Abstract:
BACKGROUND: Unsafe abortion is one of the leading causes of maternal mortality and
morbidity worldwide accounting for 13% of maternal deaths globally. Ethiopia is one of the
developing countries with the highest maternal mortality ratio (412 per 100,000 live births) in the
world. Unsafe abortion was estimated to account for 9% to 12% of all maternal deaths in
Ethiopia. In Ethiopia, utilization of post-abortion care service is minimal and it seems that the
expanding services are underutilized. OBJECTIVE: To assess factors influencing utilization and quality status of post-abortion care
in Attat catholic hospital, 2019
METHODS- This study was conducted at Attat Catholic Hospital (ACH) which is found 175
km southwest of Addis Ababa. A facility based cross-sectional study design with both
quantitative and qualitative methods were conducted. All reproductive age women who were
visited gynecology out-patient and inpatient department of Attat general hospital from
January1, 2019 to July 30 2019 153 Patients will be interviewed, direct service observation, and 15 providers were self-administered questionnaire and in-depth interview, This was done
through a quota sampling technique which is a recommended method to study abortion in a
facility setting. Data were entered into Epi Info and analyzed by using SPSS version 21 software
for windows. Bivariate and multivariate logistic regression analyses were done. RESULT; - Patient-provider interaction was generally satisfactory from the patient’s perspective. The
majority of the respondents (125(81.7%) said that they were treated with politeness and respect. More
than half of the client 130(85 percent have not received post abortion family planning. Overall, 77.1% of
the patients were satisfied with the services. Those who said has language abused and have no rest room
after procedure, waiting time was long were less satisfied than others. CONCULUTION; - The interaction of patients and service providers was satisfactory. However, from
a clinical service delivery standpoint, important medical information on danger signs, follow-up needs of
post abortion family planning and care associated keep privacy during counseling were neglected by
most of the health professionals. Most of the clients were satisfied with the service provision. Long
waiting time was associated with less level of client satisfaction and not abused with language and had
rest room after the procedure of PAC service were more satisfied than others.
