Factors Associated with Poorer Post-Abortion Care Quality at Ouidah-Kpomassè-Tori Bossito District Hospital in Benin, 2022
DOI:
https://doi.org/10.26911/jepublichealth.2023.08.03.08Abstract
Background: Managing abortion-related complications remains a health concern despite the insertion of postabortion care into Benin's family health service guidelines and protocols, not with standing that abortion up to 12 weeks of pregnancy has been legalized in Benin. This study aimed to investigate factors associated with poor quality of postabortion care in the Ouidah-Kpomassè-Tori-Bossito district hospital in 2022.
Subjects dan Method: This was a cross-sectional, analytical study carried out from March 21 to April 8, 2022. Records of all patients admitted for abortion at Ouidah-Kpomassè-Tori-Bossito district hospital from January 1, 2021, to April 8, 2022, were reviewed, as well as the providers involved in postabortion care and administrative staff, chosen through a reasoned choice. The dependent variable was the quality of postabortion care, defined by the six components: interview, physical examination, complementary examination, diagnosis, treatment and follow-up; according to the Benin postabortion care guidelines. Independent variables were provider features, patient features, and abortion features. Information collected through literature review and questionnaire survey was analyzed using STATA 15 software. Associated factors were then identified by bivariate analysis and multiple logistic regression at 5% threshold.
Results: A total of 130 records of women admitted for abortion were evaluated. The mean age was (Mean= 27.56; SD= 7.33). Postabortion care was poor in 39.23% and good in 60.77% of the patients. Factors associated with this poor quality of postabortion care were religion (p= 0.021), abortion history (p= 0.012), miscarriage history (p= 0.026) and abortion type (p= 0.007).
Conclusion: Addressing these factors will help ensure a better quality of postabortion care in order to support legalized abortion and significantly reduce maternal mortality related to abortion in Benin.
Keywords: postabortion care, associated factors, Benin
Correspondence: Mongbo Virginie. Department of Policies and Health Systems, Regional Institute of Public Health of Ouidah, University of Abomey-Calavi, Benin. Email: vmongade@yahoo.com. Mobile: 00229 95403790.
References
Abdulla M, Refaat S (2018). Evaluation the Effect of Evidence Based Guidelines for Maternity Nurses to Cope with Aborted Women. Int J Nurs Health Sci. 5(1): 14-22.
Affo AM (2019). Influence de l’homme sur les Besoins non satisfaits en matière de planification familiale (BNS/PF) chez les femmes en union au Bénin. IJIAS. 27: 654-72.
Ansari N, Zainullah P, Kim YM, Tappis H, Kols A, Currie S, Stekelenburg J (2015). Assessing post-abortion care in health facilities in Afghanistan: a cross-sectional study. BMC Pregnancy Childbirth. 15(1): 1-9. doi: 10.1186/s12884-015-0439-x.
Araújo T, Aquino E, Menezes G, Alves MT, Almeida MD, Alves SV, Campbell OM (2018). Delays in access to care for abortion-related complications: the experience of women in Northeast Brazil. CSP. 34(6). doi: 10.1590/0102-311X00168116.
Bankole A, Hussain R, Sedgh G, Rossier C, Kaboré I, Guiella G (2013). Grossesse non désirée et avortement provoqué au Burkina Faso: causes et conséquences, New York, Guttmacher Institute.
Bankole A, Remez L, Owolabi O, Philbin J, Williams P (2020). De l’avortement non sécurisé à sécuriser en Afrique subsaharienne: des progrès lents mais constants. doi: 10.1363/2020.32446.
Bettahar K, Pinton A, Boisramé T, Cavillon V, Wylomanski S, Nisand I, Hassoun D (2016). Interruption volontaire de grossesse par voie médicamenteuse. J Gynecol Obstet Hum Reprod. 45(10): 1490-514.
Dumont A (2017). Réduire la mortalité maternelle dans les pays en développ-ement : quelles sont les interventions efficaces ?.Rev Médecine Périnatale. 9: 7–14.
Guillaume A, Rossier C (2018). L’avortement dans le monde. État des lieux des législations, mesures, tendances et conséquences Institut national d'études démographiques. Population. 2(73): 225-322.
Gouvernement de la République du Bénin (2021). Encadrement de l’avortement au Bénin : Le Parlement a adopté la loi modificative. Available on: https://www.gouv.bj/actualite/1518/encadrement-avortement-benin-parlement-adopte-modificative.
Hooker A, Lemmers M, Thurkow A, Hey-mans L, Opmeer MW, Brölmann BC, et al. (2014). Systematic review and meta-analysis of intrauterine adhesions after miscarriage: prevalence, risk factors and long-term reproductive outcome. Hum Reprod Update. 20: 262–78.
Kumbi S, Melkamu Y, Yeneneh H (2008). Quality of post-abortion care in public health facilities in Ethiopia. Ethiop J Health Dev. 22: 26–33.
Ministère de la santé du Bénin (2018). Direction de la santé de la mère et de l’enfant. Protocoles des services de santé familiale.
Ministère de la santé du Bénin OMS (2022). Avortement. Organization Mondiale de la Santé.
Rossier C (2014). L’avortement non sécurisé reste fréquent dans le monde, mais il est moins souvent fatal. Popul Soc. 513: 1–4.
Singh S, Maddow-Zimet I (2015). Facility-based treatment for medical complications resulting from unsafe pregnancy termination in the developing world, 2012: A review of evidence from 26 countries. BJOG Int J Obstet Gynaecol. 123. doi: 10.1111/1471-0528.13552.
Varkevisser CM, Pathmanathan I, Brownlee A (1993). Elaboration et mise en œuvre de programmes de recherche sur les systèmes de santé, Série sur la formation à la recherche sur les systèmes de santé. CRDI, 2nd ed, Ottawa (Ontario).
WHO (2010). Unsafe abortion: global and regional estimates of the incidence of unsafe abortion and associated mortality in 2008. World Health Organization.
