Assessment of quality of abortion and post abortal care services among women admitted in gynecological wards at Amana and Mwananyamala municipal hospital, Dar es salaam, Tanzania; from January 2013 - September 2013.
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Date
2013-09
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Hubert Kairuki Memorial University
Abstract
Background:
The International Conference for Population Development [ICPD] in 1994 stated
post abortion care being the element of safe motherhood initiative to reduce maternal
morbidity and mortality. It is of great importance where access to safe abortion is
restricted by law and services are inaccessible.
Objective
The objective of the study was to assess quality of post abortal care and prevalence
of abortion among women admitted in gynecological wards at Mwananyamala and
Amana municipal hospitals.
Methodology
The study was hospital based cross sectional study which was conducted within nine
months from January 2013 to September 2013. Patient interview, health care
provider interview and direct service delivery observation, data from register books
were used to compute different aspects of care. Two government health facilities
were involved in the study, where 350 post abortion patients were interviewed 21
health care providers were observed and 21 direct health care providers were
interviewed.
Results
A total of 3283 patients were admitted, 1438 of them were abortion cases and only
350 post abortion patients met criteria and were interviewed. Twenty one health care providers were interviewed and were observed while providing services. From this
study the prevalence of abortion found to be 43.8%.
There was a delay to some patients before getting services because about 67.4% of
the patients reported that they had to pay before the procedure. Moreover, drugs and
other supplies were to be collected from other sources out of the facilities.
Majority of the patients felt that there was no privacy during evacuation procedure,
people could get in and out from procedure room, this was stated by 74.3% of
respondents.
About 65.7% of respondent left the facilities with no family planning information.
Among interviewed post abortion women 72.3% were multigravida indicating that
there is a need for family planning in order to prevent unplanned pregnancies.
Most of the attended post abortion patients left without checking their BP and
Hemoglobin level but majority reported to have been given analgesics and few of
them were given antibiotics
Description
The dissertation to be submitted as partial fulfillment of the requirement for the
award of degree of Master of Medicine in Obstetrics and Gynaecology at HKMU
Keywords
Abortion, Post abortal care services, Dar es salaam
Citation
Kashagama, A. M., 2013. Assessment of quality of abortion and post abortal care services among women admitted in gynecological wards at Amana and Mwananyamala municipal hospital, Dar es salaam, Tanzania; from January 2013 - September 2013. HKMU