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Background: Repeated induced abortion is a public health concern both in the developing and
developed world. Despite the advances in modern health care, maternal morbidity and mortality
remain a major problem in Ethiopia. Repeatedly induced abortion is indispensable to challenge
this problem. Even though the adverse effects on health, a significant proportion of Ethiopian
women procure more than one abortion during their reproductive lifetime. Repeat induced
abortion is an indicator of a larger problem of unmet family planning and unintended pregnancy.
Objective: To assess the prevalence of repeated induced abortion and its associated factors
among reproductive-age women who seek abortion services in Hawassa City public health
institutions, Sidama regional state, South Ethiopia, 2020.
Methods: Institution based cross-sectional study design was employed from July 8 to September
8, 2020, at Hawassa City public health institutions, Sidama region, South Ethiopia. A systematic
random sampling technique was used and 410 women were included in the study. Data were
collected using pre-tested and semi-structured interviewer-administered questionnaires. The
collected data coded and entered into EpiData Version 3.1.0 and exported to SPSS version 20 for
analysis. Variables with a p-value of <0.25 in binary logistic regressions were exported into
multivariate logistic regression analysis. Finally, variables with a p-value of < 0.05 in the
multivariate logistic regression analysis were used to declare statistical significance.
Results: This study shows that the prevalence of repeated induced abortion was 35.4 %( 95%
confidence interval; 30.7- 40). Women who had two and more partners in the last 12 preceding
months (AOR=4.38, 95%CI; 2.62-7.35), perceiving abortion procedure as it was not painful
(AOR = 2.18, 95% CI; 1.27-3.74), sexual debut before 18 years (AOR = 3.48, 95%CI; 2.03-
5.96), and consuming alcohol (AOR=4.47, 95%CI; 2.63-7.57) have higher odds of repeated
induced abortion.
Conclusion and recommendation: The prevalence of repeated induced abortion in Hawassa
city was high when compared with the previous studies done in other parts of Ethiopia. Hawassa
city health administration should give attention to factors those increasing the rate of repeated
induced abortion, which include; perceived abortion procedure as it was not painful, multiple
sexual partners, sexual debut before the age of 18, and alcohol consumption |
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