Assessment of Quality and Determinant Factors of Post-Abortion Care in Governmental Hospitals of Tigray, Ethiopia, 2013
|Balem Demtsu1*, Gessessew Bugssa2 and Amare Alemu3|
|1Department of Midwifery, College of Health Sciences, Mekelle University, Mekelle, Ethiopia|
|2Institute of Biomedical Sciences, College of Health Sciences, Mekelle University, Mekelle, Ethiopia|
|3Department of Midwifery, College of Health Sciences, Mekelle University, Mekelle, Ethiopia|
|Corresponding Author :||Balem Demtsu
Department of Midwifery, College of Health Sciences
Mekelle University, Mekelle, Ethiopia
E-mail: [email protected]
|Received september 21, 2014; Accepted October 15, 2014; Published October 17, 2014|
|Citation: Demtsu B, Gessessew B, Alemu A (2014) Assessment of Quality and Determinant Factors of Post-Abortion Care in Governmental Hospitals of Tigray, Ethiopia, 2013. Fam Med Med Sci Res 3:140. doi:10.4172/2327-4972.1000140|
|Copyright: © 2014 Demtsu B et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Background: Unsafe abortion is one of the leading causes of maternal mortality and morbidity worldwide accounting for 13% of maternal deaths globally. Objective: To assess quality and determinant factors of post-abortion care in governmental Hospitals of Tigray, Ethiopia.
Method: Institution based Cross-sectional study was conducted from January to May 2013. Four hundred twenty post apportion care clients were interviewed and 60 clients were observed to obtain qualitative data. Data was collected using pre prepared structured checklist and analyzed using SPSS version 16.00. The association between dependent and in dependent variables was assessed and presented using descriptive statistics, and logistic regression.
Results: Majority (46.9%) of the study subjects fall in to the age category of 14-19 years. The study depicted that only 40.6% of the clients were satisfied. Client satisfaction was significantly associated with educational and occupational status, laboratory prescription and toilet access. Only 48 % of study subjects were informed about the available family planning methods and supplied with. The observational study revealed that 88.3% of the clients did not get the opportunity to pose questions or concerns. Only one of the health institutions has functional sink with adequate water supply in the abortion room. No more than 22.2 % of the care providers got refresher training on relevant areas.
Conclusion: This study has identified main concerns that could have great input on the improvement of post abortion care. Hence, we can conclude that patient satisfaction is low and there is lack of refreshments trainings especially on counseling and supporting. Besides, there are shortage of materials and supplies. This all could have synergetic effect on compromising the quality of post abortion care. For this reason, it is recommended to skill up the providers with evidence based trainings to enhance quality of post abortion care.