. WOLLO UNIVERSITY COLLEGE OF SOCIAL SCIENCE AND HUMANITY DEPARTMENT OF SOCIOLOGY Proposal Presentation on Exploring Abortion Practice: Insights into Knowledge, Awareness, Prevalence, Cause and Consequence Among Women in Tulu Awulia Town. BY: ASAMENEW GASHAW PRINCIPAL ADVISOR: ASHENAFI TIRFIE (PHD Candidate) JUNE, 2024 DESSIE, ETHIOPIA
1.1. Background of the Study The World Health Organization (WHO) defines unsafe abortion as a procedure for terminating an unintended pregnancy carried out either by persons lacking the necessary skills in an environment that does not conform to minimal medical standards, or both. The persons with necessary skills and minimal medical standards are defined by the evolving WHO guidelines for safe abortion and health worker roles in safe abortion care. Universally, abortion cause maternal death, procedures can be safe or unsafe and consistent with studies related to every type with the risk of infancy mother and fetus death. Previously, shreds of evidence showed that pregnancies from youth subjected to frequent termination because of physically and psychologically incomplete growth and development.
Cont --- The problem associated with abortion increase and access to service is idiosyncratic laws and cultural aspects of the communities across the world . Legalizing abortion showed improvement in access and usage but did not reduce the number of estimated abortions. Previous reports from Ethiopia revealed that unsafe abortion is one of the major causes of maternal death. However, efforts to reduce the incidence of unwanted pregnancy were not successful. There is a need of further study to understand the causes of unwanted pregnancy and its impact on maternal health which may help to develop new strategies to death with unwanted pregnancies. Therefore, this study is aimed to explore abortion practice, insights into knowledge, awareness, prevalence, cause and consequence among young women in Tulu Awulia Town Segno Secondary school.
1.2. Statement of problem Abortion is an important public health issue in both developed and developing countries because of its negative associations with social and health outcomes for both mothers and children. It is one of the leading factors contributing to the high level of maternal morbidity and mortality. Some studies showed that abortion is higher among women who are unmarried, lower economic status, at an early or late age of reproductive life, they do not use contraceptives consistently and attend formal education. Previous studies from Ethiopia revealed that unsafe abortion is one of the major causes of maternal death. However, efforts to reduce the incidence of abortion were not successful.
Cont--- There is a need of further study to understand the causes of abortion and its impact on maternal health which may help to develop new strategies to death with abortion practice. Thus, considering these backgrounds, more work remained ahead. Studies like this might help to increase information related to these gaps for future policymaking decisions so that adequate youths might get the service. Therefore, determining abortion among the youth and its associated variables expected to be a great asset in Ethiopia in general and in the study area, Tulu Awulia in particular.
1.3. Objectives of the Study 1.3.1. General Objective The general objective of the study is assessing the prevalence of abortion and factors which can be associated with abortion. 1.3.2. Specific Objectives To assess the cause of abortion practice. To examine the consequences of abortion practice. To scrutinize the prevalence of abortion practice. To assess the knowledge and awareness of abortion practice.
1.4. Significance of the Study This study is aimed to find out the prevalence of abortion practice among reproductive age groups. It will play a significant role in raising the awareness of the society on abortion practice and identifying the factors associated with it. It will also have a great importance for victims to have a little bit know-how about the negative consequences of induced abortion on their future life and to give care for themselves not to be victims of this activity. In addition, the results of this study will help the school principals to take some actions in collaboration with other concerned bodies to prevent abortion practice. Abortion therapy plays a vital role in ensuring safe, effective, and acceptable abortion monitoring.
1.5. Delimitation of the Study The research is delimited in terms of the area of analysis and unit of analysis. The area of analysis is specified to Tulu Awulia, and the unit of analysis is women in Tulu Awulia, specifically abortion practice in women. 3. Methodology of the study 3.1. Description of the study area Tulu Awulia town is the study area located in northern Ethiopia, in Amhara National Regional State. It is located in Southwest of South Wollo Zonal Administration. It is 480 km distant from Addis Ababa, the capital of Ethiopia and 250 km from Bahir Dar, the regional capital. Tulu Awulia town is a recent town to upgrade town. It is one of the smallest towns in the region which is organized with administration and 5 kebeles.
3.2 Research Design To assess the knowledge, attitude and practice of female students on induced abortion, cross-sectional study design will be applied. Because, cross-sectional study is best suited to studies aimed at finding out the prevalence of a phenomenon, situation, problem, attitude or issue, by taking a cross-section of the population. As a result, cross-sectional study is considered as suitable to assess knowledge, attitude and practice of female students towards induced abortion in Segno Secondary School.
3.3 Types and Source of Data Primary and secondary sources of data will be employed to conduct the study. Primary data will be obtained from female students who have abortion experiences in their life. The primary data will be gathered by using interview and questionnaires. Whereas, the secondary data will be gathered through reviewing written materials. 3.4 Sampling techniques and Size The study will be used probability sampling techniques to collect data from the respondents. The researchers will be used probability sampling techniques for the purpose of obtaining an idea of the range of responses on the ideas that people have. The study populations for this study will be all sampled female students who were following their education at Segno secondary school.
Cont---- T he actual sample size for the study will be calculated using single population proportion formula. Since the total population was less than 10,000, where the total number of female students are 420, correction formula was used to calculate the actual sample size. A stratified systemic random sampling technique will be used to select appropriate sample. First the students were stratified by their grade and the same grade of different shifts will be combined together. Then the required sample was taken from each stratum proportional to their size. From each stratum students will be selected using systematic random sampling technique.
3.5. Inclusion and Exclusion criteria All female students aged 15 years and above were included in this study. Whereas female students transferred from other school in second semester were excluded from this study. Because, this study focuses to investigate the practice, knowledge, attitude and the prevalence of induced abortion on young women . 3.6. Method of Data Collection The researcher will use interviews and close-ended questionnaires for selected members of respondents and information to secure adequate information for the particular study. The questionnaires are interviewer-administered and will be prepared in English and then translated to Amharic.
3.7. Data Analysis and Interpretations Statistical Package for Social Sciences (SPSS) and STATA software package will be used to analyze the data obtained through questionnaire. Descriptive statistical analysis techniques such as Frequency, Percentage, Mean and standard deviation, minimum and maximum values will be applied to describe variables in the study and inferential statistical analysis through correlation between the dependent and explanatory variable. The analysis for data collected through questionnaires will be considered at different level of significance. To check the relationships between the dependent and independent variables, coefficient of pair- wise correlation and binary logistic regression model will applied to some extent.
3.8. Measurement of variables The abortion variable will be based on a dichotomized response: “yes” if a woman had undergone an abortion and “no” if the respondent had not undergone an abortion in the last five years. Unsafe abortion will be assessed according to the service providers who performed the abortion using a question “whom did you see to get the abortion done?” with the responses. The responses will be dichotomized to, “safe” if the abortion was performed by registered and trained doctors and nurses and “unsafe” for other than doctors and nurses depending upon who were and were not listed (certified on safe abortion).