Reasons and prevention strategies of unintended pregnancy in Addis Ababa, Ethiopia: a phenomenological qualitative study

• Published in: BMJ open Vol. 13; no. 7; p. e072008
• Main Authors: Yalew, Ayalnesh Zemene, Olayemi, Oladapo O, Yalew, Alemayehu Worku
• Format: Journal Article
• Language: English
• Published: England British Medical Journal Publishing Group 25.07.2023; BMJ Publishing Group LTD; BMJ Publishing Group
• Series: Original research
• Subjects: Abortion; Birth control; Condoms; Consent; Data collection; Health facilities; Health services; Interviews; Maternal & child health; Pregnancy; Primary Health Care; Public Health; QUALITATIVE RESEARCH; Quality in health care; Reproductive health; REPRODUCTIVE MEDICINE; Womens health; Ethiopia; Africa; Addis Ababa Ethiopia; PUBLIC HEALTH; Primary Health Care; QUALITATIVE RESEARCH; Quality in health care; REPRODUCTIVE MEDICINE
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2023-072008

ObjectivesTo explore the reasons for unintended pregnancy and effective prevention measures from the perspectives of women and healthcare providers in Addis Ababa, Ethiopia.DesignPhenomenological qualitative study.Setting and participantsThis study was conducted at three public health facilities found in Addis Ababa, Ethiopia. Women with unintended pregnancies and healthcare providers currently working in maternal health services were purposively recruited for in-depth interviews. Twenty in-depth interviews were conducted until data saturation was achieved. Data were analysed using thematic analysis.ResultsSeven themes emerged from the transcribed interview data. These include: Personal characteristics (negligence; lower pregnancy expectation), family influence (fear of family), sociocultural and economic influence (stigma and discrimination), healthcare provider influence (disrespectful and abusive approach; disregard for women’s contraceptive choice), preconception thoughts and behaviours (unprotected early sexual practice; myths and misunderstanding), lack of access to quality family planning services (lack of trained contraceptive counsellor, inappropriate contraceptive use), and preventive strategies for unintended pregnancy (comprehensive sexual education; sexual and reproductive health and rights service integration)ConclusionsThis study identified multilevel reasons for unintended pregnancy from the perspective of the participants. Participants shared their views on preventive measures for unintended pregnancy, including comprehensive sexual education, service integration and male-inclusive contraceptive counselling. This study highlights the need to improve sexual and reproductive health services by shedding light on the viewpoints and experiences of women and healthcare providers.