APH 2001, 59, 101-110:

Aspects épidémiologiques de l'Interruption Volontaire de Grossesse à Monastir, Tunisie.

M. Letaief, A. Bchir, Z. Belghith, K. Ben Zalem, and MS. Soltani

Keywords: induced abortion, reproductive health, Tunisia

- In Tunisia, a family planning program has been launched since 1966 and contributed to the improvement of socio-demographic indicators.  However, induced abortion remains frequent.

- Our study aims to present socio-demographic characteristics, obstetrical profile, contraceptive use and mode of recourse to abortion among 597 women attending a family planning center.

- A prospective study was carried out during the first semester 1998 in Monastir, Tunisia.  Information was collected by interviewers using a questionnaire.

- The mean age of the study population was 32 years CI95% [31.5 - 32.5], 75% were below 36 years and have been married for a mean period of 10 years CI95% [9.5 - 10.5].  42.9% experienced one (30.0%) or more (12.9%) previous induced abortion.

- Contraceptive use one month before the conception showed that 61% of women had used serveral traditional contraceptive methods i.e rhytm by 43.4% CI95% [35.1 - 51.7], withdrawal method by 12.1% CI95% [9.4 - 14.9] and breast feeding by 5.1% CI95% [3.3 - 6.9].  About 25% of women had used modern contraceptive methods: 11.1% CI95% [8.65 13.6] a contraceptive pill, intra uterine device in 5.8% of cases CI95% [3.9 - 7.7], only 5.3% CI95% [3.5 - 7.1] reported use of condoms and other methods including spermicide and injectable contraceptive were used in 3.0% of cases.  14% declared not using any method.

- The most frequent reasons cited for not using any modern contraceptive method were: fear of side effects (42.0%), careless (19.0%), refuse (17.0%) and lack of information (12.0%)

- These results showed that many efforts should be deployed on knowledge about contraceptive use, couple involement and on health service integration to improve the quality of care in reproductive health.