Magnitude and associated factors of antenatal depression among mothers attending antenatal care in Arba Minch town, Ethiopia, 2018

Background Depression is a common mental disorder. The burden of antenatal depression is higher in developing countries which is 20% as compared to developed ones 10% to 15%. In Ethiopia around one-fifth of pregnant mothers are depressed. Despite the severity of the problem, only a few studies have been done in Ethiopia, and there is no study done in Arba Minch on the problem. Objective To assess the magnitude and associated factors of antenatal depressive symptoms among pregnant women attending Public Health facilities in Arba Minch town Southern Nations and Nationalities Peoples Region, Ethiopia 2018. Methods Health Institution based, cross-sectional study design was used to assess the magnitude and associated factors of antenatal depression among 323 pregnant mothers who came for antenatal care follow-up in all public health facilities in Arba Minch town. The systematic random sampling technique was applied. Interviewer administered, pretested structured Questionnaire containing Edinburgh postpartum depression scale was utilized. EPI INFO was used to enter data and then the data were analyzed by logistic regression using SPSS. Variables with P-value less than 0.2 in the bivariate logistic regression were inserted in for multivariable analysis to see their independent effect and those with P-value less than 0.05 were used to determine the significant association between dependent and independent variables. Result The magnitude of antenatal depression was 35.4%. Variables that were significantly associated with antenatal depression on multivariate analysis were anxiety (AOR = 5.49, 95%CI: 2.56, 11.77), un-planned pregnancy (AOR = 2.71, 95%CI: 1.21, 6.07), and Primigravida (AOR = 2.96, 95%CI: 1.28, 6.8). Similarly, uneducated mothers and those who attend only elementary school had AOR 4.92, 95% CI 1.36,17.73 and AOR 4.04955CI 1.23, 13.39 respectively. Conclusion The magnitude of antenatal depression, intimate partner violence, and threatening life event in Arba Minch town was high. Anxiety, unplanned pregnancy, educational status, and Primigravida were significantly associated factors with depression. There should be a mechanism for routine screening and management of antenatal depression and intimate partner violence during antenatal care follow-up.

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Prevalence of antenatal depression and its associated factors among pregnant mothers who attend antenatal care service at Jinka public health facilities, Jinka town, SNNPR, Ethiopia,

10.21203/rs.2.15295/v2 ◽

2021 ◽

Author(s):

Aynalem Yetwale ◽

Teklemariam Gultie ◽

Dessalegn Ajema ◽

Semahegn Tilahun ◽

Bezawit Afework

Keyword(s):

Public Health ◽

Logistic Regression ◽

Antenatal Care ◽

Care Service ◽

Antenatal Depression ◽

Health Facilities ◽

P Value ◽

Public Health Facilities ◽

Care Assessment ◽

History Of

Abstract Background Antenatal depression is the most common psychiatric disorder during pregnancy and it’s associated with psychosocial and obstetric factors. Antenatal depression has serious consequences for the mother and fetus, such as recurrent spontaneous abortions, pregnancy induced hypertension, pre-eclampsia, postpartum bleeding, pre-term delivery, postnatal depressive disorders and low birth weight. However it doesn’t get appropriate attention.Methods Institutional based cross-sectional study design was conducted on 446 pregnant women coming for antenatal care service at Jinka public health facilities, from June 01 to June 30, 2018. Data was collected through semi-structured and pretested questionnaire by face to face interview technique and Beck Depression Inventory was used to assess women’s depression condition. Collected data was entered in to Epi data version 3.3.1 after checking their completeness and exported to statistical package for social science version 20.0 for analysis. Logistic regression was used to find out association between explanatory and response variables. Explanatory variables which fulfill the assumption of logistic regression and had P-value less than 0.25 from bi-variable logistic regression were considered for the multivariable logistic regression model. Strength of association was evaluated using odds ratio at 95% confidence interval and P-value < 0.05 was considered to declare significant associations.Result The magnitude of antenatal depression in this study was 24.4%(20.2-28.5 at 95% CI) and it had statistically significant association with unmarried marital status AOR =13.39 [(95%CI); (3.11-57.7)], chronic medical illness AOR=3.97 [(95%CI); (1.07-14.7)], unplanned pregnancy AOR =6.76 [ (95%CI); (2.13-21.4)], history of abortion AOR =2.8 [(95%CI); (1.14-7.02)], history of previous pregnancy complication AOR =4.8 [(95%CI); (2.12-17.35)] and fear of pregnancy related complications AOR=5.4 [(95%CI); (2.32-12.4)].Conclusion and recommendation The magnitude of antenatal depression was high. So integrating mental health service in antenatal care assessment, provide comprehensive family planning service and improve obstetric service are recommended.

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Antenatal care dropout and associated factors among mothers delivering in public health facilities of Dire Dawa Town, Eastern Ethiopia

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04107-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Dereje Worku ◽

Daniel Teshome ◽

Chalachew Tiruneh ◽

Alemtsehay Teshome ◽

Gete Berihun ◽

...

Keyword(s):

Public Health ◽

Logistic Regression ◽

Antenatal Care ◽

Odds Ratio ◽

Associated Factors ◽

Multivariable Logistic Regression Analysis ◽

Professional Advice ◽

Dire Dawa ◽

Bivariable Analysis

Abstract Introduction More than two-thirds of the pregnant women in Africa have at least one antenatal care contact with a health care provider. However, to achieve the full life-saving potential that antenatal care promises for women and babies, four visits providing essential evidence-based interventions – a package often called focused antenatal care are required. Hence, identifying the factors associated with dropout of maternal health care utilization would have meaningful implications. The study aimed to assess antenatal care dropout and associated factors among mothers delivering in the public health facilities of Dire Dawa town, Ethiopia. Methods Facility-based cross-sectional study was conducted from January 1 to 30, 2020. Proportionate sampling and simple random sampling techniques were used to select 230 women. Data were collected using a structured and pretested interview administered questionnaire during delivery. The data were entered into Epidata version 3.1 and analyzed using SPSS version 20. A binary logistic regression model with a 95 % confidence interval was used to analyze the results. Bivariable analysis (COR [crude odds ratio]) and multivariable analysis (AOR [adjusted odds ratio]) was used to analyze the results. From the bivariable analysis, variables with a p-value < 0.25 were entered into the multivariable logistic regression analysis. From the multivariable logistic regression analysis, variables with a significance level of p-value < 0.05 were taken as factors independently associated with ANC dropout. Result The proportion of antenatal care dropouts was 86 (37.4 %) (95 % CI: 31.3–43.9). In logistic regression analyses, those who had no past antenatal care follow up were more likely to have ANC dropout (AOR = 7.89; 95 % CI: 2.109–29.498) and those who had no professional advice were more likely to have antenatal care dropout (AOR = 4.64 95 % CI: 1.246–17.254). Conclusions This study indicates that a high number of women had antenatal care dropout. Having no past ANC follow-up and professional advice were the major factors of ANC service utilization dropout. Hence, giving more information during the ANC visit is important to reduce the dropout rate from the maternity continuum of care.

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Assessment of antenatal depression and its associated factors among pregnant mothers who attend antenatal care service at Jinka public health facilities, Jinka town, SNNPR, Ethiopia,

10.21203/rs.2.15295/v1 ◽

2019 ◽

Author(s):

Aynalem Yetwale ◽

Teklemariam Gultie ◽

Dessalegn Ajema ◽

Semahegn Tilahun ◽

Bezawit Afework

Keyword(s):

Public Health ◽

Logistic Regression ◽

Antenatal Care ◽

Care Service ◽

Antenatal Depression ◽

Health Facilities ◽

P Value ◽

Public Health Facilities ◽

Care Assessment ◽

History Of

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Prevalence and Associated Factors of Depression among Pregnant Mothers Who Had Intimate Partner Violence during Pregnancy Attending Antenatal Care at Gondar University Hospital Northwest Ethiopia in 2020

BioMed Research International ◽

10.1155/2021/9965289 ◽

2021 ◽

Vol 2021 ◽

pp. 1-9

Author(s):

Sileshi Ayele ◽

Mekuriaw Alemayehu ◽

Elfalet Fikadu ◽

Gebrekidan Ewnetu Tarekegn

Keyword(s):

Intimate Partner Violence ◽

Partner Violence ◽

Antenatal Depression ◽

Intimate Partner ◽

University Hospital ◽

Gondar University Hospital ◽

Type Of Abuse ◽

Violence During Pregnancy ◽

Pregnant Mothers

Background. Antenatal depression is the major obstetric problem that led to significant maternal and perinatal morbidity and mortality worldwide, especially in the third world. However, in Ethiopia this prevalence and association were not studied, as result, this study investigated the prevalence and associated factors of antenatal depression among pregnant mothers who had intimate partner violence during pregnancy. Methodology. An institution-based cross-sectional study was done among 409 pregnant mothers who had intimate partner violence during pregnancy from May to July 2019 at Gondar University Hospital. All pregnant mothers who came for ANC follow-up during the study period approached for screening of intimate partner violence during pregnancy using standard and validated screening method and instrument of the WHO multicountry study on women’s health and domestic violence to evaluate intimate partner violence, and we use EPDS for the evaluation of antenatal depression validated in Ethiopia with a cut point of 13. Result. Prevalence of depression among pregnant mothers who had any form of intimate partner violence during pregnancy was 35%: physical abuse ( AOR = 1.8 ; 95% CI: 1.19, 3.30), more than one type of abuse ( AOR = 10.18 ; 95% CI: 7.10, 16.18), poor social support ( AOR = 5.81 ; 95% CI: 1.12, 13.12), and pregnant mothers whose partner drunk for the past twelve months ( AOR = 7.16 ; 95% CI: 183, 8.00) were significantly associated with antenatal depression. Conclusion. High prevalence of antenatal depression among pregnant mothers who had intimate partner violence during pregnancy was highly associated with physical abuse, more than one type of abuse, lack of social support, and partner of pregnant mothers who is a drunk. Hence, this is important to create a screening program and prevention strategy of intimate partner violence during pregnancy at the time of antenatal follow-up to prevent and early identify its morbidity and mortality.

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Spatial distribution and determinants of intimate partner violence among reproductive-age women in Ethiopia: Spatial and Multilevel analysis

BMC Women s Health ◽

10.1186/s12905-021-01218-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Dessie Abebaw Angaw ◽

Alemakef Wagnew Melesse ◽

Bisrat Misganaw Geremew ◽

Getayeneh Antehunegn Tesema

Keyword(s):

Public Health ◽

Intimate Partner Violence ◽

Spatial Distribution ◽

Multilevel Analysis ◽

Partner Violence ◽

Intimate Partner ◽

Reproductive Age ◽

P Value ◽

Public Health Programs ◽

Reproductive Age Women

Abstract Background Intimate partner violence is a serious global public health problem particularly in low-and middle-income countries such as Ethiopia where women's empowerment is limited. Despite the high prevalence of intimate partner violence in Ethiopia, there is limited evidence on the spatial distribution and determinants of intimate partner violence among reproductive-age women. Exploring the spatial distribution of intimate partner violence is crucial to identify hotspot areas of intimate partner violence to design targeted health care interventions. Therefore, this study aimed to investigate the spatial distribution and determinants of intimate partner violence among reproductive-age women in Ethiopia. Methods A secondary data analysis was done based on the 2016 Ethiopian Demographic and Health Survey (EDHS) data. A total weighted sample of 6090 reproductive-age women were included in the study. The spatial scan statistical analysis was done to identify the significant hotspot areas of intimate partner violence. A multilevel binary logistic regression analysis was fitted to identify significant determinants of intimate partner violence. Deviance, Intra-cluster Correlation Coefficient (ICC), Median Odds Ratio, and Proportional Change in Variance (PCV) were used for model comparison as well as for checking model fitness. Variables with a p-value less than 0.2 were considered in the multivariable analysis. In the multivariable multilevel analysis, the Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) were reported to declare statistical significance and strength of association between intimate partner violence and independent variables. Results The spatial analysis revealed that the spatial distribution of intimate partner violence was significantly varied across the country (Moran’s I = 0.1007, p-value < 0.0001). The SaTScan analysis identified a total of 192 significant clusters, of these 181 were primary clusters located in the Benishangul-Gumuz, Gambella, northwest Amhara, and west Oromia regions. In the multivariable multilevel analysis; women aged 45–49 years (AOR = 2.79, 95% CI 1.52–5.10), women attained secondary education (AOR = 0.61, 95% CI 0.38–0.98), women in the richest household (AOR = 0.58, 95% CI 0.35–0.97), > 10 family size (AOR = 3.85, 95% CI 1.41–10.54), and high community women empowerment (AOR = 0.66, 95% CI 0.49–0.8)) were significantly associated with intimate partner violence. Conclusions Intimate partner violence among reproductive-age women had significant spatial variation across the country. Women's age, education status, family size, community women empowerment, and wealth status were found significant determinants of intimate partner violence. Therefore, public health programs should design targeted interventions in identified hot spot areas to reduce the incidence of intimate partner violence. Besides, health programmers should scale up public health programs designed to enhance women's autonomy to reduce the incidence of intimate partner violence and its consequences.

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Prevalence and associated factors of home delivery among women at Jimma town, Jimma Zone, Southwest Ethiopia

International Journal of Pregnancy & Child Birth ◽

10.15406/ipcb.2020.06.00207 ◽

2020 ◽

Vol 6 (4) ◽

pp. 114-119

Author(s):

Aynalem Yetwale ◽

Eneyew Melkamu ◽

Workiltu Ketema

Keyword(s):

Logistic Regression ◽

Antenatal Care ◽

Educational Status ◽

Home Delivery ◽

P Value ◽

Southwest Ethiopia ◽

Study Participants ◽

Jimma Town ◽

Institutional Delivery Service

Background: Maternal and child mortality and morbidity are higher during childbirth in developing countries compared to developed countries. Institutional delivery service utilization is indispensable to improve maternal and child health.However, the proportion of women utilizing institutional delivery service in Ethiopia is very low. In addition, little is known about factors contributing to home delivery. Objectives: To assess the prevalence of home delivery and associated risk factors at Jimma Town, Southwest Ethiopia. Methods: A community-based cross-sectional study was employed on 423 study participants. Data were collected by semi-structured questionnaire through face to face interview. A systematic sampling technique was used to select study participants. After cleaning and checking completeness of collected data, data was entered into Epi data version 3.3.1 software and exported to Statistical Package for the Social Science (SPSS) version 21.0 for analysis. Logistic regression was used to find out the association between explanatory and response variables. Explanatory variables which fulfill the assumption of logistic regression and had a P-value less than 0.25 from bi-variable logistic regression were considered for the multivariable logistic regression model. The strength of association was evaluated using odds ratio at 95% confidence interval (CI) and P-value < 0.05 was considered to declare significant associations. Results: The prevalence of home delivery in this study was 36.64% (n=155/423 and it had significant association with illiteracy AOR=2.7 [(95%CI); (1.37-5.43)], multi-gravida AOR=2.12 [(95%CI); (1.09-4.10)], history of antenatal care (ANC) follow up AOR=4.15 [(95%CI); (2.57-6.70)] and husband educational status AOR=13.5 [(95%CI); (2.86-63.62)]. Conclusion: The prevalence of home delivery in this study was high compared to world health organizational recommendation. Educational status of the mother, gravida, antenatal care follow up and husband educational status were factors that had a significant association. Women empowerment through educational opportunities, increase antenatal care follow up and male involvement in maternal health service are recommended

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Prevalence and associated factors of antenatal depression among women attending antenatal care follow up at Michu Clinic in Ayder Comprehensive Specialized Hospital, Mekelle, Tigray, Ethiopia 2019.

10.21203/rs.3.rs-22003/v1 ◽

2020 ◽

Author(s):

Birhane Gebrehiwot Beyene ◽

Gebrewahd Bezabhy Gebremichael ◽

Abreha Tsegay Gebreselassie

Keyword(s):

Antenatal Care ◽

Associated Factors ◽

Depressive Disorders ◽

Sampling Technique ◽

Antenatal Depression ◽

Cross Sectional Study ◽

Limited Attention ◽

P Value ◽

Cross Sectional ◽

Specialized Hospital

Abstract Background Antenatal depression is a serious mental health problem that can negatively affect the lives of women. Depressive disorders are not only common and chronic among women throughout the world but also the principal source of disability. The scarce information and limited attention to the problem might aggravate the consequence of the problem and can limit the intervention to be taken. So the purpose of the study is to determine the prevalence and associated factors of antenatal depression among women. Methods An institutional based cross sectional study was conducted by systemic random sampling technique among 203 pregnant women following Antenatal care at Michu clinic in Ayder Comprehensive Specialized Hospital from March to June 2019. An interviewer administered Beck Depression Inventory (II) questionnaire was used to assess individual’s depression condition after consent obtained from participants. Data was entered and analyzed by using statically package for social science version 22. Then bivariate regression with p-value ≤0.25 was entered in to multivariate regression with p-value

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Knowledge about Obstetric Danger Signs and Associated Factors among Antenatal Care Attendants

International Journal of Public Health Science (IJPHS) ◽

10.11591/.v6i1.6528 ◽

2017 ◽

Vol 6 (1) ◽

pp. 21

Author(s):

Tadele Girum ◽

Mulugeta Shegaze

Keyword(s):

Logistic Regression ◽

Antenatal Care ◽

Associated Factors ◽

Post Partum ◽

P Value ◽

Danger Sign ◽

Health Extension Workers ◽

Cross Sectional ◽

Obstetric Danger Signs ◽

Danger Signs

Knowledge of mothers about obstetric danger sign is the basic influencing factor for utilization of skilled maternal and neonatal cares which reduce maternal and new born mortality and morbidity. Therefore this study intended to assess knowledge about obstetric danger sign and identify associated factors among antenatal care attendants. Institutional based cross- sectional study was conducted from April to June 2015 among 358 randomly selected antenatal care attendants. Epi Info version 7 and SPSS version 20 software were used for data entry and analysis respectively. Logistic regression was run to look for the association between dependent and explanatory variables; and using variables which have p-value ≤ 0.25 binary logistic regression was fitted. Association presented in Odds ratio with 95% confidence interval and significance determined at P-value less than 0.05. Most of the respondents able to name some of the accepted danger signs. Two hundred eight (58%), 182(51%) and, 161(45%) of mother were knowledgeable for obstetric danger sign which could occur during pregnancy, at child birth and post-partum period respectively. The most mentioned dander signs were bleeding, retained placenta and prolonged labor. The factors that associated with Knowledge of obstetric danger signs were urban residence (AOR=2.6; 95% CI: 1.8, 4.2), being literate (AOR=2.54; 95% CI: 1.14, 5.76), multiparity (AOR 1.5; 95% CI: 1.14, 2.3) and being informed (AOR=3; 95% CI: 1.6, 6.4). The study showed that attendant’s knowledge was low. This could be averted through strategies designed to address women’s through health extension workers and health professionals.

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Disclosure of Intimate Partner Violence and Associated Factors among Victimized Women, Ethiopia, 2018: A Community-Based Study

International Journal of Reproductive Medicine ◽

10.1155/2020/6513246 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Liyew Agenagnew ◽

Bosena Tebeje ◽

Ruth Tilahun

Keyword(s):

Intimate Partner Violence ◽

Logistic Regression ◽

Partner Violence ◽

Associated Factors ◽

Quantitative Result ◽

Intimate Partner ◽

Wife Beating ◽

Single Type ◽

Multivariate Logistic Regression Model ◽

Community Based

Background. Disclosure is a vital step in the process of finding a lasting solution and breaking the abuse chain in a victim woman by the intimate partner. Objectives. This study is aimed at assessing the disclosure of intimate partner violence and associated factors among victim women in Dilla town, Gedeo Zone, South Ethiopia, 2018. Methods. A community-based cross-sectional study design triangulated with the qualitative method was employed. Data were collected from 280 women victims of intimate partner violence using pretested, structured, and interviewer-administered questionnaires. SPSS version 20.0 software was used for analysis. Binary logistic regression and a multivariate logistic regression model were fitted to assess the association between the independent and dependent variables. Qualitative data were collected through in-depth interviews and categorized into themes and triangulated with the quantitative result. Results. Half of the respondents (51%) disclosed intimate partner violence. Partner alcohol use (AOR=1.99; 95% CI:1.18, 3.34), women experiencing a single type of intimate partner violence (AOR=0.38, 95% CI: 0.17, 0.79), women having strong social support (AOR=2.52; 95% CI:1.44, 4.41), and women whose partners’ having primary (AOR=2.04; 95% CI:1.07, 3.9) and secondary education (AOR=2.16; 95% CI: 1.07, 4.33) were significantly associated with the disclosure of intimate partner violence as the qualitative result shows most of the women prefer their family to disclose and those who kept silent were due to economic dependency, societal norms towards wife beating, arranged marriage, and not getting the chance especially those who went to the hospital. Conclusion. Nearly 50% of victims of intimate partner violence women disclose intimate partner violence to others. Thus, it is needed for stakeholders to use their efforts to further increase the disclosure of violence and respect women’s rights and equality.

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The applicability of basic preventive measures of the pandemic COVID-19 and associated factors among residents in Guraghe Zone

PLoS ONE ◽

10.1371/journal.pone.0256598 ◽

2021 ◽

Vol 16 (8) ◽

pp. e0256598

Author(s):

Samuel Dessu ◽

Tadesse Tsehay ◽

Tadele Girum ◽

Abebe Timerga ◽

Mamo Solomon ◽

...

Keyword(s):

Public Health ◽

Logistic Regression ◽

Regression Model ◽

Family Size ◽

Associated Factors ◽

Logistic Regression Model ◽

Preventive Measures ◽

P Value ◽

Multivariable Logistic Regression Model ◽

Poor Knowledge

Introduction Internationally, countries have reacted to the COVID-19 outbreak by introducing key public health non-pharmaceutical interventions to protect vulnerable population groups. In response to COVID-19, the Government of Ethiopia has been taking a series of policy actions beyond public health initiatives alone. Therefore, this study was aimed to assess the applicability of basic preventive measures of the pandemic COVID-19 and associated factors among the residents of Guraghe Zone from 18th to 29th September, 2020. Methods Community based cross sectional study was conducted at Guraghe Zone from 18th to 29th September, 2020. Systematic random sampling method was applied among the predetermined 634 samples. Variables which had p-value less than 0.25 in bivariate analysis were considered as candidate for multivariable logistic regression model. P-value <0.05 was used as a cutoff point to determine statistical significance in multiple logistic regressions for the final model. Result In this study, 17.7% (95% CI: 14.7, 20.5) of the respondents apply the basic preventive measures towards the prevention of the pandemic COVID-19. In addition, being rural resident (AOR: 4.78,; 95%CI: 2.50, 8.90), being studied grade 1–8 (AOR: 3.70; 95%CI: 1.70, 7.90), being a farmer (AOR: 4.10; 95%CI: 1.25, 13.35), currently not married (AOR: 2.20, 95%CI: 1.24, 4.06), having family size 1-3(AOR: 6.50; 95%CI: 3.21, 3.35), have no diagnosed medical illness (AOR: 6.40; 95%CI: 3.85, 10.83) and having poor knowledge (AOR: 3.50; 95%CI: 1.60, 7.40) were factors which are statistically significant in multivariable logistic regression model. Conclusion Despite the application of preventive measures and vaccine delivery, the applicability of the pandemic COVID-19 preventive measures was too low, which indicate that the Zone is at risk for the infection. Rural residents, those who have lower educational level, farmers, non-marrieds, those who have lower family size, those who have diagnosed medical illnesses and those who have poor knowledge were prone to the infection with the pandemic COVID-19 due to the lower practice of applying the basic preventive measures. In addition, awareness creation should be in practice at all levels of the community especially lower educational classes and rural residents.

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