Assessment of knowledge, attitude, practice and perceived barriers of breastfeeding among women attending antenatal care follow up at Nekemte Specialized Hospital, Nekemte, Ethiopia

Background. Self-medication is being prevalent throughout the globe. Although pregnant women are among the most vulnerable group of the population for drug-induced adverse effects on their fetus and themselves, many pregnant women use self-medication without adequate safety precautions. Objective. This study was aimed at assessing the prevalence and associated factors of self-medication among pregnant women on antenatal care follow-up at University of Gondar Comprehensive Specialized Hospital. Methods. A cross-sectional study was employed among 400 pregnant women attending antenatal care clinic at the University of Gondar Comprehensive Specialized Hospital between February 01 and May 30, 2019. A structured interviewer-administered questionnaire was used for data collection. Data were analyzed using SPSS® (IBM Corporation) version 22. Descriptive statistics were presented using frequency and proportion. Binary logistic regression was used to identify factors associated with self-medication with a 95% confidence level and p value of 0.05. Results. Among 400 respondents, the prevalence of self-medication during the current pregnancy was 44.8% (95% CI=40.5-50). Among all respondents (400), 38.0% (95% CI=33.3-42.8) and 12.5% (95% CI=9.5-15) used herbal and conventional medicine, respectively. Self-medication showed a significant association with a previous history of self-medication and monthly income. Conclusions. The prevalence of self-medication among pregnant women is considerably high. The previous history of self-medication and monthly income showed a significant association with self-medication. Awareness creation should be done for reproductive-age women on the potential risks of self-medication.

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Factors associated with preterm birth at Wachemo University Nigist Eleni Mohammed memorial hospital, southern Ethiopia: case-control study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03503-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Negeso Gebeyehu Gejo ◽

Melaku Tesfaye W/mariam ◽

Biruk Assefa Kebede ◽

Ritbano Ahmed Abdo ◽

Abebe Alemu Anshebo ◽

...

Keyword(s):

Preterm Birth ◽

Antenatal Care ◽

Medical Records ◽

Case Control Study ◽

Southern Ethiopia ◽

Preterm Neonates ◽

Factors Associated ◽

Induced Hypertension ◽

Control Study

Abstract Background Preterm birth is defined as the birth of a baby before 37 completed weeks of gestation. Worldwide, prematurity is the second foremost cause of death in children under the age of 5 years. Preterm birth also gives rise to short and long term complications. Therefore, the primary aim of this study was to identify the factors associated with preterm birth in Wachemo University Nigist Eleni Mohammed Memorial referral hospital, Hadiya Zone, Southern Ethiopia. Methods An institution-based unmatched case-control study was conducted from July 01, 2018 to June 30, 2019 among mothers who gave birth in Wachemo University Nigest Eleni Mohammed Memorial referral hospital. A retrospective one-year data was retrieved from medical records of mothers with their index neonates. Simple random sampling technique was employed to recruit study participants. SPSS version 20 software was used for data entry and computing statistical analysis. Both bivariable and multivariable logistic regression analyses were used to determine the association of each independent variable with the dependent variable. Odds ratio with their 95% confidence intervals was computed to identify the presence and strength of association, and statistical significance was affirmed if p < 0.05. Result The current study evaluated 213 medical records of mothers with index neonates (71 cases and 142 controls). Urban residency [AOR = 0.48; 95% Cl; 0.239, 0.962], antenatal care follow up [AOR = 0.08; 95 Cl; 0.008, 0.694], premature rupture of membranes [AOR = 3.78; 95% Cl; 1.467, 9.749], pregnancy induced hypertension [AOR = 3.77; 95% Cl; 1.408, 10.147] and multiple pregnancies [AOR = 5.53; 95% Cl; 2.467, 12.412] were the factors associated with preterm birth. More than one-third (36.6%) preterm neonates died in the present study. Conclusions The present study found that urban residency, antenatal care follow up, premature rupture of membranes, pregnancy induced hypertension and multiple pregnancies were factors associated with preterm birth. The mortality among preterm neonates is high. Enhancing antenatal care follow up and early detection and treatment of disorders among pregnant women during antenatal care and undertaking every effort to improve outcomes of preterm birth and reduce neonatal mortality associated with prematurity is decisive.

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Client satisfaction with existing postnatal care and associated factors: A study among mothers in Awi Zone, Amhara region, Ethiopia

Women s Health ◽

10.1177/1745506520976017 ◽

2020 ◽

Vol 16 ◽

pp. 174550652097601

Author(s):

Daniel Adane ◽

Biresaw Wassihun

Keyword(s):

Antenatal Care ◽

Health Care Providers ◽

Postnatal Care ◽

Associated Factors ◽

Client Satisfaction ◽

Post Partum ◽

Care Providers ◽

Amhara Region ◽

Awi Zone

Background: The majority of maternal and neonatal adverse events take place during the postnatal period. However, it is the most neglected period for the provision of quality care. Objective: The aim of this study among mothers in the Awi Zone, Amhara region, Ethiopia, was to assess client satisfaction with existing postnatal care and associated factors. Methods: An institution-based cross-sectional study was conducted in Awi Zone hospitals from 1 to 30 April 2018. A total of 422 post-partum mothers were selected by systematic sampling. The data were collected using a pre-tested structured questionnaire via a face-to-face interview. Data entry and analysis were completed using EpiData version 3.1 and SPSS version 22, respectively. The data were summarized with frequency and cross-tabulation. Both binary and multiple logistic regressions were used to identify predictor variables using odds ratios and 95% confidence intervals. Result: The prevalence of postnatal care satisfaction was 63%. Being from urban area (AOR = 2.1, 95% CI = (1.11–3.99)), having a history of antenatal care follow up (AOR = 1.62, 95% CI = (1.23–1.64)), spontaneous vaginal birth (AOR = 3.14, 95% CI = (1.77–3.28)), and those who did not face any complications during birth (AOR = 2.90, 95% CI = (1.47–1.69)) were some of the factors associated with client satisfaction. Conclusion: According to the results of this study, the majority of mothers were satisfied with post-partum care services. The study findings indicate that maternal satisfaction on post-partum care is mainly affected by residency, antenatal care follow up, mode of delivery, and complications during birth. Therefore, health care providers and other concerned bodies should give special attention to those mothers who are from rural areas, who face complications during birth or who have instrumental-assisted or cesarean section birth. Also, every pregnant mother should be supported to have at least four regular antenatal care visits.

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Determinants of short birth interval among women in South Gondar, Ethiopia: community-based unmatched case-control study

Archives of Public Health ◽

10.1186/s13690-021-00567-7 ◽

2021 ◽

Vol 79 (1) ◽

Author(s):

Gedefaye Nibret Mihretie ◽

Fentahun Yenealem Beyene ◽

Bekalu Getnet Kassa ◽

Alemu Degu Ayele ◽

Tewachew Muche Liyeh ◽

...

Keyword(s):

Antenatal Care ◽

Birth Interval ◽

Case Control Study ◽

Birth Spacing ◽

Case Control ◽

Community Based ◽

Short Birth Interval ◽

South Gondar ◽

Control Study

Abstract Background The effect of short birth interval on socio-economic, negative maternal and child health outcomes remains common in developing countries. This study aimed to assess determinants of short birth interval among reproductive age women, who gave birth in health institution for last six-month in South Gondar, Ethiopia 2019. Methods Community-based unmatched case control study design was conducted from February 1 to March 30, 2019. Sample size of 150 was included by simple random sampling technique. The data was collected by semi-structured and pre-tested face to face interviewer-administered questionnaire from selected respondent. The collected data was entered with Epi-Data version 3.1 and analyzed by using SPSS version 23 software. Bivariate and multivariable analyses were used to examine the association. Odds ratio, 95% CI and P-value < 0.05 were used to determine the statistical association. Result The mean age of the respondents was 32.42 (SD ± 5.14) and 35.12 (SD ± 5.86) for cases and controls, respectively. Mothers not used contraceptives (AOR = 6.29, 95% CI (1.95, 20.24)), participants who had ≤2 alive children (AOR = 5.57, 95% CI (1.47, 21.13)), mothers who breast fed less than 24 months (AOR = 3.42, 95% CI (1.38, 8.46)), husband decision on contraceptives utilization (AOR = 2.69,95% CI (1.05,6.88)) and mothers who did not have history of antenatal care follow up (AOR = 3.52, 95% CI (1.27, 9.75)) were associated with short birth interval. Conclusion The optimum birth spacing plays a vital role in decreasing fertility and the morbidity and mortality of mothers and children. Thus, providing health information on the benefit of breast feeding, follow-up of antenatal care during pregnancy, use of contraceptives after delivery and encouraging mothers to make decisions about their own health and use of contraceptives to optimize birth spacing for rural communities.

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Emergency physicians’ attitudes and perceived barriers to the implementation of take-home naloxone programs in Canadian emergency departments

CJEM ◽

10.1017/cem.2017.390 ◽

2017 ◽

Vol 20 (1) ◽

pp. 46-52 ◽

Cited By ~ 10

Author(s):

Lauren Lacroix ◽

Lisa Thurgur ◽

Aaron M. Orkin ◽

Jeffrey J. Perry ◽

Ian G. Stiell

Keyword(s):

At Risk ◽

Perceived Barriers ◽

Face Validity ◽

Opioid Overdose ◽

Emergency Physicians ◽

Web Based ◽

Health Crisis ◽

Canadian Association ◽

National Public Health

AbstractObjectivesRates of opioid-related deaths have reached the level of national public health crisis in Canada. Community-based opioid overdose education and naloxone distribution (OEND) programs distribute naloxone to people at risk, and the emergency department (ED) may be an underutilized setting to deliver naloxone to these people. The goal of this study was to identify Canadian emergency physicians’ attitudes and perceived barriers to the implementation of take-home naloxone programs.MethodsThis was an anonymous Web-based survey of members of the Canadian Association of Emergency Physicians. Survey questions were developed by the research team and piloted for face validity and clarity. Two reminder emails were sent to non-responders at 2-week intervals. Respondent demographics were collected, and Likert scales were used to assess attitudes and barriers to the prescription of naloxone from the ED.ResultsA total of 459 physicians responded. The majority of respondents were male (64%), worked in urban tertiary centres (58.3%), and lived in Ontario (50.6%). Overall, attitudes to OEND were strongly positive; 86% identified a willingness to prescribe naloxone from the ED. Perceived barriers included support for patient education (57%), access to follow-up (44%), and inadequate time (37%). In addition to people at risk of overdose, 77% of respondents identified that friends and family members may also benefit.ConclusionsCanadian emergency physicians are willing to distribute take-home naloxone, but thoughtful systems are required to facilitate opioid OEND implementation. These data will inform the development of these programs, with emphasis on multidisciplinary training and education.

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The effects of ANC follow up on essential newborn care practices in east Africa: a systematic review and meta-analysis

Scientific Reports ◽

10.1038/s41598-021-91821-z ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Erkihun Tadesse Amsalu ◽

Bereket Kefale ◽

Amare Muche ◽

Zinabu Fentaw ◽

Reta Dewau ◽

...

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

East Africa ◽

Meta Analysis ◽

Newborn Care ◽

Cochrane Library ◽

Care Practice ◽

Essential Newborn Care ◽

Newborn Care Practice

AbstractIn the situation of high maternal morbidity and mortality in Sub-Saharan Africa, less than 80% of pregnant women receive antenatal care services. To date, the overall effect of antenatal care (ANC) follow up on essential newborn practice have not been estimated in East Africa. Therefore, this study aims to identify the effect of ANC follow up on essential newborn care practice in East Africa. We reported this review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). We searched articles using PubMed, Cochrane library, African journal online (AJOL), and HINARI electronic databases as well as Google/Google scholar search engines. Heterogeneity and publication bias between studies were assessed using I2 test statistics and Egger’s significance test. Forest plots were used to present the findings. In this review, 27 studies containing 34,440 study participants were included. The pooled estimate of essential newborn care practice was 38% (95% CI 30.10–45.89) in the study area. Women who had one or more antenatal care follow up were about 3.71 times more likely practiced essential newborn care compared to women who had no ANC follow up [OR 3.71, 95% CI 2.35, 5.88]. Similarly, women who had four or more ANC follow up were 2.11 times more likely practiced essential newborn care compared to women who had less than four ANC follow up (OR 2.11, 95% CI 1.33, 3.35). Our study showed that the practice of ENBC was low in East Africa. Accordingly, those women who had more antenatal follow up were more likely practiced Essential newborn care. Thus, to improve the practice of essential newborn care more emphasis should be given on increasing antenatal care follow up of pregnant women in East Africa.

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A National Survey of Community Pharmacists on Smoking Cessation Services in Thailand

Pharmacy ◽

10.3390/pharmacy6030101 ◽

2018 ◽

Vol 6 (3) ◽

pp. 101 ◽

Cited By ~ 2

Author(s):

Surarong Chinwong ◽

Dujrudee Chinwong

Keyword(s):

Smoking Cessation ◽

Community Pharmacists ◽

Cross Sectional Study ◽

Postal Questionnaire ◽

Pharmaceutical Product ◽

Perceived Barriers ◽

Cross Sectional ◽

Smoking Cessation Services ◽

First Time

Providing smoking cessation services is one role of community pharmacists in Thailand. This cross-sectional study aimed to investigate activities and barriers related to smoking cessation services provided in community pharmacies in Thailand, as well as to compare these activities and barriers between those pharmacists providing and those not providing smoking cessation services. A postal questionnaire was conducted to collect information from community pharmacists across Thailand. In all, 413 valid responses were received from 5235 questionnaires, giving a 7.9% response rate. Of the 413 respondents, 152 (37%) pharmacists provided smoking cessation services in their pharmacy. The activities of smoking cessation services varied. Time for counseling each smoker varied, a mean of 15.1 ± 10.9 min (range 1–60) per person for the first time, and 8.9 ± 6.7 min (range 1–30) for each follow-up visit. Community pharmacists, providing smoking cessation services, were more likely to have pharmacist assistants, be a member of the Thai Pharmacy Network for Tobacco Control, and have more than 1 pharmacist on duty. The most dispensed pharmaceutical product for smoking cessation was nicotine gum. Their most perceived barriers were being unable to follow-up and inadequate staff. In conclusion, only a minority of community pharmacists in Thailand are engaged in smoking cessation activities, even though some perceived barriers existed.

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The Prevalence and Pattern of Depression in Patients with Tuberculosis on Follow up at Jimma University Specialized Hospital and Jimma Health Center

Medicine Science | International Medical Journal ◽

10.5455/medscience.2013.02.8097 ◽

2014 ◽

Vol 3 (1) ◽

pp. 955 ◽

Cited By ~ 6

Author(s):

Alinur Adem ◽

Markos Tesfaye ◽

Mohammed Mohammed

Keyword(s):

Health Center ◽

Specialized Hospital ◽

Jimma University

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Isoniazid preventive therapy utilization rate and associated factors in adult HIV/AIDS patients in Jimma University Specialized Hospital ART clinic, Oromia Region, Ethiopia: A cross-sectional study.

10.21203/rs.2.10257/v2 ◽

2019 ◽

Author(s):

Gudeta Imana Jaleta ◽

Vinodhini Rajamanickam ◽

Kifle Woldemichael

Keyword(s):

Cross Sectional Study ◽

Preventive Therapy ◽

Hiv Care ◽

Utilization Rate ◽

Sectional Study ◽

Cross Sectional ◽

Specialized Hospital ◽

Depth Interviews ◽

Jimma University

Abstract Background: Tuberculosis (TB) is the most frequent life-threatening infection and a common cause of death for people living with HIV (PLHIV). The influence of TB and HIV infection has enhanced the magnitude of both epidemics. Several clinical interventions recommended early diagnosis in PLHIV and treating latent TB infection (LTBI) with Isoniazid preventive therapy (IPT) along with antiretroviral therapy (ART). IPT is one of the key interventions recommended by the world health organization (WHO) for the prevention of TB in patients infected with HIV. Hence, this study aimed to determine IPT utilization rate among adult HIV infected patients enrolled in HIV care and qualitative analysis, which explore the factors that influence IPT use among PLHIV under follow-up, Health care providers (HCPs) and TB/HIV coordinators working in Jimma University Specialized Hospital (JUSH) ART clinic. Methods: An Institution based mixed cross-sectional study was conducted in JUSH ART clinic. Adult HIV infected patients were enrolled by a systematic sampling technique from the registered medical records of JUSH HIV care. PLHIV who were on follow-up and eligible for IPT during the study period, permanent HCPs and TB/HIV coordinators working in ART clinic were included in the qualitative investigation using semi-structured questioners and in-depth interviews. All statistical analysis was compiled by Epi data 3.1 and SPSS 20. Results: Demographic and clinical factors are not significantly associated with IPT use but ethnicity (P≤ 0.02**) was highly significant with IPT use in logistic regression model. Overall, 59.2% of the patients have been prescribed and taken at least one-month course of IPT. The results of in-depth interviews are grouped into three core categories as patient perceptions, HCPs and TB/HIV coordinator perspectives. Discussion and conclusion: PLHIV, HCPs and TB/HIV coordinators suggested their overall response as periodic counseling for target groups, educating the benefits of IPT and increasing public awareness on TB prophylaxis in PLHIV will increase the acceptance and implementation of IPT in large scale. Higher attention should be provided in linking all HIV patients to the nearest health facilities for receiving free service packages and medical care. Key words: IPT, TB /HIV, PLHIV, ART, INH prophylaxis

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Determinants of late antenatal care follow up among pregnant women in Easter zone Tigray, Northern Ethiopia, 2018. Unmatched case- control study

10.21203/rs.2.14434/v4 ◽

2019 ◽

Author(s):

Gebrehiwot Gebremariam ◽

Berhane Fseha Teklehaimanot ◽

Hirut Teame Gebru ◽

Znabu Asfaw Gebrezgi ◽

Kidanemaryam Berhe Tekola ◽

...

Keyword(s):

Family Planning ◽

Antenatal Care ◽

Case Control Study ◽

Unplanned Pregnancy ◽

Antenatal Visit ◽

Northern Ethiopia ◽

Great Role ◽

Eastern Zone ◽

Control Study

Abstract Objective: The purpose of the study was to identify determinants of late antennal care at first visit in health facilities of eastern zone of Tigray, Northern Ethiopia 2018. Result: Women with unplanned pregnancy (AOR= 4.03, 95%, CI: 1.56-5.67), Participants whose previous first antenatal care was after 16 weeks (AOR= 3.9, 95% CI: 1.98-7.68), Participants did not accompanied by their partner for antenatal visit (AOR= 1.29,95%, CI: 1.05-4.67), women recognized their current pregnancy at three months or late ( AOR= 4.7,95%,CI: 2.49-9.04) and participants provided adequate time for their previous antenatal care by health professionals ( AOR = 0.461, 95% CI 0.342- 0.875) were found the determinant factors of late antenatal care at first Visit. Hence family planning utilization, times of first visit antenatal, information flow and supporting by partners have a great role in improving antenatal care at first visit. There for responsible bodies should give focuses on utilization of family planning, increasing awareness of pregnancy symptoms and health provisional provide adequate time during visits.

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