Maternity and Reproductive Health Nursing

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Browsing Maternity and Reproductive Health Nursing by Author "Abere Kerebih"

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    Lived Experiences of Infertile Couples who Seek Treatment at Saint Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia, 2023 G.C
    (Addis Ababa University, 2023) Zewde Haymanot; Teshome Roza; Abere Kerebih
    Background: In almost all cultures, having children and raising them are significant aspects of life, and for African women including Ethiopian women, it is their most important duty. Infertility is a medical condition that can touch every aspect of a couple’s life with a wide range of sociocultural, psychological, and financial problems for individuals as well as couples. There is a scarcity of literature in the country focusing on couples experiencing infertility and going through a treatment journey. Objective: This study aims to explore the lived experiences of infertile couples focusing on psychological, sociocultural and financial aspects among couples who seek treatment at Saint Paul hospital millennium medical college, Addis Ababa, Ethiopia 2023 G.C Methods: a qualitative study with a phenomenological study design was employed from February 20- March 20/2023 among 15 infertile couples who seek infertility treatment at Saint Paul hospital millennium medical college. Study participants were selected purposively and the interviews were conducted with a face-to-face in-depth interview using a semi-structured interview guide. The analysis was conducted with thematic analysis by using both a priori codes (from the query guide) and emerging inductive codes approaches. ATLAS ti V 9 qualitative software was used to support the analysis of the data. Result: Five themes and 14 sub-themes related to couple’s lived experiences of infertility were identified. Including (i) Emotional-psychological impacts; (ii) impacts on relationships; (iii) cultural impacts (iv) treatment related challenges and (v) coping mechanisms. These result shed light on the multi-dimensional impacts faced by infertile couples. Conclusion: According to this study, infertile couples seeking treatment encounter a number of psychological, sociological, and economical issues that have a grave impact on their mental health and general wellbeing. Therefore, including psychosocial interventions or counselling in the fertility treatment and receiving financial assistance from governmental agencies for the expense of treatment may lessen the burden of infertility.
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    Rate of HIV Sero-Conversion among Sero-Negative Male Partners Living with HIV Positive Women in Addis Ababa, Ethiopia, 2019 .
    (Addis Ababa University, 2019-06) Abere Kerebih; Deribe Leul (PhD); Adugna Haweni
    Background: HIV AIDS related mortality and morbidity become a challenge for the world.Sub-Saharan Africa including Ethiopia is the most affected region and one of the reasons for new HIV infection is HIV transmissions from the sero-positive partners to their sero-negative partners among discordant couples. Despite, high risk of HIV transmission from positive partner to negative partner among discordant couples, research, and follow up intervention are minimal in Ethiopia. Objective: This study aimed to assess rate of HIV sero-conversion and predictors among seronegative male partners living with HIV positive women in Addis Ababa,Ethiopia,2019. Method:Institutional based retrospective cohort supplemented by in-depth interview(Convergent parallel mixed method) was used to conduct the study. All eligible two hundred twenty seven (227) sample medical records used for the quantitative study. Thirteen purposively selected male partners were involved in the in-depth interview. Epi-data version 4.2 and SPSS version 25 were used for data entry and analysis, respectively. Cox regression was used to identify predictor variables. The in-depth interview analyzed thematically through ATLAS-ti7 software. Result: In this study, 227 sero-negative male partners living with HIV positive women were followed for a total of 60 months and 38(16.7%) sero-conversion were observed. The overall sero-conversion rate in the cohort during the 7156 person-years of observation (PYO) was 6.4 per 100 (95% CI: 0.0038639- 0.0072979) person-year follow up. Time of ART initiation, CD4count, condom use, and desire of pregnancy were identified significant predictor of seroconversion.Sero-negative male partners living with HIV positive women experienced challenging life situations because of fertility desire, fear of HIV infection, deciding to continue with their relationship, lack of special support method, fear of discrimination, hopelessness and lose confidence. Conclusion and recommendation: Risk of HIV transmission from positive partner to their sero-negative partner was poorly controlled discordant couples. Therefore, consistent condom use and early ART treatment initiation should get emphasis among discordant couples. Desire of fertility should be considered under medical advice to minimize the risk and sero-negative partners should get improved counseling and support method.