Master of Science in Clinical Midwifery

Permanent URI for this collectionhttps://etd.hu.edu.et/handle/123456789/33

Browse

Start date: 2023End date: 2023

Search Results

Now showing 1 - 5 of 5
  • No Thumbnail Available
    Item
    PREVALENCE OF SHORT BIRTH INTERVAL AND ASSOCIATED FACTORS AMONG WOMEN WHO GAVE BIRTH IN THE PAST THREE YEARS IN SHEBEDINO WOREDA, SIDAMA REGION, ETHIOPIA, 2023
    (hawassa universty, 2023-11) YESUF YIMER
    Background: The prevalence of short birth intervals is high and widespread in developing countries, particularly Ethiopia. It is highly associated with increased risks of adverse maternal and neonatal outcomes, such as preterm birth, low birth weight, and maternal anemia. Conducting regular surveys on the prevalence of short birth intervals is necessary for effective family planning interventions. Nevertheless, there is a lack of periodical and timely surveys reported from the region and the study area in particular. Objective: To assess the prevalence of short birth intervals and associated factors among women who gave birth within the previous three years in Shebedino Woreda, Sidama Region, Ethiopia. Methods: A community-based cross-sectional study was carried out from July 30 to August 30, 2023. A total of 620 multiparous women were chosen using multistage sampling. A structured interviewer-administered questionnaire was used. Data were Collected through open data kit and exported to statistical package for social science version 27 for analysis. Bivariate and multivariable logistic regression analysis was done. Multicollinearity and model fitness were examined by variance inflation factors and the Hosmer-Lemeshow test, respectively. P-value <0.05 variables were considered statistically significant. Results: A total of 620 participants with a response rate of 99.5% were involved in the study. The prevalence of short birth interval was 37.1% with 95% CI; (33.3, 41.0). Being Muslim religion follower (AOR=2.31 95% CI: 1.03, 5.18), unable to read and write (AOR =4.0; 95%CI: 1.01, 15.85), delivery of index child at home (AOR=2.05, 95% CI: 1.23, 3.41), no history of antenatal care visit (AOR=2.45 95% CI:1.25, 4.80), and non-use of contraceptive (AOR=4.20, 95% CI: 1.71, 10.3) were factors statistically associated with short birth interval. Conclusion: In this study, more than one-third of respondents practiced short birth intervals. Factors associated with outcome variable were religion, respondent educational status, contraceptives, antenatal care visits, and place of delivery. Therefore, optimizing the birth spacing strategy should improve family planning, institutional delivery, encouraging women's education, religion leaders, and antenatal care visits
  • No Thumbnail Available
    Item
    ACCEPTANCE OF CESAREAN SECTION AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN ATTENDING ANTE NATAL CARE AT PUBLIC HEALTHG PUBLIC HEALTH INSTITUTIONS, SIDAMA REGION, HAWASSA CITY. 2023
    (hawassa universty, 2023-11) Sifen Ahmed
    Background: Cesarean Section (CS) is surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen. It is one of the most common surgeries worldwide, accounting for more than 1 in 5 (21%) of all births. Acceptance of cesarean is the agreement with or being belief in cesarean section or it is the act of consenting to it. Although efforts are being made to minimize the CS rate, some women may refuse to accept it if the necessity arises due to a lack of awareness and a bad attitude toward CS. Even if they there were so many who had accepted cesarean section, some women showed total aversion to cesarean section, whatever the indication was. Therefore, the objective of this study was to assess the acceptance of cesarean se ction and associated factors among pregnant women attending ante natal care at public health institutions in Hawassa city. Methods: Institutional based cross-sectional study was employed among pregnant women attending ante natal care at selected Public Health Institutions in Hawassa city from July 24 to August 25, 2023. Systematic sampling technique was applied to select 422 participants. Kobo Toolbox used to collect data and was exported to Statistical Package for Social Sciences (SPSS) version 25software. Bivariate and multivariate logistic regression analyses were applied to assess associations between dependent and independent variables. The odds ratio with a 95% confidence interval used to declare the strength of associations between dependent and independent variables. P values less than 0.05 was considered statistically significant. Results: Finding of this study showed that acceptance of cesarean section among pregnant women was 50.2%. Respondents educational level AOR=6.5, 95% CI (1.5-25), Previous history of cesarean section AOR=7.19, 95%CI (1.94 27.5), place of delivery for the previous delivery AOR=4.15, 95% CI (1.01-11.6) and knowledge of respondents AOR=2.23, 95% CI (1.23-4.14) have showed significant association with acceptance of cesarean section. Conclusion This study showed about half of the respondents accepted a cesarean section. Educational status of women, previous history of cesarean section, place of delivery for the last previous birth, and respondents knowledge of cesarean section were predictor variables for the acceptance of cesarean section.
  • No Thumbnail Available
    Item
    KNOWLEDGE AND ASSOCIATED FACTORS TOWARDS PREVENTABLE RISK FACTORS OF CONGENITAL ANOMALIES AMONG ANTENATAL CARE ATTENDING MOTHERS AT PUBLIC HEALTH INSTITUTIONS IN HAWASSA CITY, ETHIOPIA
    (hawassa universty, 2023-11) DEBISO ERGINO
    Background:- Congenital anomalies are problems of structure and function that can develop during intrauterine life and can be detected during pregnancy, at birth, or later in life. The etiology is genetic, environmental, multifactorial, and unknown. Globally 1 in 33 babies is born with a birth defect. More than 90% of birth defects occurred in low and middle-income countries. In Ethiopia, there was limited evidence to assess the knowledge of pregnant mothers despite the increasing prevalence of birth defects of preventable risk factors of congenital anomalies. Objective:- To assess the knowledge and associated factors towards preventable risk factors of congenital anomalies among antenatal care attending mothers at public health institutions in Hawassa City, Ethiopia, 2023. Methodology:- An institutional-based cross-sectional study was conducted among 422 systematically selected pregnant mothers who attended the ANC clinic in Hawassa City public health institutions from July 20-August 20, 2023. A pretested, interviewer-administered questionnaire was used. An open data kit and statistical package for Social Science version 27 were used for data collection and analysis, respectively. To identify associated factors bivariate and multivariable analyses were carried out. Result:- A total of 422 pregnant mothers participated in this study with a response rate of 100%. Of the total participants, 79.4% were urban residents, 45.0% attain secondary school and 73.9% had antenatal care follow-up. Only 5.9% knew that congenital anomalies are acquired by pregnant mothers, 68.2% of them knew that congenital anomalies are genetic, and 11.4% of them knew that it occur due to the sin of families. Overall 58.3% of mothers had good knowledge of preventable risk factors of congenital anomalies. Conclusion:- Comparatively participants had moderate knowledge on overall knowledge about preventable risk factors of congenital anomalies compared to other studies. However, the knowledge was influenced by urban residence; college and above educational attainment, and antenatal care follow-up of the participants. It is advised to address pre-pregnancy and pregnancy health education, with a focus on birth defect prevention.
  • No Thumbnail Available
    Item
    MEDICAL INSTRUMENT PROCESSING PRACTICE AND ASSOCIATED FACTORS AMONG MATERNITY CARE PROVIDERS IN PUBLIC HEALTH FACILITIES OF HAWASSA CITY ADMINISTRATION, SIDAMA, ETHIOPIA, 2023
    (hawassa universty, 2023-11) ASHENAFI ASSEFA
    Introduction: Globally, every year, millions of people are affected by avoidable health-care associated infections. Deficiencies in medical instrument processing contribute to a significant portion of these infections. Rusting of equipment due to procrastination and prolonged use of the same solution in cleaning them after use were some of the problems that have been recognized on the ground at different healthcare facilities. Despite these shortfalls, only a few prior studies practically assessed the actual medical instrument processing practices of health care workers in Ethiopia. Therefore, the aim of this study is to assess medical instrument processing practices and associated factors among maternity care providers in public health facilities of Hawassa city administration, Sidama, Ethiopia, 2023. Method: An institutional-based cross-sectional study was done among maternity care providers in public health facilities in Hawassa city, from 1st July to 30th August/2023. All (402) maternity care providers in all public health facilities under the study area were enrolled in this study. Both an interview administered structured questionnaire and an observational checklist were used for data collection. After collection in the Kobo toolbox, the data was exported to Excel and then imported to version 25 of SPSS for analysis. Binary logistic regression was done to identify the association between each independent variable and the outcome variable. Result: A total of 398 maternity care providers participated in the study, with a response rate of 99%. Among the total respondents, 48.7% of the participants had performed safe practices in medical instrument processing. The odds of safe medical instrument processing practices were 3.678, 3.035, and 3.318 times higher among health care workers who were being trained on medical instrument processing, had access to guidelines on medical instrument processing, and were knowledgeable about medical instrument processing compared to their counterparts (AOR =3.678, 95% CI (1.971–9.67), (AOR =3.035, 95% CI (1.44–6.574), and (AOR =3.49, 95% CI: 2.067–5.895), respectively.
  • No Thumbnail Available
    Item
    MALE INVOLVEMENT IN POSTPARTUM LONG-ACTING REVERSIBLE CONTRACEPTIVE USE AND ASSOCIATED FACTORS AMONG MARRIED MEN IN SHEBEDINO WOREDA, SIDAMA REGION, SOUTHERN ETHIOPIA, 2023
    (hawassa universty, 2023-11) ABDULAH WASSU
    Background: Males' participation in long-acting reversible contraceptives during the postpartum period is determinantal to reproductive health outcomes and for achieving national and sustainable development goals. Most research findings on male participation in family planning are concerned with short-acting family planning in Africa, including Ethiopia. Despite this, little is known about male involvement in postpartum long-acting reversible contraceptive use of their wife in Africa, particularly in Ethiopia. Objective: To assess the magnitude of male involvement in postpartum long-acting reversible contraceptive use and association factors among married males in Shebedinno woreda, Sidama regional state, Southern Ethiopia, 2023. Methods: A community-based cross-sectional study was conducted among 633 randomly selected married males from July 30 to August 30, 2023. Data were collected using pretested, questionnaires. Bivariable and multivariable logistic regression analyses were conducted. Multicollinearity and model fitness were examined. The crude and adjusted odds ratios, together with their corresponding 95% confidence intervals, were computed; a P value < 0.05 was considered a level of statistical significance. Result: A total sample size of 623 married men responded to the questionnaires, yielding a response rate of 98.4%. Out of the 623 male participants, 197 (31.6%, 95% CI: 28.6, 36.0) were involved in postpartum long-acting reversible contraceptive usage by their spouses. Men with a secondary school education (AOR = 2.35, 95% CI: 1.12, 4.93) and those with a diploma or higher (AOR = 4.42, 95% CI: 1.80, 10.83), heard information about long-acting reversible contraceptives (AOR = 2.77, 95% CI: 1.07, 7.16), having good knowledge (AOR = 1.84, 95% CI: 1.24, 2.74) and a positive attitude towards the use of long-acting reversible contraceptives postpartum (AOR = 2.18, 95% CI: 1.47, 3.24) all proved to be positively significant factors. Conclusion and recommendations: Overall, male participation in postpartum long-acting reversible contraceptive use of their spouse was relatively low. Therefore promoting male participation in postpartum long-acting reversible contraceptives requires effective community awareness, dissemination of information, education, and communication, and fostering a positive attitude towards these contraceptives.