BACKGROUND Abortion is one of the major direct causes of maternal death, accounting for 7.9% globally. In Africa, 5.5 million women have unsafe abortions annually. Although maternal deaths due to complications of abortion have declined in Ethiopia, women still die from complications. Few studies have focused on providers' clinical knowledge. This study investigates the level of health workers' knowledge of comprehensive abortion care and its determinants in Ethiopia. METHODS Data from the national emergency obstetric and newborn care (EmONC) assessment was used. A total of 3804 facilities that provided institutional deliveries in the 12 months before the assessment were included. Provider knowledge was assessed by interviewing a single provider from each facility. Criteria for selection included: having attended the largest number of deliveries in the last one or two months. A summary knowledge score was generated based on the responses to three knowledge questions related to immediate complications of unsafe abortion, how a woman should be clinically managed and what the counselling content should contain. The score was classified into two categories (< 50% and > =50%). Logistic regression was used to determine individual and facility-level factors associated with the summary knowledge score. RESULT A total of 3800 providers participated and the majority were midwives, nurses and health officers. On average, providers identified approximately half or fewer of the expected responses. The multivariate model showed that midwives and nurses (compared to health officers), being female, and absence of training or practice of manual vacuum aspiration were associated with lower knowledge levels. Important facility level factors protective against low knowledge levels included employment in Addis Ababa, being male and having internet access in the facility. CONCLUSION To increase knowledge levels among providers, pre- and in-service training efforts should be particularly sensitive to female providers who scored lower, ensure that more midlevel providers are capable of performing manual vacuum aspiration as well as provide special attention to providers in the Gambella.

中文翻译：

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与医疗保健提供者有关埃塞俄比亚堕胎护理知识的因素有关，有关2016年紧急产科和新生儿护理评估数据的进一步分析。

背景技术堕胎是孕产妇死亡的主要直接原因之一，占全球的7.9％。在非洲，每年有550万妇女不安全堕胎。尽管在埃塞俄比亚，由于堕胎并发症导致的产妇死亡人数有所下降，但妇女仍然因并发症而死亡。很少有研究集中在提供者的临床知识上。这项研究调查了埃塞俄比亚卫生工作者全面流产护理的知识水平及其决定因素。方法使用来自国家紧急产科和新生儿护理（EmONC）评估的数据。在评估之前的12个月中，总共提供了3804个提供机构交付的设施。通过采访来自每个机构的单个提供者来评估提供者的知识。选择标准包括：在过去一两个月中参加了最多的交付。基于对与不安全流产的直接并发症有关的三个知识问题的回答，应如何对妇女进行临床管理以及应包含的咨询内容的三个知识问题的回答，得出了知识总得分。分数分为两类（<50％和> = 50％）。Logistic回归用于确定与汇总知识得分相关的个人和设施级别的因素。结果共有3800名医疗服务提供者参加，其中大多数是助产士，护士和卫生官员。平均而言，提供商识别出的预期响应大约为一半或更少。多元模型显示，助产士和护士（与卫生官员相比）是女性，缺乏培训或缺乏手动负压吸引术的实践与知识水平较低相关。防止知识水平低下的重要设施水平因素包括在亚的斯亚贝巴的就业，男性和在设施中具有互联网访问权限。结论为了增加服务提供者之间的知识水平，岗前和在职培训应对分数较低的女性服务提供者特别敏感，确保更多的中级服务提供者能够进行手动负压吸引，并特别关注Gambella中的服务提供者。