scholarly journals Modern Family Planning Utilization and Associated Factors among HIV Positive Reproductive Age Women in Debre Markos Referral Hospital Northwest Ethiopia, 2014 G.C.

2015 ◽  
Vol 05 (01) ◽  
pp. 32-40 ◽  
Author(s):  
Selamawit G. Egzeabher ◽  
Mekionnen Ayichiluhm Bishaw ◽  
Teketo Kassaw Tegegne ◽  
Dube Jara Boneya
Keyword(s):  
Family Planning ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Referral Hospital ◽  
Reproductive Age ◽  
Hiv Positive ◽  
Reproductive Age Women ◽  
Modern Family ◽  
Debre Markos ◽  
Modern Family Planning

scholarly journals Magnitude and associated factors of unmet need of modern family planning among reproductive age women in south Gondar zone, North West Ethiopia, 2017

2020 ◽  
Author(s):  
Muluken Genetu Chanie ◽  
Gojjam Eshetie Ewuneite ◽  
Mamo Dereje
Keyword(s):  
Family Planning ◽  
Health Care Providers ◽  
Unmet Need ◽  
Reproductive Age ◽  
Care Providers ◽  
Number Of Children ◽  
Reproductive Age Women ◽  
Modern Family ◽  
Modern Family Planning ◽  
South Gondar

Abstract Background: The aim of this study was to identify the prevalence and associated factors of unmet need of modern family planning among reproductive age women in south Gondar zone.Methods: A community based cross-sectional study design was conducted in south Gondar zone among 528 reproductive age women. Data were collected with pre-tested, structured, interviewer administered questionnaires. Data were coded and entered into Epi info version 7 and exported to SPSS version 20. Bivariable and multivariable logistic regression models were applied. A P-value 0.05 was considered to declare a result as significant at 95% CI.Result: -The overall unmet need in this study area was 22.6%, from whom 15.1% respondents were wanted children later and 7.5% were wanted no more children. Women who had been visited by health care providers within 12 months prior to the study, current menstrual status of women, desired number of children and induced abortion were found to be the main factors. Conclusion: -Unmet need for family planning was found to be high in the study area as compared to national and regional prevalence. Women who had been visited by health care providers, Current menstruation status, desired number of children and induced abortion were significantly associated with unmet need of modern family planning. Healthcare providers recurrent visit need to be performed by family planning providers and women empowerment to decide numbers of children are very important areas to decrease unmet need of modern FP.

Fertility desire and associated factors among ART user reproductive-age women in public health facility in Gondar city administration Northwest Ethiopia

2020 ◽  
Author(s):  
Eyob Araya Gebrekidan ◽  
Alehegn Bishaw Geremew ◽  
Telake Azale Bisetegn
Keyword(s):  
Health Care ◽  
Antiretroviral Therapy ◽  
Associated Factors ◽  
Reproductive Age ◽  
Family Influence ◽  
Hiv Positive ◽  
Fertility Desire ◽  
Binary Logistic Regression Model ◽  
Reproductive Age Women ◽  
Hiv Positive Women

Abstract Background: Antiretroviral therapy scales up globally and in Ethiopia, as a result, AIDS-related mortality has reduced, but the number of new HIV infections increasing. Antiretroviral therapy in Ethiopia gives a chance of living longer for reproductive-age women. Prevention of pregnancy among HIV positive women is the second WHO prongs of HIV transmission with respecting women’s reproductive rights. Antiretroviral therapy uses improve the health of HIV positive women using and women's fertility desire increasing. Therefore this study aimed to assess the fertility desire and associated factors among ART user reproductive-age women. Methods: A facility-based cross-sectional study design conducted from November 2-30/2018. The calculated sample size was 400 and study participants were selected by using systematic random sampling. A pre-tested structured questionnaire was used to collect data. A binary logistic regression model was employed and adjusted odds ratio with a 95% confidence interval used to consider statistically significant Results: A total of 397 clients were participated in the study, giving a response rate of 99.3%. The proportion of fertility desire in this study was 55.2 %(95% CI, 50.4%- 60.2%). A duration of marriage < 4 year [AOR=6.9(95 CI: 1.65, 28.81)], and 5–9 years duration of marriage [AOR= 13.8 (95% CI: 2.39, 80.39)] higher as compared to 15 years and above, family influence 3.4 times more likely to have fertility desire than have no family influence [AOR= 3.4 (95% CI: 1.06, 11.25)], partner desire 4.3 times more likely have had fertility desires as compared to with counterpart [AOR= 4.3 (95% CI: 1.93,9.41)], and discussion with health care provider 66 % less likely to have fertility desire as compared with counterpart [AOR = 0.34 (95% CI: 0.39, 3.31)]. Conclusion: In this study, we have identified a high proportion of fertility desire among ART user reproductive-age women. The duration of marital status, partner influence, family influence, and discussion of health care were associated with fertility desire. Family-oriented counseling, partner involvement on reproductive health services should be encouraged to support the rights of all women to safely achieve their fertility. Keywords: Fertility desire, reproductive age, women on ART.

scholarly journals Determinants of modern family planning use among women of reproductive age in the Nkwanta district of Ghana: a case–control study

2014 ◽  
Vol 11 (1) ◽  
Author(s):  
Sebastian Eliason ◽  
John K Awoonor-Williams ◽  
Cecilia Eliason ◽  
Jacob Novignon ◽  
Justice Nonvignon ◽  
...  
Keyword(s):  
Family Planning ◽  
Case Control Study ◽  
Case Control ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Modern Family ◽  
Modern Family Planning ◽  
Control Study

scholarly journals Inequalities in the Use of Family Planning in Rural Nepal

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Suresh Mehata ◽  
Yuba Raj Paudel ◽  
Bhogendra Raj Dotel ◽  
Dipendra Raman Singh ◽  
Pradeep Poudel ◽  
...  
Keyword(s):  
Family Planning ◽  
Rural Areas ◽  
Household Survey ◽  
Risk Groups ◽  
Reproductive Age ◽  
Younger Women ◽  
Modern Family ◽  
Planning Methods ◽  
Rural Nepal ◽  
Modern Family Planning

This paper explores inequalities in the use of modern family planning methods among married women of reproductive age (MWRA) in rural Nepal. Data from the 2012 Nepal Household Survey (HHS) were utilized, which employed a stratified, three-stage cluster design to obtain a representative sample of 9,016 households from rural Nepal. Within the sampled households, one woman of reproductive age was randomly selected to answer the survey questions related to reproductive health. Only four out of every ten rural MWRA were using a modern family planning method. Short-acting and permanent methods were most commonly used, and long-acting reversible contraceptives were the least likely to be used. Muslims were less likely to use family planning compared to other caste/ethnic groups. Usage was also lower among younger women (likely to be trying to delay or space births) than older women (likely to be trying to limit their family size). Less educated women were more likely to use permanent methods and less likely to use short-term methods. To increase the CPR, which has currently stalled, and continue to reduce the TFR, Nepal needs more focused efforts to increase family planning uptake in rural areas. The significant inequalities suggest that at-risk groups need additional targeting by demand and supply side interventions.

scholarly journals Effects of community-based health insurance on modern family planning utilization in Ethiopia

2019 ◽  
Vol 3 ◽  
pp. 1461
Author(s):  
Girma Kassie ◽  
Bekele Tefera
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Family Planning ◽  
Married Women ◽  
Reproductive Age ◽  
Community Based ◽  
Community Based Health Insurance ◽  
Outcome Monitoring ◽  
Modern Family ◽  
Modern Family Planning

Background: Community-based health insurance (CBHI) has been established in a number of developing countries to expand access to modern health care service. However, few studies have focused on health care utilization of CBHI members in Ethiopia. Accordingly, the aim of this study was to assess the effect of CBHI on modern family planning (FP) utilization as part of its routine outcome monitoring activities. Methods: The USAID Transform: Primary Health Care project, conducted a continuous monitoring follow up visit using a multistage sampling technique in its four major targeted regions. A total of 3433 households were selected and 3313 women of reproductive age (15-49 years) were interviewed. The questionnaire captured the CBHI status of each household and FP use data from randomly selected women. Microsoft Access database was used to enter the data, which was then transferred to SPSS Version 20 for further analysis.  Results: In total 50.8% of married women (aged 15-49 years) were found to be enrolled in CBHI. Current modern FP use is 47.5% among married women in project-supported areas. Modern FP use is 50.9% among married women who are exposed to CBHI schemes, versus 44.1% among women who are not exposed to CBHI which is statistically significant.  Conclusions: Modern FP utilization among insured women was higher compared with uninsured women. While FP methods are provided for free, CBHI enrolment improves FP use among women of child-bearing age. Women who have access to CBHI may frequently visit health facilities seeking services for themselves and their families, during which they may be introduced to FP services. This in turn may improve their awareness and attitude towards FP. The results will increase awareness for program implementers of the benefits of CBHI schemes in FP programming, particularly in rural settings, and provide an opportunity to increase lifelong returns in Ethiopia.

scholarly journals Methicillin and Vancomycin Resistant Staphylococcus aureus and Associated Factors from Surgical Ward Inpatients at Debre Markos Referral Hospital, Northwest Ethiopia

2020 ◽  
Author(s):  
Samrawit Tefera Demsie ◽  
Tewachew Awoke ◽  
Daniel Mekonnen
Keyword(s):  
Staphylococcus Aureus ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Referral Hospital ◽  
Mannitol Salt Agar ◽  
Surgical Ward ◽  
Hospital Infection Control ◽  
Multiple Variables ◽  
Vancomycin Resistant ◽  
Debre Markos

Abstract Background: Staphylococcus aureus is one of the leading wound infections. It is considered as a super bug. The epidemiology of Methicillin Resistant S. aureus (MRSA) and Vancomycin Resistant S. aureus (VRSA) is not well studied in Ethiopia particularly in Debre Markos Referral Hospital (DMRH). The objective of the study was to determine the prevalence of MRSA and VRSA and associated factors from wound cases admitted to surgical ward in DMRH, Northwest Ethiopia.Methods: A cross-sectional study was conducted from February-April 2020 at DMRH. A structured questionnaire was used to collect demographic and clinical characteristics. Wound swabs were collected using sterile cotton swab followed by culturing on Blood agar and Mannitol Salt agar. Then isolates were characterized by gram stain and biochemical tests. The presence of MRSA and VRSA was determined using the cefoxitin (30μg) antibiotic disc diffusion and vancomycin E-test, respectively. The data was analyzed using Statistical Package for Social Sciences, version 20 software. P-value <0.05 was considered statistically significant.Results: A total of 242 wound cases were enrolled and a majority of them were males (172, 71.1%). Among the total wound cases, the isolation rate of S. aureus was 29.3%. The proportion of MRSA was 13.22% and that of VRSA was 4.1%. The proportion of vancomycin intermediate S. aureus (VISA) was gauged at 4.5%. Hospital stay >72h (p=0.014), wound depth (p=0.043), antibiotic use (p=0.017) and previous history of wound infection (p=0.001) showed statistical significant association with MRSA. No variables showed significant association with VRSA.Conclusion: High proportions of S. aureus isolates are resistant to methicillin and vancomycin. Moreover, multiple variables demonstrated associations with drug resistance. Hence, hospital infection control and antibiotic stewardship program shall be strengthened.

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