scholarly journals Trends and factors influencing long-acting contraceptive utilisation among contraceptive users in Ethiopia: repeated cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e037103
Author(s):  
Afework Tadele ◽  
Mahilet Berhanu
Keyword(s):  
Family Planning ◽  
Intrauterine Device ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Contraceptive Device ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing ◽  
Long Acting

ObjectivesAlthough nationally representative data are helpful in designing strategies and policies of programmes in a country, there is paucity of evidence with regard to trends and factors influencing utilisation of long-acting contraceptives (LACs). Thus, this study aimed to assess the trends and factors influencing LAC utilisation among contraceptive users in Ethiopia.DesignA repeated cross-sectional study.Setting and participantsThe Performance Monitoring and Accountability (PMA2020) national community-based survey data were used, and 2035 contraceptive users participated. To identify trends, proportions of LAC users were analysed using PMA data from round 1 in January 2014 to round 6 in July 2018.Main outcome measuresUsers using LAC methods or otherwise.ResultsThere was a difference in trends in LAC utilisation in the last 4.5 years. There was a 7% increase in the proportion of implant users, while there were no significant changes in utilisation of intrauterine device and female sterilisation. Women in the middle wealth quintile were 1.7 times more likely than those in the lowest quintile to use LAC, while contraceptive users who received recommendations from healthcare providers as well as those who made decisions jointly with healthcare providers were more likely to use LAC compared with those who decided on their own. Women with access to their desired method of contraception were less likely to use LAC, while those informed about intrauterine contraceptive device were more likely to use LAC compared with their counterparts. Women served at health posts, private hospitals and others (family planning clinics, pharmacies and non-governmental organisations) were less likely to use LAC compared with women served at public hospitals.ConclusionOverall the utilisation of LAC in Ethiopia is low. Therefore, much has to be done in terms of raising awareness about intrauterine device, how healthcare providers can help users in choosing contraceptive methods, and sharing of experiences between public hospitals and other family planning service delivery points.

scholarly journals Immediate postpartum intrauterine contraceptive device utilization and influencing factors in Addis Ababa public hospitals: a cross-sectional study

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Yohannes Fikadu Geda ◽  
Seid Mohammed Nejaga ◽  
Mesfin Abebe Belete ◽  
Semarya Berhe Lemlem ◽  
Addishiwet Fantahun Adamu
Keyword(s):  
Multivariate Analysis ◽  
Influencing Factors ◽  
Addis Ababa ◽  
Intrauterine Device ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Good Knowledge ◽  
Contraceptive Device ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background Postpartum intrauterine device (PPIUCD) utilization remains very low in Ethiopia beside high levels of unmet need for postpartum family planning even if nongovernmental organizations efforts to promote its use. This study investigates immediate PPIUCD utilization and influencing factors. Methods Institution based cross-sectional study was conducted on public hospitals of Addis Ababa city. All public hospitals which have PPIUCD service were included and systematic random sampling technique was used to select 286 participants. Data were entered using Epi Data and exported to SPSS for analysis. Bivariate and multivariate logistic regression analysis was used to determine the effect of independent variables on immediate PPIUCD utilization. Variables which have P-value< 0.2 on bivariate analysis were candidate for multivariate analysis. Variables which have P-value ≤0.05 on multivariate analysis was considered as statistically significant. Results Utilization of immediate PPIUCD among participants who gave birth in Addis Ababa public hospitals was 26.6% (95%CI: 21.3, 31.8). Eighty one percent respondents occupation was housewife were (AOR = 0.19, 95%CI: 0.06, 0.67) less likely to utilize PPIUCD compared to those who have personal job. In the other hand respondents who have discuss about PPFP with their partner were 1.21times (AOR = 1.21, 95%CI: 1.14, 25.67) more likely to utilize PPIUCD compared to those who never discuss. Contrarily 81% of respondents who need partner approval were (AOR = 0.19, 95%CI: 0.05, 0.79) less likely to utilize PPIUCD compared to those who doesn’t need approval. Respondents who have been counseled about PPIUCD were 1.13 times (AOR = 1.13, 95%CI: 1.10, 2.21) more likely to utilize PPIUCD compared to those who were not counseled. Similarly respondents who have good knowledge about PPIUCD were 7.50 times (AOR = 7.50, 95%CI: 4.06, 9.31) more likely to utilize PPIUCD compared to those who have poor knowledge. Conclusion This study verifies that immediate PPIUCD utilization is high compared to other studies. Having a housewife occupation and necessity of partner approval to utilize PPIUCD have negative influences, whereas spousal discussion about PPIUCD, counseled during pregnancy and having good knowledge have positive influences on PPIUCD utilization. Therefor empowering women by the government and other organizations working on maternal health will advance immediate PPIUCD utilization.

scholarly journals Perspectives of Healthcare Professionals Regarding Factors Associated with Antimicrobial Resistance (AMR) and Their Consequences: A Cross Sectional Study in Eastern Province of Saudi Arabia

Antibiotics ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 878
Author(s):  
Mohamed A. Baraka ◽  
Amany Alboghdadly ◽  
Samar Alshawwa ◽  
Asim Ahmed Elnour ◽  
Hassan Alsultan ◽  
...  
Keyword(s):  
Antimicrobial Resistance ◽  
Inappropriate Prescribing ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Key Factors ◽  
Eastern Province ◽  
Cross Sectional ◽  
Factors Associated ◽  
Factors Influencing

Factors reported in the literature associated with inappropriate prescribing of antimicrobials include physicians with less experience, uncertain diagnosis, and patient caregiver influences on physicians’ decisions. Monitoring antimicrobial resistance is critical for identifying emerging resistance patterns, developing, and assessing the effectiveness of mitigation strategies. Improvement in prescribing antimicrobials would minimize the risk of resistance and, consequently, improve patients’ clinical and health outcomes. The purpose of the study is to delineate factors associated with antimicrobial resistance, describe the factors influencing prescriber’s choice during prescribing of antimicrobial, and examine factors related to consequences of inappropriate prescribing of antimicrobial. A cross-sectional study was conducted among healthcare providers (190) in six tertiary hospitals in the Eastern province of Saudi Arabia. The research panel has developed, validated, and piloted survey specific with closed-ended questions. A value of p < 0.05 was considered to be statistically significant. All data analysis was performed using the Statistical Package for Social Sciences (IBM SPSS version 23.0). 72.7% of the respondents have agreed that poor skills and knowledge are key factors that contribute to the inappropriate prescribing of antimicrobials. All of the respondents acknowledged effectiveness, previous experience with the antimicrobial, and reading scientific materials (such as books, articles, and the internet) as being key factors influencing physicians’ choice during antimicrobial prescribing. The current study has identified comprehensive education and training needs for healthcare providers about antimicrobial resistance. Using antimicrobials unnecessarily, insufficient duration of antimicrobial use, and using broad spectrum antimicrobials were reported to be common practices. Furthermore, poor skills and knowledge were a key factor that contributed to the inappropriate use and overuse of antimicrobials, and the use of antimicrobials without a physician’s prescription (i.e., self-medication) represent key factors which contribute to AMR from participants’ perspectives. Furthermore, internal policy and guidelines are needed to ensure that the antimicrobials are prescribed in accordance with standard protocols and clinical guidelines.

scholarly journals Knowledge of and Utilization of Emergency Contraceptive and Its Associated Factors among Women Seeking Induced Abortion in Public Hospitals, Eastern Tigray, Ethiopia, 2017: A Cross-Sectional Study

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Desta Abraha ◽  
Guesh Welu ◽  
Meresa Berwo ◽  
Mulu Gebretsadik ◽  
Tesfay Tsegay ◽  
...  
Keyword(s):  
Family Planning ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Induced Abortion ◽  
Public Hospitals ◽  
Sectional Study ◽  
Cross Sectional ◽  
Emergency Contraceptive Pills ◽  
Contraceptive Pills ◽  
Emergency Contraceptive

Background. In developing countries, most maternal deaths are related to the lack of accessibility and availability of reproductive health services. In those nations, emergency contraceptive pills are the most commonly used family planning methods to prevent unintended pregnancy. However, women do not use this family planning method for different reasons. Consequently, women expose to unsafe abortion which results in maternal morbidity and mortality. Objective. To assess the knowledge of and utilization of emergency contraceptive and its associated factors among women seeking induced abortion in public hospitals, Eastern Tigray, Ethiopia, 2017. Methods. Hospital-based cross-sectional study was conducted on 380 women, who came for safe termination of pregnancy from April to July 2017. Systematic random sampling technique was used. Pretested structured questionnaire was used to collect data through interview. Data were entered using Epi Info version 7 and exported to SPSS version 20 for analysis. Data were presented using descriptive statistics. Bivariate and multivariate logistic regression was carried out to see if there was significant association between variables at P<0.05 and 95% confidence interval (CI). Result. Out of the total 369 respondents, 149 (40.4%) had the knowledge about emergency contraceptive pills. The magnitude of utilization of emergency contraceptive among respondents was found to be 45 (12.2%). Protestant in religion (AOR = 60.85, CI (5.34–693.29)), previous utilization of any contraceptive method (AOR = 0.13, CI (0.05–0.36)), and women who were not knowledgeable about emergency contraceptive (AOR = 0.030, CI (0.006–0.14)) were significantly associated with the utilization of emergency contraceptive. Conclusion. Most of the women were not knowledgeable about emergency contraceptive and utilization of emergency contraceptive was also very low. In conclusion, religion, knowledge, and previous utilization of emergency contraceptive were associated with the utilization of emergency contraceptive.

scholarly journals Magnitude of Long-acting and Permanent Family Planning Practice and Its Factors Among Contraceptive Users: A Cross-sectional Study

2021 ◽  
Author(s):  
Alemu Abebe Wondyfraw ◽  
Nigussie Assefa Kassaw
Keyword(s):  
Family Planning ◽  
Rural Women ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Unintended Pregnancies ◽  
Planning Methods ◽  
Long Acting ◽  
Family Planning Methods

Abstract Background: Poor contraceptive utilization increases the risk of unintended pregnancies that could results in complications and mortalities among women and children. To circumvent these adverse health outcomes, long-acting and permanent contraceptive methods are the most effective methods. This study explored the magnitude and associated factors of long-acting and permanent family planning methods utilization among current family planning users largely on the rural women of Ethiopia. Methods: The study was a facility-based cross-sectional study design. The respondents were randomly selected in Amhara region, Ethiopia. The data were entered into EPI-INFO version 7.0, cleaned, and analyzed in SPSS version 24. Descriptive statistics were done. Bivariate and multivariable logistic regression models were used to identify the factors associated with the utilization of long-acting and permanent family planning methods. Results: The total numbers of respondents were 356. The prevalence of long-acting and permanent family planning methods among current family planning users was 32.3%. The mean age of participants was 30.1±7.67 (SD) years. Almost all (94.4%) were Orthodox Christian followers and most of the respondents (91.0%) married. Nearly half of the respondents (45.2%) were illiterate and above half of the respondents (55.3%) were housewives. The odds of long-acting and permanent family planning methods utilization were statistically significant among women aged 25-34 years [AOR=5.10; 95% CI: (1.48, 17.59)], women who completed secondary education [AOR=4.16; 95% CI: (1.32, 13.10)], women who had a positive attitude [AOR=3.05; 95% CI: (1.45, 6.43)], and women satisfied with facility care [AOR=2.08; 95% CI: (1.01, 4.31)]. Common reasons for low use of long-acting and permanent family planning methods were preference for short-acting contraceptives, fear of side effects, and method misconception. Conclusion: The utilization of long-acting and permanent family planning method was low. Factors and common reasons for low utilization of long-acting and permanent family planning methods among women who were current family planning users were identified. Therefore, we suggest the need to provide continuous education and awareness creation towards long-acting and permanent family planning methods. Unequivocally, enabling work environments, staff service deliveries and client service satisfaction are paramount important improve the coverage.

scholarly journals Postpartum intra-uterine contraceptive device utilization among mothers who delivered at debre tabor general hospital: cross sectional study design

2020 ◽  
Vol 4 (5) ◽  
pp. 139-144
Author(s):  
Dawit Tiruneh
Keyword(s):  
Data Collection ◽  
Study Design ◽  
Intrauterine Device ◽  
Cross Sectional Study ◽  
P Value ◽  
Contraceptive Device ◽  
Sectional Study ◽  
Cross Sectional ◽  
Immunization Service ◽  
Major Discrepancy

Introduction: Rapid population growth is a major concern of many states globally including our country Ethiopia. The intrauterine device (IUD) is a long term reversible contraceptive method that is suitable for women of all reproductive ages, and represents the most cost effective reversible method for preventing unwanted pregnancies. However, its utilization in Ethiopia is very low as compared to other contraceptive methods. Objective: To assess postpartum intra-uterine contraceptive device utilization among mothers who delivered and seek immunization service at DTGH, North Central Ethiopia. Methods: Facility based cross sectional study design was conducted from November 17, 2017, to January 01, 2018. A total of 182 respondents were interviewed. Systematic random sampling procedure was used to select each eligible study unit as a participant. Data were collected by Midwifery professionals through face to face interview through structured questionnaires under supervision. The data collectors and supervisors were trained prior to data collection. Pretest was conducted on 5% of the study population to check for the accuracy of tools. Confidentiality was also protected by making the data collection procedure anonymous. The association between dependent and independent variables were determined by descriptive statistics of chi square test using SPSS version 20.0 software and p-values of <0.05 were considered as statistically significant. Result: One hundred eighty two mothers were interviewed to assess IUCD utilization after giving birth at DTGH with a response rate of 97%. Only 6 respondents (3.3%) are currently using IUCD after giving birth to 9 months of their post partum period. Acceptances of IUCD with P of 0.004 and Reasons for refusal of IUCD with P value of 0.035 were some of statistically associated variables for utilization of PP IUCD. Conclusion: PP IUCD utilization in the study area is low as compared to other similar studies (3.3%). There are major discrepancy between acceptance level (37.91%) and PP IUCD utilization. Responsible bodies should address the reason for this major discrepancy to minimize the gap.

scholarly journals Level of Preparedness for COVID-19 and Its Associated Factors among Frontline Healthcare Providers in South Gondar Public Hospitals, Northwest Ethiopia, 2020: A Multicenter Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Ermias Sisay Chanie ◽  
Dejen Getaneh Feleke ◽  
Sheganew Fetene ◽  
Agimasie Tigabu ◽  
Sintayehu Asnakew ◽  
...  
Keyword(s):  
Associated Factors ◽  
Healthcare Providers ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Public Hospitals ◽  
Sectional Study ◽  
Cross Sectional ◽  
Low Level ◽  
South Gondar

Introduction. Although the efforts at global and national levels have attempted to decrease the COVID-19 pandemic, the low level of preparedness among healthcare providers is a challenge mainly in developing countries. Hence, this study is aimed at assessing the level of preparedness for COVID-19 and its associated factors among frontline healthcare providers in South Gondar public hospitals, northwest Ethiopia. Methods and Materials. A hospital-based cross-sectional study was conducted among 207 selected healthcare providers who were working in South Gondar public hospital from July 08 to August 29, 2020. A pretested structured questionnaire was used to collect data. The healthcare providers were selected through simple random sampling techniques. Both bivariable and multivariable logistic regressions with a 95% confidence interval were fitted with 95% CI to establish the associated factors with a low level of preparedness. A p value < 0.05 was considered statistically significant. Results. The overall level of preparedness among healthcare providers for COVID-19 was found to be 41.3% (95% CI: 37.4, 44.7). Only 81 (40.1%) healthcare providers had prepared for telling their family and friends if they are infected with COVID-19. Besides, only 23.8% of healthcare providers obtained alcohol-based hand sanitizer in every patient room. Factors associated with a low level of preparedness include being male ( AOR = 2.5 , 95% CI: 1.22–4.94), unmarried ( AOR = 3.4 , 95% CI: 1.44–8.00), and working experience less than five years ( AOR = 3.4 , 95% CI: 1.29-9.09). Conclusion. The level of preparedness among frontline healthcare providers towards COVID-19 was found to be very low. In the future, more emphasis should be placed on healthcare providers who are male, unmarried, and had working experience of lower than five years to decrease the burden of the COVID-19 pandemic.

scholarly journals The Healthcare Professionals’ Perspectives on Antimicrobial Resistance (AMR) Associated Factors and Their Consequences: A Cross Sectional Study in Eastern Province of Saudi Arabia

2021 ◽  
Author(s):  
Mohamed A. Baraka ◽  
Amany Alboghdadly ◽  
Samar Alshawwa ◽  
Asim Ahmed Elnour ◽  
Hassan Alsultan ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Antimicrobial Resistance ◽  
Inappropriate Prescribing ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Key Factors ◽  
Eastern Province ◽  
Cross Sectional ◽  
Factors Influencing

(1) Background: Factors reported in literature associated with inappropriate prescribing of antimicrobials, such as physicians with less experience, uncertain diagnosis, and patient caregiver influences on physicians' decisions. Monitoring antimicrobial resistance is critical for identifying emerging resistance patterns, developing, and assessing the effectiveness of mitigation strategies. Improvement in prescribing `antimicrobials would minimize the risk of resistance and, consequently, improve patients' clinical and health outcomes. The purpose of the study is to delineate factors associated with antimicrobial resistance, describe the factors influencing prescriber&rsquo;s choice during prescribing of antimicrobial, and examine factors related to consequences of inappropriate prescribing of antimicrobial. (2) Methods: Cross-sectional study conducted among healthcare providers (190) in six tertiary hospitals in the Eastern province of Saudi Arabia. The research panel has developed validated and piloted survey specific with closed-ended questions. A value of P &amp;lt;0.05 was considered for statistical significance. All data analysis was performed using Statistical Package for Social Sciences (IBM SPSS version 23.0). (3) Results: 72.7% of the respondents have agreed that poor skills and knowledge are key factors that contribute to the inappropriate prescribing of antimicrobials. All the respondents acknowledged effectiveness and previous experience with the antimicrobial, and reading scientific materials (such as books, articles, and the internet) were key factors influencing physicians&rsquo; choice during antimicrobial prescribing. (4) Conclusion: The current study has identified comprehensive education and training needs for healthcare providers about antimicrobial resistance. Using antimicrobials unnecessarily, insufficient duration of antimicrobial use, and using broad spectrum antimicrobials, were reported to be common practices. Further, poor skills and knowledge were a key factor that contributed to the inappropriate use and overuse of antimicrobials and using antimicrobials without physician prescription (self-medication) were the key factors which contribute to AMR from participants&rsquo; perspectives. Furthermore, internal policy and guidelines are needed to ensure that the antimicrobials are prescribed in accordance with standard protocols and clinical guidelines.

Factors influencing depression in primary caregivers of patients with dementia in China: A cross-sectional study

2021 ◽  
Vol 42 (3) ◽  
pp. 734-739
Author(s):  
Yanhong H. Zhang ◽  
Yin Cheng ◽  
Zhaoqin Wang ◽  
Tianting Yang ◽  
Wenjun Lv ◽  
...  
Keyword(s):  
Primary Caregivers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Influencing
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