Maternal satisfaction with the quality of post-abortion care in Ethiopia at teaching hospitals of Amhara regional state by 2023

Abstract Background Every year, complications from abortion cause millions of women’s serious injuries and over 47,000 deaths globally. While many regions of Sub-Saharan Africa restrict access to safe abortion procedures, Ethiopia’s government is attempting to address maternal morbidity and mortalit...

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Main Authors: Besfat Berihun Erega, Wassie Yazie Ferede, Assefa Kebie Mitiku, Rahel Birhanu Arage, Enyew Dagnew Yehuala, Begizew Yimenu Mekuriaw, Temesgen Dessie Mengistu, Tigist Seid Yimer, Eyob Shitie Lake
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Pregnancy and Childbirth
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Online Access:https://doi.org/10.1186/s12884-025-07615-y
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Summary:Abstract Background Every year, complications from abortion cause millions of women’s serious injuries and over 47,000 deaths globally. While many regions of Sub-Saharan Africa restrict access to safe abortion procedures, Ethiopia’s government is attempting to address maternal morbidity and mortality associated with abortion by offering post-abortion care services to all women. The primary determinant of the quality of health treatment is thought to be client satisfaction. Services for post-abortion are still lacking and disregarded in Ethiopia’s contemporary healthcare system. Thus, this study’s main goal was to investigate the state of post-abortion care services, with a particular emphasis on client satisfaction, the suitability of legal requirements for safe abortion services, service provider competency, and the establishment of animosity. Methods A facility-based cross sectional study was conducted from March 01/2023 to July 30/2023. The study was conducted at eight selected maternity teaching hospitals located in the Amhara regional state. Eight BSc midwives who had received three days of training collected the data via a structured questionnaire. A quota sampling technique was carried out for all post-abortion patients who were consecutively served at facilities. The chi-square test and multivariable logistic regression methods were employed using SPSS 23. The strength of associations and significance level were examined using P values of less than 0.05 and odds ratios at 95% confidence intervals respectively. Multicollinearity and model fitness were also checked. Results A total sample size of 384 were employed with a response rate of 100%.The overall magnitude of women’s satisfaction in this study was (34.11% (27.45%_39.05%)). Educational status, living solely, having an unplanned pregnancy and having a hostile infrastructure are the determining factors for women’s satisfaction with the quality of Post-abortion care. Conclusion and recommendation The overall magnitude of women’s satisfaction (34.11% (27.45%_39.05%)) is extremely low in this study. Therefore, health care providers and policy makers in the health sector had to struggle with the quality of PAC for improved client satisfaction.
ISSN:1471-2393