Abstract:
Background: Incomplete management of abortion is a serious problem that affects women's health across the globe. The health of the woman is being negatively impacted by improper abortion care, which can lead to physical problems, psychological distress, and socioeconomic instability. The main goal of abortion care is to improve the woman's physical and mental well-being. Still, many healthcare institutions find it difficult to offer comprehensive abortion care.
Objective: This study aimed to determine the proportion of incomplete management of abortion and identify its determinants among clients in Gondar town public health facilities, northwest Ethiopia, 2024.
Methods: An institution-based cross-sectional study was conducted from January 1 to February 30, 2024. Four hundred twenty-three participants from 3 public health facilities were selected using the Stratified and Systematic random sampling methods respectively. Data were collected with a structured, pre-tested interviewer-administered questionnaire through face-to-face interviews and chart review. Epi data version 4.6 and SPSS version 25 were used for data entry and analysis respectively. Bi-variable and multivariable logistic regression analysis was done. A P-value of < 0.05 was used as the criterion for statistical significance.
Result: The proportion of incomplete management of abortion among clients in Gondar town public health facilities is 47.3% (95% CI: 42.3-52.0%). Factors positively associated with incomplete management of abortion included being in secondary education level (AOR = 3.31; 95% CI: 1.39, 7.88) as compared to college and above level of education, not in a marital relationship (AOR = 3.64; 95% CI: 1.17-11.33), lack of abortion care training among health care providers (AOR = 1.82; 95% CI: 1.15-2.86), and In contrast, longer wait time negatively significant of incomplete management of abortion (AOR = 0.32; 95% CI: 0.19-0.51).
Conclusion and recommendation; incomplete management of abortion in this study is found to be high. Service provider and client-related factors were significantly associated with incomplete management of abortion. Periodic audits of the management of abortion were believed to improve the practice.
