Final report factors leading women for seeking abortion at a private setting 18th sept 2011
“Factors leading women for seeking abortion ata private setting”Submitted To: Associate Prof. Binod Krishna Shrestha Faculty, Research Methodology,EMBA, KUSOMSubmitted by: Archana Amatya, 10501, EMBA20th September 2011 11
“Factors leading women for seeking abortion at a private setting” Submitted To: Associate Prof. Binod Krishna Shrestha Faculty, Research Methodology EMBA, KUSOM Submitted by Archana Amatya, 10501,EMBA 20 th September 2011
BackgroundSarvanga Hospital is a 50 bedded hospital situated at kopondole, Lalitpur.It was established in1991 and is one of the first private hospitals to be established in the country. Today the hospitalprovides all specialized services like obstetrics and gynecology, surgery, oncology etc. Thehospitals occupancy rate is about 80% and it caters to an average of 60 out patients. Theresearch paper will be dealing with only the obstetrics and gynecology department and thewomen coming for abortion services at the hospital. Abortion was legalized in the country in2004 and today according to the GON, these services are provided by the both public andprivate sector .However it is important to understand that increase in number of women comingfor these services imply that the family planning programme in the country has not been doingwell, the study will further go into the factors of these women seeking such servicesMDP: What factors can increase the use of contraceptive use of women?MRP: To identify the factors which lead women to seek abortion servicesExploratory researchMethods: A exploratory study was conducted at Sarvanga Hospital, Kopondole over a period of7 days in the month of July 2011.A in depth interview was conducted with 10 women coming forabortion services by the researcher herself, by using a structured questionnaire.Questions asked: The important questions asked was whether contraceptive devices were usedbefore and after the abortion and what were the factors for women to seek abortion.Findings: It was seen that the women in the age group of 20 to 35 years, having more than onechild, most of them received primary education with a substantial monthly earning were seen tohave come to the private hospital. The main reasons mentioned were completed family size,failure of contraception, too many children, mistiming, career problems, education and economicreasons.it was also seen that among the 10 women interviewd,6 of them had a repeat abortion.Therefore, enhancing the access of women to contraceptives and providing a wide choice ofmethods may reduce the incidence of unwanted pregnancies, repeated abortions and itsconsequences.MDP: How to increase the contraceptive use following the abortion procedure in womenMRP: To identify the determinants of the women for acceptance of contraceptives following theabortion procedureRQ: What are the factors that affects women’s acceptance of contraceptive devices followingthe abortion procedure?
Conceptual frameworkAge of the womanNumber of childrenAge of last child use of contraceptionLiving Sons at home following the abortion procedureUse of contraception before abortionAttitude towards abortionDegree of compulsion to abortionPrevious abortionOperational definitionsUse of contraception before abortion –any contraceptive device used before the womanbecame pregnantAttitude towards abortion- a positive or a negative feeling towards having an abortionDegree of compulsion to abortion- the severity of the need for having the abortionPrevious abortion- an abortion performed before this pregnancyUse of contraception following the abortion procedure- the acceptance of contraception afterthe abortion has taken placeHypothesisH1 Education and occupation affects the women’s acceptance of contraception following theabortionH2 Women having previous abortion accept contraception following the abortionH3 Use of contraception before the abortion increases the acceptance of contraceptionfollowing the procedure
Research methodsResearch design –a) Type of study: The study was a descriptive study carried out on women who were seekingabortion services at Sarvanga hospital.b) Instruments: A structured questionnaire was used for the purpose of collecting data. Thequestionnaire is attached in Annex.Nominal, ratio and interval scales were used for thequestionnaires.c) Data collection- the study was a convenience sampling d) Sample size and sampling: A total number of 30 women were interviewed and therespondents were chosen according to the convenience of the researcher. The data wascollected over a period of 10 days in September 2011.e) Data analysis: Data was entered in SPSS16 and analysis was done using ANOVA andRegression analysis.Data analysis and resultsTable 1. Sociodemograhic profile of the women coming for abortion Range Minimum Maximum Meanage 24 19 43 28.07number of children 4 0 4 1.90age of last child 9 0 9 2.90education 2 1 3 2.60occupation 3 1 4 2.50resisdence 2 1 3 1.67marital status 1 1 2 1.20
The demographic profile of the women in the study showed that age of the women ranged from19 to 43, most of the women were married and resided in Kathmandu. As far as the educationwas concerned most of them 67 % had higher education, 27% had secondary education and6% had primary education.10% of them were services holders and had some kind of business ,and 105 were housewives and involved in agriculture.Table 2.oneway ANOVA to show the association between different variables variable F significance meanOccupationBetween groups .832 .446 1.436Within groups 1.726EducationBetween groups .943 .456 .367Within groups .389Prior use ofcontraceptionBetween groups 3.016 .032 3.605Within groups 1.195Previous abortionBetween groups 1.029 .412 . 388Within groups . 377InterpretationFrom the above table it can be interpreted that there was no significant differences of thewomen’s occupation, education, prior use of contraception or history of previous abortion inrelations to the acceptance of contraception acceptance following the current abortionprocedure.Table 2. Regression model to show the association between the different variablesR=0.858R2=0.736ModelF= 13.411Significance P=.000Coefficient
β(standardized coefficient) β t significanceUse of contraception prior .128 .110 .281Perception to abortion -.074 -.652 .561Sons at home .192 1.67 .108Age of last child .803 7.0333 .000Degree of compulsion .276 2.433 .023InterpretationThe above table shows that use of contraception prior to the abortion, perception towardsabortion and presence of sons at home has no relation to the acceptance of contraceptionfollowing the procedure.The model explains that 73% of the acceptance of contraceptiovesfollowing the abortion is accepted by this model and the rest 26% is explained by othervariables.However age of the last child and degree of compulsion for the procedure has shown to besignificant (p<.05), which means that those women who sought an abortion this time, the age ofthe last child ha significance. In this study majority of the women were educated and had highersecondary education ,with service so for them even though the age of the child was more theyprobably wanted to continue focusing on their career and education.The degree of compulsion was also found to be significant in terms of accepting contraceptionpost procedure. This could be because of the fact that the women who had come for abortiondue to various reasons , the degree of compulsion was very high which made them acceptcontraception more readily so that they were cautious for preventing the next unwantedpregnancy.Conclusion and suggestionsReferences1.Sekaran, U. (2009). The Research Process .In Research Methods for Business – A SkillBuilding Approach. 4th Ed, pp. 85-102. New Delhi: Wiley India (P.) Ltd.2. WHO, Abortion in the developing world, Bulletin of the World Health Organization, 2000, 78(8), 165.3. GoN, Ministry of General Administration, Nepal Gazette, Poush 2060.
4. National policy on Safe Abortion, 2060, Government of Nepal5. Thapa S, Padhye SM. Induced Abortion In Urban Nepal. International Family PlanningPerspective, 2001, 27(3): 144-147 & 151 Annex Questionnaire for women seeking abortionThis study is conducted for the purpose of academic interest as a part of the researchmethodology course of EMBA at KUSOM.All the information will be kept confidential for thepurpose of the study. Thank you for your patience and cooperation.1) How many children do you have at home ...2) Age of last child ………………3) Do you have any sons? Yes no4) Use of contraception before abortion 5 4 3 2 1 (5 always & 1 not at all)5) Did you use of contraception after abortion 5 4 3 2 16) Degree of compulsion for abortion 5 4 3 2 1 (5 high & 1 low)
7) What is your perception towards abortion? 5 4 3 2 19) Who decided for the abortion self husband both others10) Age………….11) Occupation housewife service business agriculture others12) Education primary secondary higher13) Residence ktm lalitpur bhaktapur other14) previous abortion yes no