in. However, adolescents and youths are at the fore front of the maternal mortality and morbidity due to unintended pregnancy in ethiopia. The aim of this paper is therefore, to present the findings on the determinants of abortion among young women of 15. In ethiopia according to ethiopian demographic health survey edhs 2011, the percentage of. Despite the efforts to improve fp access and pac specifically pafp, the higher magnitude of repeat abortion in ethiopia is worrisome. Few studies have focused on providers clinical knowledge. Unintended pregnancy among female sex workers in mekelle city.
The revised law, enacted by ethiopias parliament in 2005, allows a woman to obtain a safe and legal abortion if. It is directed at young people and pursues the vision of a world where every pregnancy is wanted. In addition, the revised code stipulates that the womans word is all that is needed to justify pregnancy termination in cases of rape and incest. Nearly one third of pregnancy related deaths are caused by the complications of unsafe abortion. Distribution of unintended pregnancy among respondents by selected. Unplanned pregnancy can have serious health, economic, psychological and social consequence for women. Unintended pregnancy contributes to unacceptably high maternal mortality rates throughout the world and can have farreaching health, social and economic consequences. First study on the incidence of abortion among ethiopian. It is estimated that of the 210 million pregnancies that occur each year, 80 million are unintended, which is a root cause of. Pdf magnitude and factors associated with unintended pregnancy. Unintended pregnancy unintended pregnancy reproductive.
Unintended pregnancy and associated factors among pregnant. The national data in ethiopia showed that about 42% of pregnancies were unintended and the annual abortion rate was 23 per 1,000 women aged 1544 years in 2008. It is a universally accepted fact that unintended pregnancy and. A study of the effects of abortion in the united states. Scope of the global epidemic outcomes of unintended pregnancy adverse impact of unintended pregnancy on women, children, and society. About 42% of pregnancies in ethiopia are reported to be unintended and half of these end up in abortions, most of them in unsafe abortions, which claim the lives of. Or the pregnancy is mistimed, such as the pregnancy occurred earlier than desired. Jan 31, 2015 unintended pregnancy is a significant public health concern in the world. The technical guidelines for safe abortion service provision should be updated to expand the role of hews to include early first trimester termination and treatment of.
B oth e lw s and igubr abortion rates are in europe, where abortion is generally legal under broad grounds. Data on provision of abortion and postabortion care were collected from a nationally representative sample of 772 health facilities, and estimates of the likelihood that women who have unsafe abortions experience. Box 24762 code, addis ababa, ethiopia original article unintended pregnancy and induced abortion in a town with. Unintended pregnancy among female sex workers in mekelle. The supreme court ruling that legalized abortion in the case of roe vs.
Cognizant of these facts and with the intent to reduce maternal death due to unsafe abortion, the ethiopian government revised the abortion law in 2005. Reasons for unintended pregnancy in harrar, ethiopia, 2001 table2. A new study finds that adolescent women have benefited greatly from the 2005 expansion of ethiopia s abortion law that gave them access to safe, legal abortion services. Magnitude and risk factors of abortion among regular. First study on the incidence of abortion among ethiopian adolescents released improved access to safe abortion has benefited adolescent women. Facts on induced abortion worldwide worldwide incidence and trends after declining substantially between 1995 and 2003, the worldwide abortion rate stalled between 2003 and 2008. Abortion in ethiopia defend the rights of unborn babies in.
According to the world health organization, ethiopia had the fifth largest number of maternal deaths in 2005 and unsafe abortion was estimated to account for 32% of all maternal deaths in ethiopia. Unintended pregnancy is a significant public health concern in the world. In ethiopia, around one third of all married women feel their pregnancy unintended. It is predispose women to maternal deaths and illness mainly through unsafe abortion and poor maternity care, and also it causes adverse social and health outcome for mother, children and family as whole. Since 2005, abortion in ethiopia has been permitted under certain circumstances, which include. Prevalence of unplanned pregnancy and factor among. Unintended pregnancy has been a major reproductive health challenge in resource poor settings including ethiopia. In 2005, ethiopia expanded its abortion lawwhich had previously allowed the proce. This study was part of pregnancy surveillance at kersa demographic surveillance and health research center, east ethiopia.
Unplanned pregnancy is not an indicator for abortion in ethiopia, says chief of staff. To determine the prevalence and associated factors of unintended pregnancy in debre birhan town, northeast of ethiopia, in 2014. About 42% of pregnancies in ethiopia are reported to be unintended and half of these end up in abortions, most of them in unsafe abortions, which claim the lives of young ethiopians. Pdf magnitude and factors associated with unintended. The global rate of unintended pregnancy was estimated at 44% of all pregnancies between 2010 and 2014, corresponding to. The objective of this study was to identify predictors of unintended pregnancy in rural eastern ethiopia. An unintended pregnancy is a pregnancy that is either unwanted, such as the pregnancy occurred when no children or no more children were desired. Facts on unintended pregnancy and abortion in ethiopia. The world health organization who estimates that every year, nearly 5. Abortion in ethiopia defend the rights of unborn babies. Induced abortion is one of the greatest human rights dilemmas of our time. Inbrief facts on unintended pregnancy and abortion in ethiopia context theworldhealthorganizationwho estimatesthateveryyear,nearly5. Nevertheless, facts on unintended pregnancy and abortion in ethiopia states that younger women who want to space births are using ia. Aug 30, 2016 unintended pregnancy is a global public health problem and its sequels are major causes for maternal and neonatal morbidity and mortality with its effect to maternal metal illness as well.
To identify prevalence of unintended pregnancies and associated factors among married pregnant women in ganji woreda west. In 2005, the ethiopian government amended the countrys penal code to expand instances in which a woman could legally obtain an abortion. Facts on abortion and unintended pregnancy in asia incidenceofabortion theestimatedannualnumberofabortionsinasiafellslightlybetween1995 and2003,from26. Predictors of unintended pregnancy in kersa, eastern ethiopia, 2010. Who, united nations development programme, and sexual and reproductive health experts in the united states and abroad unanimously recommend certain actions to reduce the incidence of unintended pregnancy and abortion. Jun 22, 2012 less is known about the factors associated with womens unwanted pregnancies in hossana town, southern ethiopia. Cognizant of these facts and with the intent to reduce maternal death due to unsafe abortion, the ethiopian government had revised the abortion law in 2005. Unplanned pregnancy is a public health concern in both developing and developed world. Unsafe abortion is one of the leading causes of maternal morbidity and mortality in ethiopia. It has adverse consequences to the mother, child and the health sectors resources.
This determination had to be made by two physicians. Research article open access prevalence and determinants of. In 2008, the most abortions occurred in eastern africa 2. Factors associated with health care provider knowledge on.
Unplanned pregnancy is a public health concern in both developing and. Mar 20, 2018 cognizant of these facts and with the intent to reduce maternal death due to unsafe abortion, the ethiopian government had revised the abortion law in 2005. Proper maternal health care depends on clear understanding of the reproductive health situation. Figure2, percentage of pregnancy termination miscarriage or abortion among women age 1524 by residence, marital status and age, ethiopia 2005. Specifically the rate is higher among the unmarried, under 20s and the urban youth as shown in figure2. Unintended pregnancy is 36 percent higher in developing country than developed country. Repeat induced abortion and associated factors among women.
The annual abortion rate was 23 per 1,000 women aged 1544 years and the abortion ratio was per 100 live births, about 42% of pregnancies were unintended, and the unintended pregnancy rate was 101 per 1,000 women 5. Guttmacher, facts on unintended pregnancy and abortion in ethiopia. Thus, this study is aims to at determine the prevalence of unintended pregnancy and associated factors among pregnant married women residing in hossana, southern ethiopia. Induced abortion and postabortion care in ethiopia fact sheet pregnancy outcomes, 2014 more than one in 10 pregnancies end in abortion. Determinants of abortion among youth seeking rh care in.
Ethiopia achieved remarkable improvements in uptake of. In ethiopia, little is known about pregnancy among rural women. How ethiopia solved its abortion problem public radio. The incidence of abortion in nigeria guttmacher institute. A community based crosssectional study was conducted. Facts on induced abortion worldwide worldwide incidence and trends the number of induced abortions declined worldwide between 1995 and 2003, from nearly 46 million to approximately 42 million. Reducing early and unintended pregnancies among adolescents.
Induced abortion and postabortion care among adolescents. About one in five pregnancies worldwide end in abortion. Community based crosssectional study article pdf available in obstetrics and gynecology international 20161. Who, united nations development programme, and sexual and reproductive health experts. As of 20102014, the unintended pregnancy rate in africa as a whole is 89 per 1,000 women aged 1544. Research article open access prevalence and determinants of unintended childbirth in ethiopia yibeltal tebekaw1, bezuhan aemro2 and charles teller3 abstract background. Prevalence of unintended pregnancy and associated factors.
Comprehensive abortion care pilot project in tigray, ethiopia. This study investigates the level of health workers. Our results show that the level of maternal health care use is very low in the study area. Ethiopias population policy specifically aims to reduce tfr from 7. Federal democratic republic of ethiopia ministry of health. For every 1,000 women of childbearing age 1544 worldwide, 29 were estimated. Magnitude and factors associated with unintended pregnancy among pregnant women in addis ababa, ethiopia. In ethiopia according to ethiopian demographic health survey edhs 2011, the percentage of unwanted births decreased 17% in 2000 to 9% in 2011. Unintended pregnancy was associated with family wealth status or 1. Magnitude and factors associated with unintended pregnancy among pregnant women in addis ababa, ethiopia thesis pdf available january 2017 with 36 reads how we measure reads. This study examined the association between pregnancy intention and use of maternal health services in southwestern ethiopia. Among all sexually active women of reproductive age, adolescents had the highest rates of pregnancy and unintended pregnancy 401 and 176, respectively, per 1,000 women.
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