Utilization and its factors of post abortion modern contraceptive in Ethiopia: a systematic review and meta-analysis

Abstract

Background Providing post-abortion care service is a widely accepted to reduce maternal morbidity and mortality by promoting, preventing and treating maternal and neonatal health, identifying the utilization and its factor of post abortion contraceptive is crucial. Therefore we tried to review post abortion contraceptive utilization and its factors in Ethiopia. Methods A review was performed by using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A systematic and a comprehensive literature searching mechanism were used without any restriction, through Google scholar, PubMed, EMBASE, Scopus, Web of Sciences, and Grey literature databases for reporting utilization of post abortion family planning. Pilo-tested were performed in random sample studies and a standardized data extraction form was used. All statistical analyses were done using STATA version 14 software for windows, and meta-analysis was used with a random-effects method. The results are presented using texts, tables and forest plots with measures of effect and 95% confidence interval. Results Among 1221 records, 11 studies were taken in the meta-analysis with 4336 Participants that full fill the inclusion criteria. The pooled prevalence of post abortion contraceptive in Ethiopia was 74.56% (95% CI (73.31%, 75.81%)). Married women (OR 2.01 (95% CI (1.52, 2.66), I2: 0.0%)), women who were counseled (OR 5.36 (95% CI (3.10, 9.29), I2: 79.5%)), women whose educational level tertiary and above (OR 2.28 (95% CI (1.66, 3.17), I2: 0.0%)), women who had ever used contraceptive (OR 3.76 (95% CI (2.19, 6.47), I2: 67.8%)) and those women’s age 15–24 years old (OR 8.35 (95% CI (2.74, 14.74), I2: 87.4)) were statistically significant. Conclusion According to World Health Organization (WHO) guideline, "after a miscarriage or induced abortion, the recommended minimum interval to next pregnancy is at least 6 months in order to reduce risks of adverse maternal and perinatal outcomes".. According to this post abortion contraceptive utilization in Ethiopia is not optimal. Marital status, education, Counsel, previously exposed and age were significantly associated. Therefore, the Ministry of Health should work target fully to address those problems to maintain maternal and child health in Ethiopia.

Assessing the Prevalence and Determinants of Post Abortion Contraceptive Use among Post Abortion Clients of Reproductive Age in Neno District, Malawi.

“…The un-counselled group might have not chosen a PAFP method due to lack of information about PAFP whilst the comprehensively counselled group might have been bored with a lengthy discussion which made them lose track of the core message in the process. Similarly in Ethiopia, two meta-analysis studies involving 11 studies and 16 studies found out that counselled women had ve and three times higher chances respectively of utilizing PAFP than those who did not receive any counselling (Beyene et al, 2021;Cherie et al, 2022). Women who were counselled might have had a raised awareness about PAFP.…”

A meta-analysis into the mediatory effects of family planning utilization on complications of pregnancy in women of reproductive age

“…We found that several existing reviews focused on the determinants of contraceptive use in LMIC [9][10][11]. These reviews focused on a specific subgroup of contraceptive users, such as those with HIV or those with diabetes [12][13][14].…”