Maternity and Reproductive Health Nursing

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Browsing Maternity and Reproductive Health Nursing by Author "Adugna Haweni (MSc)"

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    Assessment of Level and Actors Associated with HIV/AIDS Preventive Self-Efficacy among Regular Undergraduate Students of Madda Walabu University, Southeast Ethiopia, 2020.
    (Addis Ababa University, 2020-06) Kene Chala; Deribe Leul(PhD); Adugna Haweni (MSc)
    Background: Self-efficacy related to the individuals‟ beliefs in their abilities to have more control over their motives, behaviors, and most importantly, over their social environment. It is strongest predictors for HIV prevention. However, there were limited evidences on level of HIV/AIDS preventive self-efficacy and factors associated, among undergraduate students of Ethiopia generally and in the study area particularly. Objective: To assess level of HIV/AIDS preventive self-efficacy and associated factors among regular undergraduate students of Madda Walabu University, Southeast Ethiopia, 2020. Methods: An institution based cross sectional study was conducted from February 15 to 20, 2020. Single population proportion formula was used to calculate the sample size. After adding 15% of non-response rate, the final sample size was found to be 442. Simple random sampling technique was implemented to recruit the participants. Pre-tested self-administered questionnaire was used to collect the data. Data were entered into EpiData version 4.6.0.2 and analyzed using SPSS version 26 software. Bivariate and multivariable logistic regression model was fitted to identify factors associated with HIV/AIDS preventive self-efficacy. Odds ratio with 95 % confidence interval was computed to determine the level of significance. Result: The mean level of HIV/AIDS preventive self-efficacy among regular undergraduate students of Madda Walabu University was found to be 74.58+19.98.Being female [AOR=1.76(1.04-2.81)], in field of health science [AOR= 1.92(1.10-3.36)], insecond year of study [AOR=2.77(1.55-4.94)] and drinking alcohol [AOR=2.9(1.61- 5.23)] were found to be factors associated with higher HIV/AIDS preventive self-efficacy. Whereas, exposed to pornography [AOR=0.53(0.33-0.85)] was found to be factor associated with lower HIV/AIDS preventive self-efficacy. Conclusion and Recommendation: The mean HIV /AIDS preventive self-efficacy of the participants in this study area was found to be low. Sex, field of study, year of study, drinking alcohol and ever had watched pornography were factors found to be significantly associated with HIV/AIDS preventive self-efficacy. The study found more than half of the participants (51.4%) were knowledgeable about HIV/AIDS. However, the finding showed significant number of participants involved in risk behaviors. All staff should be cooperative in educating their students to boost their self-efficacy.
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    Late Antenatal Care Booking and Associated Factor among Pregnant Women in Mizan-Aman Town, South West Ethiopia, 2021: a Mixed Study Method .
    (Addis Ababa University, 2021-06) Gashawbeza Gelila; Teshome Roza(MSc); Adugna Haweni (MSc)
    Background: Antenatal care (ANC) is one of the key strategies for reducing maternal and neonatal morbidity and mortality directly by antenatal care service. World health organization recommends;the first ANC contact should be within the first trimester of gestational age. Objective: To determine late antenatal care booking and associated factors among pregnant women in Mizan-Aman Town, South West Ethiopia, 2021. Method: Institutional based a convergent mixed study designed was implemented. The data collection was conducted from February, 15 to March 25, 2021 through structured questioner for quantitative study and in-depth, key informant interview by using of semi-structured questioner for qualitative study. A total of 425 pregnant women were recruited by systematic random sampling method for quantitative, 11 late ANC booker pregnant women and 9 health care provider for qualitative. The data was analysis by using logistic regression model (quantitative data) and thematic analysis was used for qualitative data with assistance QDA miner lite soft ware. Results: From the overall participants [70.0 %, 95% CI=65.65, 74.35] of pregnant women’s were late to book their first ANC booking. Living in rural [AOR= 2.38, 95% CI: 1.0, 5.68],unplanned pregnancy [AOR = 2.63, 95% CI: 1.18, 5.85], inappropriate perception of ANC starting time [AOR=4.1, 95% CI: 1.9, 8.83], pregnant women who didn’t have awareness about pregnancy related danger sign [AOR= 6.76, 95% CI: 2.83, 16.1] and the pregnant women those who didn’t know the service delivery through the working hour in the institution[AOR= 0.44,95% CI: 0.19, 0.98] found to be significantly associated factors with late initiation of antenatal care. Additionally, the qualitative study identified a number of reasons were: Health care provider recommendation Unaware of being pregnant , Being busy Unfriendly health care provider and Card room related problem Conclusion and recommendations: The current study showed a higher prevalence of delayed antenatal care initiation. All responsible bodes working in maternal and child health care better to create awareness for community on the family planning, benefit of early ANC booking and appropriate ANC starting time.