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Meeting the need for safe abortion care in Ethiopia: Results of a national assessment in 2008

机译：满足埃塞俄比亚安全流产护理的需求：2008年国家评估的结果

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Complications of an unsafe abortion are a major contributor to maternal deaths and morbidity in Africa. When abortions are performed in safe environments, such complications are almost all preventable. This paper reports results from a nationally representative health facility study conducted in Ethiopia in 2008. The safe abortion care (SAC) model, a monitoring approach to assess the amount, distribution, use and quality of abortion services, provided a framework. Data collection included key informant interviews with 335 health care providers, prospective data on 8911 women seeking treatment for abortion complications or induced abortion and review of facility logbooks. Although the existing hospitals perform most basic abortion care functions, the number of facilities providing basic and comprehensive abortion care for the population size fell far short of the recommended levels. Almost one-half (48%) of women treated for obstetric complications in the facilities had abortion complications. The use of appropriate abortion technologies in the first trimester and the provision of post-abortion contraception overall were reasonably strong, especially in private sector facilities. Following abortion law reform in 2005 and subsequent service expansion and improvements, Ethiopia remains committed to reducing complications from an unsafe abortion. This study provides the first national snapshot to measure changes in a dynamic abortion care environment.
机译：不安全人工流产的并发症是非洲孕产妇死亡和发病的主要原因。在安全的环境中进行流产时，几乎可以避免此类并发症。本文报告了2008年在埃塞俄比亚进行的一项全国代表性医疗机构研究的结果。安全流产护理（SAC）模型是一种评估流产服务的数量，分布，使用和质量的监测方法，提供了一个框架。数据收集包括对335名医疗保健提供者的关键知情人访谈，有关寻求流产并发症或人工流产治疗的8911名妇女的前瞻性数据，以及设施日志的回顾。尽管现有医院执行大多数基本的堕胎护理职能，但为人口规模提供基本和全面堕胎护理的设施数量远远低于建议的水平。在设施中接受过产科并发症治疗的妇女中，近一半（48％）患有流产并发症。在头三个月使用适当的堕胎技术以及总体上提供堕胎后避孕措施的力度相当大，特别是在私营部门的设施中。在2005年进行堕胎法改革并随后扩大和改善服务范围之后，埃塞俄比亚仍致力于减少不安全堕胎的并发症。这项研究提供了第一个全国快照，用于衡量动态流产护理环境中的变化。

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