scholarly journals What do women know before getting pregnant? Knowledge of preconception care and associated factors among pregnant women in Mana district, Southwest Ethiopia: a community-based cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e035937
Author(s):  
Firanbon Teshome ◽  
Yohannes Kebede ◽  
Fira Abamecha ◽  
Zewdie Birhanu

ObjectiveTo assess knowledge of preconception care and associated factors among pregnant women in Mana district, Jimma zone, Oromia Region, Southwest Ethiopia, in 2019.DesignA community-based cross-sectional study was conducted from 2 March to 10 April 2019.SettingThe study was conducted in Mana district. Eight rural Gandas and one urban Ganda were included in the study.ParticipantsOut of 715 pregnant women in the selected rural Gandas, 553 participated in the study, whereas 70 out of 88 were recruited from the urban Ganda. A total of 623 pregnant women participated in the study.Primary and secondary outcome measuresWomen’s knowledge of preconception care was determined. Descriptive statistics were calculated as necessary. Logistic and linear regression analyses were used to identify the association of women’s knowledge of preconception care with explanatory variables.ResultsAmong 623 respondents, 133 (21.3%) of pregnant women had good knowledge of preconception care. Multivariable linear regression analysis showed that women who attended secondary and above education (β=3.6; p<0.001) and those for whom their husbands attended secondary and above education (β=2.3; p=0.001), planned pregnancy status (β=1.2; p=0.005), being on follow-up for pre-existing medical illnesses (β=1.5; p=0.014) and having four or more antenatal care visits (β=0.4; p=0.016) were significantly associated with women’s knowledge of preconception care.ConclusionThe findings imply that providing health education and health promotion for women is important to improve their level of knowledge of preconception care.

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Bedilu Kifle ◽  
Kifle Woldemichael ◽  
Mamo Nigatu

Background. Though onchocerciasis control and elimination through community directed treatment with ivermectin were conducted for the last fifteen years, prevalence of onchocerciasis and factors associated with it in the study area are yet not known. The aim of the current study is to assess prevalence of onchocerciasis and associated factors among adults aged greater than or equal to fifteen years in Semen Bench district, Bench Maji zone, southwest Ethiopia: community based cross-sectional study 2018. Methods. Community based cross-sectional study was conducted on 553 study participants selected by multistage sampling in April 2018. Data were collected using a pretested interviewer-administered questionnaire. Data were entered using EpiData version 3.1 and exported to SPSS version 20 for statistical analysis. Descriptive statistics were done to summarize dependent and independent variables. Bivariate logistic regression was done to select candidate variables. Multivariable logistic regression was performed to identify independent predictors of onchocerciasis infection. Adjusted odds ratios with 95% CI were calculated to assess association and statistical significance, respectively. Confidence interval was used to declare statistical significance. Result. The overall prevalence of onchocerciasis infection in the study area was 6.32%. Age category of 35-44 years (AOR: 13.48, 95%CI: 3.51, 51.76), age of 45 years and above (AOR: 9.41, 95% CI: 2.26, 39.06), male sex (AOR 4.568, 95% C.I: 1.622, 12.861), not being compliant with ivermectin treatment (AOR: 3.804, 95%CI: 1.524, 9.49), and residing at less than 2Km from the river (AOR: 9.15, 95%CI: 3.9, 21.49) were significantly associated with onchocerciasis infection. Conclusion and Recommendation. After more than a decade of treatment with ivermectin, onchocerciasis in the study area is still hypoendemic. Zonal health department and other stakeholders should evaluate therapeutic coverage and community directed treatment with ivermectin in the study area. Zonal health department with other stokeholds should give community based information education communication, giving due attention to older ages, male residents, and those living near the rivers. Further community based study should also be done to identify factors hindering the community compliance with the treatment.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tamrat Anbesaw ◽  
Habtamu Abebe ◽  
Chalachew Kassaw ◽  
Tilahun Bete ◽  
Alemayehu Molla

Abstract Background Sleep is a natural physiological process vital for the physical and mental wellbeing of pregnant women and their fetuses. Even though poor sleep quality is a common problem among pregnant women, it is not studied in developing countries including Ethiopia. Therefore, this study was aimed to assess the poor sleep quality and associated factors among pregnant women attending antenatal care at Jimma medical center, Jimma, Southwest Ethiopia, 2020. Methods A cross-sectional study design was conducted among 415 pregnant women at Jimma Medical Center (JMC). The study subjects were selected using a systematic random sampling technique. Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality using face-to-face interviews. SPSS version 25 was used to analyze data. Bivariate and multivariable logistic regressions were done to identify factors related to sleep quality. In multivariable logistic regression variables with a p-value less than 0.05 was considered significant and, adjusted OR (AOR) with 95% CI was used to present the strength of the association. Results The prevalence of poor sleep quality among pregnant women was found to be 30.8% (95% CI (26.5, 35.2). In multivariable analysis, age ≥ 30 years old (AOR = 1.94;95%CI:1.03,3.66), Multigravida (AOR = 1.90;95%CI:1.90,3.32),depression (AOR = 4.26;95%CI:2.54,7.14),stress (AOR = 1.85;95%CI:1.20,3.02) were variables significantly associated with poor sleep quality. Conclusion This study found a high prevalence of poor sleep quality among pregnant women. Older age, gravidity, depression, and stress were associated with poor sleep quality. It is better to have routine sleep pattern screening and teach sleep hygiene practice for pregnant women.


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Tadesse Nigussie ◽  
Yitagesu Mamo ◽  
Qaro Qanche ◽  
Tewodros Yosef ◽  
Wondimagegn Wondimu ◽  
...  

Background. HIV/AIDS is becoming more prevalent over time, resulting in a considerable number of deaths. In 2017, 36.9 million (35.1 million adults) people worldwide were living with HIV, 1.8 million people were newly infected with HIV, and 940 000 people died from AIDS-related illnesses. Mining workers are at a high risk of contracting HIV and infecting others, and effective prevention is a critical. Objective. To assess HIV preventive behaviors and associated factors among gold mining workers in Dima district, southwest Ethiopia, 2019. Methods and Materials. A community-based cross-sectional study was conducted from November 1st to 30th, 2019. A convenience sampling technique was used to get mining workers for the interview.The data were collected through face-to-face interviews. The collected data were coded and entered into EpiData version 4.2.0.101, cleaned, and analyzed using SPSS version 21 statistical software. A binary logistic regression was conducted to determine the association using odds ratios at 95% confidence intervals. A P value of less than 0.05 considered the level of significance for HIV preventive behaviors. Results. From a total of 455 mining worker, 279 (61.3%) of them have good practices of HIV prevention. Factors associated with good preventive practice were not alcohol drinkers ( AOR = 2.86 , 95% CI: 1.30-6.29), not chew khat ( AOR = 2.09 , 95% CI: 1.09-4.02), having good knowledge about HIV ( AOR = 1.81 , CI: 1.16-2.83), favorable attitude towards HIV prevention ( AOR = 4.76 , 95% CI: 3.02-7.49), and high perceived susceptibility to HIV ( AOR = 2.63 , 95% CI: 1.63-4.24). Conclusion. Only about 61% of the mining workers in the study area were practiced HIV preventive behaviors. Not alcohol drinkers, having good knowledge about HIV, having a favorable attitude toward HIV prevention, and having high perceived susceptibility to HIV were factors associated with the practice of HIV preventive behaviors. Efforts have to be made by local governments and other concerned bodies to increase preventive behavior.


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