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Background-: Unsafe abortion is one of the five major causes of maternal mortality in Ethiopia. It is estimated that between 10 and 50% of the women who undergo unsafe abortions need medical care for complications. The use of post abortion care services is believed to low. Objective: The objective of this study is to determine factors associated with utilization of post abortion care service in public health facility in Agaro town administration, Jimma zone, Oromiya Regional State. Methods: - Across sectional comparative study is conducted from January to February 2006. Study subjects were women drawn childbearing age (15-49 years) in Agaro town. Women had history of abortion in the last 5 years were identified by household census. Sample of women were drawn from all Kebele proportional to population size. Relevant data were collected using face to face interviewing of women in their home Results: - Abortion was reported by 310 (17%) of those pregnant in the last five years. Maternal education and marital status were significantly associated with PAC service utilization in public facility. Women with at least read and write are more likely utilize post abortion care service in public facility compared to those illiterate.{(OR(95%CI)=3.55(1.2,9.75)} But the association is decreased as educational level increases. Married women are more likely to utilize post abortion care in public facility compared to those unmarried women {(OR(95%CI)= 2.21(1.08, 4.17)}.Women with induced abortion are less likely utilize post abortion care in public facility compared to those with spontaneous abortion {(OR(95%CI)=0.46(0.27,0.97)}. Women's attitude to wards general and post abortion care in public health facility has shown significant difference between women utilized post abortion care in public facility compared to not utilized {(OR(95%CI)= 2.23 (1.15, 4.13) Vs 3.36 (1.77, 6.38)}. Conclusion: Socio-demographic factors such as education and marital status of women, stigma attached to induced abortion morbidity, poor attitude of women towards general and post abortion care in public facility are preventing women from utilizing PAC in public facility. Empowerment of women, improving health management system, training programs in order to sensitize health care providers about the context and realities of women who obtain unsafe abortions are recommended. |
