UTILIZATION OF MODERN CONTRACEPTIVES AND CHOICE DETERMINANTS AFTER SAFE ABORTION SERVICE FOR UN INTENDED PREGNANCY AT ST. PAUL HOSPITAL, ADDIS ABABA, ETHIOPIA, 2018.

Abstract

ABSTRACT Background: Increased access to and use of contraception among women who have experienced an abortion, would lower the incidence of unintended pregnancy and, in turn, women’s recourse to unsafe abortion, thereby putting the lives of women at less risk of lifelong injury or death. Objective: The aim of the study was to assess the utilization of modern contraceptives after safe abortion service for unintended pregnancies in St. Paul hospital with the view of recommendations to increase the uptake of LARC. Method: Facility based cross-sectional study was undertaken from September 1st till December 31st, 2018 and total of 550 clients interviewed at exit places using a structured questionnaire. The data was entered in to Epi-info version 3.5.4 then the data was cleared and exported to SPSS version 20 and analyzed using descriptive statistics, chi-square, logistic regression and multivariate analysis in SPSS version 20. P-value of less than 0.05 was taken as significant. Result: Of 550 clients interviewed total of 440(80%) respondents came for the safe abortion service as a result of unplanned or unwanted pregnancy, from these 417(94.8 %) used one form of modern contraceptive method, and about 304(69 %) used long acting reversible contraceptives. Multivariate analysis showed that being married and employed have higher rate of accepting one form of modern contraceptive methods. Those who have higher educational status are less likely in accepting LARC. Conclusion: The acceptance rate of modern contraceptives was higher than other studies done in Ethiopia after safe abortion service. Even though there is increased information on the awareness of modern contraceptive methods still there is high incidence of unplanned pregnancies. Marital status, level of income and occupation are significant predictors of accepting modern contraceptive methods and level of education is a significant predictor of LARC usage