scholarly journals Prevalence of Ceserean Section and Associated Factors in University of Gondar Comprehensive Referal Hospital, North West Ethiopia, 2019

2019 ◽  
Author(s):  
Abayneh Aklilu Solomon
Keyword(s):  
Cesarean Section ◽  
Associated Factors ◽  
Educational Status ◽  
Referral Hospital ◽  
University Hospital ◽  
World Health ◽  
North West ◽  
North West Ethiopia ◽  
Heart Rate Pattern

Abstract Abstract Objective: cesarean section is the delivery of the fetus, placenta, and membranes through an incision on the abdominal and uterine walls after the fetus has reached viability. The world health organization (WHO) suggests the cesarean section (CS) rate between 5%-15%. Evidence suggested that the rate of CS is high in developing countries including Ethiopia. So the aim of this study was to assess the prevalence and associated factors of cesarean section in the University of Gondar comprehensive referral hospital, North West Ethiopia, 2019 Result: The overall prevalence of cesarean section in Gondar university hospital was 29.7%. The most common indications of CS were non-reassurance fetal heart rate pattern (NRFHP) (17.8%) which was followed by previous CS scar (15.9%) and severe preeclampsia (12.1 %). Factors such as maternal educational status (AOR 2.89, CI (1.278-6.56), gravidity (AOR 3.259 CI (1.484-7.160), Ante Natal care (ANC) follow up (AOR 0.248, CI (0.083-0.739) and number of ANC follow up (AOR 5.17 CI (1.48-18.03) were associated with CS. Keywords: prevalence, Caesarean section, University of Gondar Referral Hospital, laboring mothers, Ethiopia.

scholarly journals Magnitude of visual impairment and associated factors among patients attending ophthalmic clinics of Debre Markos referral hospital, north West Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Haimanot Abebe ◽  
Fasil Wagnew ◽  
Haymanot Zeleke ◽  
Bitew Tefera ◽  
Shegaw Tesfa ◽  
...  
Keyword(s):  
Visual Impairment ◽  
Associated Factors ◽  
Care Service ◽  
Referral Hospital ◽  
Multivariable Logistic Regression Analysis ◽  
North West ◽  
Rural Residency ◽  
North West Ethiopia ◽  
Debre Markos ◽  
Study Participants

Abstract Background Globally, visual impairment affects about 285 million (4.25%) people, of those, 266.4 million were adults aged 18 years and above. Ethiopia is one of developing countries estimated to have high prevalence of visual impairment which have an enormous socio-economic impact. Also there is limited available information regarding with the magnitude of visual impairment among adults in our country at large and east Gojjam zone in specific. Therefore the aim of this study was to assess the magnitude of visual impairment and its associated factors among patients attending Debre Markos Referral Hospital ophthalmic clinics in east Gojjam zone, North West Ethiopia. Methods An institutional-based cross-sectional study was conducted at Debre Markos Referral Hospital which is the only hospital in east gojjam zone with ophthalmic care service from March 1 to 30, 2020 by using systematic random sampling technique to select study participants after informed consent was obtained. Data were collected by interview with 5% pretested, structured questionnaire and ocular examinations. Data were cleaned, coded and entered to Epi-data version-3.1, and analyzed using Statistical Package for Social Science software version 26. The descriptive statistics was presented in tables, text and graphs. Bivariable and multivariable logistic regression analysis to identify factors associated with visual impairment was conducted. Covariates with P-value < 0.05 were considered statistically significant. Results A study was conducted among 312 study participants with 96% response rate. The magnitude of visual impairment was 114 (36.5%) [95% CI, (33.8, 39.2%)]. Age > 50 years [AOR = 3.82; 95% CI (1.56, 9.35)], rural residency [AOR = 4.33 95% CI (1.30, 14.44)], inability to read and write [AOR = 3.21; 95% CI (1.18, 8.73)] and Cataract [AOR = 4.48; 95% CI (1.91, 10.52)] were factors significantly associated with visual impairment. Conclusions The overall magnitude of visual impairment was found to be high. Older age, rural residency, inability to read and write and cataract were associated with visual impairment. Increasing literacy, expanded cataract surgery, as well as community based visual acuity screening especially for elders and rural residents is crucial. Zonal police makers should give emphasis on prevention of visual impairment to decrease economic, social and political burden of visual disability.

scholarly journals Knowledge, attitude and preventive practice towards COVID-19 and associated factors among outpatient service visitors at Debre Markos compressive specialized hospital, north-west Ethiopia, 2020

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0251708
Author(s):  
Bekele Taye Feleke ◽  
Mengistu Zelalem Wale ◽  
Mesenbet Terefe Yirsaw
Keyword(s):  
Associated Factors ◽  
Outpatient Service ◽  
Educational Status ◽  
Rural Residence ◽  
Poor Knowledge ◽  
North West ◽  
Attitude And Practice ◽  
Specialized Hospital ◽  
North West Ethiopia ◽  
Knowledge Attitude And Practice

Background COVID-19 is an emerging infectious disease which is a major public health problem worldwide. Given the serious threats imposed by COVID-19 and the absence of vaccines until August 2020, preventive measures play an essential role in reducing infection rates and controlling its spread. This shows the necessity of public adherence for preventive and control measures, which is affected by their knowledge, attitudes, and practices. Objective This study aimed to determine knowledge, attitude, and practice (KAP) towards COVID-19 and associated factors among outpatient service visitors, Debre Markos compressive specialized hospital, north-west,Ethiopia. Method Institutional-based cross-sectional study design with a systematic random sampling technique was conducted from July to August 2020. Among a total of 404 participants, 398 were recruited. Data were collected using a structured questionnaire. The data was edited, coded, and entered into Epi data version 4.6 and exported to SPSS-25 for analysis. Bivariable and multivariable logistic regression models were employed to identify factors associated with KAP. A p-value of <0.05 was considered statistically significant. Result The prevalence of poor knowledge, attitude and practice among the outpatient service visitors were 27.1%, 30.7% and 44%, respectively. The mean age of the participants was 33.4 ±10.9 years. Variables like; educational status, ‘‘can’t read and write” [AOR = 3.76, 95% CI (1.36–10.42), P = 0.01], read and write [AOR = 5.90, 95% CI (2.39–14.98), P = 0.01], rural residence [AOR = 3.04, 95% CI (1.43–6.46), P = 0.01] and having no television [AOR = 0.8, 95% CI (0.79–0.89), P = 0.03] were significantly associated with poor knowledge. While, educational status of “can’t read and write”, [AOR = 6.71, 95% CI (2.78–16.16), P = 0.01] and rural residence [AOR = 2.03, 95% CI (1.14–3.61), P = 0.02] were significantly associated with poor attitude. Additionally, poor knowledge, [AOR = 22.73, 95% CI (10.5–49.21), P = 0.01], rural residence [AOR = 2.08, 95% CI (1.08–4.88), P = 0.04] and having no television [AOR = 2.24, 95% CI (1.05–4.79), P = 0.01] were significantly associated with poor practice. Conclusion In this study, knowledge, attitude, and practice among outpatient service visitors was poor which needs targeted health education and interventions from the health professional to enhance their knowledge, attitude, and practice towards COVID-19. In parallel with this, special attention should be given for the rural community and for those with an educational status of can’t read and write.

scholarly journals Cultural malpractices during labor/delivery and associated factors among women who had at least one history of delivery in selected Zones of Amhara region, North West Ethiopia: community based cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Misganaw Fikrie Melesse ◽  
Yibelu Bazezew Bitewa ◽  
Kumneger Nigussie Dessie ◽  
Demeke Binalf Wondim ◽  
Tefera Marie Bereka
Keyword(s):  
Educational Status ◽  
Cross Sectional Study ◽  
Labor And Delivery ◽  
Community Based ◽  
Cross Sectional ◽  
North West ◽  
Pregnancy And Childbirth ◽  
North West Ethiopia ◽  
History Of

Abstract Background Every day, at least 810 women die worldwide from the complications of pregnancy and childbirth, 86% of which occurring in Southern Asia and Sub-Saharan Africa. One of the contributing factors for these problems is cultural malpractices during pregnancy and childbirth. The actual incidence of cultural malpractices in developing countries accounts for about 5–15% of maternal deaths. Thus, understanding the link between cultural affairs and maternal health is critical to saving the lives of women and their babies. Therefore, this research was aimed to assess cultural malpractices during labor and delivery and associated factors among women who had at least one history of delivery in selected Zones of the Amhara region, North West Ethiopia. Method Community based cross-sectional study was conducted on women who had at least one delivery history in Awi, West, and East Gojjam Zones from January 1 to May 30, 2020. The multistage cluster sampling technique was used to select 845 study participants. Data was collected through a pre-tested and structured interview questionnaire, entered and cleaned using EPI info version 7.2, and exported to SPSS version 23 for analysis. Bivariable and multivariable logistic regression was employed to assess the association of the variables and a P-value less than 0.05 was declared as statistically significant. Result Out of 845 women 162(19.2%) practiced nutritional taboo, 77(9.1%) women practiced abdominal massage and 273(32.3%) delivered their babies at home. Educational status of the respondents being un able to read and write (AOR = 14.35,95% CI: 3.12,65.96), husband's educational status (AOR = 3.80,95% CI: 1.24,11.64), residence (AOR = 2.93,95% CI: 1.41: 6.06), ethnicity (AOR = 2.20,95% CI:1.32, 3.67), pregnancy complications (AOR = 1.61,95% CI:1.02, 2.53), gravidity (AOR = 3.54,95% CI:1.38,9.08) and antenatal care follow up (AOR = 2.24, 95% CI:1.18,4.25) had statistically significant association with cultural malpractices during labor and delivery. Conclusion This study showed that cultural malpractices during childbirth were high in Awi, West, and East Gojjam Zones relative to the country's maternal health service utilization plan. Working on antenatal care follow-up and women and husband education in a culturally acceptable manner may reduce cultural malpractices during labor and delivery.

Utilization of institutional delivery service and associated factors among women who gave birth in the last 12 months in Gondar town, North West Ethiopia, 2019.

2019 ◽  
Author(s):  
Getie Lake Aynalem ◽  
Bekalu Zelalem Desta ◽  
Elul Simeneh Abiy ◽  
Wolidesemait Kitaw Mekonnen ◽  
Muluken Adamu Beyene
Keyword(s):  
Health Care Providers ◽  
Associated Factors ◽  
Institutional Delivery ◽  
Educational Status ◽  
Care Providers ◽  
Health Extension Workers ◽  
North West ◽  
Gondar Town ◽  
North West Ethiopia ◽  
Average Monthly Income

Abstract Abstract Objective: The aim of this study was to assess magnitude of institutional delivery utilization and associated factors among mothers who gave birth in the last 12 months in Gondar town, North West Ethiopia, 2019. Results: The proportion of institutional delivery utilization in this study was found to be 85.9%. Variables which were positively associated with the response variable were: Residence of the mother (AOR=3.2, 95% CI: 1, 6.4), Experience of previous bad obstetrics history (AOR=2.3, 95% CI: 1.2, 4.7), Ownership for source of information like TV/radio (AOR=3.3, 95% CI: 1.9, 5.9), Maternal educational status (AOR=17.3 95% CI: 4.2, 71.2) and average monthly income greater than 160.7 USA dollars (AOR=2.4, 95% CI: 1.1, 5.3). Authors for this study recommend to the maternal and child health care providers to be well linked to the health extension workers so that they may facilitate the pregnant mothers from the rural area to give birth in the health institution and so that institutional delivery utilization can be more than this figure. Key words: Institutional delivery, Community, Gondar, Ethiopia

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