Induced abortion signifies that pregnancy has been tempered with. Abortion is the removal of an embryo or fetus weighing less than 500 grams from its mother. It can either be spontaneous (unprompted) or induced. Abortion remains one of the leading causes of maternal deaths in developing countries with induced abortion being the key cause. In 2014 from January to August, 9 abortion related deaths occurred in Botswana. There are several reasons female students in tertiary institutions resort to seeking induced abortion which include the socio-demographics like age and socio-economic factors like financial instability. Parental fears, unintended pregnancy and pressure from the partner also force females to terminate pregnancy. Induced abortion has claimed many women’s lives especially in developing countries with very restrictive abortion laws like Botswana as women do not access safe abortion care services. The study intends to establish the determinants of induced abortion among female students in selected tertiary learning institutions in Gaborone City, Botswana. It concentrated primarily on determining the prevalence of induced abortion. This was a descriptive cross-sectional study using both quantitative and qualitative data collection techniques. Systematic random sampling technique was used to come up with 278 participants. Prior to commencement of data collection, all ethical and logistical prerequisites were satisfied. Informed consent was solicited from all the study participants and the purpose of the study was fully explained. A self-administered questionnaire was used to collect data. Microsoft Excel spread sheet was used to code, clean, and enter the data, which was then exported for analysis to the statistical package for social sciences version 24. Frequency distribution tables, percentages graphs, and pie charts were used to illustrate the descriptive information. The study revealed that prevalence of induced abortion among female students in Gaborone City is 7.9%. They even suggested that induced abortion be liberalized. Age was the only socio-demographic factor associated with induced abortion with p = 0.047 using Chi Square test χ2 = 7.609, df = 3. The study findings concluded that female students resort to induced abortion as a result of pressure from both parents and male partners especially when the pregnancy is unintended. The study recommends that the abortion law in Botswana be made liberal to ease access to safe abortion care services. It also recommends that contraceptive commodities should consistently be
References
[1]
Akers, A.Y., Muhammad, M.R. and Corbie-Smith, G. (2011) “When You Got Nothing to Do, You Do Somebody”: A Community’s Perceptions of Neighborhood Effects on Adolescent Sexual Behaviors. Social Science and Medicine, 72, 91-99. https://doi.org/10.1016/j.socscimed.2010.09.035
[2]
Agula, C., Henry, E.G., Asuming, P.O., Agyei-Asabere, C., Kushitor, M., Canning, D., Shah, I. and Bawah, A.A. (2021) Methods Women Use for Induced Abortion and Sources of Services: Insights from Poor Urban Settlements of Accra, Ghana. BMC Women’s Health, 21, Article No. 300. https://doi.org/10.1186/s12905-021-01444-9
[3]
Boah, M., Bordotsiah, S. and Kuurdong, S. (2019) Predictors of Unsafe Induced Abortion among Women in Ghana. Journal of Pregnancy, 2019, Article ID: 9253650. https://doi.org/10.1155/2019/9253650
[4]
Bain, L.E. and Kongnyuy, E.J. (2018) Eliminating the High Abortion Related Complications and Deaths in Cameroon: The Restrictive Legal Atmosphere on Abortions Is No Acceptable Excuse. BMC Women’s Health, 18, Article No. 71. https://doi.org/10.1186/s12905-018-0564-6
[5]
Bolnga, J.W., Lufele, E., Teno, M., Agua, V., Ao, P., dl Mola, G., Pomat, W. and Laman, M. (2021) Incidence of Self-Induced Abortion with Misoprostol, Admitted to a Provincial Hospital in Papua New Guinea: A Prospective Observational Study. Australian and New Zealand Journal of Obstetrics and Gynecology, 61, 955-960. https://doi.org/10.1111/ajo.13413
[6]
Casey, S.E., Steven, V.J., Deitch, J., Dumas, E.F., Gallagher, M.C., Martinez, S., Morris, C.N., Rafanoharana, R.V. and Wheeler, E. (2019) “You Must First Save Her Life”: Community Perceptions towards Induced Abortion and Post-Abortion Care in North and South Kivu, Democratic Republic of the Congo. Sexual and Reproductive Health Matters, 27, 106-117. https://doi.org/10.1080/09688080.2019.1571309
[7]
Chae, S., Desai, S., Crowell, M. and Sedgh, G. (2017) Reasons Why Women Have Induced Abortions: A Synthesis of Findings from 14 Countries. Contraception, 96, 233-241. https://doi.org/10.1016/j.contraception.2017.06.014
[8]
Cameron, S., Glasier, A., Lohr, P.A., Moreau, C., Munk-Olssen, T., Oppengaard, K.S., Templeton, A., Van Look, P., Baird, D.T., Crosignani, P.G., La Vecchia, C., Negri, E. and Volpe, A. (2017) Induced Abortion. Human Reproduction, 32, 1160-1169. https://doi.org/10.1093/humrep/dex071
[9]
Dhar, G. (2017) Knowledge, Attitude and Associated Factors towards Safe Abortion among Female Students of Kebribayah Town of Somali Region, Ethiopia. International Journal of Health Sciences & Research, 7, 176-185.
[10]
Ibrahim, Z.M., Mohamed, M.L., Taha, O.T., Ghoneim, H.M., Mohamed, H.S., Abdellah, A.M., Aboelroose, A.A., Fiala, L.A., Nassr, A.A., Abbas, A.M. and Atwa, K.A. (2020) Knowledge, Attitude and Practice towards Abortion and Post Abortion Care among Egyptian Private Obstetricians and Gynaecologists. European Journal of Contraception and Reproductive Health Care, 25, 245-250. https://doi.org/10.1080/13625187.2020.1760239
[11]
Ishoso, D.K., Tshefu, A.K., Delvaux, T. and Coppieters, Y. (2019) Extent of Induced Abortions and Occurrence of Complications in Kinshasa, Democratic Republic of the Congo. Reproductive Health, 16, Article No. 49. https://doi.org/10.1186/s12978-019-0727-4
[12]
Kerestes, C., Sheets, K., Stockdale, C.K. and Hardy-Fairbanks, A.J. (2019) Prevalence, Attitudes and Knowledge of Misoprostol for Self-Induction of Abortion in Women Presenting for Abortion at Midwestern Reproductive Health Clinics. Sexual and Reproductive Health Matters, 27, 118-125. https://doi.org/10.1080/09688080.2019.1571311
[13]
Kgosiemang, B. and Blitz, J. (2018) Emergency Contraceptive Knowledge, Attitudes and Practices among Female Students at the University of Botswana: A Descriptive Survey. African Journal of Primary Health Care & Family Medicine, 10, a1674. https://doi.org/10.4102/phcfm.v10i1.1674
[14]
Lentiro, K., Gebru, T., Worku, A., Asfaw, A., Gebremariam, T. and Tesfaye, A. (2019) Risk Factors of Induced Abortion among Preparatory School Student in Guraghe Zone, Southern Region, Ethiopia: A Cross-Sectional Study. BMC Women’s Health, 19, Article No. 115. https://doi.org/10.1186/s12905-019-0813-3
[15]
Luo, M., Jiang, X., Wang, Y., Wang, Z., Shen, Q., Li, R. and Cai, Y. (2018) Association between Induced Abortion and Suicidal Ideation among Unmarried Female Migrant Workers in Three Metropolitan Cities in China: A Cross-Sectional Study. BMC Public Health, 18, Article No. 625. https://doi.org/10.1186/s12889-018-5527-1
[16]
McClinton Appollis, T., Jonas, K., Beauclair, R., Lombard, C., Duby, Z., Cheyip, M., Maruping, K., Dietrich, J. and Mathews, C. (2022) Early Sexual Debut and the Effects on Well-Being among South African Adolescent Girls and Young Women Aged 15 to 24 Years. International Journal of Sexual Health, 34, 242-253. https://doi.org/10.1080/19317611.2021.1979162
[17]
Meleko, A. (2018) Knowledge, Attitude and Practice towards Induced Abortion and Associated Factors among Female Students in Yebu Secondary School, Jimma Zone, South West Ethiopia. Global Journal of Reproductive Medicine, 5, Article ID: 555659. https://doi.org/10.19080/GJORM.2018.05.555659
[18]
Megersa, B.S., Ojengbede, O.A., Deckert, A. and Fawole, O.I. (2020) Factors Associated with Induced Abortion among Women of Reproductive Age Attending Selected Health Facilities in Addis Ababa, Ethiopia: A Case Control Study. BMC Women’s Health, 20, Article No. 188. https://doi.org/10.1186/s12905-020-01023-4
[19]
Munakampe, M.N., Zulu, J.M. and Michelo, C. (2018) Contraception and Abortion Knowledge, Attitudes and Practices among Adolescents from Low and Middle-Income Countries: A Systematic Review. BMC Health Services Research, 18, Article No. 909. https://doi.org/10.1186/s12913-018-3722-5
[20]
Singh, S., Shekhar, C., Acharya, R., Moore, A.M., Stillman, M., Pradhan, M.R., Frost, J.J., Sahoo, H., Alagarajan, M., Hussain, R., Sundaram, A., Vlassoff, M., Kalyanwala, S. and Browne, A. (2018) The Incidence of Abortion and Unintended Pregnancy in India, 2015. The Lancet Global Health, 6, E111-E120. https://doi.org/10.1016/S2214-109X(17)30453-9
[21]
Taddele, T., Getachew, T., Taye, G., Getnet, M., Defar, A., Teklie, H., Gonfa, G., Humnessa, S., Teshome, A., Akale, Z., Mormu, K. and Bekele, A. (2019) Factors Associated with Health Care Provider Knowledge on Abortion Care in Ethiopia, a Further Analysis on Emergency Obstetric and Newborn Care Assessment 2016 Data. BMC Health Services Research, 19, Article No. 1014. https://doi.org/10.1186/s12913-019-4857-8
[22]
Vongxay, V., Chaleunvong, K., Essink, D.R., Durham, J. and Sychareun, V. (2020) Knowledge of and Attitudes towards Abortion among Adolescents in Lao PDR. Global Health Action, 13, Article ID: 1791413. https://doi.org/10.1080/16549716.2020.1791413
[23]
Yanikkerem, E., Ertem, G., ÜStgörül, S., Karakus, A., Baydar, O. and Emery, N. (2018) Turkish Nursing Students’ Attitudes towards Voluntary Induced Abortion. Journal of the Pakistan Medical Association, 68, 410-416.
