scholarly journals Uptakes and associated factors of postpartum family planning in southern Ethiopia: A cross-sectional study

2021 ◽  
Vol 8 (3) ◽  
pp. 388-396
Author(s):  
Dubale Dulla Koboto ◽  
Sintayehu Assefa
Keyword(s):  
Family Planning ◽  
Associated Factors ◽  
Contraceptive Use ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
First Year ◽  
Sectional Study ◽  
Cross Sectional ◽  
Postpartum Family Planning

Post-partum family planning aims to prevent unintended pregnancy within the first year postpartum. Closely spaced pregnancy within the first year of post-partum (PP) is associated with higher risk of preterm birth, low birth weight or small for gestational age. However, the perceived uptakes of postpartum contraceptives is very low. The intention of this study was determine uptakes and associated factors of postpartum family planning in southern Ethiopia. The study was conducted in Hawassa city administration which is the capital of SNNPR. Community based cross-sectional study was employed women who gave birth in the last 12 months before survey. Data was collected using structured questionnaire proceeding informed verbal consent. Logistic regression model was used to identify associations between variables and findings were presented by tables and figures. The prevalence of current post-partum contraceptive use was 85.1%. After adjusting for covariates; the odds of using postpartum contraceptive were 1.31 times, 12.13 times, 5.17 times, 10.77 time and 4.69 times higher among women with, knowledge about advantages and side effects of contraceptives, partner support for contraceptive use, previously contraceptive use and not returned period respectively with (P <0. 05).uptakesofpostpartum contraceptives in Hawassa city administration was promising. Detailed counseling about postpartum contraceptive use, could assist equipping women with knowledge of family planning methods; empowering them to be decisive in the health and positivity of male partners are very crucial to promote postpartum use of contraceptives.

scholarly journals Postpartum Family Planning Utilization and Associated Factors among women who gave birth in the past 12 months, Hawassa Town, Southern Ethiopia: a community based cross-sectional study

2020 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Family Planning ◽  
Postpartum Period ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Modern Contraceptive ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Immunization Service ◽  
Postpartum Family Planning

Background: Addressing family planning in the postpartum period is crucial for better maternal, neonatal and child survival because tenable women to achieve healthy interval between births. Many women do not realize that they are at a risk for pregnancy during this period. Thus, the objective of this study was to assess the utilization of postpartum family planning services among postpartum women and associated factors in Hawassa, Ethiopia. Methods: A community based cross-sectional study was conducted among 381 women in Hawassa City from April to May 2018 in Hawassa City. Study subjects were selected by systematic random sampling technique. Structured questionnaire was used to collect the data through interview. Data analyzed by SPSS 20. Multi-variable logistic regression was used and significance declared at p-value ≤ 0.05. Results: The prevalence of contraceptive utilization was found to be 147 (38.6%) among women in the postpartum period. The majority of current contraceptive users were injectable (35.4%).The odds of postpartum family planning utilization was statistically significantly associated with received FP education after delivery at immunization service [AOR=4.11; 95% CI ; 2.143,7.864 ], mothers’ discussion with husband on family planning issue [AOR=9.7; 95% CI;4.15, 22.6], Family planning problem [AOR=0.5;95% CI; 0.28,0.89 ], 0-6 month of postnatal period [AOR=0.23; 95% CI;0.124, 0.430] and 1-4 number of pregnancy [AOR=0.05; 95% CI; 0.0124, 0.170] History of abortion [AOR=0.23; 95% CI;0.124, 0.430] . Conclusion: Postpartum family planning use is still low. Consequently, this finding implies the need to get better with those factors to enhance the uptake of postpartum modern contraceptive through well-organized family planning education and follow up for the reproductive age women.

scholarly journals Concordance of Mother-Child (6–23 Months) Dietary Diversity and Its Associated Factors in Kucha District, Gamo Zone, Southern Ethiopia: A Community-Based Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Tesfaye Guja ◽  
Yabsira Melaku ◽  
Eshetu Andarge
Keyword(s):  
Associated Factors ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
World Health ◽  
Southern Ethiopia ◽  
Food Groups ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Mothers And Children

Meeting minimum standards of dietary quality in mothers and children is a challenge in many developing countries including Ethiopia. Emerging evidence suggests that maternal and child dietary diversity is associated, but little is known about the associated factors of concordance of mother-child dietary diversity in Ethiopia and none is documented in the study area. This study examines the concordance between mother-child (6–23 months) dyads dietary diversity and the associated factors in Kucha District, Gamo Zone, Southern Ethiopia. A community-based cross-sectional study was conducted among 791 mother-child (6–23 months) pairs from 11 selected kebeles on March 6 to April 13, 2017. Multistage cluster sampling technique was used to select the study subjects. The sampling frame was obtained from the family folder of health posts in each kebele. The mother-child pairs were selected by the simple random sampling method. The 7 food groups of the World Health Organization (WHO) for children and the 10 food groups of FANTA/FAO 2016 for mothers were used to analyze the dietary diversity. Cohen’s kappa statistics was calculated to see the strength of concordance. The multivariable logistic regression model was fitted to determine factors affecting mother-child dietary diversity concordance. A good concordance was noted between mother-child dietary diversity scores (Kappa = 0.43). Only 56 (7.1%) mothers were negative deviants, and 133 (16.8%) mothers were positive deviants in dietary diversity consumption. Rural residence (AOR = 3.49; 95% CI: 1.90–6.41), having no formal education (AOR = 1.8; 95% CI: 1.08–3.05), not owning milking cow (AOR = 1.7; 95% CI: 1.10–2.56), children with low dietary diversity (AOR = 8.23; 95% CI: 5.17–13.08), and mothers with low dietary diversity (AOR = 0.46; 95% CI: 0.29–0.74) were found to be factors associated with mother-child dietary diversity concordance. An increase in the percentage of children reaching the minimum dietary diversity was greater with a successive increase in maternal dietary diversity. Despite interesting similarities between mothers and children dietary consumption, more than three-quarters of concordants did not achieve the recommended dietary diversity score (were low concordants). Interventions targeting on rural women’s access to high school education, home-based milking cow rearing, and promoting nutrition-sensitive agriculture to meet the dietary requirements of mothers and children in a sustainable manner and public health efforts to improve child nutrition may be strengthened by promoting maternal dietary diversity due to its potential effect on the entire family.

Management Outcome of Uterine Rupture and Associated Factors in Yirgalem General and Teaching Hospital, Southern Ethiopia: A Cross-Sectional Study

2019 ◽  
Author(s):  
Achamyelesh Tekle ◽  
Hailemichael Hagos ◽  
Kebede Tefera
Keyword(s):  
Teaching Hospital ◽  
Uterine Rupture ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Sectional Study ◽  
Cross Sectional ◽  
Prolonged Duration ◽  
Poor Management

Abstract Background Uterine rupture is dropped significantly in the developed world. However, it is still a major public health problem in developing countries including Ethiopia. The aim of this study was to assess management outcome of uterine rupture and its associated factors in Yirgalem General and teaching Hospital of southern Ethiopia. Methods An institution based cross-sectional study was conducted. All records of uterine rupture managed in Yirgalem general and teaching hospital between January 1, 2012, and December 30, 2017, were reviewed. Data were collected using a checklist. Descriptive statistics and logistic regression analyses were done. Results A total of 331 cases of mothers who managed for uterine rupture were included in the study. 235 (71%) of them had a poor management outcome. Wound site infection 131 (39.6%) and anemia 129 (39%) where the common post-operative complications. There were 13 (4%) maternal death and 320 (96.7%) neonatal death. Lack of antenatal care follow up (adjusted odds ratio (AOR) =2.2, 95% CI: 1.1-4.5), prolonged duration of labor more than 24hr (AOR=3.6; 95% CI: 1.7-7.4), patients presented with sepsis (AOR=2.9; 95% CI: 1.4-6.1), mothers who did not transfuse for blood during the case scenario (AOR=4; 95% CI: 2.1-7.9) and prolonged intra operative time (AOR=5.5; 95% CI: 2.8-10.8) were factors associated with poor management outcome of uterine rupture. Conclusion Poor management outcome of uterine rupture was high in the study area as compared to other studies. Lack of ANC follow up, longer duration of the surgical procedure, prolonged duration of labor, lack of blood transfusion and pre and postoperative complications are associated with poor management outcome. Therefore, proper ANC and early identification of the high-risk groups can prevent and decline the occurrence of uterine rupture and that enhance good outcome.

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