"They come when you build it": the impact of introducing a model abortion clinic on safe abortion care access expansion in Ethiopia.

IF 1 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

African journal of reproductive health Pub Date : 2025-09-29 DOI:10.29063/ajrh2025/v29i9s.11

Abraham Fessehaye Sium, Abrham Getachew, Lemi B Tolu, Sarah Prager

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Abstract

Current strong evidence supports that making abortion legal, safe, and accessible significantly reduces unsafe abortion-related maternal morbidity and mortality. We conducted a decade-long (2009 - 2019) trend-analysis study of safe abortion care and post abortion care services in relation to introduction of a new abortion clinic at St. Paul's Hospital in Ethiopia. There were 9491 total abortions (6449 post-abortion care cases and 3042 safe abortion cases) during the study period (between September 2009 to August 2019). Following the opening of a model abortion clinic, access to safe abortion care significantly increased, and post-abortion care abortion service dominance was replaced by safe abortion care. Before the introduction of the clinic in 2016, only 1 in 3 abortions were safe abortions, the rest being post-abortion care cases. During the years 2017-2018 and 2018-2019, safe abortion care increased to 6 in 10 and 7 in 10 of all comprehensive abortion care provided, respectively. This "They come when you build it" effect on the trends of safe abortion - a paradigm shift of post-abortion care into safe abortion care - can be implemented in other Sub-Saharan settings.

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“你建好了，他们就来了”：在埃塞俄比亚引进一个模范堕胎诊所对扩大安全堕胎护理的影响。

目前强有力的证据表明，使堕胎合法化、安全和可及性大大降低与不安全堕胎有关的孕产妇发病率和死亡率。我们对安全堕胎护理和堕胎后护理服务进行了为期十年（2009 - 2019年）的趋势分析研究，并在埃塞俄比亚圣保罗医院开设了一家新的堕胎诊所。研究期间（2009年9月至2019年8月）共发生流产9491例（流产后护理6449例，安全流产3042例）。在示范流产诊所开业后，获得安全流产护理的机会显著增加，流产后护理流产服务的主导地位被安全流产护理取代。在2016年引入该诊所之前，只有三分之一的流产是安全流产，其余都是流产后护理案例。在2017-2018年和2018-2019年期间，安全堕胎护理在提供的所有综合堕胎护理中分别增加到60%和70%。这种对安全堕胎趋势产生的“你建好了，它们就来了”效应——流产后护理向安全流产护理的范式转变——可以在撒哈拉以南其他地区实施。

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

African journal of reproductive health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.20

自引率

10.00%

发文量

期刊介绍： The African Journal of Reproductive Health is a multidisciplinary and international journal that publishes original research, comprehensive review articles, short reports, and commentaries on reproductive heath in Africa. The journal strives to provide a forum for African authors, as well as others working in Africa, to share findings on all aspects of reproductive health, and to disseminate innovative, relevant and useful information on reproductive health throughout the continent.