Health care decision making autonomy of women from rural districts of Southern Ethiopia: a community based cross-sectional study

Background Institutional delivery is one of the key interventions that have been proven to reduce maternal and newborn morbidity and mortality. Ethiopia has initiated different efforts to enhance the acceptance of institutional delivery. In spite of this, the number of institutional deliverys is still very low in Ethiopia and varies from region to region. Therefore, this study aimed to assess the utilization of institutional delivery and of factors associated with it among mothers in Hossana Town, Southern Ethiopia. Methods This study was a community-based cross-sectional study of mothers who had given birth within 12 months before the study. Data were collected using a pretested questionnaire. During the study period, 403 mothers were selected using the systematic random sampling technique. Data entry was done using EpiData (version 3.1), and data were exported to SPSS (version 24) for analysis. Both bivariate and multivariable logistic regression analyses were used to identify the associated factors at 95% CI. Results This study revealed that 53.6% of mothers delivered their infants at health facilities. The factors associated with the institutional delivery were primigravidas (AOR = 3.9; 95% CI, 1.4–4.7), the availability of antenatal care (AOR = 3.4; 95%CI, 1.7–7.2), having planned pregnancies (AOR = 3.9; 95%CI, 1.7–9.3) and the involvement of both parents in decision making (AOR = 2.4; 95%CI, 1.4–2.5). However, when only the mother was involved in the decision making regarding the delivery, the figure decreased by 70% (AOR = 0.3; 95%CI, 0.1–0.8). Conclusions The findings of this study indicate that high numbers of births occur without skilled attendants or are non- institutional delivery. In terms of the factors that are associated with institutional delivery, the study suggests that strengthening sustained provision of education during antenatal care and at community levels are crucial.

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Undiagnosed Hypertension and Associated Factors among Adult Dwellers in Hawela Tula Sub City, Hawassa, Southern Ethiopia: A Community Based Cross-sectional Study

10.21203/rs.2.15583/v1 ◽

2019 ◽

Author(s):

Demelash Wachamo ◽

Endrias Markos ◽

Dereje Geleta

Keyword(s):

Health Care ◽

Public Health Problem ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

Sectional Study ◽

Health Seeking ◽

Community Based ◽

Cross Sectional ◽

Physical Measurements ◽

Undiagnosed Hypertension

Abstract Introduction Hypertension is a common public health problem and often goes unnoticed and can lead to a stroke or heart attack. It contributes to the high burden of cardiovascular disease, premature mortality, reduced quality of life and high costs to the health care system, especially in low and middle-income countries. Therefore, this study aimed to assess the prevalence of undiagnosed hypertension and influencing factors with health-seeking behaviour.Method A community-based cross-sectional study was conducted on 390 randomly selected adults in Hawela Tulla Sub-city, Hawassa, southern Ethiopia from February to June, 2019. Data was collected by pre-tested questionnaires and physical measurements of weight, height and blood pressure were collected through standardized procedures adapted from WHO STEPS survey tools. Data entry and analyzed for descriptive and logistic regression models by SPSS v.23. The result declared as statistically significant at p < 0.05.Result The prevalence of the undiagnosed hypertension among the respondents was 12.3%. The male [AOR= 3.70, 95% CI:1.64-8.32] than female contributing. Family history of hypertension had [AOR 3.69, 95% CI: 1.31-10.34], being physical inactive [AOR 3.21, 95% CI: 1.50- 6.84], salty food consumer [AOR 3.67, 95% CI:1.26-10.64], BMI 25 Kg/m2 and above [AOR 3.06, 95% CI:1.41-6.65] and not seek health care for some early hypertensive symptoms without serious illness [AOR 4.58, 95% CI: 1.85-11.32] when compared to their counterparts, were found to be determinant factors for undiagnosed hypertension.Conclusions and Recommendation The prevalence of undiagnosed hypertension found to be prevalent and calls for intervention. Health officials need to consider integrating the prevention and control of hypertension at the community level. The clinicians need to intervene on unhealthy lifestyles, by promoting healthy practices and health-seeking behavior to prevent undiagnosed hypertension.

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Epidemiology of needlestick injuries among health-care workers in Awassa City, Southern Ethiopia

Tropical Doctor ◽

10.1258/td.2009.090191 ◽

2010 ◽

Vol 40 (2) ◽

pp. 111-113 ◽

Cited By ~ 17

Author(s):

Moges Tadesse ◽

Takele Tadesse

Keyword(s):

Health Care ◽

Health Care Workers ◽

Cross Sectional Study ◽

Needlestick Injury ◽

Public Health Issue ◽

Southern Ethiopia ◽

Sectional Study ◽

Needlestick Injuries ◽

Cross Sectional ◽

Care Workers

Accidental needlestick injuries sustained by health-care workers are a common occupational hazard and a public health issue in health-care settings. An analytical cross-sectional study was conducted and 30.9% of health-care workers had experienced at least one needlestick injury in the previous year.

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Undernutrition and Associated Factors among Lactating Women: Community-Based Cross-Sectional Study in Moyale District, Borena Zone, Southern Ethiopia

Advances in Public Health ◽

10.1155/2020/4367145 ◽

2020 ◽

Vol 2020 ◽

pp. 1-10

Author(s):

Hailu Bekele ◽

Gebi Husein Jima ◽

Ashenafi Habtamu Regesu

Keyword(s):

Dietary Diversity ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

Sectional Study ◽

Monthly Income ◽

Community Based ◽

Cross Sectional ◽

Lactating Women ◽

Household Food ◽

Delivery Place

Background. Undernutrition is one of the most widespread public health problems that affect both developed and developing countries. In Ethiopia, it is one of the factors leading to unacceptable high morbidity and mortality among women. However, little is documented on undernutrition among lactating women particularly in such a purely pastoral community. Therefore, this study was designed to assess prevalence of undernutrition and its associated factors among lactating women living in pastoral community of Moyale District, Borena Zone, Southern Ethiopia, 2018. Methods. A community-based cross-sectional study was conducted. Data were collected from a random sampled 545 lactating women using structured interviewer-administered questionnaire. Height and weight measurements of the study participants were also taken to compute body mass index. Data were entered in to Epi info version 7 and then exported to SPSS version 21 software for analysis. Descriptive statistics like frequency, mean, and percentage were computed to describe characteristics of the sample. Multivariable analysis was carried out, association between independent and dependent variables were measured using adjusted odds ratios, and its 95% confidence interval and P value below 0.05 were considered statistically significant. Results. This study showed that prevalence of undernutrition among lactating women was 17.7%. Dietary diversity (AOR = 2.49, 95% CI: 1.43–4.36), monthly income (AOR = 5.22, 95% CI: 1.40–19.40), extra meal taking (AOR = 2.76, 95% CI: 1.43–5.29, delivery place (AOR = 2.65, 95% CI: 1.24–5.65), and household food insecurity (AOR = 6.57, 95% CI: 3.50–12.34) were independent variables showing statistically significant association with undernutrition of lactating women. Conclusion and recommendations. The study revealed that magnitude of undernutrition among lactating women was high. Dietary diversity, monthly income, extra meal, delivery place, and household food insecurity were found to be predictor of undernutrition. Finally, we recommend that governmental and nongovernmental organizations should organize timely interventions targeting lactating women.

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Hypertension and its associated factors in Hosanna town, Southern Ethiopia: community based cross-sectional study

BMC Research Notes ◽

10.1186/s13104-018-3435-1 ◽

2018 ◽

Vol 11 (1) ◽

Cited By ~ 2

Author(s):

Likawunt Samuel Asfaw ◽

Samuel Yohannes Ayanto ◽

Fiseha Laemengo Gurmamo

Keyword(s):

Associated Factors ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

Sectional Study ◽

Community Based ◽

Cross Sectional

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Concordance of Mother-Child (6–23 Months) Dietary Diversity and Its Associated Factors in Kucha District, Gamo Zone, Southern Ethiopia: A Community-Based Cross-Sectional Study

Journal of Nutrition and Metabolism ◽

10.1155/2021/8819846 ◽

2021 ◽

Vol 2021 ◽

pp. 1-11

Author(s):

Tesfaye Guja ◽

Yabsira Melaku ◽

Eshetu Andarge

Keyword(s):

Associated Factors ◽

Dietary Diversity ◽

Cross Sectional Study ◽

World Health ◽

Southern Ethiopia ◽

Food Groups ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Mothers And Children

Meeting minimum standards of dietary quality in mothers and children is a challenge in many developing countries including Ethiopia. Emerging evidence suggests that maternal and child dietary diversity is associated, but little is known about the associated factors of concordance of mother-child dietary diversity in Ethiopia and none is documented in the study area. This study examines the concordance between mother-child (6–23 months) dyads dietary diversity and the associated factors in Kucha District, Gamo Zone, Southern Ethiopia. A community-based cross-sectional study was conducted among 791 mother-child (6–23 months) pairs from 11 selected kebeles on March 6 to April 13, 2017. Multistage cluster sampling technique was used to select the study subjects. The sampling frame was obtained from the family folder of health posts in each kebele. The mother-child pairs were selected by the simple random sampling method. The 7 food groups of the World Health Organization (WHO) for children and the 10 food groups of FANTA/FAO 2016 for mothers were used to analyze the dietary diversity. Cohen’s kappa statistics was calculated to see the strength of concordance. The multivariable logistic regression model was fitted to determine factors affecting mother-child dietary diversity concordance. A good concordance was noted between mother-child dietary diversity scores (Kappa = 0.43). Only 56 (7.1%) mothers were negative deviants, and 133 (16.8%) mothers were positive deviants in dietary diversity consumption. Rural residence (AOR = 3.49; 95% CI: 1.90–6.41), having no formal education (AOR = 1.8; 95% CI: 1.08–3.05), not owning milking cow (AOR = 1.7; 95% CI: 1.10–2.56), children with low dietary diversity (AOR = 8.23; 95% CI: 5.17–13.08), and mothers with low dietary diversity (AOR = 0.46; 95% CI: 0.29–0.74) were found to be factors associated with mother-child dietary diversity concordance. An increase in the percentage of children reaching the minimum dietary diversity was greater with a successive increase in maternal dietary diversity. Despite interesting similarities between mothers and children dietary consumption, more than three-quarters of concordants did not achieve the recommended dietary diversity score (were low concordants). Interventions targeting on rural women’s access to high school education, home-based milking cow rearing, and promoting nutrition-sensitive agriculture to meet the dietary requirements of mothers and children in a sustainable manner and public health efforts to improve child nutrition may be strengthened by promoting maternal dietary diversity due to its potential effect on the entire family.

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