Browsing by Author "Adugna Haweni"

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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; Adugna Haweni
    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 ofEthiopia 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 andmultivariable 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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    Assessment on the Determinants of Induced Abortion among Childbearing Age Women in Non-Profittable Private Health Institutions, Addis Ababa, Ethiopia
    (Addis Ababa University, 2014-06) Adugna Haweni; Araya Tekebash
    Background: More than half of 80 million unintended pregnancies occurred worldwide wouldend in abortion annually. In developing countries more than one-third of all pregnancies areconsidered unintended and about 19% will end up in abortion. The determinants of induced abortion are considered to be socio-demographic factors, prior reproductive health and familyplanning behaviors and experiences. There is a need to address various problems with regards towomen reproductive health needs including contraceptive use. Objective: To assess determinants of induced abortion among child bearing age women attending reproductive health clinic in Addis Ababa. Method: Institution based cross sectional study on assessment of determinants of inducedabortion was conducted in May 2014. Study subjects were women aged 18 to 49, attendingreproductive health clinic in Addis Ababa among who had experienced induced abortion by convenience sampling. A structured pre-tested questionnaire was used to collect data on abortionand related aspects. Result: A total of 390 reproductive age women were interviewed. Mean age of the respondentswas 26 years. The most frequent reason for induced abortion mentioned by the respondents wasnot using a contraceptive method 29.2%. Inappropriate use of contraceptive 15.8% and rape8.2% were also mentioned by the respondents. Fifty three percent of the participants admitted forusing at least on method of contraceptive. Age and marital status were significantly associatedsocio-demographic variables with induced abortion. Total number of live birth, contraceptive useand future desire of pregnancy were also significantly associated variables. Conclusion and recommendation: out of all respondents 93.8% mentioned one contraceptivemethod, but still 55% women with induced abortion experience mentioned contraceptive relatedreasons for having induced abortion. This shows that there is a big gap between the knowledgeand practice of contraceptive. Therefore, it is recommended that to strengthen and modify the existing family planning program in order to reduce induced abortion.
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    Clients’ Satisfaction level towards Labor and Delivery Services at Selected Public and Private Hospitals, Addis Abeba, Ethiopia, 2019.
    (Addis Ababa University, 2019-06) Alemu Yewubdar; Teshome Roza; Adugna Haweni
    Background: Client satisfaction is an important factor for the health care delivery service as well as a measure of its quality in both public and private hospitals. Clients are often vulnerable and anxious when they need to use hospitals. However, inadequate information of labour and delivery service may result client dissatisfaction. Objective: The aim of the study is to determine level of client satisfaction towards labour and delivery services at public and private hospitals in Addis Ababa, Ethiopia, 2019 GC. Methods: Institution based cross sectional study was conducted from April17-may 17, 2019.Systematic random sampling method was used to select 422 postpartum mothers from 8 private and 3public hospital. Data was collected by exit interview using structured questionnaire. The data was coded, cleaned, and analyzed by using SPSS version 20. Bivariate and multivariate logistic regressions were applied at 95% CI to identify associated factors and p-value <0.05 was considered statistically significant. Finally the result was presented using charts, tables and graphs. Result: This study‟s finding indicated an overall satisfaction of clients on labor delivery service was found to be 51.7%. Mothers, who satisfied with the availability of toilet, were 3.7 {AOR 3.698(1.014-13.494)} times satisfied with the overall service than those mothers who were not satisfied with availability of toilets. Mothers who were asked for permission and who received clear explanation by health care workers before procedures or examinations were7.9times {AOR (95%CI) 7.958 (2.277-27.804)} more satisfied by the service than those who were not asked for permissions. Conclusion and Recommendation: . There are still unmet needs and expectations of mothers during delivery that the hospitals administrators‟ should focus as delivery service quality improvement area and the care should be client centered.
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    Health Provider’s Readiness in Managing Intimate Partner Violence in Public Health Institutions at Hawassa City, Sidama Region, Ethiopia, 2021
    (Addis Ababa University, 2021-06) Teshome Lidiya; Deribe Leul ; Adugna Haweni
    Introduction: Intimate partner violence is prevalent worldwide public health problem and major human and legal rights abuse of all women, which requires complex and multifaceted interventions.Health facilities are situated to provide management for IPV. Thus, Nurses and midwives are frontlines responsible for consolidating essential health care services for IPV victims. There is no detail, however, on whether or not health providers are prepared to identify and manage IPV. Objective: The aim of this study was to assess health provider’s readiness in managing IPV in public health institutions at Hawassa city, Sidama, Ethiopia, 2021. Method: A cross-sectional study was performed at an institution. An anonymous self-administered questionnaire was distributed across 424 respondents selected by simple random sampling.Categorical variables were reported by frequency with percentage. Mean and standard deviation were used to report perceived readiness score. The factors influencing providers' perceived readiness were assessed using linear regression analysis. The strength of association between independent and dependent variables was assessed by using unstandardized β with 95% CI. In all statistical tests used, statistical difference considered significant when P-value was less than 0.05. Results: The mean score for provider’s readiness in managing IPV was 26.18±6.69. Not having received IPV training (P = 0.013: 95% CI of β: -3.746, -0.449), providers with higher age (P =0.017: 95% CI of β: 0.032, 0.321), perceived knowledge on IPV management (P <0.001: 95% CI of β: 0.203, 0.383), absence of protocol in the institution dealing with IPV management (P = 0.049:95% CI of β: -2.706, -0.008) and attitude of providers toward IPV (P = 0.027: 95% CI of β: 0.013,0.213) were factors that affect providers perceived readiness in managing IPV. Conclusion: Providers had limited perceived readiness to manage IPV and certain factors were affected their perceived readiness. Recommendations: Interventions on provision of training, develop protocols and improvement in perceived knowledge should be needed to increase provider’s perceived readiness in managing IPV.
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    Impact of Internet and Social Media Platform use on Youths' Risky Sexual Behavior in Addis Ababa University Undergraduate Students Addis Ababa, Ethiopia, 2023: a Qualitative Study.
    (Addis Ababa University, 2023) Birhanu Helina; Tesfaye Jembere; Adugna Haweni
    Background: Any sexual activity that raises one's risk of contracting a sexually transmitted infection (STI), such as HIV, or of having an unintended pregnancy is considered risky. Health and social consequaences can result from exposure to sexual content. A significant wellspring of this openness is the social media (SM) platforms, which are broadly utilized by youths. The internet has multiplied how young person’s access information on any subject matter including sexual contents. Objectives: To explore the influence of internet platform use on youths' risky sexual behavior in Addis Ababa university students, Addis Ababa Ethiopia, 2023. Methods: A qualitative method, phenomenological study design was employed in Addis AbabaUniversity, Ethiopia. Information was retrieved from participants selected using a snowball purposive sampling technique through open ended in-depth interview and key informant interview in Addis Ababa University selected campus and using a topic guide which is initially based on a review of literature until saturation reached. The Data was analyzed in thematic analysis approach. Result: The results of this study showed that, internet and social media platform usage has its own influence on risky sexual behavior both negatively and positively; providing inaccurateinformation, exposure to Sexual Explicit Media, predispose to early sexual initiation, leading to skewed perception on risky sexual behavior also behavioral change and to the positive side it is seen as a source of sexual information which the youth students couldn’t get from their surroundings. Conclusion: The results of this study show that there were several internet-related issues that influence students' risky sexual behavior at Addis Ababa University in Ethiopia. The young participants in this study spoke about a variety of negative effects of internet use on their sexual lives. Measures should be taken by concerned body to dispel or at least to reduce these negative impact and have a proper use of this platform in a fruitful way.
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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; Adugna Haweni
    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 randomsampling 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.
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    Maternal and Fetal Health Outcome of Cesarean Section and its Associated Factors in Gurage Zone Governmental Hospitals, SNNPR, Ethiopia, 2021 G.C
    (Addis Ababa University, 2021-06) Mesfin Helina; Teshome Roza; Adugna Haweni
    Background: A cesarean section is the most common obstetric surgery performed today. Even though cesarean delivery is the safest mode of delivery for high risk situation, it also appears to have higher risk of maternal and neonatal morbidity and mortality than vaginal delivery in lowrisk cases. Objectives: To determine the maternal and fetal health outcome after cesarean section and its associated factors in Gurage Zone governmental hospitals, SNNPR, Ethiopia 2021 G.C. Methods: Institutional based retrospective cross-sectional study was conducted in Gurage Zone governmental hospitals from February 21/2021- March 13/2021on cards of mother who delivered by cesarean section from February 2019 to January 2021. The total sample size was 398 and collected from five governmental hospitals. The collected data was entered and analyzed using STATA version 15. Binary and Multiple Logistic regressions were used to identify associated factors for maternal outcome and fetal outcome. Result: Out of mothers included in the study 23.4% of them had poor maternal outcome. The prevalence of poor fetal outcome was 19.74%. Obstetric complication [AOR of 2.65, 95% CI,(1.17, 6.01)], Medical disease [AOR of 3.39, 95% CI (1.13, 10.16)], General Anesthesia [AORof 16.8, 95% CI (1.32, 212.54)] and Ante Partum Hemorrhage as indication for Cesarean Section [AOR of 3.73, 95% CI, (1.08, 12.83)] are found to be statistically significant factors for poor maternal outcome. Also Medical disease [AOR of 5.78, 95% CI (1.17, 28.54)] and Cephalic Pelvic Disproportion as an indication for Cesarean Section [AOR of 5.57, 95% CI (1.74, 17.78)] are statistically significant factors for poor fetal outcome. Conclusion & Recommendation: The prevalence of poor maternal and fetal outcome is 23.37% and 19.74% respectively. The most common maternal complications post CS were infection(5.98%), Blood transfusion (5.71%), Hemorrhage (5.43%). Although much emphasis has been placed on reducing maternal mortality associated with pregnancy, mothers who escape pregnancy-related mortality but suffer health consequences should also be given special attention.
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    Parent Adolescent Sexual and Reproductive Health Communication and Associated Factors among Secondary and Preparatory School Students in Fiche Town, North Shoa, Oromia Regional State, Ethiopia
    (Addis Ababa University, 2017-06) Feyisa Mulugeta; Adugna Haweni
    Background: adolescence is a continuum of physical, cognitive, behavioral and psychosocialchange that is characterized by increasing levels of individual autonomy, a growing sense ofidentity and self-esteem and progressive independence from adults. Open family discussionon reproductive health (RH) issues often leads to increased awareness on RH matters andreduces risky behaviors among adolescents Objective: The aim of the study was to assess parent adolescent communication andassociated factors among students attending education at Abdissa Aga secondary and Fiche preparatory schools in Fiche town, Oromia Regional State, Ethiopia, 2017 Method: Institution based quantitative cross-sectional study was conducted on March 27,2017 using adapted and modified self-administered questionnaire. Two schools in the townwere included in the study. A total of 394 students were included in the study. Data wasentered using epidata manager with double entry verification. Multivariable logisticregression analysis was performed and variables with p-value of less than 0.05 were taken asstatistically significant. Result: The prevalence of students who had ever discussed sexual and reproductive healthissues with either of the parents on at least two topics was 118(31.2%). The independentpredictors for parent adolescent sexual and reproductive health communication were:educational status of mother (AOR 3.164, 95%CI=1.279-7.830), father educational status(AOR 4.848, 95%CI=1.271-18.499). Students who had knowledge about sexual andreproductive health issues were more likely to communicate when compared to their counterparts. Conclusion and Recommendation: The occurence of parent adolescent sexual andreproductive health communication is low among secondary and preparatory school in fichetown. Fiche town administration in collaboration with concerned bodies should facilitateadolescent-friendly services in order to enhance sex related education. Keywords: Communications, sexual and reproductive health issues, associated factors, Fiche town
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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 ; 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 womenin 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 regressionwas 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 6.4per 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-negativepartners should get improved counseling and support method.