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American Journal of Public Health Research. 2016, 4(1), 8-15
DOI: 10.12691/AJPHR-4-1-2
Original Research

Preventing Repeat Abortion among Women in Kumasi, Ghana

Agyei Helena1, , Dr. Easmon Otupiri1 and Dr. R. E. Larson-Reindorf1

1Department of Community Health, SMS-KNUST, Kumasi, Ghana

Pub. Date: January 08, 2016

Cite this paper

Agyei Helena, Dr. Easmon Otupiri and Dr. R. E. Larson-Reindorf. Preventing Repeat Abortion among Women in Kumasi, Ghana. American Journal of Public Health Research. 2016; 4(1):8-15. doi: 10.12691/AJPHR-4-1-2

Abstract

Induced Abortion which constitutes 10% of maternal mortality in Ghana presents a serious health problem particularly among women within 20-24 years presenting at Komfo Anokye Teaching Hospital (KATH), Kumasi. To accelerate progress towards achieving MDG 5 there must be substantial reduction in induced abortion alongside an increased contraceptive uptake, Post Abortion Care. Barriers to contraceptive use were as a result of; fear of side effect, inaccessibility, socio-economic factors, bad social prescripts and poor service delivery. The output, unintended pregnancies ended in induced abortions. The desire to delay, space and end childbirth are reasons giving for having an induced abortion suggesting high unmet need for FP.

Keywords

self-induced, spontaneous, abortion, post-abortion, contraceptive use

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Adebysoye, C.; Singh, P.M and Audam, S. (1997). Abortion in sub-Saharan Africa Family Planning Perspective. Vol.23. no.4. December 1997.
 
[2]  Adewole, R.F., B.A. Oye Adeniran, N. Iwere, A. Oladokun and A. Gbadegesin, 2002. Contraceptive usage among abortion seekers in Nigeria. West Afr. J. Med., 21: 112-114.
 
[3]  Alan Guttmacher Institute. Uneven and unequal: Insurance coverage and reproductive health services. New York: Alan Guttmacher Institute, 1994.
 
[4]  Amin R, Li Y, Ahmed AU. 1998. Women’s Credit Programme and Family Planning in Women’s Lives and rapid fertility decline: Some lessons fromBangladesh and Egypt. Population Research and Policy Review 21(4): 275-317.
 
[5]  Bongaarts J and Westoff CF, The potential role of contraception in reducing abortion, Studies in Family Planning, 2000, 31(3): 193-202.
 
[6]  Bongaarts J, Trends in unwanted childbearing in the developing world, New York: Population Council, 1997; and Westoff CF, Unwanted fertility in six developing countries, International Family Planning Perspectives, 1981, 7(2):43-51.
 
[7]  Bongaarts,J. 1991. "The KAP-Gap and the Unmet Need for Contraception." Population and Development Review 17, 2: 293-313.
 
[8]  Bongaarts, Johansson and Westoff CF. The potential role of contraception in reducing abortion. Studies in Family Planning 2000; 31: 193-202.
 
[9]  Boonstra H, Duran V, Gamble VN, Blumenthal P, Dominguez L, Pies C. The “Boom and Bust Phenomenon”: The hopes, dreams, and broken promises of the contraceptive revolution. Contraception. 2000;61(1):9-25. [PubMed]
 
[10]  Bromham, D.R. and Thompson. (1996) Knowledge and use of secondary contraception among patients requesting termination of pregnancy. British Medical Journal, 306: 556-57.
 
[11]  Cleland J, Bernstein S, Ezeh A, Faundes A, Glasier A, Innis J. 2006. Family Planning:the 'perfect contraceptive' population, Science, 1977, 169(951):1177-1182.
 
[12]  Cleland J, Kamal N, Sloggett A. 1996. Links between fertility regulation and the clinic for the first time. Sexually Transmitted Infection, 74: 433-34.
 
[13]  Corbett, M.R. and K.L. Turner, 2003. Essential elements of post-abortion care: Origins, evolution and future directions. Int. Family Planning Perspectives, 29: 106-110.
 
[14]  Definition of “Abortion". http://wikepedia/uncensored.html. Retrieved 2009.
 
[15]  DHS Program, Women's lives and experience: a decade of research findings from the Demographic and Health Surveys Program, 1994.
 
[16]  Ekanem, A.D., S.J. Etuk and E.J. Utoma, 2005. What proportion of abortion seekers in Calabar are really pregnant. Trop. J. Obstet Gynaecol., 22: 12-15.
 
[17]  Emuveyan, E.F. and E.O. Agbogboroma, 1997. Trends in abortion related maternal mortality in lagos, Nigeria. Trop J. Obstet. Gynaecol., 14: 39-41.
 
[18]  Frost JJ, Henshaw SK and Sonfield A, Contraceptive Needs and Services, National and State Data, 2008 Update, New York: Guttmacher Institute, 2010.
 
[19]  Furuta M, Salway S. 2006. Women’s position Within the Household as a Determinant of Gallen et al. "Men: New focus on family planning programs," JHU/Population Information Program Series J, May/June, 1986.
 
[20]  Ghana Statistical Service (GSS) and Macro International Inc. (MI). Ghana Demographic and Health Survey2003GDHS, Calverton, Maryland, U.S.A: Macro International Inc., 2004, 65-76.
 
[21]  Ghana Statistical Service (GSS), Ghana Health Service (GHS), and ICF Macro. Ghana Demographic andHealth Survey 2008. Accra, Ghana: GSS, GHS, and ICF Macro, 2009, 79-87.
 
[22]  Gilda Sedgh et al., “Induced Abortion: Estimated Rates and Trends Worldwide, Guttmacher Institute and World Health Organization,” The Lancet, 370, no. 9595 (2007): 1338-45.
 
[23]  Glasier AF, Cameron ST, Fine PM, et al. Ulipristal acetate versus levonorgestrel for emergency contraception: a randomised non inferiority trial and Meta analysis. Lancet.2010; 375: 555-62.
 
[24]  Guttmacher Institute. Facts on induced abortion in the United States [fact sheet]. May 2011. Available at http://www.guttmacher.org/pubs/fb_induced_abortion.pdf.Accessed June 21, 2011.
 
[25]  Guttmacher Institute. Improving contraceptive use in the United States. In Brief. 2008 Series, No. 1 April 2008.
 
[26]  Hakim A, Salway S, Mumtaz Z. 2003. Women’s Autonomy and Uptake of Contraception.
 
[27]  Hardon, A. Reproductive rights in practice: A comparative assessment of quality of care. In: Hardon, A. and Hayes, E. Reproductive Rights in Practice: A Feminist Report on Quality of Care. London, Zed Books, 1997. p. 193-222.
 
[28]  Hardon, A. Reviewing quality of care policies. In: Hardon, A., Mutua, A., Kabir, S., and Engelkes, E., eds. Monitoring Family Planning and Reproductive Rights. London, Zed Books, 1997. p. 23-30
 
[29]  Hatcher RA, Trussel J, Nelson AL, et al. Contraceptive Technology. 19th revised ed. New York, NY: Ardent Media, 2005.
 
[30]  Hatcher, R.A., Rinehart, W., Blackburn, R., Geller, J.S., and Shelton, J.D. The essentials of contraceptive technology. Baltimore, Johns Hopkins School of Public Health, Population Information Program, Jul. 1997. 340p.
 
[31]  Hatcher, R.A., Trussell, J., Stewart, F., Cates, W., Stewart, G.K., Guest, F., and Kowal, D. Contraceptive technology. 17th ed. New York, Irvington Publishers, Inc., 1998.
 
[32]  Heise, L. L. (1997). Beyond acceptability: Reorienting research on contraceptive choice. World Health Organisation, beyond acceptability: Users’ perspectives on contraception inputs (pp. 6–13). Geneva: WHO.
 
[33]  Henshaw, S.K. AND katzive, L; et .al, (1998).The incidence of abortion in Nigeria. Family planning Perspective.Vol.24 No.4 Decenber,1998.
 
[34]  Henshaw, S.K., S. Singh, B.A. Oye-Adeniran, I.F. Adewole, N. Iwere and Y.F. Cuca, 1998. The incidence of induced abortion in Nigeria. Int. Fam. Plan. Perspect., 20: 156-164.
 
[35]  Hogerzeil, HV. Essential medicines and Human Rights: What can they learn from each other? Bull WHO 200, 84:371-5.
 
[36]  ICPD/15 (1994) International Conference on population and Development. Africa Regional Review Report: 15 year Review of the Implementation of the ICPD in Africa.
 
[37]  IPAS, 1991. Strategy for the Next Decade: Women s Health Initiatives. Ipas, Publ., Carrboro, NC, USAin Pakistan. Asia Pacific Population Journal 18(1): 63-82.
 
[38]  JAIN, A. and BRUCE, J. 1989. A reproductive health approach to the objectives and assessment of family planning programs. Increase Contraceptive Practice In: Sen, G., Germain, A., and Chen, L.C. Population Policies Reconsidered: Health, Empowerment and Rights. Boston, Harvard University Press, Mar. 1989. p. 194-209.
 
[39]  JAIN, A. Should eliminating unmet need for contraception continue to be a program priority? International Family Planning Perspectives 25 (Suppl.): S39-43, S49. Jan. 1999. Journal, 306: 556-57.
 
[40]  Kenya National Bureau of Statistics (KNBS) and ICF Macro. 2010. Kenya Demographic and Health Survey 2008-09. Calverton, MD: KNBS and ICF Macro.
 
[41]  Morhee R.A.S. and Morhee E.S.K. Overview of the law and availability of abortion services in Ghana. Ghana Medical Journal 2006; 40: 80-86.
 
[42]  Population Reference Bureau. Family Planning Worldwide 2008 Data Sheet. Washington, DC: Population Reference Bureau; 2008.
 
[43]  Potter, Robert G. 1999. “Inadequacy of a One-Method Family Planning Program.” Studies in Family Planning, Vol. 2, No. 1 (January), 1-6.
 
[44]  Westoff. 1991. The Contribution of Fulfilling the Unmet Need for Family Planning ( The Futures Group/PolicyProject, 1991).
 
[45]  Sedgh, Gilda; et al (2007-10-13). "Induced Abortion: Estimated Rates and Trends Worldwide". The Lancet370 (9595): 1338-45.
 
[46]  Singh S, Sedgh G and Hussain R, Unintended pregnancy: worldwide levels, trends and outcomes, Studies in Family Planning, 2010, 41(4):241-250.
 
[47]  Singh S. (2006). Hospital admissions resulting from unsafe abortion, estimates from 13 developing countries. Lancet, 368 (9550), 1887-1892.
 
[48]  Starrs, A., 1997. The safe motherhood action agenda: Priorities for the next decade. Report on the Safe Motherhood Technical Consultation, 18-23 October, Colombo, Sri Lanka.
 
[49]  Snowden. 1985., Walsh, 1997. Advances in Contraception. The Official Journal of the Society cont.vol.13, Noso 2/3 pp 81-384, June/Sept 1997, kluwer Academic Publisher.
 
[50]  Sundby J, Olsen A. Infertility, technology and the law. Patients’ and future doctors’ opinions. Acta Obstet Gynecol Scand. 1990; 69: 641-4.
 
[51]  Sundby, J (2006). Young Peoples sexual and Reproductive Health Rights. Best Pract Res Clin Obstrct Gynaeco, 20(3), 355-368.
 
[52]  Sundby J. Methodological considerations in the study of frequency, risk factors and outcome of reduced fertility. Scand J Soc Med. 1989;17(2):135-40. Review.
 
[53]  Sundby J. Sad Not to have Children. Happy to be Childless. A Personal and Professional Experience of Infertility. Reproductive Health Matters. 1999;13:13-9.
 
[54]  The Alan Guttmacher Institute (AGI), 1999. Sharing Responsibility: Women, Society and Abortion Worldwide. AGI, New York.
 
[55]  Thompson, S., Skinner, K. and Kirkman, R.J.E. (1996) Would you rather be seen by the nurse? British Journal of Family Planning, 22: 130-32.
 
[56]  UN, 2008. The millennium development goals report 2008. New York. http://www.un.org/millenniumgoals/pdf/The%20Millennium%20Development%20Goals%20Report%202008.pdf.
 
[57]  United Nations Population Division/DESA: Fertility and Family Planning Section. World Contraceptive Use 2009: Unmet Need for Family Planning. http://www.un.org/esa/population/publications/WCU2009/Metadata/UMN.htm.
 
[58]  Westhoff C. Depot-medroxyprogesterone acetate injection (Depo-Provera®): a highly effective contraceptive option with proven long-term safety. Contraception. 2003; 68(2):75-87.
 
[59]  Westoff CF, The unmet need for birth control in five Asian countries, International Family Planning Perspectives, 1978, 4(1): 9-18.
 
[60]  Westoff, CF and Ochoa LH. 1991. Unmet Need and Demand for Family Planning. Demographic and Health Surveys Comparative Studies 5. Columbia, MD: Institute for Resource Development/Macro International Inc.
 
[61]  World Health Organization. (2004b). Contraception: issues in adolescent health and development. In WHO Discussion Papers on Adolescence. Geneva WHO available at http://whql:bdoc.who.int/publications/2004/9241591447_eng.pdf.2010-09-20.
 
[62]  World Health Organization (WHO), Maternal Mortality in 2005: Estimates Developed by WHO, UNICEF, UNFPA and the World Bank (Geneva: World Health Organization, 2007): 1.17-27.
 
[63]  World Health Organisation, WHO (2010). Maternal Mortality, Media Center Fact Sheet No 348 available at http://www.who.int/mediacentre/factsheets/fs348en/index.html2011-03-27.
 
[64]  World Health Organization (WHO), Unsafe Abortion and Post-abortion Care available at http://www.wpro.who.int/interrut/files/pub/360/141.pdf2011-08-02.