scholarly journals Determinants of person-centered maternity care at the selected health facilities of Dessie town, Northeastern, Ethiopia: community-based cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Fentaw Teshome Dagnaw ◽  
Sofonyas Abebaw Tiruneh ◽  
Melkalem Mamuye Azanaw ◽  
Aragaw Tesfaw Desale ◽  
Melaku Tadege Engdaw
Keyword(s):  
Health Care ◽  
Linear Regression ◽  
Maternity Care ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Modifiable Factors ◽  
Study Participants

Abstract Background Person-centered maternity care is providing care that is respectful and responsive to individual women’s preferences, needs, and values and ensuring that their values guide all clinical decisions during childbirth. Although person-centered health care is one of the factors that increase client satisfaction and increased health service utilization in Ethiopia, little is known about predictors of person-centered maternity care. Therefore, the aim of this study was to identify the determinant factors of person-centered maternity care among mothers who gave birth in selected health facilities in Dessie town, Northeastern, Ethiopia. Methods A community-based cross-sectional study was conducted with a total of 317 study participants at Dessie town selected by a simple random sampling technique. The data was coded and entered Epi-data version 4.4 and analyzed using SPSS version 23. Descriptive statistics was presented using tables and figures. Multivariable linear regression analysis was used to identify factors associated with Person-Centered Maternity Care. Two sides P-value < 0.05 was taken to declare statistically significant. Results Overall, 310 study participants participated with a response rate of 97.8%. In multivariable linear regression, rural residence (β = -4.12; 95% CI: -7.60, -0.67), family average monthly income ≤ 3000 birr (β = -6.20, 95% CI: -9.40, -3.04), night time delivery(β = -2.98, 95%CI: -5.90, -0.06), dead fetus outcome during delivery (β = -12.7; 95% CI: -21.80, -3.50), and 2–7 days health facility length of stay (β = -5.07, 95% CI: -9.20, -0.92) were significantly decreased Person Center Maternity Care score, whereas private health institution delivery (β = 14.13, 95% CI: 7.70, 20.60) is significantly increased Person centered maternity care score. Conclusions This study revealed that most of the factors that affect person-centered maternity care are modifiable factors. Therefore, Primary attention should be given to improve the quality of care through effective communication between clients and providers at each level of the health care delivery system to increase the uptake of high-quality facility-based births.

scholarly journals Low prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, Northwest Ethiopia: a community based cross-sectional study

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Kessete Ayelgn ◽  
Tadesse Guadu ◽  
Atalay Getachew
Keyword(s):  
Rural Communities ◽  
Associated Factors ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Active Trachoma ◽  
Study Participants

Abstract Background Trachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited. Objective To determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia. Method A community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance. Results A total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95% CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3–6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma. Conclusion The current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.

Occupational exposure of health care workers to blood and body fluids in West Shewa Zone, Oromia, Ethiopia, 2018: A cross-sectional study

2021 ◽  
Author(s):  
Tesfaye Solomon ◽  
Dejene Lemessa
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Work Experience ◽  
Cross Sectional Study ◽  
Body Fluids ◽  
Health Facilities ◽  
Needle Stick Injury ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Workers

Abstract Background: Health care workers are susceptible to acquiring blood and body fluids borne infections due to their occupations involving contact with patients and their body fluids, although studies conducted in Ethiopia are scarce. Therefore, the aim of this study was to investigate the magnitude of exposure to blood and body fluids among health care workers in governmental health facilities in West Shewa Zone, Ethiopia.Materials and methods: A facility-based cross-sectional study was conducted from May 19 to June 25, 2018. A total of 381 health care workers were selected by simple random sampling from 31 sampled governmental health facilities using proportional to size allocation. Data were collected through self-administered questionnaires, entered into Epi-info version 7, and analyzed by SPSS version 21. Adjusted odds ratio (AOR) with 95% confidence intervals (CI) calculated for variables retained in the multivariable logistic regression and significance declared at p<0.05.Results: Of 377 health care workers who participated, the study found that 233 (61.2%) were exposed to blood and body fluids in their lifetime. Previous needle stick injury (AOR=0.30; 95%CI: 0.12-0.75), type of health facility (AOR=0.42; 95%CI: 0.26-0.68), handwashing practice (AOR=0.15; 95%CI: 0.07, 0.31), and perceiving at risk (AOR=0.16; 95%CI: 0.03, 0.98) were protective factors whereas long work experience (AOR=1.47; 95%CI: 1.13-1.93) was a risk factor for the exposure.Conclusions: Exposures to blood and body fluids during patient care were common among health care workers in the study area. Therefore, health care workers especially those newly hired and working in hospitals should pay due attention to their occupation's safety and regularly practice hand washing during critical times.

scholarly journals Effect of Geographical Access to Health Facilities on Child Mortality in Rural Ethiopia: A Community Based Cross Sectional Study

PLoS ONE ◽  
2012 ◽  
Vol 7 (3) ◽  
pp. e33564 ◽  
Author(s):  
Yemisrach B. Okwaraji ◽  
Simon Cousens ◽  
Yemane Berhane ◽  
Kim Mulholland ◽  
Karen Edmond
Keyword(s):  
Child Mortality ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Rural Ethiopia ◽  
Geographical Access ◽  
Access To Health

scholarly journals Awareness regarding medical ethics in health care practice among the resident doctors in a tertiary care hospital of the sub-Himalayan region: a cross sectional study

2019 ◽  
Vol 6 (2) ◽  
pp. 708
Author(s):  
Anupam Parashar ◽  
Nidhi Chauhan ◽  
Rahul Gupta ◽  
Vineet Kumar
Keyword(s):  
Health Care ◽  
Medical Ethics ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Gandhi Medical College ◽  
Study Participants

Background: Bio-ethics i.e. health care ethics is a set of moral principles, beliefs and values that guide us in making choices about medical care. This novel study was carried out with an objective of assessment of knowledge regarding the medical ethics among the resident doctors of Indira Gandhi Medical College, Shimla Himachal Pradesh.Methods: This descriptive analytical cross-sectional study was conducted at Indira Gandhi Medical College (IGMC), Shimla, Himachal Pradesh among the resident doctors using predesigned, structured, self-administered anonymous close-ended questionnaire. We analyzed the data using Stata software version 12.Results: There were a total of 61 study participants, who consented to participate, of which more than half were females (52.5%). The mean age of the study participants was 28.6±0.63 years. Regarding the source of knowledge about medical ethics most of the study participants had acquired the information during their experience at their workplace (42.6%). A majority of the male participants disagreed that confidentiality while providing the health care services should be abandoned (54.3%). More than 90% of the study participants agreed that incorporation of medical ethics is necessary in undergraduate curriculum.Conclusions: Incorporation of a formal structured teaching on medical ethics in the undergraduate curriculum is the need of the hour. Besides research work, the medical ethics committee in the institution should also act as the guiding hands to address the grievances faced by the doctors during medical practice.

scholarly journals A community based cross sectional study on morbidities and social problems among geriatric population

2019 ◽  
Vol 6 (8) ◽  
pp. 3554
Author(s):  
Sangeetha Jairaj ◽  
Ramesh Palabindela ◽  
Sridhar D.
Keyword(s):  
Health Care ◽  
Elder Abuse ◽  
Urban Slum ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Sectional Study ◽  
Community Based ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Psychological Assistance

Background: In India, in the last one and half decades longevity of the people has increased due to decline in mortality rate, better medical and health care facilities and improvements in overall quality of life of people. Presently India has the second largest geriatric population in the globe. In 2001, geriatric population was 77 million in India and it is estimated that in India total number of elderly will rise to 150 million by 2025 and by the year 2050 the number would rise to about 324 million.4  Methods: A community based cross sectional study was conducted in an urban slum located in Secunderabad. Almost 225 subjects more than 60 years were included in study after giving oral consent. People with severe morbidity and unable to give consent were excluded from study.Results: Majority (70%) of the resident experienced verbal abuse followed by physical abuse (13%) at least one time. About 11% felt they were being neglected by their family members. Daughter-in-law was the major person involved in the elder abuse accounting for 45.9%, followed by son 24.3%. Abuse from relatives accounted for 21.6%. Spouse and daughter were involved in elder abuse in about 5.4% and 2.7% cases respectively.Conclusions: As recently said by Financial Minister in Parliament of India, old age population growing drastically in India, especially in south India. Increasing geriatric population leading to increase in need of health care and psychological assistance.

scholarly journals Magnitude and associated factors for attitude and practice of Southern Ethiopian residents toward COVID-19 and its preventions: A community based cross sectional study

2020 ◽  
Author(s):  
Simeneh Mola ◽  
Zemedu Aweke ◽  
Bedru Jemal ◽  
Robel Hussein ◽  
Sileshi Hailu ◽  
...  
Keyword(s):  
Associated Factors ◽  
Good Practice ◽  
Cross Sectional Study ◽  
Medical Illness ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Chronic Medical Illness ◽  
Study Participants ◽  
Good Attitude

Abstract Background: COVID-19 first broke out in china, Hubei province on December 29, 2019. Since then it took more than hundred thousand lives worldwide. Although all countries are taking varying degree of measures to curb the dissemination, the virus is still spreading rapidly in all part of the world. Adherence of peoples for COVID-19 precautions measures is one of the most important factors which determine the effectiveness of curbing the spread. However without having good attitude adherence of people toward precaution measures could be challenging. Therefore the aim of this study is to assess the attitude, practice and associated factors of southern Ethiopian residents toward COVID-19 and its prevention. Methods: A community based cross sectional study was conducted among 585 Southern Ethiopian residents. Bivariate and multivariate binary logistic regression was used to determine association between dependent and independent variables. Adjusted odds ratio with their 95% CI was used show the strength of association. P-value < 0.05 was used to decide statistically significant association.Result: Most of the study participants (90.3%) have good attitude toward COVID-19 and its prevention. Being younger age group, having chronic medical illness, using television as a source of information and having good knowledge were significantly associated with good attitude toward COVID-19.On other hand; only 20% of the study participants have good practice toward COVID-19 prevention. Educational status, occupation and having chronic medical illness, uses of religious teaching as information sources are associated factors for good practice against COVID-19 infection. Conclusion: We conclude that despite the presence good attitude in majority of respondents much work needed to improve rare practice of COVID-19 preventive measures.

scholarly journals Practice of Coronavirus Disease-19 Prevention Methods and Associated Factors in Three Zones of Southwest Ethiopia: Community based cross-sectional study

2020 ◽  
Author(s):  
Wondimagegn Wondimu ◽  
Amare Genetu Ejigu ◽  
Mengistu Ayenew Mekonen ◽  
Angesom Weldu ◽  
Wondwossen Niguse Asmare ◽  
...  
Keyword(s):  
Good Practice ◽  
Cross Sectional Study ◽  
Vulnerable Groups ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
History Of ◽  
Prevention Methods ◽  
Study Participants

Abstract Background Coronavirus disease 19 (COVID-19) is an emerging contagious respiratory infection that brings a big puzzle to global health. In Ethiopia, the number of cases and related deaths are increasing exponentially. Prevention is currently available effective management, and its implementation has not been assessed adequately.Objective To assess the COVID-19 prevention practices in three zones of Southwest Ethiopia.Methods A community-based cross-sectional study was conducted in the Bench Sheko, Kafa, and West Omo zones. A multistage sampling technique was employed to select 845 study participants. The data collection tool was adapted from the WHO resources and related literature. SPSS version 20 was used to analyze the data. Participants who scored at least a mean score of practice questions were categorized as having good practice. Binary logistic regression was fitted to identify factors associated with the practice.Results In this study, 803 participants participated. About two-thirds (64.7%) of the respondents had a history of going to crowded places, while only 30.3% of the participants had a history of wearing a mask when leaving home. Two-thirds of the respondents had a history of maintaining their distance at 2 meters (64.4%) and washing their hands with soap and water or using alcohol-based hand sanitizers (64.8%). Generally, less than two-thirds (59.4%) of study participants had a good practice of COVID-19 prevention methods. Urban residence, good knowledge, positive attitude, intention to seek care, and perceived mortality were positively associated with good practice.Conclusion The proportion of individuals who had good COVID-19 prevention practices was inadequate. For such highly infectious diseases, prevention should be the priority intervention, and improving its implementation needs further effort. Community-based interventions such as risk communication and mass education should center on scaling up community knowledge and practice by prioritizing vulnerable groups such as rural residents.

scholarly journals Knowledge and Preparedness on Corona Virus Pandemic among Healthcare Workers in Igembe South Health Facilities, Meru County, Kenya

2020 ◽  
pp. 155-164
Author(s):  
P. K. Kubai ◽  
M. P. Ndiba ◽  
L. K. Ikiara ◽  
C. K. Karani
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Economic Effects ◽  
Sectional Study ◽  
Cross Sectional ◽  
Corona Virus ◽  
Care Workers

Worldwide Corona virus outbreak has cause panic and enormous health and economic effects due to inadequate or lack of appropriate information about COVID -19. Aims: The aim of the study was to determine the Level of knowledge and Preparedness to Corona Virus (COVID –19) Pandemic among Health Workers in Igembe South, Meru County, Kenya. Study Design: This was cross-sectional study was conducted to determine their Knowledge and Preparedness among HCWs on COVID-19 pandemic. Place and Duration of Study: The study was conducted in Igembe South Health Facilities between March and June 2020. Methodology: A facility based cross-sectional study was conducted in Igembe South Sub County of Meru County from March 2020 to June 2020 among 87 Health Care Workers to determine their Knowledge and Preparedness on COVID-19 pandemic. Data was collected using structured Likert’s Scale questionnaire. Descriptive analysis was performed to obtain frequencies and distribution of the variables. Results: The results shows that eight seven (87) health care workers with mean age of 34± 9 (SD) years with a minimum age of 19 years and maximum age of 60 years were recruited responded to the questions of the study. Among the 87 participants, 51 (58.6%) had at least a bachelor's degree, 30 (34.5%) participants had a diploma and 6 (6.9%) participants had a certificate. About 32 (36.8%) of the participants were nurses. Other professional disciplines included nutritionists, records officers, supporting staff, social workers among others. Majority of the facilities acknowledged receiving Ministry of Health guidelines and protocols on COVID-19 case management. Regarding knowledge of COVID -19 Almost half (48.3%) of the participants somewhat agreed that health care workers had knowledge of Corona Virus Pandemic, however, most of the respondents (50.6%) strongly disagreed that they are equipped with adequate Knowledge to manage severe Corona Case compared to (8%) respondents who strongly agreed that Corona Virus Incubation period is an average of 7 days and maximum of 14 days. Conclusion: The study concludes that knowledge and preparedness level on COVID - 19 was above average, however, there is need for continuous professional development (CPD) training and support supervision for HCWs to ensure maintenance of appropriate practices during the COVID-19 pandemic. The study further concludes that those with knowledge and are conversant with their respective areas of practice are at less risk, considering that inadequate knowledge is not only a risk factor for poor delivery of WHO approved COVID -19 guidelines met to prevent the spread of COVID -19, but also increases the occupational risk to health care workers.

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