Browsing by Author "Assegid, Meselech"

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    Assessment of Intention and Determinantes of Contraceptive Use among Post Partum Married Women in Adama, Ethiopia
    (Addis Ababa University, 2016-10) Abraham, Zinash; Assegid, Meselech
    Background- Addressing family planning in the postpartum period is crucial for better maternal, neonatal and child survival because it enables women to achieve healthy interval between births. The first year after a woman has given birth is crucial for use of contraceptives to prevent unwanted pregnancy. Many women, however, do not realize that they are at a risk for pregnancy during this period. Consequently, contraceptive use by women during this period is low, resulting to unintended pregnancies and unwanted childbearing. Objectives -To assess intention and determinants of contraceptive use among postpartum married women in health centers of Adama. Method- - A facility based cross sectional study that employed exit interviews with postnatal clients was conducted in all public health centers, from June –July, 2016 in Adama town. Four hundred twenty two study subjects were allocated to the institution by proportional based on the number of deliveries three months prior to the study. Pre tested structured Amharic version questionnaire was used to collect the data through interview. Both bivariate and multiple logistic regressions were used to identify determinant factors. Result -Of 420 postnatal women interviewed 66.2% of them were intention to use contraceptive methods and 45.5% postnatal mothers stated that they have an intention to start after 45 days of delivery. However, 43.6% of respondents have negative attitude towards modern contraceptive. Governmental Occupation, Desire for more children, Frequency of ANC visit and discussion with providers after delivery were the main determinants of the intention to use postpartum family planning among the mothers (AOR of 3.029; 95%CI (1.19, 7.70), AOR of 0.45; 95%CI (0.24, 0.84)), AOR of 0.42; 95%CI (0.20, 0.85) and AOR of 2.98; 95% CI of (1.84, 4.82)) respectively. Conclusion and Recommendation-This study has revealed that intention to use contraceptive during post partum period is significantly higher. Family planning programmes should give high priority to the mothers in order to encourage them uptake contraceptives as early as possible during their postpartum period. Likewise, there is need to strengthen policies that promote girls education and opportunity of job. Health professional should discuss about FP after delivery and during consecutive antenatal visit is crucial to improve contraceptive knowledge and empower women to make informed choice
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    Assessment of Intention and Practice of VCT And Infant Feeding In the Context of HIV/AIDs Among Lactating Mothers in Harar Town
    (Addis Abeba university, 2006-03) Assegid, Meselech; Tesfaye, Fikru (PhD)
    Introduction: - Mother-to-child transmission of HIV is the most significant route of HIV infection in children and by far the largest source of HIV infection in children below the age of 15 years Objectives: - the aim of this study was to assess current practices and future intention of lactating mothers on VCT and infant feeding in relation to prevention of MTCT of HIV in Harar town. Methods: - A community based cross sectional quantitative survey supplemented with a qualitative method was conducted from January to February 2006 using standardized questionnaire, among lactating mothers in Harar town selected using probability proportional to size. Results: - Lactating mothers had good knowledge of HIV/AIDS but fair knowledge on MTCT and PMTCT of HIV. Intention to undergo VCT had significant association with knowledge about PMTCT. Practices of VCT had significant association with age of mothers, parity, frequency of ANC check-up, HIV knowledge, PMTCT knowledge and attitude towards PLWHA. Conclusion: - There is a high intention to undergo VCT whereas only few mothers have undergone the test, indicating a wide gap between intention and practice. The mothers’ breast feeding practice in the context of HIV and nutrition is risky as suboptimal breast feeding practices are widespread. Recommendation: - Increasing utilization of MTCT, PMTCT, and VCT including optimal infant feeding requires IEC and BCC. Information, Education Communication (IEC) and Behavioural Change Communication (BCC) on VCT, MTCT, PMTCT and infant feeding shall be strengthened. Establish communication/ referral network between health facilities and organizations working on HIV/AIDS, vi i working towards alleviating the problem that social stigma poses on mothers’ adoption of safer infant feeding options to prevent MTCT of HIV and full day VCT services shall be made available for mothers seeking delivery services in hospitals to minimize missed opportunities.
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    Assessment of magnitude and factors associated with Maternal Near Miss in Public Hospitals of Addis Ababa
    (Addis Abeba Universty, 2015) Kebede, Feven; Assegid, Meselech
    Back ground: Causes of maternal near miss can be classified as direct and indirect causes. The major direct causes of maternal near miss are obstructed or prolonged labor, postpartum hemorrhage, infections, ruptured uterus, severe preeclampsia, eclampsia and unsafe abortion. Among the indirect causes of maternal morbidity and mortality anemia, malaria, hepatitis, tuberculosis and cardiovascular disease account for the highest number of maternal deaths. Objective: To assess magnitude and factors associated with maternal near miss in selected public hospitals of Addis Ababa. Methodology: A retrospective cross-sectional study design was used .A total of 497near miss cases were identified from January 2014 to December 20014 from four selected public hospitals in Addis Ababa. Out of these 321 near miss cases were selected based on proportionally allocated sample size for each hospitals data was collected using data extraction format adopted from WHO. Data was entered into Epi data version 3.1 and transferred to SPSS version 20 and analyzed. To establishes associations between dependent and independent variables and determine possible Association, P values, logistic regression and odds ratio at 95% confidence interval were used, Statistical significance was considered at P-value less than 0.05. RUSELT The reviewed near miss cases were admitted with different diagnosis. The most common types of near-miss events fall under the diagnostic categories of hemorrhage, sevier pre-eclampsia, Eclampsia, ruptured uterus, sepsis and obstructed labor. Heammorrhage was the major 179(55.8%) diagnosis at admission followed by sever preeclampsia 116(36.1%) . The least diagnosis was uterine rupture which accounts for 4 (1.2%). On logistic regression and bivaret multivariate analysis with hemorrhage and SPE; age, parity, gestational age and ANC were significantly associated with OR. Conclusion. There is a high frequency of maternal near miss at the level of these facilities therefore maternal health policy needs to be concerned not only with averting the loss life, but also with preventing maternal near events or factors hemorrhage, hypertension, infection, ruptured uterus at all care levels including primary health care levels and community based level. Recommendation. Therefore maternal health policy needs to be concerned not only with preventing loss of life but also with preventing maternal near miss events like hemorrhage and hypertension disorder and other all health care levels including primary health care by developing management protocols. Key words: Maternal near miss, complication, outcome maternal near miss events.
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    Assessment of Reproductive Health Right Knowledge and Practice among Preparatory School Female Students of Asella Town, Oromia Regional State, Ethiopia
    (Addis Ababa University, 2015-05) Tafa, Tigist; Guda, Amarech(PhD); Assegid, Meselech
    Introduction: Reproductive health right (RHR) is the right of couples or every person to decide freely and responsibly on their reproductive conditions and sexuality. Knowledge of those rights is critical to protect school girls from unwanted reproductive outcomes as improving access to reproductive health right is considered as one of the mechanism for achievement of Millennium Development Goals (MDGs). However majority of young people including female secondary school students in Ethiopia have very little knowledge on youth’s RHR. Objectives: the objective of this study is to assess knowledge and practice of reproductive health right among preparatory school female students of age 18-24 in Asella Town. Methods: School based cross sectional study was conducted among preparatory school regular female students for 2014/15 academic year in Asella town from randomly selected classes of two schools using self-administered questionnaire. EPI info version 6 and SPSS version 21Statistical software, were used to enter and analyze the data .Multivariate analysis was carried out to identify significant association between independent and dependent variables. Result: A total of 403 female students were participated in the study. Seventy percent of the respondents were know about reproductive health rights. Media like TV and Radio were the major sources of information for reproductive health rights. Sixty percent of girls discussed about reproductive issue with their peers. More than 94% of the respondents knew at least one type of contraceptive method, where as its utilization is very low 91.2 inject able was the most known type of contraceptives among respondents. Ninety seven percent of the respondents knew at least one sexually transmitted infection (STI) where HIV was the most reported one. Knowledge of safe time of pregnancy and knowledge of ways of preventing unwanted pregnancy were associated with knowledge of RHR. Marital status, father occupation, discussion on sexual and reproductive issues and having sexual partners were factors affecting practice of reproductive health rights. Conclusions and Recommendations: Knowledge of the students was moderate on reproductive health right which was 70%. Practice of sexual and reproductive health rights was 22.6% among the study participants. Emphasis on more media coverage especially on news papers and leaf lates regarding sexual and reproductive health rights to create more knowledge. Schools should establish clubs to promote sexual and reproductive health issues. Working with community and religious leaders can be use full to disseminate information and parents should have to get information on reproductive health rights should have and open discussion with their children regarding sexual and reproductive health issues
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    Assessment of the Knowledge, Attitude and Practice of Breast Self Examination among Under Graduate Female Students of age 30 years and below in College of Natural and Computational Science of Addis Ababa University, Addis Ababa
    (Addis Ababa University, 2015) Bikila, Tamene; Deyessa, Negussie(PhD); Assegid, Meselech
    Background: Breast cancer is the most common among developed and developing countries. According to the American Cancer Society, about 1.3 million women diagnosed with breast cancer annually worldwide. The high breast cancer mortality rate in Sub-Saharan Africa has been attributed to a lack of public awareness of the disease which often leads to late diagnosis of the disease. Objective: This study was to assess the knowledge; attitude and practice of breast self examination of female undergraduate students age 30 years and below of College of Natural and Computational Science College of Addis Ababa University Addis Ababa, 2015 Methods: A cross-sectional study design was conducted from Feb, 2015 to June, 2015 in College of Natural and Computational Science of Addis Ababa University on randomly selected under graduate female students. Simple Random Sampling technique was used to recruit 662 female undergraduate students. Data entered using EPI-INFO version 3.5.3 and analysis carried out using SPSS Version 20. Bivariate analysis was used and then entered to multiple logistic regressions model and significant variable were identified on the basis of OR, with 95% CI. Results: In this study, 597 study subjects involved making a response rate of 90.2%. About 24.49% of the participants had good knowledge of breast self examination while 29.50% of the informants had good attitude about BSE. Of the total participants, 25.96% reported that they are practicing of breast self examination in the last 12months. Conclusion: In general, the KAP of the participants were 24.49%, 29.5% and 25.9% respectively. This finding showed that the participants had poor KAP toward BSE. Therefore, Universities and other stake holders should plan to promote provision of information, education and communication targeting young females, and the general community to increase awareness to ward breast self examination