African journal of reproductive health最新文献_第2页

Interface of perceived self-efficacy on safe abortion and lived experiences among women of reproductive age in Wolaita Zone, Ethiopia: A community based cross-sectional study. 埃塞俄比亚Wolaita地区育龄妇女安全堕胎自我效能感与生活经历的交互作用：一项基于社区的横断面研究。

IF 1 4区医学

African journal of reproductive health Pub Date : 2025-09-29 DOI: 10.29063/ajrh2025/v29i9s.13

Wakgari B Daga, Taklu M Mokonnon, Niguse T Atnafu, Amene A Kerbo, Beimnet D Kedida, Stephanie Kung

{"title":"Interface of perceived self-efficacy on safe abortion and lived experiences among women of reproductive age in Wolaita Zone, Ethiopia: A community based cross-sectional study.","authors":"Wakgari B Daga, Taklu M Mokonnon, Niguse T Atnafu, Amene A Kerbo, Beimnet D Kedida, Stephanie Kung","doi":"10.29063/ajrh2025/v29i9s.13","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i9s.13","url":null,"abstract":"Low self-efficacy related to reproductive health care seeking is an area of concern that may lead women to access unsafe abortion in developing regions. There is limited data on self-efficacy on specific health care services, such as safe abortion, in Ethiopia. A cross-sectional study employing mixed methods was conducted from February to May 2024 among 815 systematically sampled and 14 purposely selected participants to assess the perceived self-efficacy on safe abortion among women of reproductive age in Wolaita zone. Logistic regression was computed to identify the associated factors, while the qualitative data were analyzed thematically to triangulate with quantitative findings. The results show that only one-third of participants had high self-efficacy on safe abortion. Being employed, receiving information from the media, believing abortion to be legal among unmarried women, knowing someone who has induced an abortion, and having favorable attitudes toward abortion were identified as associated self-efficacy factors. These findings enhance our understanding of activities to improve self-efficacy on abortion care and warrants further research to deepen an understanding of the socio-cultural determinants.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 9s","pages":"146-161"},"PeriodicalIF":1.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145237693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Awareness and attitudes of disabled women in southern Ethiopia regarding abortion law: A cross-sectional study. 埃塞俄比亚南部残疾妇女对堕胎法的认识和态度：一项横断面研究。

IF 1 4区医学

African journal of reproductive health Pub Date : 2025-09-29 DOI: 10.29063/ajrh2025/v29i9s.12

Selamawit S Kbede, Selamawit D Agidew, Gelila W Mesfin, Delayehu Bekele

{"title":"Awareness and attitudes of disabled women in southern Ethiopia regarding abortion law: A cross-sectional study.","authors":"Selamawit S Kbede, Selamawit D Agidew, Gelila W Mesfin, Delayehu Bekele","doi":"10.29063/ajrh2025/v29i9s.12","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i9s.12","url":null,"abstract":"There is currently little information about access to information regarding the current abortion law among disabled people in Ethiopia. This study evaluated awareness and attitudes of disabled reproductive age women concerning the present abortion law and its associated factors in southern Ethiopia. From a total of 605 participants 15.4% and 48.8% had knowledge and favourable attitude about current abortion law. Education (AOR=1 95%CI: 1-3), discussion with family on Sexual and reproductive health issues (AOR=0.05 95%CI: 0.008-0.3), knowledge on unsafe abortion complications (AOR=0.1 95%CI: 0.02-0.4) were factors associated with knowledge. Educational (AOR=0.5 95%CI:0.3-0.9), marital status(AOR=0.6 95%CI:0.3-0.9), pregnancy(AOR=3 95%CI:1.1 6), disability association(AOR=0.1 95%CI:0.08-0.2), Sexual and reproductive health service utilization(AOR=0.4 95%CI:0.2-0.9), were associated with positive attitude. Risk factors for knowledge and attitude towards abortion law among reproductive age women's with disability in Gedeo Zone, highlight the need for policies that improve access to reproductive health services, promote family planning and address the socio-economic challenges reproductive women's with disability face.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 9s","pages":"137-145"},"PeriodicalIF":1.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145237674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Determinants of induction-to-expulsion time and adverse maternal outcomes of second trimester medical abortion in Amhara Region, Ethiopia: Prospective follow-up study. 埃塞俄比亚阿姆哈拉地区妊娠中期药物流产诱导至排出时间和不良产妇结局的决定因素：前瞻性随访研究。

IF 1 4区医学

African journal of reproductive health Pub Date : 2025-09-29 DOI: 10.29063/ajrh2025/v29i9s.14

Eyasu F Yitina, Getasew S Mihrete, Mequanint M Bicha, Balemlay S Andualem, Nigat A Addis, Olomon M Abebe, Lemi B Tolu, Ayenew M Lakew

{"title":"Determinants of induction-to-expulsion time and adverse maternal outcomes of second trimester medical abortion in Amhara Region, Ethiopia: Prospective follow-up study.","authors":"Eyasu F Yitina, Getasew S Mihrete, Mequanint M Bicha, Balemlay S Andualem, Nigat A Addis, Olomon M Abebe, Lemi B Tolu, Ayenew M Lakew","doi":"10.29063/ajrh2025/v29i9s.14","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i9s.14","url":null,"abstract":"Second-trimester medical abortion (STMA) accounts for 20-40% of abortions in Ethiopia and is associated with risks including uterine rupture, hemorrhage, infection, incomplete abortion, and prolonged hospitalization. This multicenter prospective study included 617 women undergoing STMA in three referral hospitals in the Amhara region from January to October 2024. Induction to-expulsion time and associated factors were analyzed using Cox proportional hazard modeling. Median fetal and placental expulsion times were 10 and 10.5 hours, respectively, with an 81.2% complete expulsion rate. Prolonged expulsion was associated with higher gestational age, wider misoprostol dosing intervals, and younger maternal age. Reported complications included vaginal bleeding (34.8%), pain (44%), diarrhea (24.1%), vomiting (24%), fever (11.5%), infection (2.4%), incomplete abortion (19.8%), cervical tear (0.49%), and uterine rupture (0.16%). optimizing misoprostol regimens, improving pain management, strengthening follow-up, and ensuring surgical readiness are essential to enhance STMA safety and effectiveness.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 9s","pages":"162-180"},"PeriodicalIF":1.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145237627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Induced abortion among internally displaced women in Debre Berhan, Central Ethiopia: Incidence, barriers, and enablers of service utilisation. 埃塞俄比亚中部Debre Berhan境内流离失所妇女的人工流产：发生率、障碍和服务利用的推动因素。

IF 1 4区医学

African journal of reproductive health Pub Date : 2025-09-29 DOI: 10.29063/ajrh2025/v29i9s.8

Kindie M Kebede, Sisay S Yehualashet, Solomon S Yesuf

{"title":"Induced abortion among internally displaced women in Debre Berhan, Central Ethiopia: Incidence, barriers, and enablers of service utilisation.","authors":"Kindie M Kebede, Sisay S Yehualashet, Solomon S Yesuf","doi":"10.29063/ajrh2025/v29i9s.8","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i9s.8","url":null,"abstract":"This study examined the incidence of induced abortion and factors influencing access to abortion services among internally displaced women in Debre Berhan, Ethiopia, using a mixed-method cross-sectional design. Quantitative data were collected from 1,863 women, and qualitative data from 16 participants. The annual rates of self-reported, unadjusted, and adjusted best friend abortion were 5.4, 8.8, and 42.2 per 1,000 women, respectively. Barriers to access included stigma, lack of support, medical and non-medical costs, fear of prosecution and privacy breaches, poor infrastructure, and limited awareness. Key facilitators included free abortion care in public facilities, NGO support, flexible provider interpretation of abortion law, referral networks, and counselling. Although the confidence intervals overlapped, the best friend method indicated a higher incidence than self-reports. The inflated adjusted figure shows significant underreporting. Addressing barriers requires initiatives to reduce stigma, lower costs, improve service quality, and raise awareness among displaced women and the broader camp population.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 9s","pages":"91-106"},"PeriodicalIF":1.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145237671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Estimating the incidence of abortion-related complications using the prospective morbidity survey method in Southern Ethiopia. 使用前瞻性发病率调查方法估计埃塞俄比亚南部堕胎相关并发症的发生率。

IF 1 4区医学

African journal of reproductive health Pub Date : 2025-09-29 DOI: 10.29063/ajrh2025/v29i9s.2

Jenenu G Bekele, Bedilu A Ejigu, Damen H Mariam, Tadiwos U Urkashe

{"title":"Estimating the incidence of abortion-related complications using the prospective morbidity survey method in Southern Ethiopia.","authors":"Jenenu G Bekele, Bedilu A Ejigu, Damen H Mariam, Tadiwos U Urkashe","doi":"10.29063/ajrh2025/v29i9s.2","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i9s.2","url":null,"abstract":"Despite legal reforms, unsafe abortion remains a significant public health problem in Ethiopia, straining healthcare systems and impacting women's well-being. Recent data on the magnitude of this problem are scarce. Therefore, this study aimed to assess the incidence and factors associated with abortion-related complications in public hospitals in Southern Ethiopia. Using the prospective morbidity survey (PMS) methodology, data were obtained from 322 women who presented in 10 public hospitals over a two months period (December 2023 - February 2024). The results show that the projected annual estimate of abortion related complications was 1,986 (95% CI: 1741, 2142), translating to a complications ratio of 153 per 1,000 live births. Out of the 322 women, 67 (20.8%) were classified as having near-miss morbidity (MNM), 167 (50.8%) had potentially life threatening complications (PLTC), while 35 (10.9%) and 57 (17.7%) women had moderate and mild morbidities respectively. Ordinal logistic regression identified younger age, rural residence, unemployment, later trimester abortion, lack of contraception use, unintended pregnancy, and expulsion of some products of conception as factors associated with increased severity of complications. These findings highlight the high burden of severe abortion complications and underscore the critical need for improved access to comprehensive family planning, safe abortion services, and timely, quality post-abortion care, particularly for vulnerable populations in Southern Ethiopia.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 9s","pages":"15-31"},"PeriodicalIF":1.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adaptation and validation of the abortion provider stigma scale in Ethiopia. 埃塞俄比亚堕胎提供者污名量表的适应和验证。

IF 1 4区医学

African journal of reproductive health Pub Date : 2025-09-29 DOI: 10.29063/ajrh2025/v29i9s.7

Kidist L Gizachew, Yared Dagnew, Sarah W Prager, Lemi Belay Tolu, Mekitie Wondafrash

{"title":"Adaptation and validation of the abortion provider stigma scale in Ethiopia.","authors":"Kidist L Gizachew, Yared Dagnew, Sarah W Prager, Lemi Belay Tolu, Mekitie Wondafrash","doi":"10.29063/ajrh2025/v29i9s.7","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i9s.7","url":null,"abstract":"Abortion care providers often face stigma from their communities and colleagues, which may compromise the quality of service they provide. This study aimed to adapt and validate the revised Abortion Provider Stigma Scale (APSS) for use in the Ethiopian context. A cross-sectional psychometric study was conducted among 98 providers in reproductive clinics across Ethiopia. The original 35-item APSS was reviewed by experts, culturally adapted and expanded to 44 items across five domains: disclosure management, internalized states, judgement, social isolation, and discrimination. The scale was then translated into Amharic and pilot tested before administration. Internal consistency was high across most domains (Cronbach's alpha > 0.70), and Confirmatory Factor Analysis supported the five-domain structure, though model fit indices were suboptimal. Nearly half of participants reported stigma, with internalized and disclosure-related stigma being most prevalent. The adapted APSS demonstrated potential for assessing abortion provider stigma and tracking intervention outcomes in Ethiopia.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 9s","pages":"82-90"},"PeriodicalIF":1.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145237672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

New findings on induced abortion in Ethiopia: Evidence from an abortion research capacity building project. 关于埃塞俄比亚人工流产的新发现：来自流产研究能力建设项目的证据。

IF 1 4区医学

African journal of reproductive health Pub Date : 2025-09-29 DOI: 10.29063/ajrh2025/v29i9s.1

Abraham Fessehaye Sium, Delayehu Bekele

引用次数: 0

Health system barriers affecting the provision of comprehensive abortion care in pastoralist communities of Oromia Regional State, Ethiopia. 影响埃塞俄比亚奥罗米亚地区州牧民社区提供全面堕胎护理的卫生系统障碍。

IF 1 4区医学

African journal of reproductive health Pub Date : 2025-09-29 DOI: 10.29063/ajrh2025/v29i9s.4

Tolasa Yadate, Abel Negussie, Finina Abebe, Chala Damena, Menen Tsegaw, Niguse Tadele, Assefa Seme

{"title":"Health system barriers affecting the provision of comprehensive abortion care in pastoralist communities of Oromia Regional State, Ethiopia.","authors":"Tolasa Yadate, Abel Negussie, Finina Abebe, Chala Damena, Menen Tsegaw, Niguse Tadele, Assefa Seme","doi":"10.29063/ajrh2025/v29i9s.4","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i9s.4","url":null,"abstract":"This study aimed to explore health system-level barriers affecting the provision of comprehensive abortion care (CAC) in pastoralist communities of Oromia regional state, Ethiopia. A total of 23 key informant interviews were conducted with healthcare providers at 14 selected health facilities, as well as with reproductive health officers at the woreda, zonal, and regional levels. Verbatim transcripts were analyzed using thematic analysis with Open Code 4.03 software. The findings were thoroughly described and supported with direct quotes. Various systemic issues affecting abortion service delivery, including gaps in access and availability, shortage of skilled medical providers, financial constraints, poor management commitment, and gaps in legal framework implementation, were identified. Addressing these issues requires a multifaceted approach that involves improving infrastructure, enhancing provider training, increasing community education, implementing policies effectively, and conducting advocacy efforts at all levels.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 9s","pages":"46-59"},"PeriodicalIF":1.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

IF 1 4区医学

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

{"title":"\"They come when you build it\": the impact of introducing a model abortion clinic on safe abortion care access expansion in Ethiopia.","authors":"Abraham Fessehaye Sium, Abrham Getachew, Lemi B Tolu, Sarah Prager","doi":"10.29063/ajrh2025/v29i9s.11","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i9s.11","url":null,"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.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 9s","pages":"132-136"},"PeriodicalIF":1.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145237635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers to safe abortion care among internally displaced persons in Ethiopia: A cross-sectional study. 埃塞俄比亚境内流离失所者安全堕胎护理的障碍：一项横断面研究。

IF 1 4区医学

African journal of reproductive health Pub Date : 2025-09-29 DOI: 10.29063/ajrh2025/v29i9s.9

Samrawit Solomon, Andamlak Gizaw, Fanna Adugna, Ferid Abas, Mitikie M Sisay

{"title":"Barriers to safe abortion care among internally displaced persons in Ethiopia: A cross-sectional study.","authors":"Samrawit Solomon, Andamlak Gizaw, Fanna Adugna, Ferid Abas, Mitikie M Sisay","doi":"10.29063/ajrh2025/v29i9s.9","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i9s.9","url":null,"abstract":"Internally Displaced Persons (IDPs) in Ethiopia face significant barriers to safe abortion care, influenced by socio-cultural, economic, and structural factors, alongside widespread sexual and gender-based violence (SGBV). A cross-sectional study was conducted in four IDP camps in the Amhara and Oromia regions from April to July 2024, involving 1,452 randomly selected women. SGBV was reported by 16.6%, with 36.9% of cases perpetrated by security forces. Of the participants, 5.8% had undergone abortion, and 1.7% had induced abortions in the camps. Fewer than half of women in IDP camps reported using a contraceptive method (41.7%), though 80.7% also reported that they had a history of discontinuing use due to access issues. Barriers to abortion care included religious beliefs (67.7%), cultural norms (63.8%), and the lack of service awareness (56.3%). Urgent Action is Needed. We recommend that the Ministry of Health of Ethiopia and stakeholders should prioritize appropriately tailored interventions to break down barriers, improve access to safe abortion care, and address the pressing needs of women in IDP camps.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 9s","pages":"107-120"},"PeriodicalIF":1.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145237692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0