Factors Associated With Abortion Among Clients Who Attend Selected Haelth Facilities In Bushenyi Ishaka Municipality Uganda

ABSTRACT

Introduction

Globally, abortion mortality accounts for at least 13% of all maternal mortality. Maternal

mortality is 600,000 deaths per year due to pregnancy-related causes, and 99% of these deaths

are in developing countries (WHO 2008).

Abortions occur at a rate of 54 per 1,000 women aged 15–49 and account for one in five

pregnancies. (Prada, E et al 2005).

Methods

It was a retrospective cross-sectional study conducted in Kampala international university

teaching hospital and Ishaka Adventist hospital, to find out factors associated with abortion

among clients who attend the health facilities. A period of three months May, June and July 2013

were considered. Purposive sampling was used to select 96 clients, only those who were

diagnosed of abortion and had all the necessary information were considered from both hospitals.

72 files were selected from Ishaka Adventist Hospital and 24 files from Kampala International

Hospital because more clients attend Ishaka Adventist Hospital than Kampala International

Hospital.

Objectives

To identify factors associated with abortion among clients who attend selected health facilities in

Bushenyi- Ishaka Municipality

Specifically; to find out the social demographic characteristics of clients,

Establish the commonest type of abortion among clients

To identify medical factors associated with abortion among clients who attend selected health

facilities in Bushenyi- Ishaka Municipality.

Results

Low social economic status, age group of 20-24 years (30.5%), being married (86.5%) and

being single but co habiting (11.5%) are positively associated with abortion.

Banyankole from Nyabubale (13.5%), Ishaka (10.4%), MItooma(9.3%), Kigoma (6.2%) and

Kakanju (6.2) have an increased risk of abortion.

Most abortions were spontaneous (87.5%), incomplete (65.6%), with no identifiable cause

(79.2%) only (9.4%) were induced.

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Conclusion,

The majority of clients were of low social economic status and most abortions were spontaneous

incomplete, with no identifiable cause. Most of them were married and between 20-24 years.

Recommendations

1. Massive health education programmes should be conducted to teach females of

reproductive age especially in communities of Nyabubale, Ishaka, MItooma, Kigoma,

and Kakanju villages about good sexual practices and quality antenatal care.

2. The government should ensure that free or affordable public sector contraceptive services

reach all women especially the poor and young to reduce the risk of unplanned

pregnancies which end up in abortion.

3. Research should be carried out in Nyabubale, Ishaka, MItooma, Kigoma, and Kakanju

villages to find out why there are more abortions and to find out the cause of spontaneous

abortion.

4. Economic empowerment in communities through formation of groups, working together

and joining village banks to improve their social economic status.