scholarly journals Parent-Adolescent Discussion on Sexual and Reproductive Health Issues and Its Associated Factors Among Parents in Sawla Town, Gofa Zone, Ethiopia

2021 ◽  
Author(s):  
Nigatu Teferi Malango ◽  
Tadele Yohannes Hegena ◽  
Netsanet Abera Assefa
Keyword(s):  
Logistic Regression ◽  
Reproductive Health ◽  
Associated Factors ◽  
Sexual And Reproductive Health ◽  
Scale Up ◽  
Outcome Variable ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Monthly Income ◽  
Knowledge And Attitude

Abstract Background: Parent-adolescent discussion on sexual and reproductive health (SRH) issues leads to increased awareness on reproductive health matters and reduces risky behaviors among adolescents and also is the base to reduce depraved reproductive health outcomes. The aim of this study was to assess parent-adolescent discussion on SRH issues and its associated factors in Sawla town, Southern Ethiopia, 2020. Methods: A community based cross sectional study was conducted among parents in Sawla town from March to April 2020. A simple random sampling technique was employed to select 697 study subjects. Data were entered in to Epi-data version 3.1 and exported to SPSS version 21 for analysis. Variables with p-value less than 0.25 in bivariate analysis were entered into multiple logistic regression models to test for association with the dependent variable at 95 % confidence level (CI). P-value less than 0.05 and 95 % CI for adjusted odds ratios (AOR) were used to declare the significance of the associations with the outcome variable.Results: Of the total participants, 168 (25.7%) respondents had reported discussion about at least two components of SRH issues in the last six months prior to the study. Multiple logistic regression model revealed that parents who attended primary education (AOR 3, 95% CI: 1.10, 7.70), secondary education (AOR 9, 95% CI: 3.87, 20.64) and diploma and above (AOR 22.33, 95% CI: 9.49, 32.56), monthly income of above 2000 Ethiopian Birr (AOR 2.40, 95% CI: 1.30, 4.55), good knowledge (AOR 2, 95% CI: 1.14, 3.50)and positive attitude (AOR 4, 95% CI: 1.57, 10) towards SRH issues were statically significant with parent to adolescent discussion.Conclusion: The occurrence of parent-adolescent SRH discussion is low in Sawla town. Educational status, average monthly income, knowledge and attitude on SRH issues were major factors affecting parent-adolescent discussion on SRH issues. Continuous capacity building on SRH issues for parents to increase the level of parental knowledge and attitude about SRH issues and sustainable advocacy should be provided about the importance of parent to adolescent discussion. Moreover, it is important to support and scale up the adult learning program to decrease the level of illiteracy.

scholarly journals Utilization of sexual and reproductive health services and associated factors among adolescents in youth-friendly service implemented and non-implemented high school of South Ari District, South Omo Zone, Southern Ethiopia, 2019.

2020 ◽  
Author(s):  
Bayu Haile ◽  
Mulugeta Shegaze ◽  
Tesfaye Feleke ◽  
Mustefa Glagn
Keyword(s):  
Logistic Regression ◽  
Reproductive Health ◽  
Health Services ◽  
Associated Factors ◽  
Sexual And Reproductive Health ◽  
Southern Ethiopia ◽  
P Value ◽  
Reproductive Health Services ◽  
South Omo ◽  
Youth Friendly

Abstract Background In Ethiopia a number of efforts have been made to support sexual and reproductive health services (SRHS) for adolescents. However, there is limited information regarding the level of SRH utilization and associated factors among adolescents. Therefore, this study aimed to assess the magnitude of utilization of sexual and reproductive health services and associated factors among secondary school adolescents in youth friendly services (YFS) implemented and non-implemented areas of South Ari Woreda, South Omo zone, Southern Ethiopia, 2019. Methods Institution based comparative cross-sectional study with multistage stage sampling procedure was employed. Data were collected by self- administered questionnaire. The collected data were entered in to Epi Data version 4.4.1 software and then exported to SPSS version 20 statistical packages for further analysis. Descriptive statistics were computed and summarized by tables, frequencies, graphs, mean, and proportion. Both Bivariate and multivariable analysis were carried by using binary logistic regression. Variables with a p-value ≤ 0.25 in Bivariate logistic regressions were taken as potential candidate for multivariable logistic regression analysis to control confounders. Association between reproductive health services utilization and associated factors were reported by odds ratio at 95% CI. Variables having p-value less than 0.05 in multivariable logistic regression model were considered as statistically significant. Results The magnitude of SRHS in YFS implemented and non-implemented schools were 33.8% [95% CI (28.2-40.4)] and 9.4% [95% CI (5.6, 13.6)] respectively. Grade ten level adolescents and those who discuss SRH issues with their family members were three times [AOR=3.28, 95% CI (1.7, 6.29)] and [AOR=3.3, 95% CI (1.47, 7.41)] more likely to have sexual and reproductive health care-seeking behavior as compared to grade nine level adolescents and those who didn’t discuss respectively. Furthermore, adolescents who travel less than 30 minutes were six times [AOR=5.72, 95%CI, 2.58, 12.64] more likely to uptake the SRHS as compared to those travel more an hour. Conclusion The magnitude of utilization of SRH services were low in YFS non implemented school when compared to YFS implemented school. There is a need of more efforts to scale up SRHS in YFS non implemented schools among stakeholders at different hierarchies. In addition, it is better to promote open discussion with adolescents at family level, and emphasizes should be given for women education.

scholarly journals Knowledge of cervical cancer screening and associated factors among women attending maternal health services at Aira Hospital, West Wollega, Ethiopia

2021 ◽  
Vol 9 ◽  
pp. 205031212110470
Author(s):  
Megersa Argaw Aredo ◽  
Endalew Gemechu Sendo ◽  
Jembere Tesfaye Deressa
Keyword(s):  
Cervical Cancer ◽  
Logistic Regression ◽  
Cancer Screening ◽  
Maternal Health ◽  
Health Services ◽  
Cervical Cancer Screening ◽  
Associated Factors ◽  
Maternal Health Services ◽  
Outcome Variable ◽  
Monthly Income

Background: Cervical cancer is one of the major noncommunicable public health problems among women globally. About 500,000 women develop cervical cancer each year, with an estimated 85% or more occurring in developing countries, including Ethiopia. Objective: The main objective of the study was to assess the knowledge of cervical cancer screening and its associated factors among women attending maternal health services at Aira hospital, West Wollega, Ethiopia. Methods: An institutional-based cross-sectional study design was conducted among 421 reproductive-age women. A systematic sampling method was used for the study. Data were collected using a pretested and structured questionnaire. Data analysis included descriptive statistics and the statistical association between the outcome variable and the explanatory variables tested by the binary logistic regression. Multivariable logistic regression was used to control confounding factors, the magnitude of the association between the different independent and dependent variable was measured using 95% confidence interval, and p values below 0.05 were considered as statistically significant. Results: A total of 421 women were responded with 100% response rate and with the mean age of 26.0 ± 5.15 (M ± SD) years. About 95.0% of the respondents ever heard of cervical cancer and 46.8% of the respondents had good knowledge about cervical cancer screening. Age, occupation, educational level, and monthly income were predictors associated with knowledge about cervical cancer screening. Conclusion: The study revealed 46.8% of study participants had knowledge about cervical cancer screening. The age of the participant, occupation, level of education, and monthly income were determinants of knowledge about cervical cancer screening. Prevention programs should focus on cervical cancer screening according to identified factors in the study.

scholarly journals Knowledge and Attitude towards Sexual and Reproductive Health Rights and Associated Factors among High School Students in Machakel District,Northwest Ethiopia

2020 ◽  
Author(s):  
Wassachew Ashebir ◽  
Mengistu Tadesse ◽  
Belete Yimer
Keyword(s):  
High School ◽  
High School Students ◽  
Reproductive Health ◽  
Associated Factors ◽  
Sexual And Reproductive Health ◽  
Favorable Attitude ◽  
Urban Resident ◽  
Reproductive Health Services ◽  
School Students ◽  
Knowledge And Attitude

Abstract Background: Young people have the right to make choices regarding their own sexuality, as far as they respect the rights of others. To do this, the knowledge of those rights and positive attitude in exercising these rights is critical to youth’s ability to protect them from unwanted reproductive outcomes. However, many young people do not have the information or means to protect themselves from these problems. Therefore, this study aimed to assess knowledge and attitude towards Sexual and Reproductive Health (SRH) rights and associated factors among high school students in Machakel District. Methods: School based cross sectional study was employed among 421 high school adolescents in Machakel District from March16-20/2019. Stratified sampling technique was used to select study participants. Data was collected through structured self-administered questionnaires. Data processing was done using Epi Data version 3.1then transferred to SPSS version 20 software. Bivariate & multivariate logistic regression was done to assess the association of factors with student’s knowledge and attitude towards SRH rights by calculating odds ratios, their 95% confidence limits and P-value less than 5% were taken as statistically significant. Results: Overall, more than half (55.9%) of students were found to be knowledgeable and 46% had favorable attitude towards SRH rights. Knowledge among high school students was significantly associated with being female (AOR=0.52, 95% CI= 0.33, 0.81), urban resident (AOR=3.43,95%CI=1.99, 5.93), being in grade ten (AOR=1.67,95%CI=1.08,2.58), participation in RH clubs (AOR=2.18, 95%CI=1.37, 3.47), discussion of SRH issues with parents (AOR=2.62, 95%CI=1.58, 4.33) and with friends (AOR=1.77, 95%CI=1.15, 2.74) while getting information on SRH(TV/Radio) (AOR=1.61, 95%CI=1.02, 2.54) and had access to reproductive health services (AOR=3.00, 95%CI=1.30, 6.90) were significantly associated factors with favorable attitude towards SRH rights. Conclusions: The level of student’s knowledge and attitude towards SRH rights were found to be low. Being female, urban resident, being in grade ten, participation in RH clubs, and discussion of SRH issues with parents and friends had significant association with knowledge while getting information on reproductive health and had access to reproductive health services with favorable attitude towards SRH rights. Hence, encouraging discussions with parents and participation in RH clubs may improve the knowledge and attitude of students on SRH rights.

scholarly journals Utilization of Long-lasting Insecticide Treated Net and Associated Factors Among Pregnant Women in Awabel District,North-West Ethiopia, 2017

2021 ◽  
Author(s):  
Mengistie Kassahun Tariku
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Facility ◽  
Associated Factors ◽  
Positive Association ◽  
Outcome Variable ◽  
P Value ◽  
Cross Sectional ◽  
North West

Abstract BackgroundUtilization of long-lasting insecticide treated net (LLITN) is one of the main vector control activities. It has a killing, repellent and physical barrier effects against mosquito. Even if priority is given for pregnant women, not all nets owned by household have been utilized by pregnant women. The objective of the study was to assess utilization of Long-lasting insecticidal net and associated factors among pregnant women in malarious kebeles, Awabel woreda, North-West Ethiopia.MethodsA community-based cross-sectional study was conducted from May 1 to June 30, 2017. A systematic random sampling was used to select 422 households. Two days training was given for data collectors and supervisors. Collected data were coded and entered using epi-data version 3.1, then it was exported to Statistical Package for Social Science (SPSS) version 20. After bivariate logistic regression analysis, all variables with a p-value less than or equal to 0.25was entered into multivariable logistic regression and p value < 0.05 considered as significantly associated with the outcome variable. ResultsUtilization of LLITN was 33.6%. Factors such as attending antenatal care [adjusted odd ratio (AOR) =1.89; 95% CI; 1.04-3.44], traveling <1 hour to reach health facility AOR=4.41; 95% CI; 2.06-9.43], age ≥ 35 year [AOR= 3.67; 95% CI; 1.36-9.95], knowledge [AOR=11.68; 95% CI; 5.96-22.89] and having positive attitude [AOR=3.12; 95 CI; 1.66-5.88] were significantly associated with utilization of LLITN.ConclusionThis study showed that low utilization of LLITN. Attending antenatal care (ANC), traveling <1 hour to reach health facility, age ≥ year, knowledge and attitude had positive association with LLITN utilization. Every concerned body should focus on reducing distance barrier by giving outreach services and increasing ANC, the attitude and knowledge of pregnant women toward malaria and LLITN which might increase utilization of LLITN.

scholarly journals Perception and Associated Factors for the Implementation of Telemedicine During COVID-19 Pandemic Among Health Professionals Working at the Government Health Facility in Resource Limiting Setting, Ethiopia, 2021: A Cross-section study.

2021 ◽  
Author(s):  
Bayou Tilahun Assaye ◽  
Tewabe Manaye ◽  
Zegeye Regasa ◽  
Gizaw Hayiley ◽  
Kirubel Biruk ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Health Facility ◽  
Health Professionals ◽  
Associated Factors ◽  
Addis Ababa ◽  
Health Professions ◽  
Structured Interview ◽  
Outcome Variable ◽  
P Value ◽  
Multivariable Logistic Regression

Abstract Background: The novel coronavirus(COVID-19) pandemic has been dramatically affecting healthcare organizations across the world. Accessing modern health care is still limited in developing countries due to different factors. Within physical distancing, telemedicine has become the preferred communication channel between health professions and patients. Therefore, this study was aimed to assess Perception and Associated factors for the implementation of telemedicine during the COVID-19 Pandemic among Health Professionals Working at Governmental health facility in Addis Ababa, Ethiopia, 2021.Methods: -Institutional-based cross-sectional study design was conducted among 845 study participants. A structured interview administrative questionnaire using ODK(open data kit) was used. A pre-test was done on 5% of the total sample size. The quality of data was assured by checking its completeness and consistency. Descriptive statistics Bivariable and multivariable logistic regression were fitted. Variables having P-value less than 0.25 during bi-variable logistics regression were entered into multivariable logistic regression. Adjusted odds ratio (AOR) with 95% confidence level (CL) were used to declare association between dependent and the outcome variable. Model fitness and multicollinearity was checked using by using Hosmer-Lemeshow AND Variable inflation factors(VIF) respectively.Result:- Over all 60.9% (95% CI: [57.5, 64.4]) of health professionals had a good perception towards telemedicine with response rate of 737( 87.2%). Health professionals who had IT supporting staff (AOR:7.13, 95% CI: 4.264-13.201), health professionals ’ being certified concerning with ICT (AOR:4.42, 95%CI: 2.69-7.524), frequency of using social media platforms (AOR=3.263, 95% CI: 1.621-6.561) were variables significantly associated with the perception of telemedicine among health professionals for control and prevention of COVID-19.Conclusion:- More than half of respondents had a good perception of telemedicine. being trained with ICT, accessibility of computers,s and Having IT support staff in their health facility were significantly associated with the level of telemedicine perception in the era of the COVID-19 pandemic. Therefore, the Ministry of health recommended to encourage the health professions and the stakeholders to collaborate on promotion of safe and evidence-based use of telemedicine during the current COVID-19 pandemic and future outbreaks.

scholarly journals Utilization and associated factors of sexual and reproductive health services among adolescents of Kathmandu district, Nepal

2020 ◽  
Vol 7 (12) ◽  
pp. 4737
Author(s):  
Sushma Pokhrel ◽  
Susmita Nepal ◽  
Prajita Mali ◽  
Swechhya Baskota ◽  
Richa Aryal ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Associated Factors ◽  
Sexual And Reproductive Health ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Walking Distance ◽  
P Value ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Adolescent Students

Background: There seems to be huge differences in availability and utilization of Sexual and Reproductive Health information and services despite of taking decisive step by Government of Nepal. The main aim of the study is to access the utilization and factors associated with SRH services among adolescents.  Methods: This cross-sectional descriptive study was carried out among 406 adolescent students of grade 11 and 12 which were taken as census in selected higher secondary schools of Kathmandu District through simple random sampling technique. The utilization of SRH services was assessed by semi-structured validated and pretested questionnaire which includes socio-demographic, utilization of sexual health and reproductive health (SRH) services and sexual behaviours. Data were entered and analyzed in SPSS version 20 where Chi-square tests is done to identify the associated factors with utilization SRH services utilization.Results: Overall utilization in last 12 months was 17.2% and was found to be strongly associated with availability of services within 30 minutes of walking distance (p value=0.001), interaction with parents (p-value: 0.02) and with sexually being active within 12 months (p value=0.001). Utilization of SRH services was slightly higher among females (19.8%) compared to males (15.3%). Most utilized services were services related to menstrual problems and family planning including ECP. This study concludes that fear of family and society hinders the utilization of SRH services.Conclusions: As adolescent fear to talk and seek for the services, due to the social cultural norms and stigma attached to SRH services, utilization among adolescent of selected colleges in Kathmandu is low.

scholarly journals Prevalence of Intestinal Parasitic Infections and Associated Factors Among Diarrheal Outpatients in South Gondar Zone, Northwest, Ethiopia

2020 ◽  
Author(s):  
Getaneh Yemata ◽  
Melkalem Azanaw ◽  
Lemma Bilal ◽  
Birku Mekonnen
Keyword(s):  
Logistic Regression ◽  
Associated Factors ◽  
Intestinal Parasite ◽  
Parasite Infection ◽  
Outcome Variable ◽  
Parasitic Infections ◽  
P Value ◽  
Intestinal Parasitic Infections ◽  
Intestinal Parasite Infection ◽  
South Gondar

Abstract Background: Intestinal parasitic infections are major public health problems in several tropical and subtropical developing countries with poor socio-economic status including Ethiopia. Diarrheal patients are a major part of the population with a high risk of intestinal parasitosis. There is a scarcity of studies on intestinal parasite infection among diarrheal patients in South Gondar. As a result, this study was conducted to assess the prevalence and associated factors of intestinal parasite infection among diarrheal patients in this area. Methods: An institutional-based cross-sectional study design was conducted from March to May 2019 with a structured questionnaire data collection technique. A total sample of 240 diarrheal patients included in the study and a simple random sampling technique was used. The stool sample from each study subject was collected and analyzed by direct wet mount techniques. Data were entered in Epi Data Version 4.6.0.0 and exported to Stata version 14 for analysis. Binary logistic regression was used to measure the association of factors with the outcome variable. Factors that have an association with the outcome variable at p-value 0.25 was taken into the multivariable logistic regression analysis to control the potential confounders. The result of the final model will be expressed in terms of adjusted Odd Ratios (AOR) and 95% confidence interval (CI) and statistical significance will be declared if the P-value is less than 0.05. Results: The overall prevalence of intestinal parasitic infections among 240 diarrheal patients was 45.4%. The majorities of the positive cases were single infections (85.2%) while the remains were double infections (14.8%). Among the intestinal parasitic infections Entamoeba histolytica/dispar (E. histolytica/dispar) was the highest 60 (55.5%), and followed by Giardia lamblia (G. lamblia) 26 (24.1%), Ascaris lumbricoides (A. lumbricoides) 4(3.7%), hookworm4(3.7%) and Enterobius vermicularis 4(3.7%). The presence of intestinal parasitic infections had significantly associated with marital status (AOR: 0.41; 95% CI: 0.18,0.91).),shoe-wearing habit (AOR:2.81; 95% CI:1.07,7.37) and fingernail cleanliness (AOR:5.12; 95% CI: 2.35,11.12). Conclusion: Intestinal parasitic infections were a highly prevalent health problem among populations in Lay Gaynte woreda. Poor hygiene of fingernails and no shoes wearing a habit were risk factors for intestinal parasites infection among diarrheal patients.

scholarly journals Prevalence and Factors Associated with Early Sexual Initiation among College Students in Southwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Tewodros Yosef ◽  
Tadesse Nigussie ◽  
Dawit Getachew ◽  
Melkamsew Tesfaye
Keyword(s):  
College Students ◽  
Logistic Regression ◽  
Reproductive Health ◽  
Sexual Intercourse ◽  
Sexual And Reproductive Health ◽  
Sexual Initiation ◽  
Outcome Variable ◽  
Southwest Ethiopia ◽  
Factors Associated ◽  
Early Sexual Initiation

Background. Early age at first sexual practice is a public health issue and now common around the world especially in the developing countries. The development of effective strategies to reduce the adverse consequences of early sexual initiation becomes real when sufficient data is available. Therefore, this study is aimed at assessing the prevalence and factors associated to early sexual initiation among college students in southwest Ethiopia. Methods. A cross-sectional study was conducted among 453 college students in southwest Ethiopia from April to May 2018. A two-stage stratified sampling technique was used to select the study participants. The data were collected using structured pretested self-administered questionnaire. The collected data were entered using Epi-Data version 4.2.0.0 and analyzed using SPSS version 20. Logistic regression models were fitted to assess the effect of independent variables on the outcome variable. Significance was declared at p < 0.05 in the multivariable logistic regression analysis. Results. The proportion of early sexual initiation among college students was 17.9%, 95% CI (14.4%-24.4%). The mean age of sexual intercourse was 17.6 (±2 SD) years. Nearly three-fourths (73.4%) of the respondent’s reason for early sexual intercourse was falling in love. More than half (62.2%) of the respondents used a condom for their first sexual intercourse. The factors associated with early sexual initiation were being female ( AOR = 2.09 and 95% CI [1.17-2.35]), chewing khat ( AOR = 7.05 and 95% CI [3.81-13.1]), exposed to pornographic materials at age < 18 years ( AOR = 3.57 and 95% CI [1.94-6.89]), and poor knowledge of sexually transmitted diseases ( AOR = 8.69 and 95% CI [3.52-21.5]). Conclusion. The prevalence of early sexual initiation among college students was alarmingly high. This may be associated with a huge burden of poor sexual and reproductive health. Therefore, creating awareness of the factors and related negative sexual and reproductive health effect of early sexual initiation for young peoples through the use of mass media (television and radio), school teachers, and parents plays a paramount importance.

Utilization of Long-Lasting Insecticide Treated Net and Associated Factors Among Pregnant Women in Malarious Kebeles in Awabel District, North-West Ethiopia, 2017

2020 ◽  
Author(s):  
Mengistie Kassahun Tariku ◽  
Zewdu Dagnew ◽  
Sewnet Wongiel Misikir ◽  
Abebe Habtamu Belete
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Facility ◽  
Associated Factors ◽  
Outcome Variable ◽  
P Value ◽  
Cross Sectional ◽  
North West ◽  
North West Ethiopia

Abstract Background: Utilization of long-lasting insecticide treated net (LLITN) is one of the main vector control activities. It has a killing, repellent and physical barrier effects against mosquito. Even if priority is given for pregnant women, not all nets owned by household have been utilized by pregnant women. The objective of the study was to assess utilization of Long-lasting insecticidal net and associated factors among pregnant women in malarious kebeles, Awabel woreda, North-West Ethiopia. Methods: A community-based cross-sectional study was conducted from May 1 to June 30, 2017. A systematic random sampling was used to select 422 households. Two days training was given for data collectors and supervisors. Collected data were coded and entered using epi-data version 3.1, then it was exported to Statistical Package for Social Science (SPSS) version 20. After bivariate logistic regression analysis, all variables with a p-value less than or equal to 0.25was entered into multivariable logistic regression and p value < 0.05 considered as significantly associated with the outcome variable. Results: Utilization of LLITN was 33.6%. Factors such as attending antenatal care [adjusted odd ratio (AOR) =1.89; 95% CI; 1.04-3.44], traveling <1 hour to reach health facility AOR=4.41; 95% CI; 2.06-9.43], age [AOR= 3.67; 95% CI; 1.36-9.95], knowledge[AOR=11.68; 95% CI; 5.96-22.89] and having positive attitude [AOR=3.12; 95 CI; 1.66-5.88] were significantly associated with utilization of LLITN. Conclusion: This study showed that low utilization of LLITN. Attending antenatal care (ANC), traveling <1 hour to reach health facility, age , knowledge and attitude had positive association with LLITN utilization. Every concerned body should focus on reducing distance barrier by giving outreach services and increasing ANC, the attitude and knowledge of pregnant women toward malaria and LLITN which increase utilization of LLITN. Key words : LLITN utilization, pregnant women, malarious kebeles, Awable, Ethiopia

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