Factors associated with utilization and quality status of post- abortion care (pac) services attat catholic hospital, gurage zone, Ethiopia

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.