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.

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

scholarly journals Knowledge about Obstetric Danger Signs and Associated Factors among Antenatal Care Attendants

2017 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
Tadele Girum ◽  
Mulugeta Shegaze
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Associated Factors ◽  
Post Partum ◽  
P Value ◽  
Danger Sign ◽  
Health Extension Workers ◽  
Cross Sectional ◽  
Obstetric Danger Signs ◽  
Danger Signs

<p><span lang="EN-US">Knowledge of mothers about obstetric danger sign is the basic influencing factor for utilization of skilled maternal and neonatal cares which reduce maternal and new born mortality and morbidity. Therefore this study intended to assess knowledge about obstetric danger sign and identify associated factors among antenatal care attendants. Institutional based cross- sectional study was conducted from April to June 2015 among 358 randomly selected antenatal care attendants. Epi Info version 7 and SPSS version 20 software were used for data entry and analysis respectively. Logistic regression was run to look for the association between dependent and explanatory variables; and using variables which have p-value ≤ 0.25 binary logistic regression was fitted. Association presented in Odds ratio with 95% confidence interval and significance determined at P-value less than 0.05. </span><span>M</span><span lang="EN-US">ost of the respondents able to name some of the accepted danger signs. Two hundred eight (58%), 182(51%) and, 161(45%) of mother were knowledgeable for obstetric danger sign which could occur during pregnancy, at child birth and post-partum period respectively. The most mentioned dander signs were bleeding, retained placenta and prolonged labor. The factors that associated with Knowledge of obstetric danger signs were urban residence (AOR=2.6; 95% CI: 1.8, 4.2), being literate (AOR=2.54; 95% CI: 1.14, 5.76), multiparity (AOR 1.5; 95% CI: 1.14, 2.3) and being informed (AOR=3; 95% CI: 1.6, 6.4). The study showed that attendant’s knowledge was low. This could be averted through strategies designed to address women’s through health extension workers and health professionals</span><span>.</span></p>

scholarly journals Timing of first antenatal care contact, its associated factors and state-level analysis in Nigeria: a cross-sectional assessment of compliance with the WHO guidelines

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e047835
Author(s):  
Adeniyi Francis Fagbamigbe ◽  
Olugbenga Olaseinde ◽  
Omon Stellamaris Fagbamigbe
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Healthcare Utilisation ◽  
First Trimester ◽  
Household Wealth ◽  
Secondary Outcome ◽  
Outcome Variable ◽  
Who Guidelines ◽  
Cross Sectional

ObjectivesTo assess the compliance of WHO guidelines on the timeliness of antenatal care (ANC) initiation in Nigeria and its associated factors and to provide subcountry analysis of disparities in the timing of the first ANC in Nigeria.DesignCross-sectional.SettingNationally representative data of most recent pregnancies between 2013 and 2018 in Nigeria.ParticipantsWomen with pregnancies within 5 years before the study.Primary and secondary outcome measuresThe outcome variable was the trimesters of the first ANC contact. Data were analysed using descriptive statistics, bivariable and multivariable multinomial logistic regression at 5% significance level.ResultsOf all the 21 785 respondents, 75% had at least one ANC contact during their most recent pregnancies within the five years preceding the data collection. Among which 24% and 63% started in the first and second trimester, respectively. The proportion who started ANC in the first trimester was highest in Benue (44.5%), Lagos (41.4%) and Nasarawa (39.3%) and lowest in Zamfara (7.6%), Kano (7.4%) and Sokoto (4.8%). Respondents aged 40–49 years were 65% (adjusted relative risk ratio (aRRR: 1.65, 95 % CI: 1.10 to 2.45) more likely to initiate ANC during the first trimester of pregnancy relative to those aged 15–19 years. Although insignificant, women who participate in their healthcare utilisation were 4% (aRRR: 1.04, 95 % CI: 0.90 to 1.20) times more likely to have early initiation of ANC. Other significant factors were respondents’ and spousal educational attainment, household wealth quintiles, region of residence, ethnicity, religion and birth order.ConclusionsOnly a quarter of pregnant women, initiated ANC contact during the first trimester with wider disparities across the states in Nigeria and across the background characteristics of the pregnant women. There are needs to enhance women’s autonomy in healthcare utilisation. Concerted efforts on awareness creation and empowerment for women by all stakeholders in maternal and child healthcare are antidotes for early ANC contact initiation.

scholarly journals Knowledge about Obstetric Danger Signs and Associated Factors among Antenatal Care Attendants

2017 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
Mulugeta Shegaze
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Associated Factors ◽  
Post Partum ◽  
P Value ◽  
Danger Sign ◽  
Health Extension Workers ◽  
Cross Sectional ◽  
Obstetric Danger Signs ◽  
Danger Signs

<p>Knowledge of mothers about obstetric danger sign is the basic influencing factor for utilization of skilled maternal and neonatal cares which reduce maternal and new born mortality and morbidity. Therefore this study intended to assess knowledge about obstetric danger sign and identify associated factors among antenatal care attendants. Institutional based cross- sectional study was conducted from April to June 2015 among 358 randomly selected antenatal care attendants. Epi Info version 7 and SPSS version 20 software were used for data entry and analysis respectively. Logistic regression was run to look for the association between dependent and explanatory variables; and using variables which have p-value ≤ 0.25 binary logistic regression was fitted. Association presented in Odds ratio with 95% confidence interval and significance determined at P-value less than 0.05. Most of the respondents able to name some of the accepted danger signs. Two hundred eight (58%), 182(51%) and, 161(45%) of mother were knowledgeable for obstetric danger sign which could occur during pregnancy, at child birth and post-partum period respectively. The most mentioned dander signs were bleeding, retained placenta and prolonged labor. The factors that associated with Knowledge of obstetric danger signs were urban residence (AOR=2.6; 95% CI: 1.8, 4.2), being literate (AOR=2.54; 95% CI: 1.14, 5.76), multiparity (AOR 1.5; 95% CI: 1.14, 2.3) and being informed (AOR=3; 95% CI: 1.6, 6.4). The study showed that attendant’s knowledge was low. This could be averted through strategies designed to address women’s through health extension workers and health professionals.</p>

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 Smear-Positive Tuberculosis Prevalence and Associated Factors among Pregnant Women Attending Antinatal Care in North Gondar Zone Hospitals, Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Adugna Berju ◽  
Belete Haile ◽  
Seleshe Nigatu ◽  
Araya Mengistu ◽  
Girma Birhan
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Reproductive Age ◽  
Sputum Smear ◽  
Cross Sectional ◽  
Care Clinic ◽  
North West ◽  
Symptom Screening ◽  
North Gondar Zone

Tuberculosis is an ancient infectious disease that remains a threat to public health around the world. It is a contagious airborne disease caused by Mycobacterium tuberculosis complex. In high tuberculosis burden countries, the prevalence of tuberculosis was 10-fold higher in the HIV-infected mothers than that in those not infected with HIV. However, little is known about the burden of tuberculosis (TB) and associated factors in women of reproductive age in most resource poor countries. Therefore, this study aims to investigate prevalence of smear-positive TB and factors associated in pregnant women attending antenatal care in North West, Ethiopia. An institution-based cross-sectional study was conducted in three governmental hospitals of the North Gondar Zone, and a total of 1272 pregnant women attending antenatal care were included. Data were collected by trained personnel’s using a pretested and structured symptom screening questionnaire; then, spot-morning-spot sputum samples were collected from those pregnant women who had two or more weeks of cough, and sputum smear was done by using a light-emitted diode fluorescent microscope. 99% of the pregnant women visited the hospitals for antenatal care. The prevalence of smear-positive tuberculosis was 864/100,000 population, and HIV positivity (AOR = 7.24; 95% CI: (2.01–26.03)), urban residence (AOR = 2.28; 95% CI: (1.419–3.158)), and family history of TB (AOR = 2.12; 95% CI: (1.371–3.451)) were significantly associated with smear-positive tuberculosis. In this study, the prevalence of smear-positive tuberculosis was found to be higher than that in other community-based studies in the country. Therefore, health education, targeted screening of pregnant women for TB, and collaboration of TB-HIV clinic with antenatal care clinic should be implemented in the area. Further research should also be conducted for better understanding of the magnitude of tuberculosis in females of reproductive age.

scholarly journals Late initiation of antenatal care and associated factors among pregnant women attending antenatal clinic of Ilu Ababor Zone, southwest Ethiopia: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0246230
Author(s):  
Waqgari Tola ◽  
Efrem Negash ◽  
Tesfaye Sileshi ◽  
Negash Wakgari
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Outcome Variable ◽  
Sectional Study ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Late Initiation

Timely entries to antenatal care have various benefits for pregnant women and birth outcomes. The aim of antenatal care is to assure that every pregnancy culminates in the delivery of a healthy baby without negative effects on the health of pregnant women through health promotion and disease prevention, early detection, and treatment of complications and existing diseases. Hence, this study assessed the late initiation of antenatal care and associated factors among pregnant women attending antenatal clinics at public health centers of Ilu Ababor Zone, southwest Ethiopia. An Institution-based cross-sectional study was carried out among 389 pregnant women who were attending antenatal care service at twelve randomly selected health centers. A systematic sampling technique was employed to recruit pregnant women. Pretested and structured questionnaires were used to collect data. Data were entered into Epidata and exported to SPSS for analysis. Those women who started antenatal care follow up after 12 weeks of gestational age were categorized as booked lately. Bivariable and multivariable logistic regression was employed to identify an association between the independent predictors and the outcome variable. In this study, 277 (71.2%) of the participants were booked their first antenatal care visit lately. Having family size of ≥ 4 (AOR: 2.25; 95% CI: 1.07–4.74), maternal age ≥ 25 years (AOR: 2.30; 95%CI: 1.02–5.18) and perceived the right time of booking > 12 weeks of gestation (AOR: 2.39; 95% CI: 1.13–5.04) had higher odds of late antenatal care initiation. Similarly, not being a member of women’s health developmental army (AOR: 2.35; 95%CI: 1.09–5.07) and ANC not attended previously (AOR: 3.32; 95% CI: 1.17–9.42) had also a more likelihood of booking antenatal care lately. In this study, the majority of women started antenatal care lately. Thus, the provision of health education on the importance of attending first antenatal care early is recommended.

ANALISIS HUBUNGAN SARANA, PENGETAHUAN, DAN SIKAP BIDAN PRAKTIK MANDIRI DENGAN KEPATUHAN MENJALANKAN STANDAR PELAYANAN ANTENATAL CARE DI KOTA PADANGSIDIMPUAN

2019 ◽  
Vol 2 (1) ◽  
pp. 27-33
Author(s):  
Megawati Sinambela ◽  
Evi Erianty Hasibuan
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Logistic Regression Analysis ◽  
Care Service ◽  
Multivariate Logistic Regression Analysis ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
The North

Antenatal care is a service provided to pregnant women to monitor, support maternal health and detect mothers whether normal or problematic pregnant women. According to the WHO, globally more than 70% of maternal deaths are caused by complications of pregnancy and childbirth such as hemorrhage, hypertension, sepsis, and abortion. Based on data obtained from the profile of the North Sumatra provincial health office in 2017, in the city of Padangsidimpuan in 2017 the coverage of ANC visits reached (76.58%) and had not reached the target in accordance with the 2017 Provincial Health Office strategy plan (95%). This type of research was an observational analytic study with a cross sectional design. The population in this study were independent practice midwives who were in the Padangsidimpuan, the sample in this study amounted to 102 respondents. The technique of collecting data used questionnaires and data analysis used univariate, bivariate and multivariate analysis with logistic regression analysis. Based on bivariate analysis showed that there was a relationship between facilities, knowledge and attitudes of independent midwives with compliance with the standards of antenatal care services with a value of p <0.05. The results of the study with multivariate logistic regression analysis showed that the factors associated with the compliance of independent midwives in carrying out antenatal care service standards were attitudes with values (p = 0.026).

scholarly journals Faktor- Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Antenatal di Wilayah Kerja Puskesmas Air Tawar Kota Padang

2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Family Income ◽  
Health Workers ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
P Value ◽  
Independent Practice ◽  
Cross Sectional ◽  
Antenatal Services

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.

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