Assessment of knowledge and attitude of women in Herat, Afghanistan on Abortion: A cross-sectional study

Abstract

Background: According to the World Health Organization abortion is defined as the termination of pregnancy prior to 20 weeks of gestation or a fetus born weighing less than 500g. The purpose of this study is to assess the knowledge and attitude of women on abortion in Herat city of Afghanistan. This cross-sectional study also serves to fill up the gap of the scarcity of data on abortion in Afghanistan. Methods: This cross-sectional study was conducted among women aged over 18 years old from over the 15 districts of Herat city of Afghanistan during 25 th March 2021 to 1 st June 2021. A total of 419 women participated in this study. Results: Total 30.3% of our participants were aged between 18-24 years old and 24.1% of the participants aged between 25-34 years old. Our 78.8% of the participants were married and 35.8% of the participants were Pashtuns by religion. Among 41.5% of them heard about safe abortion methods. Our 56.6% of the participants had a good knowledge score on abortion. Total 57.5% of the participants who aged between 18-24 years old had a good level of knowledge on abortion. Of all the illiterate participants in this study, 46.7% of them had a good level of knowledge on abortion while 76.9% of participants with high school educational level had a good level of knowledge on abortion. Conclusion: A comprehensive campaign on safe abortion covering all the ethical, religious, constitutional, and scientific domains should be considered by the ministry of Public Health. It is recommended that the ministry of education of Afghanistan consider organizing trainings on safe abortion for high school male and female students.