Health policy analysis on unsafe abortion in Ethiopia

Asafe abortionn service guidelines have been making majoor progress toward implementing revisions of aabortion law in Ethiopia. Nonetheless, stilll the compressive abortion care services are nott expanded through the majority of governmeental health centers as some public, private and NGGOs in the country.

The aim of the studdy was to analyze the recent policies for mannaging the growing burden of unsafe abortion andd implementation of safe abortion law in Ethioopia. Methods: A qualitative studyy was conducted. The study was used deductiive thematic policy analysis of key relevant doccument. An extensive documents review too ascertain existing policies and guidelines for saffe abortion national and international meetingg Ethiopian context related reports on Family plannning, unsafe abortion, and safe abortion praactices. MEDLINE, Scopus, PubMed, Sciences ddirects, ProQuest, and Ovid databases were searched to find relevant studies and documentts. Finally, we used the health policy triangle frameworks which developed by Walt and Gilsonn in 1994.

Based on the key rellevant policy and related documents review, the comprehensive abortion care program was not effectively implemented in governmenntal health sectors, consequence of misinterpretiing the abortion law, and law responsivenness of community members on the existing laww and health workers. This study result reveaaled that about 425 pregnancies were unintended. It indicated that an estimated 382,500 has been registered as criminal abortion. Findings from this study also indicated that the context in which comprehensive abortion care are being implemented into is facing limitations in terms of low providers attitude and shortage of supplies and facilities. Moreover, in some regions it shown that the health sectors are using appropriate abortion technologies in the first trimester, provision of post-abortion contraceptive, and implementing medical abortion using Misopristol. However, till there is a significant decrease in treatment of incomplete abortion, shortage of abortion deaths documents, lack of data quality and completeness and lack of training throughout the country. In addition, the health setting results point to poor monitoring, follow-up, and skill gaps.

The comprehensive abortion care (CAC) services for unwanted pregnancy require urgent attention, motivate the using contraceptive and its misconception the recruitment programs. We suggested that the implementation of CAC is dependent on the capacity of the health system to implement quality abortion care policies in Ethiopia. Therefore, developing comprehensive policy framework is needed in order to examine the policy process and evaluate the impacts of CAC policies in practice. Because, it can be used for avoiding factors that can influence the effectiveness of CAC in the country.