scholarly journals Labor Pain Mangement Practice and Associated Factors Among Obstetric Care Workers in Public Health Facilities of West Guji Zone, Southern Ethiopia, 2020

2021 ◽  
Author(s):  
Girma Tufa Melesse ◽  
Zelalem Jabessa Wayessa ◽  
Amana Jilo Bonkiye
Keyword(s):  
Public Health ◽  
Pain Management ◽  
Associated Factors ◽  
Management Practice ◽  
Obstetric Care ◽  
Labor Pain ◽  
Southern Ethiopia ◽  
Pharmacological Interventions ◽  
Obstetric Analgesia ◽  
Care Workers

Abstract Introduction: Childbirth is a painful experience for almost all women and most women require pain relief. Labor pain management strategies include non-pharmacological interventions and pharmacological interventions. Globally, approximately 140 million births occur every year and most of them are vaginal births among pregnant women with no risk factors identified for complications during onset of labor.More than a third of maternal deaths from pregnancy-related conditions are attributed to complications that arise during childbirth or the period immediately following childbirth, usually due to bleeding, obstructed laboror sepsis.The aim of this study was to assess labor pain management practice and associated factors among obstetric care givers in public health facilities of West Guji, Southern Ethiopia 2020.Methods: Institutional based cross-sectional study was conducted. Simple random sampling technique was employed to select 280 study participants. The data was collected by using self-administered questionnaire. Descriptive statistics, binary and multiple logistic regressions were used. Adjusted odds ratios (AOR) with 95% CI was estimated to assess the strength of associations and statistical significance was declared at a p-value < 0.05. Result: The magnitude of labor pain management practice among obstetric care workers at the study area was 43.3%. Factors that associated to labor pain management practice which were found to be statistically significant by multivariable analysis model were: Being diploma holder (AOR, 0.3; 95% CI: 0.2, 0.6), knowledge of obstetric analgesia (AOR, 9.4; 95% CI:1.8, 9.9) andthought of pharmacologic obstetric analgesia has effect on the labor (AOR, 2.9; 95% CI: 1.4, 6.2)Conclusion: Though the magnitude of labor pain management practice was better than other studies, stillit needs working to increase it. Being diploma holder, knowledge of obstetric analgesia and thought of pharmacologic obstetric analgesia has effect on the labor were the factors that responsible for labor pain management practice.

scholarly journals Partograph Utilization and Associated Factors among Obstetric Care Providers at Public Health Facilities in Hadiya Zone, Southern Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Yosef Haile ◽  
Fikru Tafese ◽  
Tesfaye Dagne Weldemarium ◽  
Mulugeta Hailu Rad
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Associated Factors ◽  
Obstetric Care ◽  
Health Facilities ◽  
Southern Ethiopia ◽  
Care Providers ◽  
Obstetric Care Providers ◽  
Study Participants ◽  
Hadiya Zone

Background. A partograph is a graphic representation of labor which is used by health professionals for monitoring labor progress and fetal and maternal wellbeing. However, its utilization and associated factors have not been studied yet in Hadiya Zone, Southern Ethiopia. Hence, the aim of this study was to determine partograph utilization and associated factors among obstetric care providers at public health facilities in Hadiya Zone, Southern Ethiopia. Methods. A facility-based cross-sectional study was conducted on 436 health professionals. The study was conducted from March 04 to April 07, 2019. A simple random sampling method was carried out to select 19 health facilities and study participants from selected facilities. Data was collected using a pretested structured questionnaire, entered into EPI-data version 3.1 and exported to Statistical Package for Social Sciences (SPSS) version 20. Descriptive statistics and binary and multivariable logistic regression analyses were done. P values less than 0.05 were used to declare significant association between dependent and independent variables. Results. The overall magnitude of partograph utilization was found to be 54.4%, and finding from data abstraction from a document revealed that out of 18 parameters, only 10 parameters were recorded completely. Type of health facility (hospital as compared to HC) (AOR=2.96; CI=1.71, 5.12), received on-the-job training on partograph (AOR=7.06; CI=4.3, 11.37), knowledgeable about partograph (AOR=2.12; CI=1.3, 3.9), and favorable attitude toward partograph use (AOR=1.8; CI=1.12−2.97) were significantly associated with partograph use. Conclusion. Overall partograph utilization was low, and incomplete recording of required parameters on partograph was observed in this study. Participants who received on-the-job training on partograph, who are working in a hospital, who are knowledgeable about partograph, and who have favorable attitude toward partograph use were factors affecting partograph use positively.

scholarly journals Utilization of non-pneumatic anti-shock garment and associated factors for postpartum hemorrhage management among obstetric care providers in public health facilities of southern Ethiopia, 2020

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258784
Author(s):  
Yordanos Gizachew Yeshitila ◽  
Agegnehu Bante ◽  
Zeleke Aschalew ◽  
Bezawit Afework ◽  
Selamawit Gebeyehu
Keyword(s):  
Public Health ◽  
Health Care Providers ◽  
Postpartum Hemorrhage ◽  
Associated Factors ◽  
New Technologies ◽  
Obstetric Care ◽  
Southern Ethiopia ◽  
Care Providers ◽  
Management Of Complications ◽  
Obstetric Care Providers

Background Delays in care have been recognized as a significant contributor to maternal mortality in low-resource settings. The non-pneumatic antishock garment is a low-cost first-aid device that can help women with obstetric haemorrhage survive these delays without long-term adverse effects. Extending professionals skills and the establishment of new technologies in basic healthcare facilities could harvest the enhancements in maternal outcomes necessary to meet the sustainable development goals. Thus, this study aims to assess utilization of non-pneumatic anti-shock garment to control complications of post-partum hemorrhage and associated factors among obstetric care providers in public health institutions of Southern Ethiopia, 2020. Methods A facility-based cross-sectional study was conducted among 412 obstetric health care providers from March 15 –June 30, 2020. A simple random sampling method was used to select the study participants. The data were collected through a pre-tested interviewer-administered questionnaire. A binary logistic regression model was used to identify determinants for the utilization of non-pneumatic antishock garment. STATA version 16 was used for data analysis. A P-value of < 0.05 was used to declare statistical significance. Results Overall, 48.5% (95%CI: 43.73, 53.48%) of the obstetric care providers had utilized Non pneumatic antishock garment for management of complications from postpartum hemorrhage. Training on Non pneumatic antishock garment (AOR = 2.92; 95% CI: 1.74, 4.92), working at hospital (AOR = 1.81; 95% CI: 1.04, 3.16), good knowledge about NASG (AOR = 1.997; 95%CI: 1.16, 3.42) and disagreed and neutral attitude on Non pneumatic antishock garment (AOR = 0.41; 95%CI: 0.24, 0.68), and (AOR = 0.39; 95% CI: 0.21, 0.73), respectively were significantly associated with obstetric care provider’s utilization of Non-pneumatic antishock garment. Conclusions In the current study, roughly half of the providers are using Non-pneumatic antishock garment for preventing complications from postpartum hemorrhage. Strategies and program initiatives should focus on strengthening in-service and continuous professional development training, thereby filling the knowledge and attitude gap among obstetric care providers. Health centers should be targeted in future programs for accessibility and utilization of non-pneumatic antishock garment.

scholarly journals Professional Commitment and Its Associated Factors among Institutional Delivery Services Providers in Public Health Facilities, In Shone District, Southern Ethiopia

2022 ◽  
Vol 5 (1) ◽  
pp. 01-08
Author(s):  
Melaku Wolde Anshebo ◽  
Tesfaye Gobeana Tessema ◽  
Yosef Haile Gebremariam
Keyword(s):  
Public Health ◽  
Institutional Delivery ◽  
Personal Characteristics ◽  
Obstetric Care ◽  
Health Facilities ◽  
Professional Commitment ◽  
Southern Ethiopia ◽  
Care Providers ◽  
Public Health Facilities ◽  
Delivery Services

Background: There is paucity of information on level of commitment among health professionals attending delivery service in public health facilities of low-income countries including Ethiopia. Hence, the aim of this study is to assess the level and factors associated with professional commitment among institutional delivery services providers at public health facilities in Shone District, Southern Ethiopia. Methods: A facility-based cross-sectional study design was conducted at primary level public health facilities in Shone District. All health facilities (one primary hospital and 7 health centers) were included in the study. Five hundred three study participants who fulfilled inclusion criteria in proportion to obstetric care providers in each public health facilities were selected by applying simple random sampling method. Self-administered Likert scale type of questionnaire was used. Data were analyzed using SPSS version 20. Bivariate and multivariable logistic regression analyses were done to see the association between dependent and explanatory variables. Results: The magnitude of professional commitment for obstetric care providers working in public health facilities of Shone district was 69.4%. In this study, those who worked at hospital, those who had positive attitude toward organizational commitment, and those who had positive attitude toward personal characteristics were 2.4, 2.3 and 1.76 times more likely committed to profession compared with their counterparts respectively. Conclusion: The professional commitment among institutional delivery service provision was medium as compared to other study finding. All health professional should manage their own personal characteristics to behave in good way to be committed for their profession. Organizational commitment had great influence on professional commitment.

scholarly journals Magnitude, Severity, and Associated Factors of Anemia among Under-Five Children Attending Hawassa University Teaching and Referral Hospital, Hawassa, Southern Ethiopia, 2016

Anemia ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Yeshimebet Gebereselassie ◽  
Mesganaw BirhanSelassie ◽  
Tadesse Menjetta ◽  
Jemal Alemu ◽  
Aster Tsegaye
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Associated Factors ◽  
Public Health Problem ◽  
Referral Hospital ◽  
University Teaching ◽  
Southern Ethiopia ◽  
Under Five ◽  
Hawassa University ◽  
Prevalence Of Anemia

Background. Anemia is a widespread public health problem associated with increased risk of morbidity and mortality. Infants, under-5-year-old children, and pregnant women have greater susceptibility to anemia. The magnitude and associated risk factors for anemia vary in different settings. The study aimed to assess the magnitude, severity, and associated factors of anemia at Hawassa University Teaching and Referral hospital, Hawassa, southern Ethiopia. Methods. In a hospital-based cross-sectional study, a total of 422 under-five children were included. Sociodemographic data and other predisposing factors were collected by structured questionnaire. Venous blood samples were collected and analyzed for hemoglobin determination using a Cell-Dyn 1800 automated analyzer. Stool samples were collected and processed using direct wet mount and formol-ether concentration method to detect intestinal parasites. Data were entered and analyzed using SPSS version 20 statistical packages. Binary and multiple logistic regressions were computed to assess factors associated with anemia. p value less than 0.05 was taken as statistically significant. Result. The overall prevalence of anemia was found to be 41.7%. The mean hemoglobin level was 10.59 g/dl. Anemia was of mild, moderate, and severe type in 6.6%, 19%, and 16.1% of the children, respectively. Children in the age group 6–23 months (AOR = 2.04 (95% CI: 1.13, 3.69)), and mothers having no formal education (AOR = 1.73 (95% CI: 0.99, 3.02)) were identified as associated factors for anemia. Conclusion. The prevalence of anemia among the study subjects was 41.7% indicative of the fact that anemia is an important public health problem. It was associated with the child’s age, residence, mother’s education level, and intestinal parasite (Ascaris lumbricoides). It clearly indicates that there should be well integrated public health interventions to improve the health status that needs to be prioritized to prevent anemia among children under five years of age.

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