Delays in seeking abortion and its determinants among reproductive-age women based on the Ethiopian Demographic and health survey

Asaye Alamneh Gebeyehu; Anteneh Mengist Dessie; Denekew Tenaw Anely; Melkamu Aderajew Zemene; Yilkal Negesse; Wondimnew Desalegn; Atitegeb Abera Kidie; Birtukan Gizachew Ayal; Angwach Abrham Asnake; Mulu Tiruneh; Assefa Agegnehu Teshome; Abebe Nega Zelelew; Getu Dessie Biru; Dejen Gedamu Damtie; Chalachew Yenew

Heliyon (Oct 2024)

Delays in seeking abortion and its determinants among reproductive-age women based on the Ethiopian Demographic and health survey

Asaye Alamneh Gebeyehu,
Anteneh Mengist Dessie,
Denekew Tenaw Anely,
Melkamu Aderajew Zemene,
Yilkal Negesse,
Wondimnew Desalegn,
Atitegeb Abera Kidie,
Birtukan Gizachew Ayal,
Angwach Abrham Asnake,
Mulu Tiruneh,
Assefa Agegnehu Teshome,
Abebe Nega Zelelew,
Getu Dessie Biru,
Dejen Gedamu Damtie,
Chalachew Yenew

Affiliations

Asaye Alamneh Gebeyehu: Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia; Corresponding author. Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Anteneh Mengist Dessie: Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Denekew Tenaw Anely: Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Melkamu Aderajew Zemene: Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Yilkal Negesse: Department Public Health, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia
Wondimnew Desalegn: Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Atitegeb Abera Kidie: School of Public Health, College of Health Sciences, Woldia University, Woldia, Ethiopia
Birtukan Gizachew Ayal: School of Public Health, College of Health Sciences, Woldia University, Woldia, Ethiopia
Angwach Abrham Asnake: Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wolaita Sodo University, Wolaita Sodo, Ethiopia
Mulu Tiruneh: Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Assefa Agegnehu Teshome: Department of Biomedical Science, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Abebe Nega Zelelew: Department of Statistics, CNS, Jimma University, Jimma, Ethiopia
Getu Dessie Biru: Department of Statistics, CNS, Dambi Dollo University, Dambi Dollo, Ethiopia
Dejen Gedamu Damtie: Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia
Chalachew Yenew: Department of Public Health, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia

Journal volume & issue: Vol. 10, no. 19
p. e38477

Abstract

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Introduction: Delaying in seeking abortion services causes adverse public health outcomes, which increases maternal mortality rates due to complications from abortion. However, evidence shows that there are limited factors associated with delayed abortion. Therefore, the study aims to determine the magnitude and identify factors associated with delayed seeking abortion among reproductive-aged women in Ethiopia. Methods: Secondary cross-sectional data analysis was conducted on the Ethiopian Demographical and Health Survey dataset. A total weighted sample of 2198 reproductive-aged women was considered in this study. All data processing and statistical analyses were performed using R-software version 4.2.3. Multilevel binary logistic regression analysis was used to identify a significant predictor for delays in seeking abortion. An adjusted odds ratio with a 95 % confidence interval was used to measure a statistical association. Result: The prevalence of delays in seeking abortion among women in Ethiopia was 32 %. Educational status (AOR = 0.63; 95 % CI: 0.37–0.78), marital status (AOR = 2.12; 95 % CI: 1.38–3.74), wealth index (AOR = 0.54; 95 % CI: 0.41–0.75), frequency of listening a radio (AOR = 0.61; 95 % CI: 0.45–0.75), live births (AOR = 0.43; 95 % CI: 0.25–0.72), pregnancy wanted status (AOR = 0.59; 95 % CI: 0.4–0.79), contraceptive use (AOR = 0.46; 95 % CI: 0.34–0.69), and place of residence (AOR = 2.31; 95 % CI: 1.67–3.19) were statistically significantly variables associated with delays in seeking abortion. Conclusions: Delayed seeking abortion remains high in Ethiopia. The study is vital for policymakers, healthcare providers, and advocates to improve training on the importance of early abortion care, develop targeted interventions for better accessibility to abortion services, expand health education programs to raise awareness about reproductive rights and empower women with information for informed reproductive health decisions. Health education programs, specifically targeting uneducated women, poorer women, rural resident women, and women who do not use contraceptives, would decrease delays in accessing abortion services.

Published in Heliyon

ISSN: 2405-8440 (Online)
Publisher: Elsevier
Country of publisher: United Kingdom
LCC subjects: Science: Science (General); Social Sciences: Social sciences (General)
Website: https://www.cell.com/heliyon/home

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