Abstract:
Background: In 2005, Ethiopia’s parliament amended the penal code to expand the
circumstances in which abortion is legal. Abortion is largely a product of unintended pregnancy,
which can be prevented through use of modern contraceptive methods. Official data regarding
provision of abortion and post-abortion care are incomplete in Ethiopia.
Objective: The study was conducted to assess contraception uptake after safe pregnancy
termination in government health institutions of Bahir Dar City, Northwest Ethiopia.
Methods: facility based cross-sectional study was conducted from May 1, 2019 to August 30,
2019 GC, in Bahir Dar City, Northwest Ethiopia. A total of 138 clients were included by using
systematic random sampling technique. Data were entered in to EpiData 3.1 and then transported
to SPSS 23 software packages for analysis. Descriptive statistics such as frequencies and
percentages were computed. Bivariable and multivariable logistic regression models were used
to examine the association between independent and dependent variables. The strength of
associations was indicated by OR with 95% confidence interval. Variables with P- values < 0.05
were considered as statistically significant.
Results: All the participants got counseling on modern contraceptives and 113(81.9%)
accepted to use one of the modern contraceptives. Other participants who decided not to use
modern contraceptive method planned to abstain from sexual intercourse. Gestational age at
current termination was independently associated with contraception uptake. Clients who had
gestational age of 9 – 14 weeks (AOR, 6.3(95% CI: [1.4, 28.7], p-value = 0.01) and 14 – 24
weeks (AOR, 9(95%CI: [1.1, 71.9], P-value = 0.03) had better modern contraceptive acceptance
than those with gestational age of less than 9 weeks.
Conclusion and Recommendation: In conclusion, the post abortion contraceptive
acceptance rate was lower compared with other studies done in Ethiopia. Increasing the
availability of contraceptives, advocacy and multipronged activity on the acceptance of post
abortion contraceptives should be done.
Key words: contraception uptake, safe pregnancy termination, bahir dar city