scholarly journals Determinant factors of maternal near miss in selected health facilities of Berak Woreda, Oromia national regional state, Ethiopia

2020 ◽  
Vol 6 (4) ◽  
pp. 131
Author(s):  
Bilal Abdulrazaq ◽  
Mulusew Getahun ◽  
Ahmed Mohammed ◽  
Shemsu Kedir ◽  
Negash Nurahmed ◽  
...  
Keyword(s):  
Sampling Technique ◽  
Simple Random Sampling ◽  
Health Facilities ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Outcome Variable ◽  
Obstructed Labor ◽  
Determinant Factors ◽  
Regional State ◽  
Maternal Health Policy

<p class="abstract"><strong>Background:</strong> Maternal near miss is one of the related concepts to maternal mortality where women survive merely by chance, luck, or by good hospital care. The present study was aimed to fill the prevailing knowledge gap on maternal near miss ratio and events and identify factors associated with near miss in selected health facilities of berak woreda. To determine associated factors of maternal near miss in selected health facilities of Berak woreda, Oromia national regional state, Ethiopia.  </p><p class="abstract"><strong>Methods:</strong> Institutional based case control study was conducted in selected health facilities of barek woreda to asses determinant factors of maternal near miss among delivered women. Data of 1272 (344 cases and 928 controls) women were included in the analysis registered from 11 September 2014 to 30 March 2018. Cases were women due to severe acute maternal morbidity while controls were women for normal labor. Simple random sampling technique was used in the delivery unit. The data were collected using WHO standard tool. Data were entered using epi data version 3.1 and exported to SPSSV.20 for data analysis.  </p><p class="abstract"><strong>Results:</strong> Majority of cases were due to obstructed labor 270 (78.8%) followed by hemorrhage 33 (9.6%), preeclampsia 29 (8.14%), abortion 6 (1.74%), anemia 3 (0.87%), congenital heart disease 2 (0.58%) and gestational infection 1 (0.29%).</p><p><strong>Conclusions:</strong> Independent variables residence, duration of labor, ANC utilization, past obstetrics complication and number of live births were statistically significant with the outcome variable near miss. Maternal health policy needs to be concerned preventing major cause of near miss.</p><strong id="tinymce" class="mceContentBody " dir="ltr"><em></em></strong>

scholarly journals Determinants of stillbirths among women who gave birth at Hawassa university comprehensive specialized hospital, Hawassa, Sidama, Ethiopia 2019: a case-control study

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Rekiku Fikre ◽  
Samuel Ejeta ◽  
Taye Gari ◽  
Akalewold Alemayhu
Keyword(s):  
Case Control Study ◽  
Sampling Technique ◽  
Positive Association ◽  
Simple Random Sampling ◽  
Case Control ◽  
Obstructed Labor ◽  
Specialized Hospital ◽  
Prolonged Labor ◽  
Hawassa University ◽  
Control Study

Abstract Background Globally over 2.6 million pregnancy ends with stillbirth annually. Despite this fact, only a few sherds of evidence were available about factors associated with stillbirth in Ethiopia. Therefore, the study aimed to spot factors related to stillbirth among women who gave birth at Hawassa University Comprehensive Specialized Hospital Hawassa, Sidama Ethiopia, 2019. Methods Facility-based unmatched case-control study was conducted at Hawassa University Comprehensive Specialized Hospital. Cases were selected using simple random sampling technique and controls were recruited to the study consecutively after every case selection with case to control ratio of 1 to 3. Data were coded and entered into Epi-data version 3.1 and exported to SPSS version 24 for analysis. Results A total of 106 cases and 318 controls were included in the study. Number of antenatal care visit [AOR = 0.38, 95% CI (0.15, 0.95)], lack of partograph utilization [AOR = 4.1 95% CI (2.04, 10.5)], prolonged labor [AOR = 6.5, 95% CI (2.9, 14.4)], obstructed labor [AOR = 3.5, 95% CI (1.5, 9.4)], and congenital defect [AOR = 9.7, 95% CI (4.08, 23.0)] were significantly associated with stillbirth. Conclusion Absence of partograph utilization, prolonged labor, obstructed labor, antepartum hemorrhage and congenital anomaly were found to have positive association with stillbirth.

scholarly journals Karakteristik Ibu Hamil yang tidak Melakukan Kunjungan Ulang Pemeriksaan Kehamilan Keempat (K4)

2018 ◽  
Vol 11 (1) ◽  
pp. 40
Author(s):  
Ranny Septiani Septiani
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Health Facilities ◽  
Maternal Health Service ◽  
Cross Sectional ◽  
Low Education ◽  
Repeat Visit ◽  
Home Living

<p><strong><em>Background:</em></strong><em>Background. The indicator used to describe the failure of the maternal health service program is the coverage of the examination of pregnant women on health services as measured by the first pregnancy visit  and the fourth pregnancy visit. <strong>Purpose:</strong> This study purposes to describe the characteristics of pregnant women who did not re-visit the fourth pregnancy checkup  at the Bungin Health Center in West Lampung Regency. <strong>Method:</strong> This study is a descriptive study with a cross sectional approach. The research sample was 152 pregnant women taken using simple random sampling technique. The variables studied were age, education, employment, parity and distance of home to health facilities. Data collection was sourced from cohorts of pregnant women who were analyzed univariately to see the proportion of mothers who did not do fourth repeat visit. <strong>Result:</strong> Pregnant women who did not make a fourth repeat visit with the highest characteristics were at high risk of 67%, low education was 48%, not working 70% of people, primiparous and multiparous were 42%, and had a distance from home living near health facilities 67.1% of people. <strong>Conclusion:</strong> The tendency of pregnant women not to make a fourth pregnancy visit with characteristics of high-risk age, low education, unemployment, primiparas and multiparas.</em></p>

scholarly journals THE ROLE OF PUNJAB RURAL SUPPORT PROGRAMME IN PROVIDING HEALTH FACILITIES TO RURAL WOMEN;

2018 ◽  
Vol 21 (05) ◽  
pp. 1033-1038
Author(s):  
Ayesha Riaz ◽  
Sher Muhammad ◽  
Ijaz Ashraf ◽  
Aisha Siddique ◽  
Khalid Mahmood Ch
Keyword(s):  
Social Services ◽  
Rural Women ◽  
Rural Areas ◽  
Health Workers ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Total Sample ◽  
Health Facilities ◽  
Poor People

Despite the fact that women account for more than half of the total worldpopulation, they are still not considered equal to men. The health of rural women in Pakistanis very poor because of the lack of health services and competent health workers. Besidesgovernment health centres, hospitals and many Non-Governmental Organizations (NGOs)are also working in the rural areas for providing social services to rural women. Punjab RuralSupport Programme is also working for socio-economic empowerment of rural women. PRSPbegan to provide health facilities to the poor people in villages through Basic Health Units(BHUs). Objectives: To analyze the role of PRSP in providing health facilities to women in ruralarea. Design: A multistage simple random sampling technique was used for the study. Setting:District Faisalabad. Material & Methods: The population for the study consisted of rural womenonly who were members of the Community Organizations (COs) of PRSP. Out of the eight townsof district Faisalabad, four towns which cover rural areas (Samundri, Iqbal town, Jaranwala,and Chak Jhumra) were selected. Four field units of PRSP are working in these four towns i.e.Salarwala in Chak Jhumra, Satiana in Jaranwala, Khidarwala in Samundri, and Dijkot in IqbalTown. These field units had 214, 203, 170 and 238 female COs, respectively. A sample of 10%COs was selected from each field unit randomly. Thus the total selected COs were 82. Fivemembers from each CO were selected at random. In this way the total sample size for the studywas 410 respondents. A reliable and validated data collection instrument consisting of openand close ended questions was used. The data were analyzed using SPSS. It was concludedthat respondents were satisfied with certain facilities like availability of female doctors in BHUs,availability of medicines and availability of competent and qualified paramedics. Provision ofbasic tests (blood, sugar, pregnancy and haemoglobin etc.) was very weak area which neededmuch improvement. Conclusions: It was also concluded that respondents were satisfied withthe behaviour of staff at BHUs. However, provision of basic medical equipment needed attentionfrom the authorities.

scholarly journals Analysis of Obstetric Near Miss Cases of Different Health Facilities of Electoral Constituency Two of Arghakhanchi District

2014 ◽  
Vol 9 (2) ◽  
pp. 38-41
Author(s):  
S R Manandhar ◽  
D S Manandhar ◽  
D Adhikari ◽  
J R Shrestha ◽  
C Rai ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Health Facility ◽  
Post Partum ◽  
Placental Tissue ◽  
Health Facilities ◽  
Near Miss ◽  
Common Complication ◽  
Obstructed Labor ◽  
Health Facility Staff ◽  
Facility Staff

Aims: This study was done to identify and analyze obstetric near miss cases at health facilities of electoral constituency number 2 (EC 2) of Arghakhanchi district, Nepal. Methods: After receiving one day training on identifying obstetric near miss cases, health facility staff of EC 2 of Arghakhanchi district filled up WHO derived obstetric near miss forms for eight months duration. Causes of obstetric near miss cases were identified and analyzed in SPSS 16. Results: There were 31 obstetric near miss cases reported from different health facilities of EC 2 of Arghakhanchi. The commonest cause of obstetric near miss was Post-partum Hemorrhage (85%, n=26) followed by obstructed labor and ante partum hemorrhage (6%, n= 2) each. The leading cause of PPH was retained placenta/placental tissue in 55% cases (14) followed by atonic uterus (27%, n= 7). Two fifth of the mothers (39%, n=12) developed complication during labor. The most common complication developed after labor was hemorrhage. Conclusions: This study highlighted PPH as the most common serious obstetric problem in the health facilities and indicates the need for provision of blood transfusion at the health facility at least at Arghakhanchi. DOI: http://dx.doi.org/10.3126/njog.v9i2.11760

scholarly journals Traditional Birth Attendants and Childbirth in Kenya

2018 ◽  
Vol 6 (5) ◽  
pp. 1-18
Author(s):  
Paschalia Mbutu ◽  
Wanjiru Gichuhi ◽  
Grace Nyamongo
Keyword(s):  
Pregnant Women ◽  
Sample Size ◽  
Group Discussion ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Health Facilities ◽  
Traditional Birth Attendants ◽  
Birth Attendants ◽  
Interview Guide ◽  
At Home

The first objective of this research was to explore the role played by traditional birth attendants (TBAs) during pregnancy and childbirth. The second objective was to establish perspectives of pregnant women regarding the role played by TBAs during childbirth. Eight TBAs out of 12 were selected using simple random sampling technique. These 8 TBAs were drawn from the environs of 10 sampled health facilities. To calculate the sample size for the pregnant women to be interviewed about their perspectives towards TBAs from the 10 sampled health facilities , this formula was used, 1230 x 15/100=184.5 rounded up to 185. According to 2009 census, the population of women at child bearing age (15 – 49 years) was 1230 in Kitui West Sub-County (KNBS et al.; 2009). The final sample size for pregnant women was 187 as shown under the discussion on sampling techniques. An in depth individual interview guide was used to gather information from the 8 TBAs and 165 pregnant women. Unstructured interview guide was used to gather information from 22 respondents who formed focus group discussion (FGD). To make a meaning from the raw data, it was transcribed and emerging themes and patterns according the objective of the study were picked. The Chi-square test analysis showed that more than a half of the women preferred to deliver at home assisted by a TBA. (χ2=1.572; df=2; p=0.036) where p=0.05. This was confirmed by the fact that 37 percent out of 135 respondents who attended ANC clinic and 90 percent out of 30 respondents who did not attend ANC clinic delivered at home assisted by TBAs.

scholarly journals The Influence of Demographic Factors on Teachers’ Instructional Practices and Challenges in Including Students with Visual Impairment in Government Secondary Schools of Harari Region

2019 ◽  
Vol 7 (3) ◽  
pp. 19
Author(s):  
Paulos Dea ◽  
Dawit Negassa
Keyword(s):  
Secondary Schools ◽  
Instructional Practices ◽  
Teaching Strategies ◽  
Survey Design ◽  
Demographic Factors ◽  
Teaching Experience ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Regional State ◽  
The Government

The purpose of this study was to examine the influence of demographic factors on instructional practices and challenges teachers face in teaching students with visual impairments in the government secondary schools of Harari regional state. A quantitative method with a survey design was employed. The sample consisted of 100 (with 95% response rate) participants selected using simple random sampling technique. Data was collected using questionnaire in the form of Likert scale. Frequencies, percentages, means, standard deviation, independent t-test and One-Way ANOVA were used to analyze the data. The study revealed that teachers’ level of qualification has implications to the instructional practices, namely their collaboration with other professionals, classroom supplies and equipment and teaching strategies. Teachers with training on inclusive or special needs education were found to use more specialized or individualized teaching strategies in the classroom for SVI than those who did not have training. Furthermore, years of teaching experience was found to influence teachers’ collaboration with other professionals. Teachers with bachelor’s degree and MA/MSc holders were found to face more challenges in adapting teaching strategies, materials and identifying the needs of SVI compared to teachers with diploma holders. The study concluded that the identified demographic factors were found to influence at least one of the teachers’ instructional practices in inclusion of SVI. The study concluded that teachers’ level of qualification has an influence on the challenges they face in teaching SVI in the government preparatory and secondary schools of Harari regional state.

scholarly journals Low Knowledge and Lack of Awareness Regarding the Mass Drug Administration Health Promotion as the Determinant Factors in Non-Compliance to the Mass Drug Administration Health Program

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Nissa Noor Annashr ◽  
Icca Stella Amalia ◽  
Hoa Thi Phuong Dinh
Keyword(s):  
Health Promotion ◽  
Family Support ◽  
Drug Administration ◽  
Mass Drug Administration ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
P Value ◽  
Fisher Exact Test ◽  
Cross Sectional ◽  
Determinant Factors

From the total population of the community in Kuningan District, 78.61% were taking filariasis drugs in the Mass Drug Administration (MDA) program in 2017. Cilimus Subdistrict became a filariasis-endemic area in Kuningan with 72.39% of the MDA program coverage in 2017 (government target >86%). The purpose of this study was to analyze the determinant factors of compliance with the MDA program. The study was an analytical study with a cross-sectional design and conducted from May to June 2018. The sample of 106 people was taken from the population living in Cilimus Subdistrict, Kuningan District, using a simple random sampling technique. Independent variables were collected by a constructed questionnaire included age, education level, knowledge, attitude, health promotion, and family support. A questionnaire also measured compliance with MDA as a dependent variable. Data analysis consisted of univariate, bivariate (chi-square and Fisher exact test), and multivariate analyses (multiple logistic regression). The results showed that the variables of knowledge, attitude, MDA health promotion, and family support influence compliance with the MDA (p-value < 0.05). Low knowledge and unawareness of the MDA health promotion proved to be the dominant factors in non-compliance with the MDA program.

scholarly journals Rethinking the definition of maternal near‐miss in low‐income countries using data from 104 health facilities in Tanzania and Uganda

2019 ◽  
Vol 147 (3) ◽  
pp. 389-396 ◽  
Author(s):  
Andrea B. Pembe ◽  
Atsumi Hirose ◽  
Fadhlun Alwy Al‐beity ◽  
Susan Atuhairwe ◽  
Jessica L. Morris ◽  
...  
Keyword(s):  
Low Income ◽  
Health Facilities ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Low Income Countries ◽  
Using Data ◽  
Definition Of

scholarly journals The Trend of Malaria Cases, Positivity Rate, and Determinant Factors in the Amhara Regional State, Ethiopia: A Mixed Method

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Chalachew Yenew ◽  
Sileshi Mulatu ◽  
Asaye Alamneh
Keyword(s):  
Qualitative Content Analysis ◽  
Malaria Incidence ◽  
Indoor Residual Spraying ◽  
Malaria Diagnosis ◽  
Sampling Technique ◽  
Poor Performance ◽  
Determinant Factors ◽  
Proportional Allocation ◽  
Treatment And Prevention ◽  
Regional State

Objectives. The objectives of this study were to evaluate the trend of malaria cases and test positivity rate and explore determinant factors in the Amhara Regional State, Ethiopia. Methods. A mixed study design (retrospective record data review and case study) was employed among 67 malaria officers from all zones in the region by using proportional allocation and the 1995 to 2020 malaria document review. 1995 to 2020 trend analysis was conducted using RStudio-1.2.5033. Vignette Focus Group Discussions (FGDs) were used to dig the possible factors for malaria case buildup using the purposive sampling technique, and a qualitative content analysis was used. Results. The overall mean test positivity rate (TPR) was 21.9%, and about 80% of the land of the region was malarious, and 68% of the population was at risk of malaria in the study area from the data records of 1995 to 2020. The year 2012 to 2016 had the peak confirmed malaria cases, while the year 2016 to 2018 dramatically reduced followed by an increase in 2019/2020. The vignette FGDs identified that poor performance on Larval Source Management (LSM) and net utilization, no stock of some antimalarial medicine and supply, quality of malaria diagnosis services, the low commitment of leaders, and climatic anomalies facilitated surge of the disease in 2019/2020. No real accountability at all levels, low coverage of targeted vector control interventions, resource constraint, data quality and use for informed decision making, security issues and Internally Displaced Population (IDP) in various parts of the country, and the COVID-19 pandemic were the possible causes for case buildup. Conclusions. This result revealed that the malaria incidence rate showed a remarkable decline. However, the average TPR was 21.9%. Hence, it provided the ongoing feedback, mass fever test and treatment, training to health professionals, and ongoing supportive supervision (SS) and mentorship, improved net utilization and indoor residual spraying (IRS) operation and close follow-up and conducted sensitization workshop, spot messages were transferred through mass media, and temporary case treatment and prevention centers at farm sites established may surpass the threshold of malaria.

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