Prevalence of gestational diabetes mellitus and associated factors among women attending antenatal care at Gondar town public health facilities, Northwest Ethiopia

Abstract Background Globally, Gestational Diabetes Mellitus (GDM) is rising, but it is a neglected health threat to mothers and their children in low resource countries. Although, GDM is known in Ethiopia, information regarding it remains scarce by recent diagnostic criteria. Therefore, this study aimed to determine the prevalence of GDM and associated factors among women attending antenatal care at Gondar town public health facilities, Northwest Ethiopia. Methods A cross-sectional study was conducted among 1027 pregnant women selected by the systematic random sampling technique. The universal one-step screening and diagnostic strategy was done using a two-hour 75 g oral glucose tolerance test. GDM was diagnosed using updated diagnostic criteria (2017 American Diabetes Association (ADA) or 2013 World Health Organization (WHO) or modified International Association of the Diabetes and Pregnancy Study Groups diagnostic criteria (IADPSG)). Binary logistic regression model was used to identify factors associated with GDM. Results Of the total 1027 pregnant women, 12.8% (95% CI: 10.8–14.8) were diagnosed with GDM. Overweight and/or obesity (MUAC ≥28 cm) (AOR = 2.25, 95% CI: 1.18–4.26), previous history of GDM (AOR = 5.82, 95% CI: 2.57–13.18), family history of diabetes (AOR = 4.03, 95% CI: 1.57–10.35), low physical activity (AOR = 3.36, 95% CI: 1.60–7.04), inadequate dietary diversity (AOR = 1.9, 95% CI: 1.02–3.53), and antenatal depression (AOR = 4.12, 95% CI: 1.85–9.20) were significantly associated with GDM. Conclusions The prevalence of GDM among women attending antenatal care at Gondar town public health facilities was high. Previous history of GDM, antenatal depression, family history of diabetes, low physical activity, overweight and/or obesity and inadequate dietary diversity were significantly associated with GDM. Routine screening of pregnant women and healthy lifestyle are strongly recommended.

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Dietary diversity and associated factors among pregnant women attending antenatal care at public health facilities in Bale Zone, Southeast Ethiopia

Nutrition and Dietary Supplements ◽

10.2147/nds.s179265 ◽

2019 ◽

Vol Volume 11 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Sintayehu Hailu ◽

Bedasa Woldemichael

Keyword(s):

Public Health ◽

Antenatal Care ◽

Pregnant Women ◽

Associated Factors ◽

Dietary Diversity ◽

Health Facilities ◽

Public Health Facilities ◽

Southeast Ethiopia ◽

Bale Zone

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Prevalence of Antenatal Depression and Its Associated Risk Factors Among Pregnant Mothers Attending Antenatal Care Service at Jinka Public Health Facilities, Southern Ethiopia

International Journal of Childbirth ◽

10.1891/ijcbirth-d-20-00033 ◽

2021 ◽

pp. IJCBIRTH-D-20-00033

Author(s):

Aynalem Yetwale ◽

Teklemariam Gultie ◽

Dessalegn Ajema ◽

Bezawit Afework ◽

Semahegn Tilahun

Keyword(s):

Public Health ◽

Antenatal Care ◽

Unplanned Pregnancy ◽

Care Service ◽

Antenatal Depression ◽

Health Facilities ◽

Southern Ethiopia ◽

Medical Illness ◽

Public Health Facilities ◽

History Of

BACKGROUNDAntenatal depression is the most common psychiatric disorder during pregnancy with serious consequences for the mother and the fetus. However, there are few studies about this health issue in developing countries. This study aimed to determine the prevalence of antenatal depression and its associated risk factors among pregnant mothers attending antenatal care service at Jinka public health facilities, south Omo zone, Southern Ethiopia.METHODSInstitutional-based cross-sectional study design was conducted on 446 pregnant women at Jinka public health facilities, from June 1 to June 30, 2018. Beck Depression Inventory was used to assess women's level of depression. Statistical package for social science version 20.0 was used for analysis. Logistic regression was used to find out the association between explanatory and depression. The strength of association was evaluated using odds ratio at 95% confidence interval (CI).RESULTThe magnitude of antenatal depression in this study was 24.4% (20.2–28.5 at 95% CI) and it had statistically significant association with unmarried marital status a djusted o dds r atio (AOR) = 13.39 [(95% CI); (3.11–57.7)], chronic medical illness AOR = 3.97 [(95% CI); (1.07–14.7)], unplanned pregnancy AOR = 6.76 [(95% CI); (2.13–21.4)], history of abortion AOR = 2.8 [(95% CI); (1.14–7.02)], history of previous pregnancy complication AOR = 4.8 [(95% CI); (2.12–17.35)], and fear of pregnancy-related complications AOR = 5.4 [(95% CI); (2.32–12.4)].CONCLUSIONSNearly one pregnant woman develops antenatal depression in every four pregnant women. Variables like unmarried marital status, chronic medical illness and unplanned pregnancy, history of previous pregnancy complications, and fear of pregnancy-related complications were associated with antenatal depression. Therefore, it is recommended that these risks factors should be evaluated during antenatal care with a view to improving maternal health.

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Prevalence of intestinal parasitic infection and associated factors among pregnant women attending antenatal care at public health facilities in Lalo Kile district, Oromia, Western Ethiopia

BMC Research Notes ◽

10.1186/s13104-019-4781-3 ◽

2019 ◽

Vol 12 (1) ◽

Cited By ~ 1

Author(s):

Dejene Abraham Yesuf ◽

Lensa Tesfaye Abdissa ◽

Emiru Adeba Gerbi ◽

Edosa Kifle Tola

Keyword(s):

Public Health ◽

Antenatal Care ◽

Pregnant Women ◽

Associated Factors ◽

Parasitic Infection ◽

Health Facilities ◽

Intestinal Parasitic Infection ◽

Public Health Facilities ◽

Almost All ◽

Western Ethiopia

Abstract Objective This study aimed to assess the prevalence of intestinal parasitic infection and associated factors among pregnant women attending antenatal care at public health facilities in Lalo Kile district, Oromia, Western Ethiopia. Results Out of the 315 respondents, the mean age was 24.7 ± 2.54 years ranging between 15 and 44 years. The majority of the respondents were Oromo in ethnicity (90.2%) and protestant in religion (83.2%) and almost all (99%) of the study participants were married. Two hundred twenty-six (72%) of pregnant women were attended at least primary school and two hundred forty-six (78.1%) of the respondents were from farmer households. About half of the households (51.7%) had a monthly income of greater than 35 USD. The overall prevalence of intestinal parasitic infection was 138 (43.8%) with the predominance of hookworm (33.7%) followed by Ascaris lumbricoides (7.3%). Being a farmer [AOR, 95% CI 7.3 (1.46, 37.00), P = 0.03], walking barefooted [AOR, 95% CI 6.13 (1.98, 19.00), P = 0.002] and absence of proper handwashing after latrine [AOR, 95% CI 5.36 (1.78, 16.00), P = 0.003] were significantly associated with occurrence of the intestinal parasitic infection.

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DELAY on first antenatal care visit and its associated factors among pregnant women in public health facilities of Debre Markos town, North West Ethiopia

BMC Pregnancy and Childbirth ◽

10.1186/s12884-018-1748-7 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 12

Author(s):

Atsede Alle Ewunetie ◽

Alemtsehay Mekonnen Munea ◽

Belsity Temesgen Meselu ◽

Muluye Molla Simeneh ◽

Bekele Tesfaye Meteku

Keyword(s):

Public Health ◽

Antenatal Care ◽

Pregnant Women ◽

Associated Factors ◽

Health Facilities ◽

North West ◽

Public Health Facilities ◽

Antenatal Care Visit ◽

Care Visit ◽

North West Ethiopia

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Prevalence of antenatal depression and its associated factors among pregnant mothers who attend antenatal care service at Jinka public health facilities, Jinka town, SNNPR, Ethiopia,

10.21203/rs.2.15295/v2 ◽

2021 ◽

Author(s):

Aynalem Yetwale ◽

Teklemariam Gultie ◽

Dessalegn Ajema ◽

Semahegn Tilahun ◽

Bezawit Afework

Keyword(s):

Public Health ◽

Logistic Regression ◽

Antenatal Care ◽

Care Service ◽

Antenatal Depression ◽

Health Facilities ◽

P Value ◽

Public Health Facilities ◽

Care Assessment ◽

History Of

Abstract Background Antenatal depression is the most common psychiatric disorder during pregnancy and it’s associated with psychosocial and obstetric factors. Antenatal depression has serious consequences for the mother and fetus, such as recurrent spontaneous abortions, pregnancy induced hypertension, pre-eclampsia, postpartum bleeding, pre-term delivery, postnatal depressive disorders and low birth weight. However it doesn’t get appropriate attention.Methods Institutional based cross-sectional study design was conducted on 446 pregnant women coming for antenatal care service at Jinka public health facilities, from June 01 to June 30, 2018. Data was collected through semi-structured and pretested questionnaire by face to face interview technique and Beck Depression Inventory was used to assess women’s depression condition. Collected data was entered in to Epi data version 3.3.1 after checking their completeness and exported to statistical package for social science version 20.0 for analysis. Logistic regression was used to find out association between explanatory and response variables. Explanatory variables which fulfill the assumption of logistic regression and had P-value less than 0.25 from bi-variable logistic regression were considered for the multivariable logistic regression model. Strength of association was evaluated using odds ratio at 95% confidence interval and P-value < 0.05 was considered to declare significant associations.Result The magnitude of antenatal depression in this study was 24.4%(20.2-28.5 at 95% CI) and it had statistically significant association with unmarried marital status AOR =13.39 [(95%CI); (3.11-57.7)], chronic medical illness AOR=3.97 [(95%CI); (1.07-14.7)], unplanned pregnancy AOR =6.76 [ (95%CI); (2.13-21.4)], history of abortion AOR =2.8 [(95%CI); (1.14-7.02)], history of previous pregnancy complication AOR =4.8 [(95%CI); (2.12-17.35)] and fear of pregnancy related complications AOR=5.4 [(95%CI); (2.32-12.4)].Conclusion and recommendation The magnitude of antenatal depression was high. So integrating mental health service in antenatal care assessment, provide comprehensive family planning service and improve obstetric service are recommended.

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Prevalence of intestinal parasitic infection and associated factors among pregnant women attending antenatal care at public health facilities in Lalo Kile district, Oromia, Western Ethiopia

10.21203/rs.2.15360/v3 ◽

2019 ◽

Author(s):

Dejene Abraham Yesuf ◽

Lensa Tesfaye Abdissa ◽

Emiru Adeba Gerbi ◽

Edosa Kifle Tola

Keyword(s):

Public Health ◽

Antenatal Care ◽

Pregnant Women ◽

Associated Factors ◽

Parasitic Infection ◽

Health Facilities ◽

Intestinal Parasitic Infection ◽

Public Health Facilities ◽

Almost All ◽

Western Ethiopia

Abstract Objective: This study aimed to assess the prevalence of intestinal parasitic infection and associated factors among pregnant women attending antenatal care at public health facilities in Lalo Kile district, Oromia, Western Ethiopia. Results: Out of the 315 respondents, the mean age was 24.7 ± 2.54 years ranging between 15-44 years. The majority of the respondents were Oromo in ethnicity (90.2%) and protestant in religion (83.2%) and almost all (99%) of the study participants were married. Two hundred twenty-six (72%) of pregnant women were attended at least primary school and two hundred forty-six (78.1%) of the respondents were from farmer households. About half of the households (51.7%) had a monthly income of greater than 35 USD. The overall prevalence of intestinal parasitic infection was 138(43.8%) with the predominance of hookworm (33.7%) followed by Ascaris lumbricoides (7.3%). Being a farmer [AOR, 95% CI 7.3 (1.46, 37.00), P = 0.03], walking barefooted [AOR, 95% CI 6.13 (1.98, 19.00), P = 0.002] and absence of proper handwashing after latrine [AOR, 95% CI 5.36 (1.78, 16.00), P = 0.003] were significantly associated with occurrence of the intestinal parasitic infection. Keywords: Prevalence, Intestinal parasitic infection, pregnant women, Lalo Kile district

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Quality of Antenatal Care in Selected Public Health Facilities of West Ethiopia

10.21203/rs.3.rs-383795/v1 ◽

2021 ◽

Author(s):

Markos Desalegn Beyene ◽

Amanuel Nemomsa ◽

Desalegn Wirtu ◽

Motuma Getachew ◽

Gemechu Kejela ◽

...

Keyword(s):

Public Health ◽

Antenatal Care ◽

Pregnant Women ◽

Urine Sample ◽

Client Satisfaction ◽

Health Facilities ◽

Outcome Variable ◽

P Value ◽

Public Health Facilities

Abstract Background: Ante natal care is a key entry point for a pregnant woman to receive abroad range of promotion and preventive health services. Objective: was to assess the quality of antenatal care services at public health facilities of western Ethiopia. Methods: Facility-based cross-sectional study was conducted from May 30th to June 30th, 2016. All public health facilities in the zone were audited, 316 medical records were reviewed, and 316 pregnant women were interviewed. The data was entered using EPI Data version 3.1 and analyzed using SPSS version 20.0. Descriptive statistics, binary, and multiple logistic regressions were conducted. Variables with a P-value of <0.05 were considered as statistically significant predictors of the outcome variable.Results: A total of 316 pregnant women were enrolled in the study. All facilities were categorized as “good” by the possession of necessary equipment, 3/4 by basic amenities and 87.34% by general and gynecologic examination. The information was provided for 222(86.21%), which is categorized as poor.252 (79.7%) of the women were satisfied with ANC. A urine sample taken during ANC visit AOR 3.36(1.70, 6.61) and counseling on food eaten during pregnancy AOR 2.27(1.16, 4.45) were predictors of client satisfaction on ANC. Conclusions: The majority of pregnant women were satisfied with the ANC they received. A urine sample taken during the ANC visits and being counseled on the types of food eaten during pregnancy were predictors for client satisfaction on ANC. Concerned bodies need to improve laboratory tests and information provision.

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Assessment of antenatal depression and its associated factors among pregnant mothers who attend antenatal care service at Jinka public health facilities, Jinka town, SNNPR, Ethiopia,

10.21203/rs.2.15295/v1 ◽

2019 ◽

Author(s):

Aynalem Yetwale ◽

Teklemariam Gultie ◽

Dessalegn Ajema ◽

Semahegn Tilahun ◽

Bezawit Afework

Keyword(s):

Public Health ◽

Logistic Regression ◽

Antenatal Care ◽

Care Service ◽

Antenatal Depression ◽

Health Facilities ◽

P Value ◽

Public Health Facilities ◽

Care Assessment ◽

History Of

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Women’s satisfaction with the quality of antenatal care services rendered at public health facilities in Northwest Ethiopia: the application of partial proportional odds model

BMJ Open ◽

10.1136/bmjopen-2020-037085 ◽

2020 ◽

Vol 10 (9) ◽

pp. e037085

Author(s):

Amanu Aragaw Emiru ◽

GD Alene ◽

Gurmesa Tura Debelew

Keyword(s):

Public Health ◽

Antenatal Care ◽

Pregnant Women ◽

Client Satisfaction ◽

Northwest Ethiopia ◽

Proportional Odds Model ◽

Health Facilities ◽

Public Health Facilities ◽

Partial Proportional Odds Model

ObjectivesThe study was aimed: (1) to describe the quality of antenatal care (ANC) at public health facilities in Northwest Ethiopia, including dimensions of the structure, process and outcome; and (2) to assess the relationship between ANC satisfaction and structure and process dimension of ANC quality.DesignCross sectional.SettingHealthcare facilities providing ANC services in Northwest Ethiopia.Participants795 pregnant women attending the antenatal clinics at 15 public health facilities and 41 health workers working for the surveyed facilities.Outcome measuresThe outcome variable, women’s satisfaction with ANC, was constructed from multiple satisfaction items using principal component analysis on an ordered, categorical and three-point Likert scale. The key hypothesised factors considered were structural and process aspects of care. Data were analysed using the partial proportional odds model with 95% CI.ResultsThe result revealed that only 30.3% of the pregnant women were highly satisfied, whereas 31.7% had a lower satisfaction level. The findings showed that process quality indicators better predicted client satisfaction. In relation to this, better scores in history taking (aOR1=aOR2; 1.81 (95% CI 1.25 to 2.60)), counselling (aOR1 = aOR2; 1.89 (95% CI 1.33 to 2.69)) and screening (aOR1= aOR2; 18.10 (95% CI 11.52 to 28.39)) were associated with achieving higher satisfaction. We also observed a significant but lower satisfaction among women in the late trimester of pregnancy (aOR1 = aOR2; 0.87 (95% CI 0.78 to 0.97)). However, we did not see any significant relationship between structural variables and client satisfaction.ConclusionsThe study demonstrated that women’s satisfaction with ANC was low. The contents of ANC services covered during client–provider interaction were the main factors affecting client satisfaction. This suggests that efforts are required to improve the competencies of health professionals to make them more effective while dealing with clients.

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