Estimating the incidence of induced abortion among women in refugee settings in Ethiopia.

IF 3.1 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Yohannes Dibaba Wado, Stephanie Küng, George Odwe, Yadeta Dessie, Dagim Habteyesus, Bonnie Wandera, Caitlin Rich, Peter Kisaakye, Caroline W Kabiru, Francis Obare, Margaret Giorgio
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引用次数: 0

Abstract

Background: There is little evidence of the magnitude of unintended pregnancy and unsafe abortion in humanitarian settings, but the extent and consequences of unintended pregnancy and unsafe abortion are likely to be exacerbated among refugee populations. This study estimated the incidence of induced abortion among women in refugee settings in Ethiopia.

Methods: This study was conducted in 22 of the 24 refugee camps located in Ethiopia. We used data from a Health Facilities Survey (HFS) of 75 health facilities providing postabortion care (PAC) or safe abortion care (SAC) services within or outside the 22 refugee camps and a Knowledgeable Informant Survey (KIS) of 69 individuals knowledgeable about induced abortion among refugee populations. We estimated the annual postabortion caseload, the number of induced abortions, and the induced abortion rate per 1,000 women of reproductive age.

Results: We estimated that 9,044 (95% CI: 6,633 - 11,455) women in refugee settings received PAC across the 75 facilities in 2023, while some 2,946 (95% CI: 1,826-4,066) women received SAC. The overall induced abortion incidence rate among women in refugee settings living in camps in Ethiopia was estimated to be 38.3 per 1,000 women aged 15-49 years, with slight variations by region. The proportion of safe abortions obtained from the formal health system was 11.5% in all camps, with a slightly higher proportion of abortions estimated to take place within facilities in Western camps (12.9%) compared to Eastern and Northeastern camps (9.7%).

Conclusion: The study found that abortion incidence is high among women in refugee settings in Ethiopia, and only a small proportion of induced abortions were conducted through SAC services. There is an urgent need to improve family planning, SAC, and PAC services in refugee camps.

估计埃塞俄比亚难民环境中妇女人工流产的发生率。
背景:在人道主义环境中,几乎没有证据表明意外怀孕和不安全堕胎的严重程度,但在难民人口中,意外怀孕和不安全堕胎的程度和后果可能会加剧。这项研究估计了埃塞俄比亚难民环境中妇女人工流产的发生率。方法:本研究在位于埃塞俄比亚的24个难民营中的22个进行。我们使用了来自卫生设施调查(HFS)的数据,其中包括在22个难民营内外提供流产后护理(PAC)或安全流产护理(SAC)服务的75个卫生设施,以及对难民人口中69名了解人工流产的个人进行的知情信息调查(KIS)。我们估计了每年人工流产后的病例量、人工流产的数量和每1000名育龄妇女的人工流产率。结果:我们估计,2023年,难民环境中的9,044 (95% CI: 6,633 - 11,455)名妇女在75个设施中接受PAC,而约2,946 (95% CI: 1,826-4,066)名妇女接受SAC。居住在埃塞俄比亚难民营的难民环境中妇女的人工流产总发生率估计为每1 000名15-49岁妇女38.3例,各区域略有差异。在所有难民营中,从正规卫生系统获得的安全堕胎比例为11.5%,在西部难民营的设施内进行的堕胎比例(12.9%)略高于东部和东北部难民营(9.7%)。结论:研究发现,埃塞俄比亚难民环境中的妇女堕胎率很高,只有一小部分人工流产是通过SAC服务进行的。迫切需要改善难民营的计划生育、SAC和PAC服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Conflict and Health
Conflict and Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.10
自引率
5.60%
发文量
57
审稿时长
18 weeks
期刊介绍: Conflict and Health is a highly-accessed, open access journal providing a global platform to disseminate insightful and impactful studies documenting the public health impacts and responses related to armed conflict, humanitarian crises, and forced migration.
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