Family planning awareness, utilization and associated factors among women of reproductive age attending psychiatric outpatient care, a cross- sectional study, Addis Ababa, Ethiopia

Abstract Introduction: Uterine myoma occurs in 20-50% of reproductive age women. Uterine myomas may be associated with 5-10% of cases of infertility, but it is the sole cause or factor in only 2-3% of all infertility cases. Myomectomy is surgery done to remove myoma regardless of the methods.Objective: to assess impact of myomectomy on pregnancy rate and associated factors among reproductive age women who had myomectomy at St. Paul’s Hospital Millennium Medical College, in Addis Ababa. Methodology: Hospital based retrospective cross-sectional study was conducted to determine pregnancy rate after myomectomy & its associated factors. Patients who had myomectomy in SPHMMC from September, 2012 to September, 2017 were enrolled. Information was retrieved from hospital records & phone interviews with the patients. The strength of statistical association was measured by adjusted odds ratios and 95% confidence intervals. Statistical significance was declared at p-value < 0.05. Result: Among 180 females participated in this study, 52.2% got pregnant after myomectomy. The result showed that females with age >35 years were 0.31 times less likely to get pregnant after surgery than those ages 20-25 years [AOR=0.31(95%CI: 0.29-0.54)]. People with no infertility before surgery were 1.19 times more likely to be pregnant after surgery than those with unexplained infertility before the surgery [AOR=1.19(95%CI: 1.06-1.57)]. People with two uterine incisions were 0.06 times less likely [AOR=0.06(95%CI: 0.043-0.51)] while those with three or more than three incisions were 0.02 times less likely [AOR=0.02(95%CI: 0.002-0.22)] to get pregnant compared with those with one incision on uterine wallConclusion: Age, number of incision and infertility before surgery were significantly associated with rate of pregnancy after myomectomy.

Download Full-text

Unmet need for family planning and associated factors among currently married reproductive age women in Tiro Afeta District, South West Ethiopia, 2017: cross-sectional study

BMC Women s Health ◽

10.1186/s12905-019-0872-5 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Tesfaye Solomon ◽

Mamo Nigatu ◽

Tsegaye Tewelde Gebrehiwot ◽

Biniam Getachew

Keyword(s):

Family Planning ◽

Associated Factors ◽

Unmet Need ◽

Cross Sectional Study ◽

Married Women ◽

Reproductive Age ◽

Sectional Study ◽

Cross Sectional ◽

South West ◽

South West Ethiopia

Abstract Background Unmet need for family planning in Oromia region was very high (28.9%) compared to other regions in Ethiopia. To address problems associated with unmet need for family planning locally available evidences are essential, however, there were no clear evidences on unmet need for family planning in Tiro Afeta district. This study aims to assess the magnitude and associated factors of unmet need for family planning among currently married women in Tiro Afeta district, South West Ethiopia, 2017. Methods Community based cross sectional study was conducted in April, 2017. A total of 348 currently married women of reproductive age were enrolled from eight villages selected by simple random sampling and using proportional to size allocation. Data were entered using EpiData 3.1 and analyzed by SPSS version 22. Adjusted odds ratios at 95% confidence interval with p-value of < 0.05 were considered as significant variables. Results Unmet need for family planning among currently married women in Tiro Afeta was 26.1%. Factors significantly associated with unmet need for family planning were: never use of family planning before survey (AOR: 5.09, 95% CI: 2.73–9.50); multiparity (AOR: 3.02, 95% CI: 1.56–5.85); perceived husband’s attitude as disapproval (AOR: 2.75, 95% CI: 1.43–5.26); lack of counseling from health workers (AOR: 2.07, 95% CI: 1.11–3.85); and unavailability of Radio and/or Television in the house (AOR: 2.05, 95% CI: 1.15–3.66). Conclusion Unmet need for family planning in Tiro Afeta was higher than national average but lower than Oromia region. Never use of family planning, women’s parity, husband’s attitude towards contraceptives, women counseling and unavailability of Radio and/or Television in the respondent’s home were significantly associated factors with unmet need for family planning. Therefore, the service providers and the district health office should strengthen counseling and partner involvement to reduce unmet need for family planning.

Download Full-text

Unmet need for family planning and associated factors among married women in Asebot town, west Hararge zone, Oromia regional state, Ethiopia, Cross- sectional study design, 2018

10.21203/rs.2.12364/v1 ◽

2019 ◽

Author(s):

Misganaw Muche ◽

Muhammedawel Kaso ◽

Amde Eshete ◽

ismael kalayu

Keyword(s):

Family Planning ◽

Study Design ◽

Associated Factors ◽

Unmet Need ◽

Cross Sectional Study ◽

Reproductive Age ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Regional State

Abstract Background Unmet need for family planning was one of the several frequently used indicators for monitoring and evaluation of family planning programs. It also helps to identify women at greatest risk of unintended pregnancy for satisfying the unmet need for modern contraception. So this study aimed to assess the prevalence and associated factors of unmet need for modern contraceptive among women of reproductive age in Asebot town, west Harargie zone, Oromia Regional state, Ethiopia. Methods A community based cross-sectional study design was conducted in Asebot town. Systematic random sampling techniques were used to select 410 reproductive age women. Data collection was carried out from July 19 to August 05, 2018 using a pre- tested structured questionnaire. The collected data were entered to Epi-info version 7 and exported to SPSS version 21 for analysis. Candidate variables with p-value of <0.25 in bivariate analysis were entered into multivariable logistic regression and AOR at 95% CI with p-value of <0.05 was considered as significant. Result The magnitude of unmet need for modern family planning in the study area was 37.3%. [95% CI (32.7, 42.2)]. After multivariate analysis Age, monthly income, desire to have children within two years and partner approval of family planning use were statistically significantly associated factors of unmet need for family planning with their 95% CI as follows (2.00-39.83), (1.10-6.10), (4.79-15.67), (3.88-14.61) respectively.

Download Full-text

Pregnancy Rate after Myomectomy and Associated Factors among Reproductive Age Women Who Had Myomectomy at Saint Paul’s Hospital Millennium Medical College, Addis Ababa: Retrospective Cross-Sectional Study

International Journal of Reproductive Medicine ◽

10.1155/2021/6680112 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Meseret Jeldu ◽

Tadios Asres ◽

Temesgen Arusi ◽

Muluken Gunta Gutulo

Keyword(s):

Pregnancy Rate ◽

Associated Factors ◽

Addis Ababa ◽

Statistical Significance ◽

Cross Sectional Study ◽

Reproductive Age ◽

Sectional Study ◽

Cross Sectional ◽

Medical College ◽

Reproductive Age Women

Introduction. Uterine myoma occurs in 20-50% of reproductive age women. Uterine myomas may be associated with 5-10% of cases of infertility, but it is the sole cause or factor in only 2-3% of all infertility cases. Myomectomy is surgery done to remove myoma regardless of the methods. Objective. To assess impact of myomectomy on pregnancy rate and associated factors among reproductive age women who had myomectomy at St. Paul’s Hospital Millennium Medical College, in Addis Ababa. Methodology. Hospital-based retrospective cross-sectional study was conducted to determine pregnancy rate after myomectomy and its associated factors. Patients who had myomectomy in SPHMMC from September 2012 to September 2017 were enrolled. Information was retrieved from hospital records and phone interviews with the patients. The strength of statistical association was measured by adjusted odds ratios and 95% confidence intervals. Statistical significance was declared at p value < 0.05. Result. Among 180 females participated in this study, 52.2% got pregnant after myomectomy. The result showed that females with age > 35 years were 0.31 times less likely to get pregnant after surgery than those ages 20-25 years [ AOR = 0.31 (95% CI: 0.29-0.54)]. People with no infertility before surgery were 1.19 times more likely to be pregnant after surgery than those with unexplained infertility before the surgery [ AOR = 1.19 (95% CI: 1.06-1.57)]. People with two uterine incisions were 0.06 times less likely [ AOR = 0.06 (95% CI: 0.043-0.51)] while those with three or more than three incisions were 0.02 times less likely [ AOR = 0.02 (95% CI: 0.002-0.22)] to get pregnant compared with those with one incision on uterine wall. Conclusion. Age, number of incision, and infertility before surgery were significantly associated with rate of pregnancy after myomectomy.

Download Full-text

PREVALENCE OF INDUCED ABORTION AND ASSOCIATED FACTORS AMONG WOMEN OF REPRODUCTIVE AGE IN HARARI REGION, ETHIOPIA

Public Health of Indonesia ◽

10.36685/phi.v6i2.333 ◽

2020 ◽

Vol 6 (2) ◽

pp. 35-40

Author(s):

Arif Hussen Jamie ◽

Mohammed Zekeria Abdosh

Keyword(s):

Family Planning ◽

Associated Factors ◽

Unwanted Pregnancy ◽

Occupational Status ◽

Cross Sectional Study ◽

Induced Abortion ◽

Reproductive Age ◽

P Value ◽

Women Of Reproductive Age ◽

Cross Sectional

Background: Abortion is a very common experience in every culture and society. Out of the 210 million pregnancies that occur each year globally, an estimated 46 million (22%) end up in induced abortion, in relation to that, 19 million women experience unsafe abortions annually.Objective: The aim of the study is to determine the prevalence and associated factors of induced abortion among women of reproductive age group in public health facilities from March 25– April 25, 2019, in Harari Region.Methods: A cross sectional study design was conducted. The sample size was 620 abortion cases. Structured questionnaire was used for data collection. Data were entered to Epi-Data version 3.5.3 and analyzed using SPSS version 20. Descriptive statistics, binary and multivariate logistic regression and odds ratio with 95% confidence intervals was used to identify the independent factors of induced abortion cases status. P-value 0.05 was considered as statistically significant association.Result: The mean age of the respondents was 29.5 years, with a standard deviation of 6.5. In this study the magnitude of induced abortion was 42.7%. Age 30, single marital status, occupational status students and commercial sex worker were statistically significant associated with induced abortion (p0.05).Conclusion: The study revealed a high level of induced abortion. Unwanted pregnancy is high among abortion patients in the study area. Hence, strict counseling about family planning method reminder, and partner involvement in family planning service should be recommended.

Download Full-text

A Survey on Prevalence and Knowledge of Family Planning among Women of Childbearing Age in the Provincial Settings of the Gambia: A Descriptive Cross-Sectional Study

Advances in Preventive Medicine ◽

10.1155/2020/8862290 ◽

2020 ◽

Vol 2020 ◽

pp. 1-12

Author(s):

Amadou Barrow

Keyword(s):

Family Planning ◽

Univariate Analysis ◽

Cross Sectional Study ◽

The Gambia ◽

Reproductive Age ◽

Sectional Study ◽

Childbearing Age ◽

Women Of Reproductive Age ◽

Cross Sectional ◽

Contraceptive Uptake

Background. Family planning (FP) is one of the fundamental pillars of safe motherhood and reproductive health rights. In developing countries, women with unmet need for FP constitute a significant proportion of all women of reproductive age and it is an ongoing public health challenge in the Gambia. The study aimed to determine the women’s proportion of contraceptive uptake and knowledge of FP methods. Methods. The study employed a community-based descriptive cross-sectional study conducted for 643 women of reproductive age (15–49 years) from the selected clusters in rural Gambia through a multistage sampling technique. A pretested structured interview questionnaire was used to collect data. Univariate analysis using frequencies and percentages were used to present results in this study. Data entry and analysis were done using IBM SPSS version 24. Results. The overall contraceptive prevalence rate was 30.4%, while the CPR for married or in the union was 34.2%. About 86% of women reported child spacing as the major benefits of FP, while 49.5% reported amenorrhea as the most common side effect of contraceptives. Injectable (Depo-Provera, Noristerat, and ) and pills (progesterone and combined) were the two most common FP methods used at 58.5% and 44.0%, respectively. Conclusion. The present study showed a moderately low contraceptive uptake. Thus, there is a need to focus FP services for women in rural areas, emphasizing the quality of services and gender equality. The study further recommends strengthening and mainstreaming of male involvement and religious leaders participation in FP interventions and the initiation of a communication program that explicitly promotes interspousal communication.

Download Full-text

Institutional delivery service utilization and associated factors among women of reproductive age in the mobile pastoral community of the Liban District in Guji Zone, Oromia, Southern Ethiopia: a cross sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-017-1325-5 ◽

2017 ◽

Vol 17 (1) ◽

Cited By ~ 15

Author(s):

Wako Golicha Wako ◽

Dejene Hailu Kassa

Keyword(s):

Associated Factors ◽

Institutional Delivery ◽

Cross Sectional Study ◽

Reproductive Age ◽

Southern Ethiopia ◽

Sectional Study ◽

Women Of Reproductive Age ◽

Cross Sectional ◽

Pastoral Community ◽

Institutional Delivery Service

Download Full-text

Magnitude of internalised stigma and associated factors among people with bipolar disorder at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-044824 ◽

2021 ◽

Vol 11 (4) ◽

pp. e044824

Author(s):

Shegaye Shumet ◽

Bethlehem W/Michele ◽

Dessie Angaw ◽

Temesgen Ergete ◽

Nigus Alemnew

Keyword(s):

Social Support ◽

Bipolar Disorder ◽

Associated Factors ◽

Addis Ababa ◽

Self Esteem ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Specialized Hospital ◽

Poor Social Support

ObjectivesTo assess the magnitude of internalised stigma and associated factors among patients with bipolar disorder attending the outpatient department of Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia.DesignInstitution-based cross-sectional study design.SettingAmanuel Mental Specialized Hospital, Addis Ababa, Ethiopia.ParticipantsWe recruited about 418 participants using systematic sampling technique for an interview during the study period.MeasurementData were collected by face-to-face interviews. Internalized Stigma of Mental Illness scale was used to measure internalised stigma. The Rosenberg Self-Esteem Scale and the Oslo-3 Social Support were instruments used to assess the associated factors. Bivariate and multivariate logistic regressions were performed to identify factors associated with the outcome variable. ORs with 95% CI were computed to determine the level of significance.ResultsThe magnitude of internalised stigma was 24.9% (95% CI: 21.2% to 28.9%). In the multivariate analysis, unemployed (adjusted OR (AOR)=2.3, 95% CI: 1.0 to 5.0), unable to read and write (AOR=3.3, 95% CI: 1.05 to 10.7), poor social support (AOR=5.3, 95% CI: 1.9 to 15.0), ≥4 previous hospitalisations due to bipolar disorder (AOR=2.6, 95% CI: 1.1 to 6.1) and low self-esteem (AOR=2.4, 95% CI: 1.1 to 5.1) had a significant association with internalised stigma.ConclusionsOne in four patients with bipolar disorder reported high internalised stigma. Unemployment, low educational status, low self-esteem, poor social support and being hospitalised more than three times before were significantly associated with internalised stigma. Thus, a stigma-reduction programme focusing on self-esteem improvement and psychological health of patients to increase their stigma resistance to counteracting effects of internalised stigma is essential.

Download Full-text