Master of Science in Clinical Midwifery

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    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
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    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.