POST-ABORTION MODERN FAMILY PLANNING UTILIZATION AND ASSOCIATED FACTORS AMONG MOTHERS WHO RECEIVE ABORTION CARE SERVICE AT WORABE TOWN, PUBLIC HEALTH FACILITIES, CENTRAL ETHIOPIA REGION, ETHIOPIA 2024.

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.