scholarly journals Individual and community level factors associated with unintended pregnancy among pregnant women in Ethiopia

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Liknaw Bewket Zeleke ◽  
Addisu Alehegn Alemu ◽  
Eskeziaw Abebe Kassahun ◽  
Bewket Yeserah Aynalem ◽  
Hamid Yimam Hassen ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Pregnant Women ◽  
Unintended Pregnancy ◽  
Social Life ◽  
Sub Saharan Africa ◽  
P Value ◽  
Her Family ◽  
Fertility Preference ◽  
Factors Associated ◽  
Polygamy Relation

AbstractUnintended pregnancy is among the major challenges of public health and a major reproductive health issue, due to its implications on the health, economic and social life of a woman and her family mainly in low and middle-income countries, particularly sub-Saharan Africa. The study aimed to assess unintended pregnancy and associated factors among pregnant women in Ethiopia using multilevel analysis from the EDHS 2016. We used the data from the 2016 Ethiopian Demographic and Health Survey, comprised of 1122 pregnant women. The prevalence of unintended pregnancy was determined through descriptive statistics and multilevel logistic regression was performed to identify factors associated with unintended pregnancy. Variables with a p-value < 0.05 in the selected model were considered as significantly associated and an adjusted odds ratio was used to determine the strength and direction of the association. The prevalence of unintended pregnancy was 29.7% (CI 27.0%, 32.4%), of which 20.4% were mistimed and 9.3% unwanted. Being multi-para and fertility preference to have no more child were associated with a higher risk of unintended pregnancy whereas husbands' polygamy relation, having no women autonomy, and living in Afar and Somali regions showed a less likely risk of experiencing an unintended pregnancy. This study showed that the proportion of women who experienced unintended pregnancy is considerably high. Parity, fertility preference, polygamy relation, women autonomy, and region were identified factors associated with unintended pregnancy. Therefore, policymakers at all levels, reproductive health experts, and concerned organizations should emphasize minimizing unintended pregnancy targeting the regional variation at large. Researchers have to explore the regional variations through a qualitative study.

scholarly journals Factors Associated With Herbal Medicine Use in Pregnancy Among Postnatal Mothers in Mbarara Regional Referral Hospital in Western Uganda

2021 ◽  
Author(s):  
Laban Muteebwa ◽  
Ali Ssetaala ◽  
Dan Muramuzi ◽  
Annet Nanvubya ◽  
Yunia Mayanja
Keyword(s):  
Herbal Medicine ◽  
Pregnant Women ◽  
Herbal Medicines ◽  
Referral Hospital ◽  
Sub Saharan Africa ◽  
Medicine Use ◽  
Regional Referral Hospital ◽  
Factors Associated ◽  
Western Uganda ◽  
In Pregnancy

Abstract BackgroundThere is widespread use of herbal medicines among populations in sub-Saharan Africa. However, pregnant women should be conscious about medication taken during pregnancy including herbal medicines because their safety profiles are not known and some of them might affect the mother, fetus and pregnancy outcomes. Knowledge about use and safety of herbs in pregnant women is limited. This study aimed to assess the extent of use and the factors associated with use of herbal medicine in pregnancy.MethodsA cross-sectional study involving 385 women 6 weeks post-partum and below, receiving post-natal services at Mbarara Regional Referral Hospital in Western Uganda was conducted during May to August 2016. Simple random sampling was used to select participants. A structured pretested questionnaire was administered after written informed consent. Data was analyzed using logistic regression (STATA- 14).ResultsOf 385 respondents, 70.4% reported to have used herbal medicine during their most recent pregnancy. Associated factors were perception that herbal medicines are safe (aOR 9.8, 95% CI (4.2-23.0), perception that herbal medicines are important (aOR 12.4, 95% CI (5.2-29.5), staying more than 10KM from the heath facility (aOR 3.1, 95%CI (1.4-6.9), being a first time mother (aOR 2.6, 95%CI (1.1-6.2) and dissatisfaction with ANC services at health facility (aOR 2.6, 95%CI (1.1-6.3)ConclusionHerbal medicine use in pregnancy is common in the study area. Community Sensitization drives about the dangers of herbal medicine use in pregnancy is recommended. Healthcare workers should routinely screen for herbal medicine use during antenatal care visits and labor.

scholarly journals Reproductive Health of Women Workers in Villages, Cities in Islamic Perspective

2020 ◽  
Vol 4 (4) ◽  
pp. 123-128
Author(s):  
Tri Niswati Utami ◽  
Nurhayati Nurhayati ◽  
Reni Agustina Harahap ◽  
Zuhrina Aidha
Keyword(s):  
Women Workers ◽  
Reproductive Health ◽  
Marital Status ◽  
Working Women ◽  
Secondary Data ◽  
Participation Rate ◽  
P Value ◽  
Chi Square ◽  
Her Family ◽  
The Relationship

The trend of working women in Indonesia has increased. In 2017 the participation rate of women workers increased by 39.3%. This study aims to analyze the tendency of women to work in villages and cities, analyze the relationship of women who work with reproductive health, the relationship between marital status and reproductive health and Islamic perspectives on working women. The method used was quantitative, sourced from secondary data on Indonesia's Demographic and Health Data Survey 2017 Data were analyzed using the chi-square test. It was found that the tendency of women to work in villages was higher by 65.5%. The analysis found that the significant correlation between job status and marital status with reproductive health, with p-value of 0.0001 and 0.0001. It is not forbidden in Islam that women work outside the home, but must uphold a woman’s character, her role in her family and dignity. Considering women have a dual role, in the household and as workers, the company should give the right to maintain reproductive health such as menstruation leave, pregnancy, childbirth, and breastfeeding. Keywords: female workers; types of work; reproductive health; marital status; village

scholarly journals Pregnant women with severe anemia reporting in labor: prevalence, socio-demographic and obstetric determinants

2019 ◽  
Vol 6 (2) ◽  
pp. 701
Author(s):  
Ruchika Singh ◽  
Mamta Gupta ◽  
Vandana Saini
Keyword(s):  
Primary Prevention ◽  
Pregnant Women ◽  
Economic Status ◽  
National Level ◽  
Tertiary Hospital ◽  
Calorie Intake ◽  
P Value ◽  
Severe Anemia ◽  
Her Family ◽  
Obstetric Factors

Background: Severely anemic women reporting in labor remains one of the most important challenging situation for the obstetrician as well as for the mother and her family due to its adverse feto-maternal outcome. Various socio-demographic and obstetric conditions need to be explored which are important to tackle them, for primary prevention of anemia. The aim and objectives of the study were to estimate prevalence of severe anemia in pregnant women reporting in labor in a tertiary hospital of Delhi and to evaluate various socio-economic and associated obstetric factors associated.Methods: This is a hospital based, prospective, case contol study. Hemoglobin was estimated at the time of labor room admission. Fifty consecutive antenatal women with severe anemia (Group A) and 50 non-anemic women (Group B) were enrolled in early labor. Socio-demographic and obstetric factors, were recorded and analyzed.Results: Prevalence of severe anemia was estimated to be 2.23%. Determinants of severe anemia were found to be socio-economic status (p value 0.001), education (p value 0.001), rural living (p value 0.016), calorie intake (p value 0.001), BMI (p value 0.046), booking status of pregnancy (p value 0.001), gravida (p value 0.024), inter-conception interval (p value 0.002) and regular iron-folic acid intake (p value 0.001).Conclusions: Primary prevention of anemia by targeting these factors at the community/state/ national level, by the policy makers is important. Early booking and screening for anemia in antenatal clinics, providing iron supplements to anemic women for secondary prevention of severe anemia is recommended so that no woman reports with severe anemia in labor.

scholarly journals Adherence to Iron Supplementation in 22 Sub-Saharan African Countries and Associated Factors among Pregnant Women: A Large Population-Based Study

2019 ◽  
Vol 3 (12) ◽  
Author(s):  
Djibril M Ba ◽  
Paddy Ssentongo ◽  
Kristen H Kjerulff ◽  
Muzi Na ◽  
Guodong Liu ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Iron Supplementation ◽  
Population Based ◽  
Sub Saharan Africa ◽  
Deficiency Anemia ◽  
Demographic And Health Surveys ◽  
Factors Associated ◽  
Sub Saharan ◽  
Ssa Countries ◽  
Antenatal Visits

ABSTRACT Background Iron deficiency anemia during pregnancy is a significant public health problem in sub-Saharan Africa (SSA) and is associated with serious adverse health outcomes. Although it is recommended that all women receive iron supplementation during pregnancy, little research has been conducted to measure overall compliance with this recommendation or variation across SSA countries. Objectives To assess prevalence and sociodemographic-economic factors associated with adherence to iron supplementation among pregnant women in SSA. Methods This was a weighted population-based cross-sectional study of 148,528 pregnant women aged 15–49 y in 22 SSA countries that participated in the Demographic and Health Surveys (DHS) in 2013–2018 and measured iron supplementation during pregnancy. Adherence to iron supplementation was defined as using iron supplementation for ≥90 d during pregnancy of the most recent birth. Results The overall prevalence of adherence to ≥90 d of iron supplementation during pregnancy was 28.7%, ranging from 1.4% in Burundi to 73.0% in Senegal. Factors associated with adherence included receiving ≥4 antenatal care visits [adjusted Prevalence Ratio (aPR): 25.73; 95% CI: 22.36, 29.60] compared with no antenatal visits; secondary or higher education (aPR: 1.17; 95% CI: 1.14, 1.19) compared with no education; wealthy (aPR: 1.13; 95% CI: 1.10, 1.16) compared with poor; and older women aged 35–49 y (aPR: 1.07; 95% CI: 1.05, 1.10) compared with younger women aged 15–24 y. Conclusions Adherence to iron supplementation during pregnancy in SSA is low and varies substantially across countries and in relation to factors such as number of antenatal visits, education, and level of family wealth. These results underscore the need for increased efforts to improve the uptake of iron supplementation for pregnant women in SSA.

scholarly journals Prevalence And Factors Associated With Psychological Distress Among Pregnant Women Attending The Antenatal Clinic At A National Referral Hospital In Uganda.

2021 ◽  
Author(s):  
Henry Sembatya ◽  
Justine Namuli ◽  
Judith Ajeani ◽  
Sam Ononge
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Public Health Problem ◽  
Antenatal Clinic ◽  
P Value ◽  
Multivariable Logistic Regression Analysis ◽  
Cross Sectional ◽  
Factors Associated

Abstract Background: Psychological distress (PD) among pregnant women has a bearing both on the mother and the outcome of the pregnancy and is thus a public health problem. It is a precursor for other severe mental health conditions that include anxiety, depression, bipolar disorder and so if screened and diagnosed early it can prevent progress to severe mental illness. PD has however not been screened among pregnant women and thus no available data in Uganda. The objective of this study was to determine the prevalence and factors associated with PD among pregnant women at Kawempe hospital Uganda.Methods: A cross sectional study was conducted among 530 pregnant women attending antenatal care at Kawempe hospital Uganda. The SRQ-20 tool was used to screen for PD and data on socio-demographic and clinical factors was collected using a. socio-demographic questionnaire and medical records respectively. Descriptive statistics were applied to determine the prevalence of PD and multivariable logistic regression analysis was used to assess for factors associated with PD among pregnant women.Results: The prevalence of PD was 19.1% , while having a fair/bad relationship with the spouse (P-value =0.007), a low monthly income (p-value = 0.013), and having less than two meals a day (P-value =0.022). were independently associated with PDConclusion: Approximately one in five pregnant women receiving ANC at Kawempe hospital has PD. This study therefore supports the need for integration of mental health assessment into the antenatal care package of women at Kawempe hospital and Uganda at large

scholarly journals Factors Associated with Risk Of HIV-Infection Among Pregnant Women in Cameroon: Evidence from the 2016 National Sentinel Surveillance Survey of HIV and syphilis

2018 ◽  
Author(s):  
Jean de Dieu Anoubissi ◽  
Ekali Loni Gabriel ◽  
Cyprien Kengne Nde ◽  
Joseph Fokam ◽  
Dorine Godelive Tseuko ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Pregnant Women ◽  
Serological Test ◽  
School Level ◽  
Health Concern ◽  
P Value ◽  
Reference Laboratory ◽  
North West ◽  
Factors Associated ◽  
South West

AbstractBackgroundHuman Immunodeficiency Virus infection (HIV) remains a public health concern in Cameroon that requires regular surveillance for informed policy-making to guide programmatic interventions. Using data from the 2016 HIV national sentinel survey in Cameroon, we ascertained HIV prevalence and factors associated with risk of infection among pregnant womenMethodsA cross-sectional study was conducted throughout 2016 in the 10 regions of Cameroon, targeting 7000 first antenatal care (ANC-1) attendees (4000 from urban and 3000 from rural areas) in 60 sentinel health facilities. HIV serological test was performed using the national serial algorithm at the National Reference Laboratory (NRL). Prevalence was determined, and multivariate logistic regression was used to assess determinants of HIV infection, with p-value<0.05 considered statistically significant.ResultsOf the 7000 targeted participants, a total of 6859 first ANC-1 attendees were enrolled (98.0% sampling coverage). Median age was 26 [IQR: 21-30] years and 47,40% had a secondary school level of education. The national prevalence of HIV was 5.70% (95% CI: 4.93 – 6.40) and range from 9.7% in East region to 2.6% in North region. The prevalence was 5.58% (95% CI: 95%: 4.88 – 6.35) in urban and 5.87% (95% CI: 5.04 – 6.78) in rural settings. Factors that were associated with HIV infection included marital status, women who were married or living with their partner are less likely to be infected than singles women (aOR=0.60; 95% CI: 0.46 – 0.78), multiparity [aOR=1.5(95%CI:1.0-2.2)] and been living in the Centre, East, North-west and South-west regions. HIV infection was also significantly associated with age, with the risk of being infected increasing with age.ConclusionPregnant women in Cameroon are still disproportionately infected with HIV compared with the general population (prevalence 4.3%). Preventive actions to curb the epidemic amongst pregnant women should prioritize interventions targeting single pregnant women, who are older, and residing particularly in the Centre, East, North West and South West regions of the country.

scholarly journals Factors Associated with Cataract Surgical Outcomes in a Tertiary Health Facility in Oyo State, Nigeria: A Retrospective Study

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Abiola T. Owolabi ◽  
Susannah T. Adepoju ◽  
Olawale Oladejo ◽  
Kunle I. Oreagba
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Goodness Of Fit ◽  
Intraoperative Complications ◽  
Visual Outcome ◽  
Sub Saharan Africa ◽  
P Value ◽  
Goodness Of Fit Test ◽  
Intraoperative Complication ◽  
Factors Associated

Background: Cataract surgery is the most common operation performed in ophthalmology. It is the commonest cause of reversible blindness globally, in Sub-Saharan Africa and Nigeria. The study examined some factors affecting the outcome of cataracts surgery measured by Visual acuity after 6 weeks. Methods: Data was collected from the records of ophthalmic patients who had cataract surgery at LAUTECH Teaching Hospital Ogbomoso, from the period of January 2013 to December 2018. Two hundred and twenty-seven patients’ records were retrieved for the study. Logistic Regression was used to investigate factors associated with the outcome of Cataracts Surgery. The goodness of fit test was used to determine the fit of the model to the data. Results: Two variables; intraoperative complication, and unaided visual acuity on the fir st postoperative day were statistically significant (p-value < 0.05). The outcome of surgery using unaided visual acuity after six weeks of surgery showed that 47.1% of the patients had a good visual outcome (6/18) or better and 52.9% had a poor outcome (worse than 6/60). Factors such as complications within six weeks, presence of ocular and systemic comorbidity, and presence of intraoperative complications were found to increase the likelihood of poor outcomes in cataract surgery. Conclusion: This study has shown that Intraoperative complications and unaided visual acuity on the first postoperative day are important to the outcome of cataract surgery. Therefore, the two factors should be given attention during cataract surgery

scholarly journals Research Article: Impact of Cooking Fuel Choices on Maternal Lung Functions in Selected Rural and Urban Areas of Copperbelt Province, Zambia

2018 ◽  
Vol 1 (3) ◽  
pp. 01-09
Author(s):  
David Mulenga
Keyword(s):  
Lung Function ◽  
Pregnant Women ◽  
Urban Areas ◽  
Crop Residues ◽  
Respiratory Health ◽  
Sub Saharan Africa ◽  
P Value ◽  
Cooking Fuel ◽  
Rural And Urban Areas ◽  
Rural And Urban

Background: Considering the respiratory health risk of exposure to biomass cooking fuel emissions, this study was conducted to elucidate the relationship between cooking fuel choices and declined pulmonary function in rural and urban population in the Copperbelt Province of Zambia. Methods: We carried out a cross-sectional study of 1,170 healthy nonsmoking pregnant women from Masaiti and Ndola predominantly using biomass fuel for cooking. Questionnaire based data was acquired along with standardized measures of lung function. MIR Spirobank G (Italy) was used in spirometry based on American Thoracic Standards. Results: The present study found that over two thirds (69.2%) of pregnant women in the study population use biomass for cooking and only 12.4 % use electricity only. Declined lung function was found to be statistically significantly associated with cooking fuel choices (p – value 0.005) and a weak association was observed with gravida at a p-value of 0.056. Pregnant women using crop residues as cooking fuel were two times more likely to have a declined lung function [AOR 2.33 (1.27, 4.30)] compared with pregnant women using mixed fuel type (biomass and electricity) and those using electricity only were 57% less likely to have a declined lung function [AOD 0.43 (0.26, 0.69)]. Conclusion: Use of biomass for cooking among pregnant women is a strong determinant of declined lung function. Interventions to improve maternal respiratory health outcomes in Zambia and other countries in sub-Saharan Africa should involve making cleaner cooking fuel energy options available and accessible by ordinary women from both rural and urban areas.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN SIKAP REMAJA KELAS XI TERHADAP HUBUNGAN SEKSUAL PRANIKAH (INTERCOURSE) DI SMA DHARMA BAKTI MEDAN TAHUN 2014

2019 ◽  
Vol 9 (1) ◽  
pp. 49-55
Author(s):  
Hanna Sriyanti Saragih ◽  
Rika Dinata Sianturi ◽  
Jujuren Sitepu
Keyword(s):  
High School ◽  
Reproductive Health ◽  
Mass Media ◽  
P Value ◽  
Sexual Relations ◽  
Factors Associated ◽  
Adolescent Attitudes ◽  
Role Of Parents ◽  
Premarital Sexual

The lack of information received by adolescents about reproductive health and lack of knowledge causes an effect on adolescent attitudes toward sexual behavior. Destination of the research for factors associated with adolescent attitudes toward class xi premarital sexual relations (intercourse) Medan of Dharma Bakti Senior High School year 2014. The role of parents also influence adolescent attitudes toward premarital sexual relations. Additionally teenagers often receive information about sex instead of one source, even misleading, for example, of the mass media that actually abused by teens. This research is analytic approach to cross-sectional design with a sample size of 60 respondents. Data were analyzed using univariate and bivariate Chi-Square test. The analysis showed that factors associated with adolescent attitudes toward premarital sexual intercourse in high school is Dharma Bakti field of reproductive health knowledge p value = 0,005 (<0,05), the role of parents p value = 0,001 (<0,05), the role of the mass media p value = 0,010 (<0,05). It is expected that the school can make this research as a guide to improve the provision of information or education about reproductive health especially about sex education for adolescent in school.

scholarly journals Prevalence and factors associated with late antenatal care visit among pregnant women in Lushoto, Tanzania

2017 ◽  
Vol 19 (3) ◽  
Author(s):  
Flora Njiku ◽  
Herman Wella ◽  
Adellah Sariah ◽  
Joyce Protas
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Health Care Services ◽  
First Trimester ◽  
Antenatal Clinic ◽  
World Health ◽  
P Value ◽  
Cross Sectional ◽  
Factors Associated ◽  
Care Services

Background: Adequate utilization of antenatal health care services is associated with improved maternal and neonatal health outcomes. The World Health Organization recommends pregnant women to attend antenatal care services as early as in the first trimester. However, many women due to various reasons fail to meet the recommendations. The objective of this study was to determine the prevalence and factors associated with late antenatal booking among pregnant women in Lushoto district of north-eastern Tanzania.Methods: This hospital based cross sectional study involved pregnant women and was conducted in August-September 2015. A standardized questionnaire was used to obtain participants demographic characteristics and obstetrics history. Data analysis was done using (SPSS) and relationship between outcome variables and exposure variable was done using Chi-square test. Multivariate logistic regression was used to measure the association.Results: A total of 240 participants were involved in the study.  Out of these, 169 (70.4%) participants booked late for antenatal care (ANC) services. Delayed booking was mainly associated with not being married (AOR=3.08; 95%CI 1.149-8.275; P value=0.025) and unemployment (AOR=4.28; 95% CI 2.11-8.679; p-value=0.000)Conclusion:  Late first antenatal clinic visit was high in Lushoto, and was highly associated with unmarried and unemployment status. Therefore, provision of continuous health education and community sensitization on the importance of timely seeking ANC services should be strengthened.

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