scholarly journals Client Satisfaction with Contraceptive Counseling and Associated Factors in Public Health Institutions: A Cross-Sectional Study Design

2021 ◽  
Vol 6 (2) ◽  

Objective: The main objective of the study was to assess client satisfaction with contraceptive counseling and associated factors among women attending the family planning clinics in Asella town public health institutions, Ethiopia. Methods: Study subjects were selected using systematic random sampling and data were collected using interviewer administered and entered into software for analysis. Multivariate logistic regression model was used to predict the relation between variables and a significant of statistics was assured using 95% CI and p value < 0.05 was considered as significant predictor. Results: This study revealed that 62.8% of the study respondents were satisfied with contraceptive counseling. Multiple logistic regression models showed that, being urban in residence, time taken to reach nearby health facility, being asked reproductive history, explained side effects, privacy ensured, asked worries and concern about the method and use of the leaflet were predictors associated with client satisfaction with contraceptive counseling. Conclusions: About 62.8% of clients were satisfied with contraceptive counseling. Being urban in residence, time taken to reach nearby health facilities, explains side effects, being asked reproductive history, worries and concern about the method and use of the leaflet were factors associated with client satisfaction with contraceptive counseling

2020 ◽  
Vol Volume 13 ◽  
pp. 225-233
Author(s):  
Yitagesu Sintayehu ◽  
Assefa Desalew ◽  
Biftu Geda ◽  
Kasiye Shiferaw ◽  
Getahun Tiruye ◽  
...  

Author(s):  
Yayehyirad Yemaneh ◽  
Firew Tiruneh

Background: Maternal near-miss refers to a situation where a woman who nearly died but survived from severe life-threatening obstetric complications that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy. It has been estimated that up to 9 million women survive obstetric complications every year. According to studies done around the world most mothers suffer from Near Miss due to the factors which includes, low socioeconomic status, patient related, health provider related, and health related and health institution related issues. Objectives: The objective of the study was to determine the proportion of maternal near misses and its associated factors in Selected Public Health Institutions of Keffa, Bench-Maji and Sheka Zones of South Nations Nationalities and Peoples Regional state, South West Ethiopia, 2017. Methodology: Hospital based cross-sectional study design was employed and simple random sampling techniques (Lottery Method) was used to select the study institution and Systematic sampling technique was used to select 845 study participants every 5th interval. Information was collected by using pre-tested and structured interviewer administered questioner. Using SPSS version 21 software, descriptive statistics and bivariate logistic regression analysis was done and variables with p-value &lt;0.2 were transferred to multivariate analysis and during Multivariate logistic regression analysis Variables with P-value &lt; 0.05 were considered as statistically significant and AOR with 95% CI were used to control for possible confounders and to interpret the result. The results were summarized by tables, graphs and charts. Result: There were 5530 Live Births, 227 Sever Acute Maternal Morbidity cases of this 210 were Maternal Near-Misses cases and 17 were maternal deaths, 364 Maternal Near-Misses Events. The overall Maternal Near-Misses Proportion is 24.85%. The maternal Near-Misses outcome ratio was 41 cases/1,000 live births (LB); mortality ratio was 12.35cases/1 maternal death and 74.8/1000LB of mortality index. Parity, residence, distance of living place from hospital, ANC Follow up, duration of labor, and administrative related problems were found to have statistically significant associations. Conclusion: The proportion of Maternal Near-Misses is relatively high when compared to other regional studies and efforts should be done to lower the near-misses.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abel Girma Tilahun ◽  
Dawit Getachew Gebeyehu ◽  
Yayehyirad Yemaneh Adinew ◽  
Fekede Woldekidan Mengstu

Abstract Background Partographs should be used universally to monitor the mother and fetus’s conditions during delivery. However, its application in different parts of the world, including Ethiopia, is inconsistent. Moreover, its magnitude has not been determined in study area. As a result, the aim of this study was to investigate the utilization of partograph and associated factors among obstetric caregivers in public health institutions of Southwest Ethiopian. Methods An institutional-based cross-sectional study was conducted in Southwest Ethiopia from March 1st to June 30th, 2018. A simple random sampling technique was used to select study participants. A self-administered questionnaire was used to gather data on background characteristics, knowledge of partograph, and partograph utilization. The collected data were entered into an EPI Info and analysed using SPSS Version 22. We used bivariate and multivariate logistic regression analysis. Frequencies, tables, and graphs were used to present the final results. To determine statistical significance, a P-value of less than 0.05 was used. Result The response rate of this study was 393(92.2 %). The magnitude of utilization of partograph was 43 % with (95 % CI: 38.4, 48.1). According to the multivariate analysis being nurse or health officer [AOR = 0.37(0.21, 0.66)], degree level educational qualification [AOR = 0.32 (0.17, 0.60)], being trainined on partograph [Adjusted OR = 7.83 (95 % CI: (4.54, 13.50)], good knowledge about partograph [AOR = 5.84 (95 % CI: (3.27, 10.44)] and working at health center [AOR = 1.99 (95 % CI: (1.12, 3.52)] were found as determinants of partograph utilization. Conclusions The magnitude of partograph utilization among obstetric caregivers was found to be low in this study. Partograph utilization was determined by the type of profession, qualification level, knowledge of partograph, in-service training, and type of institution. To ensure its regular, obstetric caregivers must receive training and gain knowledge about it.


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