Awareness of obstetric fistula and associated factors among women in reproductive age group attending public hospitals in southwest Ethiopia, 2021

Abstract Background Obstetric fistula occurs in all developing countries but it is confined to the “fistula belt” across the northern half of Sub-Saharan Africa from Mauritania to Eritrea and in the developing countries of the Middle East and Asia. Ending obstetric fistula is critical to achieving Sustainable Development by 2030. So creating awareness on obstetrics fistula among women in the reproductive age group have a crucial role in reducing morbidity, mortality, and social stigma. Objective To assess awareness on obstetric fistula and its associated factors among reproductive-age women attending governmental hospitals in southwest Ethiopia, 2021. Methods An Institutional based cross-sectional study design was conducted among 413 women. The sample size was estimated by using a single population proportion formula. The collected data were coded and entered into EPI-data version 3.1 then exported to SPSS version 24 for descriptive and inferential analysis. Adjusted odds ratio (AOR) along with 95% confidence level was estimated to assess the strength of the association and variables with a p-value < 0.05 were considered to declare the statistical significance in the multivariable analysis in this study. Results In this study, a total of 400 clients have participated in the study. The mean ages of participants were 30.26 (SD ± 8.525) years old. Education of women who cannot read and write are 85% less likely to have good awareness than women who are above the secondary level of education [AOR = 0.162; 95% CI (0.081–0.364)]. While Women who have primary education level are 83% less likely to have good awareness than women who are above the secondary level of education [AOR = 0.170; 95% CI (0.085–0.446)]. In addition, This study shows women who have not heard about obstetric complications are 54% less likely to have awareness of obstetric fistula than those who heard about obstetric complications [AOR = 0.458; 95% CI (0.368–0.643)]. Conclusion This study identifies that the educational level of women, history of pregnancy, distance to the nearby health institution, and awareness of obstetrics complications were the factors associated with awareness of reproductive age women on obstetrics fistula. Hence, increasing awareness on obstetric fistula plays a key role in averting this problem.

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Awareness of Obstetric Fistula and Associated Factors Among Women in Reproductive Age Group Attending Public Hospitals, Ilubabor Zone, Oromia Regional State, South West Ethiopia, 2021

10.21203/rs.3.rs-578279/v1 ◽

2021 ◽

Author(s):

Dessalegn Nigatu Rundasa ◽

Tarekegn Fekede Wolde ◽

Kenbon Bayisa Ayana ◽

Abeya Fufa Worke

Keyword(s):

Developing Countries ◽

Associated Factors ◽

Obstetric Fistula ◽

Secondary Level ◽

Obstetric Complication ◽

Reproductive Age ◽

Age Group ◽

Level Of Education ◽

Reproductive Age Women ◽

Reproductive Age Group

Abstract Background: Obstetric fistula occurs in all developing countries but it is confined to the “fistula belt” across the northern half of Sub-Saharan Africa from Mauritania to Eritrea and in the developing countries of the Middle East and Asia. Ending obstetric fistula is critical to achieving the Sustainable Development by 2030. So creating awareness on obstetrics fistula among women in reproductive age group have crucial role in reducing morbidity, mortality and social stigma.Objective: To assess awareness on obstetric fistula and its associated factors among reproductive age women attending governmental hospitals in Ilubabor zone, Oromia region, Ethiopia, 2021.Methods: Institutional based cross-sectional study design was conducted. The sample size was estimated by using a single population proportion formula. The collected data was coded and entered to Epi data version 3.1 then exported to SPSS version 24 for descriptive and inferential analysis. Adjusted odds ratio (AOR) along with 95% confidence level was estimated to assess the strength of the association and a p value <0.05 was considered to declare the statistical significance in the multivariable analysis in this study.Result: In this study a total of 400 clients were participated in the study. The mean ages of participants were 30.26 (SD±8.525) years old. Education of women’s who cannot read and write are 85% less likely to have good awareness than women who are above secondary level of education (AOR=0.162:95% CI (0.081-0.364)). While Women’s who have primary education level are 83% less likely to have good awareness than women who are above secondary level of education (AOR=0.170:95% CI (0.085-0.446)).In addition, my study shows women’s who haven’t heard about obstetric complication are 54% less likely to have awareness on obstetric fistula than those who heard about obstetric complication (AOR=0.458:95% CI (0.368-0.643). Conclusion: This study identifies that, educational level of women, history of pregnancy, distance to the nearby health institution and awareness on obstetrics complications were the factors associated with awareness of reproductive age women on obstetrics fistula. Hence, increasing awareness on obstetric fistula plays a key role to avert this problem.

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Prevalence of Goiter and Associated Factors among Women of Reproductive Age Group in Demba Gofa Woreda, Gamo Gofa Zone, Southwest Ethiopia: A Community-Based Cross-Sectional Study

Journal of Nutrition and Metabolism ◽

10.1155/2020/5102329 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Befikaduwa Zekarias ◽

Frehiwot Mesfin ◽

Bezatu Mengiste ◽

Adane Tesfaye ◽

Lemma Getacher

Keyword(s):

Logistic Regression ◽

Iodine Deficiency ◽

Associated Factors ◽

Sampling Technique ◽

Iodized Salt ◽

Reproductive Age ◽

Age Group ◽

Women Of Reproductive Age ◽

Cross Sectional ◽

Reproductive Age Group

Background. Iodine deficiency disorder is a major public health problem in Ethiopia that is more common in women of reproductive age. However, it is not well addressed and there is a lack of information on its prevalence and associated factors in women of reproductive age group. Therefore, the objective of this study was to assess goiter prevalence and associated factors among women of reproductive age in the Demba Gofa woreda, Gamo Gofa Zone, Southwest Ethiopia. Methods. A community-based cross-sectional study was used among 584 randomly selected women in the reproductive age group from February 05 to April 20, 2016. A simple random sampling technique was used to select the study kebeles, and a systematic random sampling technique was used to select the study samples. Data were collected through a pretested questionnaire, and the goiter examination was done clinically for each participant. The collected data were coded and entered into a computer for statistical analysis using EpiData version 3.2 and analyzed using SPSS version 20. Variables with a P value ≤0.25 in bivariate logistic regression analysis were entered into multivariate logistic regression analysis, and finally, variables with a P value <0.05 in multivariate logistic regression were considered significantly associated with the dependent variable. Results. The total goiter rate was 43%, 95% CI = 39.2–46.9. Cassava consumption (AOR: 2.02, 95% CI: 1.03–4), salt wash before use (AOR: 3.14, 95% CI: 1.1–11.3), salt use after >2 months of purchase (AOR: 11, 95% CI: 5–26), family history of goiter (AOR: 4.6, 95% CI: 1.4–15.8), and poor knowledge of iodized salt (AOR: 2.7, 95% CI: 1.4–5.5) were significant factors associated with goiter. Conclusion. Iodine deficiency was found to be severe in women of reproductive age in the study area. This showed that women of reproductive age, especially during pregnancy, are exposed to iodine deficiency and its adverse effects at delivery. Thus, they need urgent supplementation with iodine, improved access to foods rich in iodine, and intake of iodized salt. Additionally, health education should focus on the importance of iodized salt, the proper method of use, and the prevention of iodine deficiency, which are highly recommended to minimize the problem.

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