Harm elimination project for unsafe abortion in Nigeria: An operations research

E. Enabudoso, G. A. Oko-oboh, A. Ehigiegba, Jedidiah D. K. Sodje, J. Erhabor, Matthew Oriakhi, J. Onakewhor
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引用次数: 1

Abstract

Context: The harm elimination model is designed to improve access to pre- and postabortion care including free contraception and address the challenges posed by unsafe abortion to the sexual and reproductive health of the women recruited for the study. Aims: To determine the impact of the “Harm Elimination Project For Unsafe Abortion in Nigeria” (HELPUSAN) model on the rate of decision to keep the pregnancy by women seeking termination of pregnancy and the determinants of this decision. Subjects and Methods: Over the 6-month period of this pilot survey, all women presenting for abortion were offered preabortion and postabortion counseling and services according to the study protocol. The study did not offer abortion services based on the abortion law in Nigeria. The clients were followed up for 6 weeks and assessed on decision to continue the pregnancy or not. Results: Of 105 attendees, 12.4% declined enrolment, 59.8%had induced abortion, and 45.8% had spontaneous abortion. Among those who presented for postabortion care following induced abortion, the main method used for inducing the abortion process was drugs (80.5%). A total of 90 (97.8%) of the participants were confirmed to be pregnant of which 52 (57.8%) were viable. Also, of the 52 participants with viable pregnancies, 19 (36.5%) decided to retain their pregnancies, while 33 (63.5%) decided not to retain their pregnancies. Conclusion: Almost 40% of clients presenting as pre abortion clients decided to retain the pregnancy. This work also once again highlights the high unmet need for contraception in Nigeria.
尼日利亚不安全堕胎的危害消除项目:一项操作研究
背景:消除伤害模式的目的是改善获得堕胎前和堕胎后护理的机会,包括免费避孕,并解决不安全堕胎对参与研究的妇女的性健康和生殖健康构成的挑战。目的:确定“尼日利亚不安全堕胎危害消除项目”(HELPUSAN)模式对寻求终止妊娠的妇女决定继续妊娠的比率的影响以及决定这一决定的因素。对象和方法:在6个月的试点调查期间,根据研究方案,为所有堕胎妇女提供堕胎前和堕胎后的咨询和服务。该研究没有根据尼日利亚的堕胎法提供堕胎服务。随访6周,评估患者是否决定继续妊娠。结果:105名参与者中,12.4%的人拒绝报名,59.8%的人人工流产,45.8%的人自然流产。在人工流产后就诊的患者中,药物是诱导流产过程的主要方法(80.5%)。共有90例(97.8%)被证实怀孕,其中52例(57.8%)存活。此外,在52名有妊娠能力的参与者中,19人(36.5%)决定继续妊娠,33人(63.5%)决定不继续妊娠。结论:近40%的流产前患者决定保留妊娠。这项工作也再次突出了尼日利亚未满足的避孕需求。
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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