Delays for Utilizing Institutional Delivery and Associated Factors Among Mothers Attending Public Health Facility in Hadiya Zone, Southern Ethiopia

Abstract Background: Malnutrition is resulted from inequalities in nutrients intake and body demands. People living with Human Immunodeficiency virus (PLHIV) are more vulnerable to malnutrition, due to opportunistic infection, metabolic disorder, and increased need of energy during infection. Worldwide, over 800 million people are chronically undernourished. The dual burden in areas of severe food insecurity and Human Immunodeficiency virus (HIV) epidemic are highly contributing to morbidity and mortality of people living with HIV, especially in developing countries particularly Sab- Saharan Africa is considered as home of malnutrition and food insecurity. The major problem of PLHIV in Ethiopia is under nutrition and its complication. Objective: This study aimed to assess magnitude of under nutrition, food insecurity and associated factors among adult clients on ART attending ART clinic, at public health facilities, Oromia regional states central Ethiopia Method: An institution based cross-sectional study was conducted among adult PLHIV and on highly active antiretroviral therapy(HAART) attending public health facility in Oromia Special Zone Surrounding Finfinne (OSZSF) was conducted from August 2020 to May 2021. A systematic sampling was applied for sample selection. A pre tested semi structured questionnaire was used to collect data. Bivariate and multivariable analysis also employed to identify the presence, strength, direction of association and other confounding. After calculating for both first objective (prevalence of under nutrition) and second objective or factors associated with under nutrition the maximum sample size 305 was selected for this study.Result: The prevalence of under nutrition was 22.4% and house hold food insecurity was also high in current study 54.3%. Factors associated with under nutrition among participants were absence of ration (AOR=0.42, 95%CI: 0.0-0.9), World health organization clinical stage II, III and VI (AOR= 6.8, 95%CI: 2.5-18.6) and household food in secure (AOR=0.51, 95%CI: 0.27-0.95) while literacy status primary and less (AOR=2.24, 95%CI: 1.1-4.6), household average monthly income <2250 Ethiopian birr (AOR=0.41, 95%CI:0.21-0.8) and meal frequency less or equal to two (AOR=4.14, 95%CI:1.3-13.46).Conclusion and recommendation: This study finding reveals high prevalence of under nutrition and HH food insecurity results in disturbing the success of the program, thus Comprehensive care and support bio-medical and inter-sectorial collaboration is suggested for alleviating the problem.

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Unintended Pregnancy and Associated Factors among Pregnant Women Attending Antenatal Care at Bako Tibe District Public Health Facility, Oromia Region, Ethiopia

Journal of Pregnancy ◽

10.1155/2020/3179193 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Habtamu Bekele ◽

Merga Dheressa ◽

Bezatu Mengistie ◽

Yitagesu Sintayehu ◽

Gelana Fekadu

Keyword(s):

Public Health ◽

Family Planning ◽

Antenatal Care ◽

Pregnant Women ◽

Health Facility ◽

Unintended Pregnancy ◽

Associated Factors ◽

Multivariable Analysis ◽

Public Health Facility ◽

Spousal Communication

Background. A pregnancy is described unintended if it is either unwanted or mistimed. The former occurs when no child or no more children are desired, and the latter is when the conception occurs earlier than the desired time, but wanted later. Unwanted pregnancy causes a serious health, economic, and social problem to the woman and her family. In the study area, there is limited data on unintended pregnancy. Therefore, this study fills this gap by studying the magnitude of unintended pregnancy and its associated factors among pregnant women attending antenatal care in the study area. Methods. A facility-based cross-sectional study was done from 1 March to 1 April 2019, among 612 randomly selected pregnant women attending antenatal care at Bako Tibe district public health facility. The data were collected via interview using a structured and pretested questionnaire. They were entered into EpiData Version 3.1 and SPSS Version 23 for cleaning and analyses. The variables, which were significant at P≤0.2 in the bivariate logistic regression, were included in the multivariable analysis. The direction and strength of statistical association were measured by an odds ratio with 95% CI. A variable with a P value < 0.05 was considered a significantly associated factor with the outcome one. Results. In this study, the prevalence of unintended pregnancy was 33.3%, at 95% CI (29.8, 37.3). The factors that had significant association with unintended pregnancy were family size≥6 (AOR=8.0, 95% CI: 1.38–46.66), women who did not communicate about family planning with their husbands (AOR=2.8, 95% CI: 1.50–5.20), and parity≥5 (AOR=3.0, 95% CI: 1.34–6.8). Conclusion. About one-third of the pregnant women reported that their pregnancy was unintended. Parity, family size, and lack of spousal communication showed a significant association with the problem. To decrease the current level of unintended pregnancy in the area, the Bako Tibe District Health Bureau and the health workers should work harder to scale up spousal communication on family planning.

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Maternal Delays for Institutional Delivery and Associated Factors Among Postnatal Mothers at Public Health Facilities of Gamo Zone, Southern Ethiopia

International Journal of Women s Health ◽

10.2147/ijwh.s240608 ◽

2020 ◽

Vol Volume 12 ◽

pp. 127-138 ◽

Cited By ~ 1

Author(s):

Seifu Wanaka ◽

Sultan Hussen ◽

Amsalu Alagaw ◽

Kabtamu Tolosie ◽

Negussie Boti

Keyword(s):

Public Health ◽

Associated Factors ◽

Institutional Delivery ◽

Health Facilities ◽

Southern Ethiopia ◽

Public Health Facilities ◽

Postnatal Mothers

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Prevalence of Intimate Partner Violence and Associated Factors among ART user’s Women Attending Adama Town Public Health Facility, Central Ethiopia 2019

10.21203/rs.3.rs-99727/v1 ◽

2020 ◽

Author(s):

Girma Garedew Goyomsa ◽

Aderajew Niguse Teklehaymanot ◽

Teklu Arga ◽

Leul Deribe

Keyword(s):

Public Health ◽

Intimate Partner Violence ◽

Health Facility ◽

Partner Violence ◽

Associated Factors ◽

Male Partner ◽

Intimate Partner ◽

Public Health Facility ◽

Wife Beating ◽

Predisposing Factor

Abstract Background: The aim of this study was to determine prevalence and associated factors of intimate partner violence (IPV) among antiretro varial therapy (ART) user women visiting chronic care unit, Adama town public health facility, Ethiopia. Methods: A facility-based cross-sectional study was conducted from March 1- April 1, 2019 among 396 ART user women. Validated WHO tools were used to measure IPVAW and systematic random sampling technique was used to select individuals. The collected data were entered, using Epi data 4.4.1 and analyzed using SPSS version 24. Descriptive statistics were used to compute summary statistics and proportion. Multivariable logistic-regression were used to identify predictors of IPV.Result: A total of 396 women participated in the study. The prevalence of current IPV was 32.3% and lifetime IPV was 45.5%. Having history of first coerced sexual intercourse [AOR =3.0 (1.73, 5.44)], partner engagement in multiple sexual relationships [AOR = 2.2 (1.21, 4.06)], justifing wife beating is normal when she refused to have sex with her husband [AOR = 2.3 (1.29, 4.12)], using contraceptive [AOR = 3.33 (1.67, 6.62)] and women whose partner were farmer [AOR = 3.9 (1.43, 10.79)] were found to be significant predictors of IPV among sero-positive womenConclusion: One in three women reported at least two or more forms of violence from their partner. Individual level factor (exposure to first coerced sex, partner’s occupation, contraceptive use and women’s acceptance of violence) and relationship factor (male multi-partnership) were identified as a predisposing factor. In view of this addressing risky behavior practiced among male partner and challenging women attitude toward violence was crucial in reducing violence.

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Partograph Utilization and Associated Factors among Obstetric Care Providers at Public Health Facilities in Hadiya Zone, Southern Ethiopia

Journal of Pregnancy ◽

10.1155/2020/3943498 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Yosef Haile ◽

Fikru Tafese ◽

Tesfaye Dagne Weldemarium ◽

Mulugeta Hailu Rad

Keyword(s):

Public Health ◽

Health Professionals ◽

Associated Factors ◽

Obstetric Care ◽

Health Facilities ◽

Southern Ethiopia ◽

Care Providers ◽

Obstetric Care Providers ◽

Study Participants ◽

Hadiya Zone

Background. A partograph is a graphic representation of labor which is used by health professionals for monitoring labor progress and fetal and maternal wellbeing. However, its utilization and associated factors have not been studied yet in Hadiya Zone, Southern Ethiopia. Hence, the aim of this study was to determine partograph utilization and associated factors among obstetric care providers at public health facilities in Hadiya Zone, Southern Ethiopia. Methods. A facility-based cross-sectional study was conducted on 436 health professionals. The study was conducted from March 04 to April 07, 2019. A simple random sampling method was carried out to select 19 health facilities and study participants from selected facilities. Data was collected using a pretested structured questionnaire, entered into EPI-data version 3.1 and exported to Statistical Package for Social Sciences (SPSS) version 20. Descriptive statistics and binary and multivariable logistic regression analyses were done. P values less than 0.05 were used to declare significant association between dependent and independent variables. Results. The overall magnitude of partograph utilization was found to be 54.4%, and finding from data abstraction from a document revealed that out of 18 parameters, only 10 parameters were recorded completely. Type of health facility (hospital as compared to HC) (AOR=2.96; CI=1.71, 5.12), received on-the-job training on partograph (AOR=7.06; CI=4.3, 11.37), knowledgeable about partograph (AOR=2.12; CI=1.3, 3.9), and favorable attitude toward partograph use (AOR=1.8; CI=1.12−2.97) were significantly associated with partograph use. Conclusion. Overall partograph utilization was low, and incomplete recording of required parameters on partograph was observed in this study. Participants who received on-the-job training on partograph, who are working in a hospital, who are knowledgeable about partograph, and who have favorable attitude toward partograph use were factors affecting partograph use positively.

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