Unintended pregnancy: its proportion and associated factors among rural women in Bench Maji zone south west Ethiopia: Community based cross sectional study

Author(s):  
Mulugeta Feyisa ◽  
Tariku Regea ◽  
Tadesse Nigussie ◽  
Adane Asefa ◽  
Lemi Abebe ◽  
...  

Abstract Background: Globally, unintended pregnancy affects life of thousands of women annually. It harms the health of both the mother and baby. By avoiding unwanted pregnancies, it is possible to save thousands of mothers from premature pregnancy-related deaths. Objectives: to assess level of unintended pregnancy and associated factors among rural women in Bench Maji zone south west Ethiopia.Methods: A community-based cross-sectional study was conducted among 829 pregnant women from March to June 2018 in the Bench Maji Zone, southwest Ethiopia. A multistage sampling technique was used to select study participants. The data were collected by trained data collectors using a structured and pre-tested questionnaire. Data were entered into the epi data manager version 4.0.2.101, and then exported to SPSS version 21 for analysis. Multivariable binary logistic regression was done and variables with a p-value < 0.05 were factors associated with unintended pregnancy. Results: Of the 829 interviewed women, 109 (13.1%) of them became pregnant without their intention. Factors associated with unintended pregnancy were having exposure to media (radio) [AOR=5.06: 95% CI: 1.89-13.53], having 3 and more children [AOR=2.34: 95CI:1.19-4.64], place of recent delivery [AOR=2.07, 95%CI: 1.12-3.84], and having post-natal care utilization for recent delivery AOR=4.03, 95% CI: 2.09-7.79].Conclusion: The magnitude of unintended pregnancy was significant in number in the study area. Interventions have to take based on exposure to media (radio), number of born children, place of recent delivery, and post-natal care utilization for recent delivery of the women.

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e055125
Author(s):  
Melesse Niguse Kuma ◽  
Dessalegn Tamiru ◽  
Tefera Belachew

ObjectiveTo assess the magnitude of dietary diversity and associated factors among pregnant women in the rural communities of Jimma Zone, south-west Ethiopia.DesignA community-based cross-sectional study was conducted from 1 June to 30 June 2020.SettingsThe study was conducted in Seka Chekorsa and Mana districts. From a total of 63 listed kebeles, 21 were randomly selected.ParticipantsThree hundred sixty first-trimester pregnant women have participated in this study. We used a systematic random sampling method to select the participants after a home-to-home census.Primary and secondary outcomesDietary diversity was assessed using a 24 hours dietary recall method. Descriptive statistics were computed to describe the study subjects. Bivariate and multivariable logistic regression was run to control for all possible confounding effects and measure the strength of association between the outcome of interest and predictor.ResultsThe overall magnitude of adequate dietary diversity was found to be 186 (51.7%); 95% CI 46.1% to 56.4%). Having attended elementary education (adjusted OR (AOR)=2.45; 95% CI 1.33 to 4.51), completed grade 8 (AOR=6.05; 95% CI 2.65 to 13.80), attended high school (AOR=11.69; 95% CI 3.76 to 36.27), completed high school and above (AOR=2.92; 95% CI 1.16 to 7.32), husbands attended high school (AOR=2.92; 95% CI 1.15 to 7.47), family size of less than five (AOR=3.44; 95% CI to 1.77–6.66) were positively significantly associated with adequate dietary diversity. On the other hand, not had additional meal during pregnancy (AOR=0.42; 95% CI 0.21 to 0.83) was negatively associated with adequate dietary diversity.ConclusionsWe observed that the adequate dietary diversity score of pregnant women was low compared with the pooled proportion of dietary diversity conducted in Ethiopia. Therefore, strengthening and promoting female education through intersectoral collaborations and additional meal counselling during pregnancy is indispensable.


2020 ◽  
Author(s):  
aklilu hailegebireal habte ◽  
Feleke Gebiremeskel ◽  
Misgun Shewangizaw ◽  
Samuel Dessu ◽  
Mustefa Glagn

Abstract Background: Postnatal care service is preventive care, practices and assessments that are designed to identify and manage complications for both the mother and the newborn within the first six weeks of birth. A clear understanding of factors associated with complete PNC services utilization is important to help in the development and the implementation of evidence-based approaches to increase utilization of PNC services. The aim of the study was to identify the Prevalence of complete postnatal care utilizations and associated factors among women gave birth in the last 12 months in Ezha district, southern Ethiopia. Methods: A community based cross-sectional study was conducted in Ezha district. A two stage sampling technique was applied. A total of 568 mothers from ten selected kebeles were included in the study by using computer generated random numbers. Data were collected using pretested semi-structured questionnaire through face to face interview and entered to EpiData3.1 and exported to SPPS version 23. Principal component analysis (PCA) was performed to assess wealth status of the participants. Bivariate and Multivariable logistic regression analysis were performed in order to identify the factors significantly associated with Complete post natal care utilization at the level of significance of p value <0.25 with 95% CI of COR and <0.05 with 95% CI of AOR respectively. Results: The prevalence of complete post natal care utilization in the study area was 19.6%. The factors; maternal education of secondary and above [AOR: 4.3; 95%CI: (2.15, 8.05)], having antenatal visits [AOR:3.75; 95%CI:(1.78, 7.92)], Caesarean delivery [AOR:3.96; 95%CI: (1.5,7.94)], having good knowledge on PNC [AOR: 5.31; 95%CI:(2.34,10.05)] and being model house hold [AOR:3.61; 95%CI: (1.97,6.64)] were identified as independent factors for complete postnatal care utilization in multivariable logistic regression analysis. Conclusion: Complete postnatal care service utilization in the study area was low. Strengthening information education and communication on the importance of complying with recommended postnatal care, work on model house hold creation, and increasing number of antenatal care visits are the necessary measures that should be done by concerned bodies to enhance complete postnatal care utilization in the district. Keywords: Postnatal care, complete postnatal care, utilization, district, associated factors.


Sign in / Sign up

Export Citation Format

Share Document