scholarly journals Prevalence and pattern of long acting reversible contraception (LARC) methods use in immediate postpartum period at Jimma University Medical Center, Ethiopia

2019 ◽  
Author(s):  
Wariyo Duba Arero ◽  
Woubishet Girma Teka ◽  
Habtemu Jarso Hebo
Keyword(s):  
Postpartum Period ◽  
Medical Center ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Postpartum Family Planning ◽  
Completed Family Size ◽  
Long Acting ◽  
Key Terms ◽  
Jimma University

Abstract Background: Postpartum family planning (PPFP) is defined as the prevention of unintended pregnancy and closely spaced pregnancies through the first twelve months following childbirth. The immediate postpartum period is particularly favorable time to provide long-acting reversible contraception (LARC) methods and postpartum provision of LARC methods is safe and effective. Despite the advantages of LARC methods, they are infrequently used in Ethiopia. Objective: This study assessed the prevalence and pattern of LARC methods use among counseled mothers in immediate postpartum. Methods: A cross-sectional study was conducted on 393 women who gave birth at Jimma University Medical Centre from 12 November 2016 to 21 January 2017. Data were collected by face-to-face interview and record review using pre-tested questionnaire and analysed using SPSS 20. Logistic regression was used to identify associated factors for LARC methods use. Results: Prevalence of LARC methods use among immediate postpartum mothers was 53.2% (209/393) and more than three-fourths (78.0%) of participants used implanon. The most common reported reason for not using LARC methods was preference of other method (25.5%). Having more than four alive kids (95% CI: 1.15,5.95), high monthly income (≥1000 ETB) (95% CI: 1.08,7.20), planning to delay next pregnancy by more than 2 years (95% CI: 1.60,9.28), completed family size (95% CI: 1.12,3.15), prior use of LARC methods (95% CI: 1.30,7.20) and receiving counseling during antenatal care (ANC) follow-up and before delivery (95% CI: 1.01, 4.73) were associated with immediate postpartum LARC methods use. Conclusion: Although the prevalence of LARC methods use in immediate postpartum was good, counseling mothers during ANC follow-up and before delivery can further increase its use. Therefore, the need for providing counseling during ANC follow up and before delivery to increase utilisation of immediate postpartum LARC methods use is emphasised. Key terms: Long acting reversible contraception (LARC) methods, Immediate postpartum, Ethiopia

scholarly journals Prevalence and pattern of long acting reversible contraceptive (LARC) methods use in immediate postpartum period at Jimma University Medical Center, Ethiopia

2019 ◽  
Author(s):  
Wariyo Duba Arero ◽  
Woubishet Girma Teka ◽  
Habtemu Jarso Hebo
Keyword(s):  
Postpartum Period ◽  
Medical Center ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Postpartum Family Planning ◽  
Completed Family Size ◽  
Long Acting ◽  
Long Acting Reversible Contraceptive ◽  
Jimma University

Abstract Background Postpartum family planning (PPFP) is defined as the prevention of unintended pregnancy and closely spaced pregnancies through the first twelve months following childbirth. The immediate postpartum period is particularly favorable time to provide long-acting reversible contraceptive (LARC) methods and postpartum provision of LARC is safe and effective. Despite the advantages of LARCs, they are infrequently used in Ethiopia.Objective This study assessed the prevalence and pattern of LARC methods use among counseled mothers in immediate postpartum.Methods A cross-sectional study was conducted on 393 women who gave birth at Jimma University Medical Centre from 12 November 2016 to 21 January 2017. Data were collected by face-to-face interview and record review using pre-tested questionnaire and analysed using SPSS 20. Logistic regression was used to identify associated factors for LARCs use.Results Prevalence of LARCs use among immediate postpartum mothers was 53.2% (209/393) and more than three-fourths (78.0%) of participants used implanon. The most common reported reason for not using LARCs was preference of other method (25.5%). Having more than four alive kids (95% CI: 1.15,5.95), high monthly income (≥1000 ETB) (95% CI: 1.08,7.20), planning to delay next pregnancy by more than 2 years (95% CI: 1.60,9.28), completed family size (95% CI: 1.12,3.15), prior use of LARCs (95% CI: 1.30,7.20) and receiving counseling during antenatal care (ANC) follow-up and before delivery (95% CI: 1.01, 4.73) were associated with immediate postpartum LARCs use.Conclusion Although the prevalence of LARC methods use in immediate postpartum was good, counseling mothers during ANC follow-up and before delivery can further increase its use. Therefore, the need for providing counseling during ANC follow up and before delivery to increase utilisation of immediate postpartum LARC use is emphasised.Key terms Long-acting reversible contraception (LARC), Immediate postpartum, Ethiopia

scholarly journals Impact of Sleep Disturbances on the Quality of Life Among Schizophrenic Out-patients of Jimma University Medical Center, Southwest Ethiopia: Hospital Based Cross-sectional Study

2020 ◽  
Vol 13 (1) ◽  
pp. 684-691
Author(s):  
Aman Dule ◽  
Mustefa Mohammedhussein ◽  
Mohammedamin Hajure
Keyword(s):  
Quality Of Life ◽  
Sleep Disturbances ◽  
Medical Center ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Schizophrenic Patients ◽  
Jimma University

Aim: Current study was aimed to assess the impacts of sleep disturbances on patient’s quality of life. Background: Schizophrenia is a syndrome, which affects sleep. Up to 80% of schizophrenic patients complain of sleep disturbances which affect the quality of life Objectives: To assess the association of sleep disturbances and quality of life and other contributing factors among schizophrenic patients on follow-up treatment at Jimma University Southwest Ethiopia. Methods: A cross-sectional study with a consecutive sampling of 411 out-patients at Jimma University medical center was employed from April 21-June 20, 2019. Sleep disturbances and the quality of life were assessed by Pittsburgh sleep quality index and WHOQOL-BREF, respectively. Epi data version 3.1 and SPSS version 23.0 software was used. Chi-square and independent samples t-test were used for association and P-value < 0.05 was considered for statistical significance. Results: Most participants had sleep disturbances and the mean score of positive scale on PANSS was higher for patients with sleep disturbances. About one-fourth of the patients had very good subjective sleep quality and > 85% of sleep efficiency was reported by 139 participants. More than half (51.1%) of the subjects had used sleep medication and the majority (64.7%) of them were reported daytime dysfunctions in the past month. The social domain (M±SD=3.92±2.51, t=8.46, p= <0.001, eta2=0.15) and overall WHOQOL (M±SD=57.60±16.87, t=9.24, p= < 0.001, eta2= 0.17) score had a large difference of means and about 15% and 17% of the variance in sleep disturbance have been explained. Conclusion: Generally, the finding of the current study was in agreement with most of the previous studies and sleep disturbances respectively moderate to significant effects on the patient’s quality of life.

scholarly journals Isoniazid preventive therapy utilization rate and associated factors in adult HIV/AIDS patients in Jimma University Specialized Hospital ART clinic, Oromia Region, Ethiopia: A cross-sectional study.

2019 ◽  
Author(s):  
Gudeta Imana Jaleta ◽  
Vinodhini Rajamanickam ◽  
Kifle Woldemichael
Keyword(s):  
Cross Sectional Study ◽  
Preventive Therapy ◽  
Hiv Care ◽  
Utilization Rate ◽  
Sectional Study ◽  
Cross Sectional ◽  
Specialized Hospital ◽  
Depth Interviews ◽  
Jimma University

Abstract Background: Tuberculosis (TB) is the most frequent life-threatening infection and a common cause of death for people living with HIV (PLHIV). The influence of TB and HIV infection has enhanced the magnitude of both epidemics. Several clinical interventions recommended early diagnosis in PLHIV and treating latent TB infection (LTBI) with Isoniazid preventive therapy (IPT) along with antiretroviral therapy (ART). IPT is one of the key interventions recommended by the world health organization (WHO) for the prevention of TB in patients infected with HIV. Hence, this study aimed to determine IPT utilization rate among adult HIV infected patients enrolled in HIV care and qualitative analysis, which explore the factors that influence IPT use among PLHIV under follow-up, Health care providers (HCPs) and TB/HIV coordinators working in Jimma University Specialized Hospital (JUSH) ART clinic. Methods: An Institution based mixed cross-sectional study was conducted in JUSH ART clinic. Adult HIV infected patients were enrolled by a systematic sampling technique from the registered medical records of JUSH HIV care. PLHIV who were on follow-up and eligible for IPT during the study period, permanent HCPs and TB/HIV coordinators working in ART clinic were included in the qualitative investigation using semi-structured questioners and in-depth interviews. All statistical analysis was compiled by Epi data 3.1 and SPSS 20. Results: Demographic and clinical factors are not significantly associated with IPT use but ethnicity (P≤ 0.02**) was highly significant with IPT use in logistic regression model. Overall, 59.2% of the patients have been prescribed and taken at least one-month course of IPT. The results of in-depth interviews are grouped into three core categories as patient perceptions, HCPs and TB/HIV coordinator perspectives. Discussion and conclusion: PLHIV, HCPs and TB/HIV coordinators suggested their overall response as periodic counseling for target groups, educating the benefits of IPT and increasing public awareness on TB prophylaxis in PLHIV will increase the acceptance and implementation of IPT in large scale. Higher attention should be provided in linking all HIV patients to the nearest health facilities for receiving free service packages and medical care. Key words: IPT, TB /HIV, PLHIV, ART, INH prophylaxis

scholarly journals Prevalence of Cognitive Impairment and Its Predictors among HIV/AIDS Patients on Antiretroviral Therapy in Jimma University Medical Center, Southwest Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Getachew Yideg Yitbarek ◽  
Andualem Mossie Ayana ◽  
Moyeta Bariso Gare ◽  
Gashaw Garedew Woldeamanuel
Keyword(s):  
Cognitive Impairment ◽  
Antiretroviral Therapy ◽  
Medical Center ◽  
Clinical Stage ◽  
Cross Sectional Study ◽  
Hiv Positive ◽  
Cross Sectional ◽  
Face To Face ◽  
Khat Chewing ◽  
Jimma University

Background. Cognitive impairment among human immunodeficiency virus (HIV) infected patients can lead to treatment nonadherence, faster progression of the illness, disability, and bed ridden state if we fail to detect it early. However, there is scarcity of previous published studies in Ethiopia on the assessment of cognitive impairment among HIV-positive patients. Hence, this study aimed to determine the prevalence and associated factors of cognitive impairment among HIV-positive patients receiving antiretroviral therapy (ART) at Jimma University Medical Center, Ethiopia. Methods. Hospital-based cross-sectional study was conducted among 328 HIV-positive patients attending Jimma University Medical Center, Ethiopia. Data were collected from a face-to-face interview and review of medical records using semistructured questionnaire. Validated International HIV Dementia Scale (IHDS) was used to screen for cognitive impairment. Data was analyzed using SPSS version 20. Results. A total of 328 (191 females and 137 males) HIV-positive patients were included in the study with a response rate of 97.04%. The prevalence of cognitive impairment among HIV-positive patients was 35.7%. Factors significantly associated with cognitive impairment were age group of 41−64 years (adjusted odds ratio [AOR] = 3.1, 95% confidence interval [CI] (1.3, 7.4)], plasma HIV-1 RNA load between 1.7log10 and 3log10 copies/ml [AOR = 2.2, 95% CI (1.1,4.3)] and ≥ 3log10 copies/ml [AOR = 7.5, 95% CI (2.6, 21.5)], khat chewing [AOR = 4.4, 95% CI (2.3, 8.3)], and clinical stage III of the disease [AOR = 5.6, 95% CI (1.7, 19.2)]. Conclusion. Despite the use of ART, the burden of cognitive impairment among HIV patients was high. Older age, khat chewing, advanced stage of the disease, and higher viral load were the independent factors associated with cognitive impairment. Thus, continuous screening of cognitive impairment, identification of the possible risk factors, and proper management strategy should be designed.

scholarly journals Long Acting Reversible Contraception use among postpartum women in Hossana Town, Southern Ethiopia: cross sectional study

2020 ◽  
Author(s):  
Biruktawit Fekade Woldu ◽  
Tadesse Lelago Ermolo ◽  
Lidiya Gutema Lemu ◽  
Negeso Gebeyehu Gejo
Keyword(s):  
Postpartum Period ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Postpartum Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Immunization Service ◽  
Contraception Use ◽  
Long Acting

Abstract Background: In low and middle-income countries, 95% of postpartum women want to avoid a pregnancy for 2 years, but 70% are not using contraception. Delay in use of contraception by couples during postpartum period can result in many unwanted pregnancies. Long-acting reversible contraception (LARC) is ideal for postpartum women. Therefore this study aimed at assessing the prevalence and factors associated with LARC use among postpartum women.Methods: Facility based cross sectional study was conducted among 381 women in extended postpartum period visiting Child Immunization service in hosanna health institutions. Pretested structured questionnaire was used for data collection. Data was analyzed by SPSS version 20. Binary and multivariate logistic regression analysis was done. The presence and strength of association was determined using AOR with its 95% CI. Variables with P value less than 0.05 were considered as statistical significant. Results: Less than one fifth (18.1%) of participants intend to give birth within 2 years. The prevalence of LARC use was 36.5% (95%CI (33.05-39.95)). The main reason for not using was fear of side effect and false information. Previous use of LARC n (AOR=3.3, 95%CI (1.7-6.5)) and have ever discussed with health providers on LARC (AOR=2.5, 95%CI (1.1-5.74)) were found to be significantly associated with LARC use. Conclusions: Despite their lesser intention to give birth within 2 years, the utilization of LARC among postpartum women was found to be low in this study. Provision of health education and expanding access should be emphasized to enhance its utilization.

scholarly journals Anthropometric measures that identify premature and low birth weight newborns in Ethiopia: a cross-sectional study with community follow-up

2019 ◽  
Vol 105 (4) ◽  
pp. 326-331 ◽  
Author(s):  
Netsanet Workneh Gidi ◽  
Melkamu Berhane ◽  
Tsinuel Girma ◽  
Alemseged Abdissa ◽  
Ruth Lim ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Medical Center ◽  
Cross Sectional Study ◽  
Diagnostic Tools ◽  
Sectional Study ◽  
Anthropometric Measures ◽  
Cross Sectional ◽  
Model Weight

ObjectiveTo investigate foot length (FL), chest circumference (CHC) and mid-upper arm circumference (MUAC) as predictors of low birth weight (LBW) or prematurity, and to describe the agreement between the gestational age (GA) assessments ascertained by the New Ballard Score (NBS) and the Eregie model.MethodsA hospital-based cross-sectional study with community follow-up in a subset was conducted in Jimma University Medical Center, Ethiopia. GA (NBS and Eregie model), weight, FL, CHC and MUAC were measured at birth. Anthropometrics were repeated at 5 days of age.ResultsThe optimal cut-offs indicative of LBW were ≤7.7 cm for FL; ≤31.2 cm for CHC and ≤9.8 cm for MUAC. CHC, MUAC and FL identified LBW with sensitivities (95% CI) of 91.6 (86.9 to 95), 83.7 (77.8 to 88.5) and 84.2 (78.4 to 88.9), and specificities (95% CI) of 85.4 (83.3 to 87.4), 90.2 (88.4 to 91.9) and 73.9 (71.3 to 76.4), respectively. CHC, MUAC and FL identified prematurity with sensitivities of 83.8 (76.7 to 89.4), 83.1 (75.9 to 88.9) and 81.7 (74.3 to 87.7), and specificities of 81.1 (78.9 to 83.3), 63.4 (60.7 to 66.1) and 77.0 (74.6 to 79.3), respectively. The cut-offs identified have comparable diagnostic ability for LBW and prematurity when measurements are repeated on day 5 of age. The GA assessment by the NBS and the Eregie model gave similar results, with the mean difference of 1.2 weeks.ConclusionCHC, MUAC and FL taken on day 1 and 5 after birth could be used as diagnostic tools for LBW or prematurity. The Eregie model for GA estimation gives similar results to the NBS.

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