Neonatal Near Miss and its associated factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

Abstract Background: Neonatal mortality is a significant problem in many low-resource countries, yet for every death there are many more new-born who suffer a life-threatening complication but survive. Neonatal near miss has been proposed as a tool for assessment of quality of care in neonates who suffered any life-threatening condition. However, there was limited evidence on magnitude of neonatal near miss and determinant factors in Ethiopia. The aim of this study was to assess proportion and associated factors of neonatal near miss among deliveries at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019. Methods: Institutional based cross sectional study was conducted from February 1, 2019 to April 30, 2019 among 404 live births. Structured and pretested questioner used for mothers and structured checklist for neonates. Bivariate and multivariate logistic regressions model were fitted to identify factors associated with neonatal near miss. An adjusted odds ratio with 95 % confidence interval (CI) was computed to determine the level of significant. Result: Proportion of neonatal near miss was found to be 23.3 % with 95% CI: (19.1% -27.7%). Primiparous[Adjusted odds ratio(AOR):2.01, 95%CI:(1.03-3.95)], referral linkage [AOR:3.23, 95%CI:(1.89-5.513)], maternal perception of reduced fetal movement[AOR:5.95, 95%CI:2.47-14.33], premature rupture of membrane [AOR: 3.10, 95%CI: (1.27-5.59)], prolonged labor [AOR: 3.00, 95%CI:(1.28-7.06)], obstructed labor/cephalo-pelvic disproportion [AOR: 4.05; 95%CI: (1.55-10.57)] and non-reassuring fetal heart rate pattern [AOR: 3.75, 95%CI: (1.69-8.33)] were significantly associated with neonatal near miss. Conclusion: Proportion of neonatal near miss in the study area was found to be higher than studies in WHO neonatal near miss systemic review. Efforts needed to continue compressive maternal and neonatal care to avoid preventable causes of neonatal morbidity and mortality . Keywords: Neonatal Near Miss, Proportion, Awi Zone, Ethiopia

Download Full-text

Neonatal Near Miss and its associated factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

10.21203/rs.2.13312/v1 ◽

2019 ◽

Author(s):

Habtamu Gebrehana Belay ◽

Simachew Kassa Limenih ◽

Toyiba Hiyaru Wassie ◽

Minale Bezie Ambie

Keyword(s):

General Hospital ◽

Odds Ratio ◽

Associated Factors ◽

Adjusted Odds Ratio ◽

Northwest Ethiopia ◽

Near Miss ◽

Life Threatening ◽

Awi Zone ◽

Heart Rate Pattern ◽

Neonatal Near Miss

Abstract Background: Neonatal mortality is a significant problem in many low-resource countries, yet for every death there are many more new-born who suffer a life-threatening complication but survive. Neonatal near miss has been proposed as a tool for assessment of quality of care in neonates who suffered any life-threatening condition. However, there was limited evidence on magnitude of neonatal near miss and determinant factors in Ethiopia. The aim of this study was to assess proportion and associated factors of neonatal near miss among deliveries at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019. Methods: Institutional based cross sectional study was conducted from February 1, 2019 to April 30, 2019 among 404 live births. Structured and pretested questioner used for mothers and structured checklist for neonates. Bivariate and multivariate logistic regressions model were fitted to identify factors associated with neonatal near miss. An adjusted odds ratio with 95 % confidence interval (CI) was computed to determine the level of significant. Result: Proportion of neonatal near miss was found to be 23.3 % with 95% CI: (19.1% -27.7%). Primiparous[Adjusted odds ratio(AOR):2.01, 95%CI:(1.03-3.95)], referral linkage [AOR:3.23, 95%CI:(1.89-5.513)], maternal perception of reduced fetal movement[AOR:5.95, 95%CI:2.47-14.33], premature rupture of membrane [AOR: 3.10, 95%CI: (1.27-5.59)], prolonged labor [AOR: 3.00, 95%CI:(1.28-7.06)], obstructed labor/cephalo-pelvic disproportion [AOR: 4.05; 95%CI: (1.55-10.57)] and non-reassuring fetal heart rate pattern [AOR: 3.75, 95%CI: (1.69-8.33)] were significantly associated with neonatal near miss. Conclusion: Proportion of neonatal near miss in the study area was found to be higher than studies in WHO neonatal near miss systemic review. Strength referral linkage and efforts needed to continue compressive maternal and neonatal care to avoid preventable causes of neonatal morbidity and mortality.

Download Full-text

Neonatal Near Miss and its associated factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

10.21203/rs.2.12536/v1 ◽

2019 ◽

Author(s):

Habtamu Gebrehana Belay ◽

Simachew Kasaa Limenih ◽

Toyiba Hiyaru Wassie ◽

Minale Bezie Ambie

Keyword(s):

General Hospital ◽

Odds Ratio ◽

Associated Factors ◽

Adjusted Odds Ratio ◽

Northwest Ethiopia ◽

Near Miss ◽

Life Threatening ◽

Awi Zone ◽

Heart Rate Pattern ◽

Neonatal Near Miss

Abstract Abstract Background: Neonatal mortality is a significant problem in many low-resource countries, yet for every death there are many more new-born who suffer a life-threatening complication but survive. Neonatal near miss has been proposed as a tool for assessment of quality of care in neonates who suffered any life-threatening condition. However, there was limited evidence on magnitude of neonatal near miss and determinant factors in Ethiopia. The aim of this study was to assess proportion and associated factors of neonatal near miss among deliveries at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019. Methods: Institutional based cross sectional study was conducted from February 1, 2019 to April 30, 2019 among 404 live births. Structured and pretested questioner used for mothers and structured checklist for neonates. Bivariate and multivariate logistic regressions model were fitted to identify factors associated with neonatal near miss. An adjusted odds ratio with 95 % confidence interval (CI) was computed to determine the level of significant. Result: Proportion of neonatal near miss was found to be 23.3 % with 95% CI: (19.1% -27.7%). Primiparous[Adjusted odds ratio(AOR):2.01, 95%CI:(1.03-3.95)], referral linkage [AOR:3.23, 95%CI:(1.89-5.513)], maternal perception of reduced fetal movement[AOR:5.95, 95%CI:2.47-14.33], premature rupture of membrane [AOR: 3.10, 95%CI: (1.27-5.59)], prolonged labor [AOR: 3.00, 95%CI:(1.28-7.06)], obstructed labor/cephalo-pelvic disproportion [AOR: 4.05; 95%CI: (1.55-10.57)] and non-reassuring fetal heart rate pattern [AOR: 3.75, 95%CI: (1.69-8.33)] were significantly associated with neonatal near miss. Conclusion: Proportion of neonatal near miss in the study area was found to be higher than studies in WHO neonatal near miss systemic review. Efforts needed to continue compressive maternal and neonatal care to avoid preventable causes of neonatal morbidity and mortality . Keywords: Neonatal Near Miss, Proportion, Awi Zone, Ethiopia

Download Full-text

Neonatal Near Miss and Its Associated Factors at Injibara General Hospital, Awi Zone, Northwest Ethiopia, 2019

Exploratory Research and Hypothesis in Medicine ◽

10.14218/erhm.2020.00011 ◽

2020 ◽

Vol 000 (000) ◽

pp. 1-8

Author(s):

Habtamu Gebrehana Belay ◽

Simachew Kassa Limenih ◽

Toyiba Hiyaru Wassie ◽

Minale Bezie Ambie

Keyword(s):

General Hospital ◽

Associated Factors ◽

Northwest Ethiopia ◽

Near Miss ◽

Awi Zone ◽

Neonatal Near Miss

Download Full-text

Incident Reporting Behaviours and Associated Factors among Nurses Working in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia

Scientifica ◽

10.1155/2016/6748301 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

Eshetu Haileselassie Engeda

Keyword(s):

Odds Ratio ◽

Associated Factors ◽

Adjusted Odds Ratio ◽

Sampling Technique ◽

Simple Random Sampling ◽

Healthcare Facility ◽

Northwest Ethiopia ◽

Incident Reporting ◽

Multivariate Logistic Regression Model ◽

Cross Sectional

Background. A comprehensive and systematic approach to incident reporting would help learn from errors and adverse events within a healthcare facility.Objective. The aim of the study was to assess incident reporting behaviours and associated factors among nurses.Methods. An institution-based cross-sectional study was conducted from April 14 to 29, 2015. Simple random sampling technique was used to select the study participants. Data were coded, entered into Epi Info 7, and exported to SPSS version 20 software for analysis. A multivariate logistic regression model was fitted and adjusted odds ratio with 95% confidence interval was used to determine the strength of association.Results. The proportion of nurses who reported incidents was 25.4%. Training on incident reporting (Adjusted Odds Ratio (AOR) [95% CI] 2.96 [1.34–6.26]), reason to report (to help patient) (AOR [95% CI] 3.08 [1.70–5.59]), fear of administrative sanctions (AOR [95% CI] 0.27 [0.12–0.58]), fear of legal penalty (AOR [95% CI] 0.09 [0.03–0.21]), and fear of loss of prestige among colleagues (AOR [95% CI] 0.25 [0.12–0.53]) were significantly associated factors with the incident reporting behaviour of nurses.Conclusion and Recommendation. The proportion of nurses who reported incidents was very low. Establishing a system which promotes incident reporting is vital.

Download Full-text

Cataract and associated factors among adults visiting ophthalmic clinic at Debre Markos comprehensive specialized hospital, northwest Ethiopia, 2020

SAGE Open Medicine ◽

10.1177/2050312121989636 ◽

2021 ◽

Vol 9 ◽

pp. 205031212198963

Author(s):

Mengistu Zelalem Wale ◽

Mengist Derbew ◽

Melkamu Tilahun ◽

Mesenbet Terefe

Keyword(s):

Confidence Interval ◽

Marital Status ◽

Low Income ◽

Odds Ratio ◽

Associated Factors ◽

Adjusted Odds Ratio ◽

Northwest Ethiopia ◽

Source Population ◽

Specialized Hospital ◽

Debre Markos

Introduction: Globally, it is estimated that 2.2 billion people have a visual impairment, of which around 65.2 million is due to cataract. Cataract is the leading cause of preventable blindness worldwide, with the greatest burden found in low-income countries. That is providing recent epidemiological data is very crucial to design intervention measures. The aim of this study was to assess the magnitude and associated factors of cataract among adults visiting ophthalmic clinic, Debre Markos comprehensive specialized hospital, Northwest Ethiopia, 2020. Methods: The sample size was calculated using single population formula and determined to be 174. All adult participants aged ⩾40 were the source population and those fulfilling the inclusion criteria were the study population. An institutional-based cross-sectional study design using a systematic random sampling technique was conducted from July to August, 2020. Semi-structured questionnaires and patients’ card were used to collect data. Data were entered into epi-data version 4.6 and the analysis was conducted using SPSS-25 software. Data were presented using graphs, tables and texts. Bivariable and multivariable binary logistic regression models were used to identify factors associated with cataract. Adjusted odds ratio with corresponding 95% confidence interval was computed to show the strength of association. A p-value < 0.05 was considered statistically significant. Result: From a total of 174 samples, 158 participated, giving a response rate of 90.8%. The prevalence of cataract was found to be 90 (57%). The variables—age 60–69 years (adjusted odds ratio = 6.667, 95% confidence interval: (1.662, 13.101)); age 70–79 years (adjusted odds ratio = 9.583, 95% confidence interval: (2.840, 32.342)), and single marital status (adjusted odds ratio = 2.945, 95% confidence interval: (1.241, 6.989))—had a significant association with cataract. Conclusion: The prevalence of cataract was found to be very high, which needs immediate intervention. Older age and single marital status were found to be significantly associated with cataract prevalence.

Download Full-text

Prevalence of postpartum family planning utilization and associated factors among postpartum mothers in Arba Minch town, South Ethiopia

Contraception and Reproductive Medicine ◽

10.1186/s40834-021-00150-z ◽

2021 ◽

Vol 6 (1) ◽

Author(s):

Biresaw Wassihun ◽

Kidist Wosen ◽

Asmare Getie ◽

Kalkidan Belay ◽

Rehal Tesfaye ◽

...

Keyword(s):

Family Planning ◽

Antenatal Care ◽

Odds Ratio ◽

Postnatal Care ◽

Associated Factors ◽

Adjusted Odds Ratio ◽

Educational Status ◽

Postpartum Women ◽

Postpartum Family Planning ◽

Study Participants

Abstract Background Contraception allows women to realize their human right to decide if and when to have children and helps people to attain their desired family size. Yet 214 million women of a reproductive age in developing countries who want to avoid pregnancy are not using a modern contraceptive method. Women who have recently given birth are among the group with the highest unmet need for contraception. Therefore, this study was aimed to assess the prevalence of postpartum family planning use and associated factors among postpartum women in Southern Ethiopia. Methods Institution based cross-sectional study design was conducted. A structured and pretested interviewer-administered questionnaire was used to collect the data from study participants. Study participants were selected using a systematic random sampling technique by allocating proportionally to each health facility. The data was entered using EPI data version 3.1statistical software and exported to Statistical Package for Social Sciences version 22.0 for further analysis. Both bivariate and multivariate logistic regression analyses were performed to identify associated factors. P values < 0.05 with 95% confidence level was used to declare statistica significance. Result Overall, 44% of postpartum women utilize postpartum family planning. Having an antenatal care visit [adjusted odds ratio (AOR) =1.89(95%CI, 2.42–7.90), having planned pregnancy [adjusted odds ratio (AOR) = 1.17(95%CI, 1.60–2.28)], being married (adjusted odds ratio (AOR) =2.86(1.94–8.73), and having a college and above level educational status (AOR) =1.66(1.28–3.55) were significantly associated with utilization of postpartum family planning. Conclusion This study showed that the prevalence of postpartum family planning was 44%. Marital status, educational status of mothers, the status of pregnancy, and having an antenatal care follow-up during pregnancy were some factors associated with postpartum family planning utilization. Therefore, strengthening family planning counselling during antenatal and postnatal care visits, improving utilization of postnatal care services and improving women’s educational status are crucial steps to enhance contraceptive use among postpartum women.

Download Full-text

Severe stunting and its associated factors among children aged 6–59 months in Ethiopia; multilevel ordinal logistic regression model

Italian Journal of Pediatrics ◽

10.1186/s13052-021-01110-8 ◽

2021 ◽

Vol 47 (1) ◽

Author(s):

Amare Muche ◽

Reta Dewau

Keyword(s):

Logistic Regression ◽

Odds Ratio ◽

Associated Factors ◽

Logistic Regression Model ◽

Adjusted Odds Ratio ◽

Wealth Index ◽

Maternal Height ◽

Severe Stunting ◽

Mothers And Children ◽

Ordinal Logistic Regression Model

Abstract Background In Ethiopia, stunting is the most common form of undernutriton. Identifying the determinants of severe stunting among children is crucial for public health interventions to improve child health. Therefore, this study aimed to identify the determinants of severe stunting among under-five children in Ethiopia. Methods A community-based cross-sectional study design was employed. A two stage stratified cluster sampling technique was used. A multilevel ordinal logistic regression model was fitted to identify independent determinants. Adjusted odds ratio (AOR) and median odds ratio (MOR) with its 95% confidence interval at p-value< 0.05 were used to declare statistical significance. Results The result of this study showed that about 18% of the children were severely stunted. Being male increased the severity of stunting in children by 26% adjusted odds ratio (AOR): 1.26 (95% CI: 1.09–1.46), compared to female sex; over-weight mothers increased the severity of stunting in their children AOR: 3.43 (95% CI: 2.21–5.33) compared to normal BMI mothers; and children from middle, poorer, and poorest wealth index households were 1.84 (95% CI:1.27–2.67), 2.13 (95% CI, CI:1.45–3.14) and 2.52 (95% CI,1.72–3.68). In contrast, severe stunting was reduced by 62% (AOR: 0.38, 95% CI: 0.20–0.74) and 48% (AOR = 0.52, 95% CI: 0.37–0.72) in children of educated mothers compared to children of uneducated mothers and children of underweight mothers compared with those children of normal BMI mothers respectively. For each one-unit increase in maternal height, there is a 5% significant reduction in the child’s odds of being severely stunted. After controlling for other factors, the effect of predictors on the likelihood of stunting in high risk clusters increased by a median odds ratio (MOR) of 1.83 (95% CI: 1.69–2.00). Conclusions The magnitude of severe childhood stunting was still high with regional variation in Ethiopia. Child age, sex, maternal height, age, education and household wealth index as well as administrative regions were significantly associated factors with severe stunting. Significant interventions shall be implemented at the individual, household and community levels in order to reduce the problem.

Download Full-text

Assessment of Early Sexual Initiation and Associated Factors among Preparatory School Students of FaggetaLekoma District, Awi Zone, Northwest Ethiopia, 2015

International Journal of Clinical Medicine ◽

10.4236/ijcm.2015.68070 ◽

2015 ◽

Vol 06 (08) ◽

pp. 521-529 ◽

Cited By ~ 4

Author(s):

Dessalew Bizu ◽

Zewdie Aderaw ◽

Getachew Mullu Kassa

Keyword(s):

Associated Factors ◽

Northwest Ethiopia ◽

Sexual Initiation ◽

School Students ◽

Preparatory School ◽

Early Sexual Initiation ◽

Awi Zone

Download Full-text

Stunting at birth and associated factors among newborns delivered at the University of Gondar Comprehensive Specialized Referral Hospital

PLoS ONE ◽

10.1371/journal.pone.0245528 ◽

2021 ◽

Vol 16 (1) ◽

pp. e0245528

Author(s):

Almaz Tefera Gonete ◽

Bogale Kassahun ◽

Eskedar Getie Mekonnen ◽

Wubet Worku Takele

Keyword(s):

Logistic Regression ◽

Birth Weight ◽

Low Birth Weight ◽

Short Stature ◽

Odds Ratio ◽

Associated Factors ◽

Adjusted Odds Ratio ◽

Referral Hospital ◽

Factors Associated ◽

The University

Background Stunting at birth is a chronic form of undernutrition majorly attributable to poor prenatal nutrition, which could persist in children’s later life and impact their physical and cognitive health. Although multiple studies have been conducted in Ethiopia to show the magnitude of stunting and factors, all are concentrated on children aged between 6 to 59 months. Therefore, this study was done to determine the prevalence and associated factors of stunting at birth among newborns delivered at the University of Gondar Comprehensive Specialized Referral Hospital, Northwest, Ethiopia. Methods An institution-based cross-sectional study was conducted from February 26th to April 25th/2020. A systematic random sampling technique was used, to select a total of 422 newborn-mother pairs. The binary logistic regression was employed to identify factors associated with stunting and all independent variables were entered into the multivariable logistic regression model to adjust for confounders. Variables that had significant association were identified based on p-value < 0.05 and the adjusted odds ratio with its respective 95% confidence interval was applied to determine the strength as well as the direction of the association. Results About 30.5% (95% CI: 26.3%, 35.1%) of newborns were stunted at birth. Being male [Adjusted odds ratio (AOR) = 2.9(1.62, 5.21)], newborns conceived in Kiremt(rainy season) [AOR = 2.7(1.49, 4.97)], being low birth weight [AOR = 3.1(1.64, 6.06)] were factors associated with stunting at birth. Likewise, newborns born to short stature mothers [AOR = 2.8(1.21, 6.62)] and chronically malnourished mothers [AOR = 15.3(8.12, 29.1)] were at greater risk of being stunted. Conclusion Just under a third of newborns are stunted at birth, implying a pressing public health problem. Newborns born to chronically malnourished and short stature mothers were more stunted. Besides, stunting was prevalently observed among male neonates, newborns conceived in Kiremet, and being low birth weight. Thus, policymakers and nutrition programmers should work on preventing maternal undernutrition through nutrition education to reduce the burden of low birth weight and stunting. Further, paying due attention to newborns conceived in Kiremet season to improve nutritional status is recommended.

Download Full-text