scholarly journals Institutional delivery services utilization and associated factors among mothers who gave birth in the last year in Mandura district, Northwest Ethiopia

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243466
Author(s):  
Kassahun Asres Mitikie ◽  
Gizachew Tadesse Wassie ◽  
Melkamu Bedemo Beyene
Keyword(s):  
Associated Factors ◽  
Institutional Delivery ◽  
Statistical Significance ◽  
Northwest Ethiopia ◽  
Outcome Variable ◽  
P Value ◽  
Cross Sectional ◽  
Delivery Service ◽  
Risk Of Death ◽  
Institutional Delivery Service

Background The risk of death from complications relating to pregnancy and childbirth for women’s lifetime is higher in developing countries. Improving maternal and child health through a well-organized institutional delivery service is central to achieving reduced maternal and child mortality. Despite the efforts that have been made to improve maternal health outcomes in Ethiopia, institutional delivery is still unacceptably low. Objective This study was conducted to assess institutional delivery service utilization and associated factors in the study area. Methods A Community-based cross-sectional study was conducted. A multi-stage sampling technique was used to employ a total of 546 women. Data were collected using an interviewer-administered questionnaire and entered into EpiData version 3.1 and then exported to SPSS version 23.0. for analysis. Logistic regression models were used to determine factors associated with the outcome variable. Adjusted Odds ratios with 95% CI were computed to measure the strength of association and statistical significance was declared at p-value <0.05. Results The Prevalence of institutional delivery in the study area was 38% (34%-42%). Factors significantly associated with institutional delivery were ANC visit 1.80 (1.12–2.91), knowledge of danger sign during pregnancy 3.60 (2.25–5.76), urban residency 2.09 (1.15–3.81), Parity 0.49 (0.25–0.95) accessibility of health facility 4.60 (2.01–10.89), husbands educational level: primary 2.50 (1.27–4.91), secondary and above 2.36 (1.24–4.48), mothers occupation: governmental employee 2.05 (1.00–4.18), and Private employee 2.42 (1.09–5.35). Conclusions The prevalence of institutional delivery in the District was low. Antenatal visits, residency, knowledge of pregnancy danger signs, parity, and accessibility of health facilities, maternal occupation, and husband education were factors significantly associated with institutional delivery.

scholarly journals Institutional Delivery Services Utilization and Associated Factors Among Mothers Who Gave Birth in The Last Year in Mandura District, North West Ethiopia, 2019.

2020 ◽  
Author(s):  
Kassahun Asres Mitikie ◽  
Gizachew Tadesse Wassie ◽  
Melkamu Bedemo Beyene
Keyword(s):  
Associated Factors ◽  
Institutional Delivery ◽  
Service Providers ◽  
Outcome Variable ◽  
Local Health ◽  
Community Based ◽  
Delivery Service ◽  
Danger Signs ◽  
Risk Of Death ◽  
Institutional Delivery Service

Abstract Background: The risk of death from complications relating to pregnancy and childbirth for women’s lifetime is higher in developing countries. Improving maternal and child health through a well-organized institutional delivery service is central to achieve reduced maternal and child mortality. Despite the efforts that have been made to improve maternal health outcomes in Ethiopia, institutional delivery is still unacceptably low. This study was aimed to assess institutional delivery service utilization and associated factors in the study area. Methods: Community-based cross-sectional study was conducted. A multi-stage sampling technique was used to employ a total of 546 women. Data were collected using an interviewer-administered questionnaire. Logistic regression models were used to determine factors associated with the outcome variable. Adjusted Odds ratios with 95% CI were computed to measure the strength of association and statistical significance was declared at p-value <0.05.Results: The Prevalence of institutional delivery in the study area was 38% (34%-42%). Factors significantly associated with institutional delivery were ANC visit 1.80(1.12-2.91), knowledge on danger sign 3.60(2.25-5.76), urban residency 2.09(1.15-3.81), Parity 0.49(0.25-0.95) accessibility of health facility 4.60(2.01-10.89), husbands educational level: primary 2.50(1.27-4.91), secondary and above 2.36(1.24-4.48), mothers occupation: governmental employee 2.05(1.00-4.18), and Private employee 2.42 (1.09-5.35). Conclusions: The prevalence of institutional delivery in the District was low. Antenatal visits, residency, knowledge on pregnancy danger signs, parity, accessibility of health facilities, maternal occupation, and husband education were significantly associated with institutional delivery. Strengthen the community-based awareness creation program regarding the danger signs of pregnancy and benefits of institutional delivery through the health developmental army, health extension workers, and local health care service providers; empowering women to get a job access, advocating education in the community, and improving antenatal care utilization would be among important measures to improve institutional delivery utilization.

scholarly journals Early implanon discontinuation and associated factors among women ever used implanon in Mettu district, Oromia regional state, southwest Ethiopia, 2021

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Hana Tesfaye ◽  
Ebissa Negara ◽  
Kenbon Bayisa
Keyword(s):  
Side Effects ◽  
Associated Factors ◽  
Statistical Significance ◽  
Descriptive Analysis ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Relative Effect ◽  
Outcome Variable ◽  
P Value ◽  
Cross Sectional

Abstract Background Implanon is an effective form of long-acting reversible contraceptive used to prevent conception with a clinical failure rate of less than one per 100 users. However, in sub-Saharan countries the utilization of implanon was very low. Regardless of low utilization; its early discontinuation is very common in most developing countries including Ethiopia. Objectives To assess the prevalence of early implanon discontinuation and associated factors among women ever used implanon in Mettu district. Methods A community based cross-sectional study design was conducted from October 11 to December 4, 2020 G C. A total of 430 women were included in the study by systematic random sampling technique. Data were entered into epi data version 3.1 and analyzed by SPSS version 25.0. Descriptive analysis was computed to describe descriptive results. Logistics regression was computed to see the relative effect of factors on the outcome variable. Adjusted odds ratio was calculated with 95% confidence intervals to show strength of association and p-value < 0.05 was used to declare statistical significance. The finding of the study was presented using narrations, tables and chart. Result The total proportion of early implanon discontinuation among 430 mothers was 19.3%. Women who did not counseled about the presence of alternatives methods [AOR = 2.28: 95% CI (1.22–4.26)], women who experienced dizziness after insertion of implanon [AOR = 1.90: 95% CI (1.06–3.43)] and being having menstrual disturbance after insertion of implanon [AOR = 2.17: 95% CI (1.16–4.08)] were significantly associated with early implanon discontinuation. Women who were counseled about the advantage of implanon [AOR: 0.49: 95% CI (0.28–0.87)] were protective from early implanon discontinuation. Conclusion and recommendation Early implanon discontinuation among mothers was found to be high. Hence, effective counseling on advantages and side effects of implanon and proper management of the side effects should be made to increase implanon retention.

scholarly journals Health Institutional Delivery Service Utilization and Associated Factors Among Mothers Who Gave Birth in the Last Year in Dembecha Zaria Woreda, Northwest Ethiopia: A Community Based Cross-Sectional Study

2021 ◽  
Author(s):  
Misganaw Fikrie Melesse ◽  
Bewket Yeserah Aynalem
Keyword(s):  
Service Utilization ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Cross Sectional ◽  
Place Of Delivery ◽  
Health Institution ◽  
Delivery Service ◽  
Institutional Delivery Service

Abstract Background: The morbidity and mortality of women is a worldwide challenge and the current global maternal death is more than 800 per day; ninety-nine percent of maternal death occurs in developing countries and in Ethiopia about 30% of all ladies’ death is identified with pregnancy-related causes. We, therefore, did this study to assess the magnitude and associated factors of institutional delivery service utilization among mothers who gave birth in the last year in Dembecha Zuria woreda, Northwest Ethiopia.Methods: A community-based cross-sectional study design was employed, and multistage sampling technique was used. Data were collected through face-to-face interviews with pre-tested structured questionnaires among mothers who gave birth in the last year in Dembecha zuria woreda, Northwest Ethiopia from November 23, 2020 to January 16, 2021. After data collection, data were coded and entered using EPI info version 7 and analyzed using SPSS version 25 statistical software. Binary logistic regression analysis was used to ascertain the association between explanatory variables and the outcome variable. Variables with P value less than 0.25 in the Bivariable analysis and P-value < 0.05 in the multivariable analysis and corresponding 95% CI of odds ratio were considered to declare a result as statistically significant. Result: In this study, the magnitude of institution delivery service utilization among mothers who gave birth in the last year was 179 (42.4%) with 95% CI [37.7, 46.9]. type of pregnancy [AOR: 1.906, (95%CI: 1.017,3.57)]), gravidity [AOR: 1.899 (95% CI: 1.244, 2.898)], ANC follow up [AOR: 2.079 (95% CI: 1.242, 3.482)], husband preference on place of delivery [AOR: 2.036) (95% CI: 1.291. 3.211)] and decision-maker on place of delivery [AOR: 2.853 (95% CI: 1.321, 6.160)] were significantly associated with health institution delivery service utilization.Conclusion: In this study, the magnitude of health institution delivery service utilization was low as compared to the national expectation. The concerned bodies need to create awareness on the function of antenatal care follow-up and empower the mothers to decide on the place of delivery and give counseling for husbands about the importance of health institution delivery.

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.

Colostrum Avoidance Practice among primigavida Mothers in Urban Northwest Ethiopia. A Cross-Sectional Study

2020 ◽  
Author(s):  
Tilksew Ayalew ◽  
Eden Asmare
Keyword(s):  
Statistical Significance ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Normal Delivery ◽  
Childhood Illnesses ◽  
Complete Form ◽  
Strength Of Association

Abstract Background: Breast milk is the ideal and complete form of nutrition for infants colostrum contains all the necessary nutrients for infants’ growth and development and antibodies that can protect from many childhood illnesses. Understanding the extent of and barriers to colostrum avoidance in Ethiopia is important for learning how to best improve optimal breastfeeding. No single study has been conducted on primigavida mothers in the country. Therefore, this study aimed to assess the rate of colostrum avoidance practice and associated factors among primigavida mothers Method: A community- based cross-sectional study was conducted from March to April 2016 among (n=398) randomly selected primigavida mothers in Bahir Dar city, northwest Ethiopia. Data were collected using a structured interviewer-administered questionnaire and analyzed using SPSS version25. Bivariate and multivariate logistic regression analyses were carried out. Odds ratio with 95% confidence interval was used to measure the strength of association. Statistical significance was declared at P-value ≤0.05.Results: Out of 398 primipara mothers, 8.8% discarded colostrum. The most common reasons for discarding colostrum were; yellow and creamy (39.2%), bad for infant (35.2%), traditional/cultural reason (17.1%) and infant unable to feed (8.5%).Married mothers (OR=4.52, p<0.05), employed mothers (OR=3.46, p<0.05), mothers underwent normal delivery (OR=5.20, p<0.05) and mothers who initiated breastfeeding within 1 hr. (OR=2.79, p=0.05) were less likely to discard colostrum.Conclusion: The current study revealed that colostrum was discarded by 8.8 % of premiparious mothers. Primipara mothers who were married, unemployed, underwent normal delivery and initiated breastfeeding within one hour were less likely to discard colostrum. These results suggest that multi-sectorial and multi-disciplinary approaches are needed to increase optimal breastfeeding among premiparious mothers.

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