Abstract:
Background: The use of post-abortion family planning is essential for maintaining maternal
health and preventing unwanted pregnancy. The purpose of this study was to assess the
utilization of post-abortion family planning and related factors by mothers who were seeking
abortion care at Worabe Town public health institutions.
Objective: To assess the magnitude of post-abortion family planning utilization and its
associated factors among women attending abortion service at Worabe Town public health
facilities in central Ethiopia region, Ethiopia 2024.
Methods: A facility-based cross-sectional study was conducted involving 383 mothers who
sought abortion care at Worabe Town public health facilities. Data were collected using
structured questionnaires and supplemented by in-depth interviews with six purposively selected
mothers to gain qualitative insights. Data were entered into EPI INFO 4.6 and exported to SPSS
version 27 for cleaning and analysis. Bivariable analysis was employed and a P-value <0.25 was
considered for the multivariable analysis. Qualitative data were analyzed thematically.
Results: The study found that the utilization of post-abortion family planning among the
participants was 58.7% [95% CI (53.8, 63.6)]. Factors significantly associated with post-abortion
family planning utilization included counseling [AOR 2.08(1.21, 3.75)], previous history of
abortion 2.75(1.44-5.27), husband support [AOR 1.99(1.15, 3.45)], knowledge 1.92(1.13, 3.26)
and attitude 2.81(1.66, 4.77) was crucial in the decision to adopt post-abortion family planning
methods. Qualitative findings emphasized the role of tailored counseling and husband support.
Conclusion: In this study post-abortion family planning utilization was low. Husband support,
previous history of abortion, counseling, knowledge and attitude were significantly influence
post-abortion family planning. Addressing this factor can improve the utilization of post-abortion
family planning.
