Minimum Dietary Diversity and Associated Factors Among Pregnant Women Attending Antenatal Care in Government Health Facilities of Soro District, Hadiya Zone, Southern Ethiopia

Background: Dietary diversity is a good proxy indicator for micronutrient adequacy in pregnant women. Despite some improvements in dietary intake among pregnant mothers, achieving the minimum dietary diversity among them is still a great challenge in Ethiopia. There are no enough studies done on minimum dietary diversity among pregnant women and factors identified were more of local based. Therefore this study determined the prevalence of minimum dietary diversity and its associated factors among pregnant women attending antenatal care in government health facilities of Soro district, Hadiya Zone, Southern Ethiopia.Methods: This is the facility based study conducted in government health facilities of Soro district, Hadiya Zone from Oct. 2020-Jan 2021. Cross sectional study design was undertaken by using systematic sampling on 422 pregnant women attending antenatal care. Both bivariate and multivariable logistic regression analysis were used to assess the association of independent variables with outcome variable.Result: From the total of the 422 study subjects, 416 pregnant women attending antenatal care were participated in the study and making the response rate 98.6 percent. The overall prevalence of pregnant mothers who have met the minimum dietary diversity was only 7.9%. Maternal educational status being grade nine above, eating meal more than three times per day and women being currently not married were factors found to be significantly associated with minimum dietary diversity among pregnant mothers attending antenatal care in government health facilities.Conclusion: The prevalence of the minimum dietary diversity among pregnant women attending ANC in public health facilities of Soro district was very low and far from national and international recommendations to enhance the maternal food diversity. Inter sectoral collaboration is very important to enhance the minimum dietary diversity during pregnancy and should be worked intensively and in an integrated manner.

Prevalence and factors associated with thinness among adolescent girls attending high schools in rural and urban high schools of Soro District, Hadiya Zone, Southern Ethiopia

Background Despite the government of Ethiopia is striving to reduce the prevalence of the undernutrition, thinness among adolescents is one of the challenging nutritional issues in lifecycle approach in Ethiopia. Therefore, this study was aimed on determining the prevalence of thinness and its associated factors among adolescent girls attending high schools in Soro District, Hadiya Zone, Southern Ethiopia. Methods Institution based comparative cross sectional study design was employed. The study was conducted from March 15 to April 15, 2019 in high schools of rural and urban settings of Sorro District, Hadiya Zone. Both binary and multivariable logistic regression analysis were done to identify the factors associated with thinness among adolescent girls. Result A total of 414 adolescent girls were participated in this study making the response rate of 100%. The mean age were (17.01± 1.55) and 16.90 ± 1.48, P = 0.437) among adolescent girls in rural and urban high schools respectively. The overall prevalence of the thinness among female adolescents attending high schools in Soro district, Hadiya Zone was 6.8%. There was no statistically significant difference in thinness among adolescent girls in rural and urban high schools. Household wealth tertile AOR: 4.19; 95% C.I: 1.13-15.47, P <0.05, source of drinking water AOR: 2.31; 95% C.I: 1.01-5.30, P <0.05, dietary diversity AOR: 3.99; C.I: 1.15-13.82, P <0.05 and skipping breakfast AOR: 2.97; C.I: 1.28-6.92, P <0.05 were found to be independent factors associated with thinness. Conclusion Being low in household wealth tertile, unprotected source of drinking water, inadequate dietary diversity and skipping breakfast were those factors identified to be independently associated with thinness among female adolescents. Attention should be given from government and nongovernmental organizations by empowering household economic capacity, extending access for pure drinking water and increasing nutrition sensitive agriculture focusing on maintaining food varieties.

Health system responsiveness in maternity care at Hadiya zone public hospitals in Southern Ethiopia: Users’ perspectives

Background Health system responsiveness refers to non-financial, non-clinical qualities of care that reflect respect for human dignity and interpersonal aspects of the care process. The non-clinical aspects of the health system are therefore essential to the provision of services to patients. Therefore, the main purpose of this study was to assess the responsiveness in maternity care, domain performance and factors associated with responsiveness in maternity care in the Hadiya Zone public Hospitals in Southern Ethiopia. Methods A hospital-based cross-sectional study was employed on 413 participants using a systematic sampling technique from 1 July to 1 August 2020. An exit interviewer–administered questionnaire was used to collect data. EpiData (version 3.1) and SPSS (version 24) software were used for data entry and analysis, respectively. Bivariate and multivariable logistic regression were computed to identify the associated factors of health system responsiveness in maternity care at 95% CI. Results The findings indicated that 53.0% of users gave high ratings for responsiveness in delivery care. In the multivariable logistic regression analysis, mothers aged ≥ 35 (AOR = 0.4; 95% CI = 0.1–0.9), urban resident (AOR = 2.5; 95% CI = 1.5–4.8), obstetrics complications during the current pregnancy (AOR = 2.1; 95% CI = 1.1–3.0), and caesarean delivery (AOR = 0.4; 95% CI = 0.2–0.7) were factors associated with poor ratings for responsiveness in maternity care. Conclusion In the hospitals under investigation, responsiveness in maternity care was found to be good. The findings of this study suggest that the ministry of health and regional health bureau needs to pay attention to health system responsiveness as an indicator of the quality of maternity care.

Effect of male partner involvement on maternity waiting home utilization in Hadiya Zone, Southern Ethiopia: a cluster-randomized controlled trial protocol

BackgroundThe primary cause of adverse maternal health outcomes has been identified to be the delay in reaching care at health facility. This is often attributed to the long distances’ women need to travel to gain access to health facilities. Literature show that maternity waiting homes (MWHs) contribute significantly to the reduction of maternal death and stillbirth among users. Despite its importance in improving maternal & neonatal health outcomes, the utilization of MWHs is very low in Ethiopia. So, it is important to investigate what strategies could be effective in improving MWH utilization in Ethiopia. The aim of this study is to assess if male partner involvement could be used as a solution to improve MWH utilization in Ethiopia.Methods/designThis study will evaluate the effect of male partner involvement on MWH utilization in Hadiya Zone, Southern Ethiopia. A behavioral intervention will be performed using a cluster-randomized controlled trial design. The intervention will have two arms, i.e., experimental and control arms. The study participants will be pregnant women in their second trimesters with their male partners. The total trial sample size will be 388. That means 194 study participants in each arm. Randomization will be conducted at cluster level. Study participants and assessors will be masked. Data analysis will be performed by STATA version 14.0 using an Intention-To-Treat Approach.DiscussionThe content of the intervention will be group health education, home visits, and phone counseling. Health education will be delivered to "husband-expectant wife" pairs at the baseline. Then home visits will be conducted at the beginning of every month, and phone counseling will be conducted in the third week of every month for consecutive six months. The anticipated trial commencement time is November 2021.Trial RegistrationClinicalTrials.gov Identifier: NCT05015023. Registered August 20, 2021. https://clinicaltrials.gov/ct2/show/NCT05015023