scholarly journals Married women’s decision-making autonomy in the household and maternal and neonatal healthcare utilization and associated factors in Debretabor, northwest Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0255021
Author(s):  
Azmeraw Ambachew Kebede ◽  
Endeshaw Admasu Cherkos ◽  
Eden Bishaw Taye ◽  
Getachew Azeze Eriku ◽  
Birhan Tsegaw Taye ◽  
...  
Keyword(s):  
Decision Making ◽  
Healthcare Utilization ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Married Women ◽  
P Value ◽  
Health Seeking ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Danger Signs

Background Women’s decision-making autonomy is very crucial for the improvement of women empowerment, and maternal, neonatal, and child healthcare utilization. As time immemorial, Ethiopian culture is largely gender stratified, and the position of women is subordinate to men in various household and health-seeking decision-making matters. However, there is a dearth of empirical evidence on women’s decision-making autonomy, especially in the household and on maternal and newborn healthcare utilization. Therefore, this study assessed married women’s decision-making autonomy in the household and on maternal and neonatal healthcare utilization and associated factors in Debretabor, Northwest Ethiopia. Methods A community-based cross-sectional study was conducted from October 1st to 30th, 2019. A two-stage sampling technique was used to select 730 married women. Data were collected using a structured, pretested, and interviewer-administered questionnaire. Data were entered into EPI INFO 7 and analyzed by SPSS version 23. Multivariable logistic regression model was fitted to identify factors associated with women’s decision-making autonomy in the household and maternal and neonatal healthcare utilization. The adjusted odds ratio with its 95% confidence interval was computed to determine the level of significance at a p-value of ≤ 0.05. Results A total of 730 married women were included in the analysis. Thus, three-fourths (75.1%) of women had higher decision-making autonomy on their health, neonatal health, and other socio-economic aspects. Besides, the proportion of four and above antenatal visits, delivery at a health facility, postnatal checkup, knowledge of neonatal danger signs, and appropriate health-seeking practices for sick newborns among autonomous women were 52.1%, 56.1%, 71.4%, 32%, and 80% respectively. Age greater than 35 years old (AOR = 2.08; 95% CI: 1.19, 3.62), monthly income of > 5000 ETB (AOR = 3.1; 95% CI: 1.36, 7.07), husband involvement (AOR = 2.36; 95% CI: 1.55, 3.43), and adequate knowledge of neonatal danger signs (AOR = 2.11; 95% CI: 1.4, 3.2) were factors independently associated with women’s decision-making autonomy on maternal and neonatal healthcare utilization and other socio-economic affairs. Conclusion Our findings show that women’s decision-making autonomy in the household and maternal and neonatal healthcare utilization was optimal. Increasing household income level, promotion of husband’s involvement starting from the prenatal period, and increasing women’s knowledge of maternal and neonatal danger signs will have a great role in the improvement of women’s decision-making autonomy.

scholarly journals Married Women Decision-Making Autonomy on Maternal and Neonatal Healthcare Utilization and Associated Factors in Debretabor, Northwest Ethiopia

2020 ◽  
Author(s):  
Azmeraw Ambachew Kebede ◽  
Getachew Azeze Eriku ◽  
Birhan Tsegaw Taye ◽  
Wagaye Fentahun Chanie
Keyword(s):  
Decision Making ◽  
Healthcare Utilization ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Married Women ◽  
Neonatal Health ◽  
Health Seeking ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Danger Signs

Background: Women decision-making autonomy is very crucial for the improvement of maternal, neonatal, and child healthcare utilization. However, there is limited evidence on women decision-making autonomy on maternal and neonatal health in the study area. Therefore, this study assessed married women decision-making autonomy on maternal and neonatal healthcare utilization and associated factors in Debretabor, Northwest Ethiopia. Methods: A community-based cross-sectional study was conducted from October 1st to 30th, 2019. A multi-stage sampling technique was used to select 730 married women. A structured, pretested, and interviewer-administered questionnaire was employed. Data were entered into epi info 7 and analyzed by SPSS version 23. Multivariable logistic regression model was fitted to identify factors associated with women decision-making autonomy on maternal and neonatal healthcare utilization. Odds ratio with 95 % confidence interval was computed to determine the level of significance. Result: Three-fourths (75.1%) of women had higher decision-making autonomy regarding their health, neonatal health, and other social and economic aspects. Besides, the proportion of at least four antenatal visits, delivery at a health facility, postnatal checkup, knowledge of neonatal danger signs, and appropriate health-seeking practices for sick newborns among autonomous women were 52.1%, 56.1%, 71.4%, 32%, and 80% respectively. Age greater than 35 years (AOR=2.08; 95%CI: 1.19, 3.62), monthly income of 5000 ETB and above (AOR=3.1; 95%CI: 1.36, 7.07), husband involvement (AOR=2.36; 95%CI: 1.55, 3.43) and knowledge of neonatal danger signs (AOR=2.11; 95%CI: 1.4, 3.2) were factors independently associated with women decision-making autonomy on maternal and neonatal healthcare utilization. Conclusion: Our findings show that women decision-making autonomy on maternal and neonatal healthcare utilization was optimal. Increasing the household income level through different means, the promotion of husbands involvement, and increasing women knowledge of maternal and neonatal danger signs will have a great role in the improvement of women decision-making autonomy.

scholarly journals Timely initiation of postpartum contraceptive and associated factors among women of extended postpartum period in Pawe district, northwest Ethiopia, 2019

2019 ◽  
Author(s):  
Desalegn Nazi Jaleta ◽  
Hedeja Yenus Yeshita ◽  
Koku Sisay Tamirat
Keyword(s):  
Family Planning ◽  
Postpartum Period ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
P Value ◽  
Postpartum Women ◽  
Modern Contraceptive ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Timely Initiation

Abstract Background: Postpartum family planning is an important intervention for reducing high risk fertility behavior and spacing birth intervals; which ultimately helpful for the health of mothers and their babies. Hence, this study aimed to determine the magnitude of timely initiation of postpartum contraceptive and associated factors among extended postpartum women in Pawe district, Northwest Ethiopia.Methods: Community based cross-sectional study design was employed from February to March 2019 in Pawe district. A stratified multistage sampling technique was used to select a total of 820 women in the extended postpartum period. Data were collected using a pretested interviewer administered questionnaire. A bivariable and multivariable logistic regression model was fitted to identify determinants of timely initiation of postpartum contraceptive among extended postpartum women. Adjusted Odds ratio (AOR) with 95% CI was computed to assess the strength and presence of an association. Variable with less than 0.05 p-value considered as a significant determinant of contraceptive initiation.Results: Out of the total participants about 37.2% [95% CI (34.0, 40.5)] initiated postpartum contraceptive. Time return of menses [AOR=18.32, 95% CI(11.66,28.80)], postnatal care [AOR=7.8, 95%bCI(3.98,15.44)], knowledge level regarding modern contraceptive methods [AOR=3.0, 95% CI(1.40,6.59)], time of resumption of sexual intercourse [AOR=2.1, 95% CI(1.327,3.21), husband approval to use contraceptive [AOR=2.45,95%CI(1.42,4.22), antenatal care [AOR=2.1,95% CI(1.13,3.76), place of delivery at institution [AOR=2.0, 95% CI(1.22,3.39)], and got family planning counseling at delivery [AOR=2.34, 95% CI(1.22,4.49)] were factors associated with timely initiation of postpartum contraceptive. Conclusion and recommendation: The magnitude of timely initiation of postpartum contraceptive was low. This suggests strengthening the integration of postpartum contraceptive use with other basic maternal health services and improving knowledge of women in practicing timely initiation of postpartum contraceptive before engagement to risk activities of unintended pregnancy is important.

scholarly journals Prevalence of stillbirth and associated Factors among immediate post-partum mothers at Felegehiwot comprehensive specialized hospital, northwest Ethiopia: An institution based cross-sectional study

2019 ◽  
Author(s):  
Agerie Mengistie ◽  
Mulusew Andualem ◽  
koku Tamirat
Keyword(s):  
Associated Factors ◽  
Post Partum ◽  
Previous History ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Sectional Study ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Specialized Hospital

Abstract Background Stillbirth rates are important indicators of the quality of antenatal and obstetric care in the community. In Ethiopia many neonatal deaths and almost all stillbirths are underreported. Therefore, this study aimed to determine prevalence of still birth and associated factors among immediate post-partum mothers. Methods An institution based cross-sectional study was employed at Felegehiwot comprehensive specialized hospital from March to May 2016 (n=310). A pretested structured interviewer administered questionnaire and medical chart reviews were used to collect data from immediate post-partum mothers. Data were entered using Epi Info version 3.5.4 and analyzed using SPSS version 20. Bivariate and multivariable logistic regression model was fitted to identify predictors of stillbirth. Adjusted Odds Ratio (AOR) with a 95% confidence interval (CI) was computed to assess the strength of association. Variables with p-value less than 0.05 in the multivariable considered as significant predictors of stillbirth. Result The prevalence of stillbirth was 8.7% with (95%CI: 5.8, 12.4). Previous history of stillbirth; [AOR=4.7, 95%CI (1.90-24.76)], labor complications [AOR=4.9, 95%CI (1.30-18.58)], Parthogragh use [AOR=0.25, 95%CI (0.10-0.80)], and twin delivery [AOR=6.7, 95%CI (1.40-32.74)] were significant predictors of stillbirth. Conclusion The magnitude of stillbirth in this study was higher. Multiple pregnancies, previous stillbirth, and complicated labor positively associated with stillbirth. Whereas use of partograph during labor significantly reduced stillbirth. This finding suggests that proper management of labor is mandatory to reduce stillbirth.

Prevalence and Associated Factors of Intestinal Parasites in Ethiopian Ortodox Tewahido Church Religious Students, Ethiopia

2020 ◽  
Author(s):  
Ayenew Addisu ◽  
Habtamu Gebre ◽  
Sara Tesfaye ◽  
Mola Zewdu ◽  
Meseret Birhanie
Keyword(s):  
Associated Factors ◽  
Intestinal Parasites ◽  
Sampling Technique ◽  
Northwest Ethiopia ◽  
Parasitic Infections ◽  
Health Seeking ◽  
School Students ◽  
Cross Sectional ◽  
Gondar Town ◽  
Church School

Abstract Background Intestinal parasitic infections are the most serious medical and public health problems in developing countries. In Ethiopia, intestinal parasites are among the top ten causes of morbidity, especially in children. The aim of this study was to assess the prevalence and associated factors of intestinal parasites among Ethiopian Orthodox church school students in Gondar town, northwest Ethiopia. Method: an institutional-based cross-sectional study was conducted to assess the prevalence and associated factors of intestinal parasites among religious students in Gondar town from February 2019 to April 2019, northwest Ethiopia. A total of 360 participants were selected by the random sampling technique. Results In this study, a total of 360 Orthodox Tewahido church school students were participated. The over all parasite prevalence, 24.7% was relatively low compared with previous studies conducted in other localitie in Ethiopia. The predominanat parasites were A. lumbricoides S. mansoni and hookworm with (11.4%), (4.4%) and (3.6%) prevalence respectively, A significant association was observed among participants with habits of frequent swiming with 2.3 times higher probability of acquaring infections, but there was no association with gender, age, finger nail status, the habit of eating uncooked vegetables/ fruits, source of drinking water and proper toilet utilization. Conclusion In general, the prevalence of intestinal parasite infections was high and calls for intervention actions on Orthodox Tewahido church students. Moreover, swimming frequency and habits had a significant association. Since the prevalence was high, improvement in awareness and enhancing health seeking behavior of the students, deworming and health education need to be focused on.

scholarly journals Knowledge of Neonatal Danger Signs and Its Associated Factors among Mothers Attending Child Vaccination Centers at Sheko District in Southwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Tewodros Yosef ◽  
Tadesse Nigussie ◽  
Adane Asefa
Keyword(s):  
Associated Factors ◽  
Educational Status ◽  
Sub Saharan Africa ◽  
Good Knowledge ◽  
Health Seeking ◽  
Public Health Importance ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Danger Signs ◽  
Child Vaccination

Background. Even though a great improvement in the last twenty years, the problem of newborn deaths is still remaining. In 2017 alone, an estimated 2.5 million neonatal deaths occurred worldwide, around 39 percent of all deaths in sub-Saharan Africa. Early detection of neonatal illness is an important step towards improving newborn survival. If mothers know the appropriate manifestations of the causes of death in newborns (neonatal danger signs), it is possible to avert related mortality, because of the health-seeking behavior of mothers highly relies on their knowledge of neonatal danger signs. Objective. To assess knowledge of neonatal danger signs and its associated factors among mothers attending child vaccination centers at Sheko District in Southwest Ethiopia. Methods. A facility-based cross-sectional study was conducted among 351 mothers who attended health centers for child vaccination in Sheko District from March 17 to April 30, 2018. A consecutive sampling method was used to select study participants. Data were collected by using structured questionnaires through face-to-face interviews. Data were entered using EPI-DATA version 3.1 and analysed using SPSS version 21. Results. Of the 351 mothers interviewed, 39% (137) had good knowledge of neonatal danger signs. The study also found that mothers aged 29-40 years (AOR=2.37, 95% CI [1.35-4.17], P=0.003), educational status of primary and above (AOR=2.68, 95% CI [1.48-4.88], P=0.001), attending ≥ 4 antenatal care visits during pregnancy (AOR=3.57, 95% CI [2.10-6.06], P<0.001), and history of postnatal attendance after birth (AOR=2.33, 95% CI [1.16-4.65], P=0.017) were significantly associated with good knowledge of neonatal danger signs. Conclusion. The proportion of mothers with good knowledge of neonatal danger signs was remarkably low. Since the problem is a public health importance in developing countries, particularly in Ethiopia, which determines future generations. Great efforts are needed to create awareness for mothers on the importance of the early identifying neonatal danger signs plus to avert the high magnitude of neonatal mortality.

scholarly journals Effect of Place of Birth on Knowledge of Neonatal Danger Signs and Associated Factors among Mother's in Meicha District, Northwest Ethiopia: A Community-based Comparative Cross-Sectional Study

2019 ◽  
Author(s):  
Teferi Gebru Gebremeskel ◽  
Adino Tesfahun Tsegaye ◽  
Alehegn Bishaw Geremew ◽  
Teklit Grum
Keyword(s):  
Associated Factors ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sectional Study ◽  
Danger Sign ◽  
Community Based ◽  
Cross Sectional ◽  
Health Institution ◽  
Danger Signs ◽  
Health Institutions

Abstract Background: Danger signs in the neonatal period are non-specific and could be a manifestation of almost any newborn disease. Early recognition of these signs by mothers is a pre-request for increasing neonatal care-seeking behavior. There four this study aimed to assess knowledge of neonatal danger signs and associated factors among mothers who gave birth at home and health institutions in Meicha District, Northwest Ethiopia. Methods: A community based comparative cross-sectional study was conducted among Home and Health institutions delivered mothers two months before the survey. A simple random sampling method was used to select the participants. Data was collected by face to face interviews of mothers. Binary logistic regression analysis was used to identify associated factors. The odds ratio with 95% CI was computed to assess the strength of the associations. Result: A total of 650 (325 health institution delivered and 325 home delivered) mothers were interviewed. Among this, 50.7% (AOR=2.19, 95%, CI (1.594-3.003)) of the mother were knowledge of neonatal danger sign in the district. Mother knowledge of neonatal danger sign was higher among mothers who give birth health institution (60.1%) than home (41.1%). Age of the mother (AOR:3.99, 95% CI:(1.45-11.03)), age of new born (AOR:0.53, 95% CI:(0.36-0.78)), parity (AOR:1.27, 95% CI:(1.37-5.31)), postnatal care attendance (AOR=2.42,95% CI: (1.47, 3.96)), distance of health center (AOR:0.46,95% CI:(0.27,0.78)) were significantly associated with overall mother’s knowledge of neonatal danger sign. Whereas, residence (AOR: 3.09, 95% CI:(1.44, 6.64)) and occupational status of husband (AOR:0.23, 95% CI:(0.201,0.67)) were significantly associated with health institution delivered mother. Age of new born (AOR: 0.50, 95% CI:(0.28,0.896)), parity(AOR: 0.29, 95% CI:(0.113,0.74)), antenatal care (AOR: 12.04, 95% CI: (5.9,24.65)) and postnatal care attendance (AOR:0.27,95% CI:(0.138,0.51)) was significantly associated with home delivered mother. Conclusion: The overall mother’s knowledge of neonatal danger signs was low. However, health institutions delivered mother more knowledge about danger signs than home-delivered mothers. Therefore, it is better if the district Health Office should investigate the implementation of educational programs in the community and strengthen the health extension program.

scholarly journals Magnitude of optimal adherence and predictors for a low level of adherence among HIV/AIDS-infected adults in South Gondar zone, Northwest Ethiopia: a multifacility cross-sectional study

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e056009
Author(s):  
Shimeles Biru Zewude ◽  
Tewodros Magegnet Ajebe
Keyword(s):  
Associated Factors ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Low Level ◽  
South Gondar ◽  
Hiv Aids

ObjectivesThis study aims to identify levels of adherence to antiretroviral therapy (ART) drugs and factors associated with them in Northwest Ethiopia. We hypothesise that in the era of COVID-19, there would be suboptimal adherence to ART drugs.DesignAn observational cross-sectional study was conducted. Factors associated with the level of adherence were selected for multiple logistic regressions at a p value of less than 0.2 in the analysis. Statistically significant associated factors were identified at a p value less than 0.05 and adjusted OR with a 95% CI.SettingThe study was conducted in one specialised hospital and three district hospitals found in the South Gondar zone, Northwest Ethiopia.ParticipantsAbout 432 people living with HIV/AIDS receiving highly active ART in South Gondar zone public hospitals and who have been on treatment for more than a 3-month period participated in the study.Primary and secondary outcome measuresLevels of adherence to ART drugs and their associated factors.ResultsAmong 432 study participants, 81.5% (95% CI: 78% to 85.2%) of participants were optimally adherent to ART drugs. Determinants of a low level of adherence: stigma or discrimination (OR=0.4, p=0.016), missed scheduled clinical visit (OR=0.45, p=0.034), being on tuberculosis treatment (OR=0.45, p=0.01), recent CD4 cell count less than 500 cells/mm3 (OR=0.3, p=0.023) and patients who had been on WHO clinical stage III at the time of ART initiation (OR=0.24, p=0.027) were factors significantly associated with adherence to ART drugs.ConclusionsLevel of adherence was relatively low compared with some local studies. The intervention targeted to reduce discrimination, counselling before initiation of treatment and awareness regarding compliance is advised to improve adherence to antiretroviral regimens.

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