Browsing by Author "Assegid, Meselech( MPH, PhD Fellow)"

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    Demand for long acting reversible contraceptive method and associated factors among married women in Sebeta Town,Oromia Regional state,Ethiopia,2018.
    (Addis Abeba University, 2019-10) Oljira, Galgalo; Assegid, Meselech( MPH, PhD Fellow); Worku, Alemayehu(Professor)
    Background: - Demand for long acting contraceptive methods is one of the key factors for total fertility rate and reproductive health issues. Report globally and in Africa including Ethiopia, about 210 million women become pregnant worldwide and one-third of pregnancies ends in miscarriage and stillbirth. Based on the reports in 2012 contraceptive use prevented 218 millions of unplanned pregnancies in developing countries in turn, 55 millions of unplanned births, 138 millions of abortions , 25 million miscarriages and 118,000 maternal deaths. The Sub-Sahara Africa region’s unmet need for family planning is the highest in the world (48.8 million women) and half of the married women of reproductive age (MWRA) want to space or limit the number of children they have. However, only 2.7 million MWRA use long-acting contraception. A comparison of results from the past EDHS surveys reveals that the largest increase was observed in the use of short acting(from 3% to 23%),where as the increment of long acting methods were very low(Implanon increase from1% to 8% and IUD to 2%) until 2016 Objective: The aim of this study was to assess demand for long acting reversible contraceptive and associate factors among married women in Sebeta town, Oromia Regional State, South West Ethiopia. Method: A community based cross sectional study was conducted, from December 2018 – February 2019. Multi stage sampling technique (Town-kebele-Got-House hold)was used to select 518 study participants. Pre tested structured Amharic version questionnaire was used to collect the data through face to face interview. Data was entered in to Epi Info and analyzed by using SPSS version 21. Bivariate and multivariate analyses were applied to identify factors associated to demand for long acting contraceptive methods by using logistic regression model. Odds ratio with 95% CI was used to assess the association between the independent variables and demand for long acting contraceptive methods. Result:- The total demand for LARCs was 262 (51.1%). Of which 149(29.04%)of the respondents, had unmet need for LARCs and 113(22.03%) of the respondents were met need. Being merchant in occupations (AOR=2.1,95%CI=[1.14,3.45]), college and above educational level [AOR=3.13;95%CI;8.44,11.631], women married at age greater than or equal to 18years [AOR=2.37;95%CI;1.18,4.76], having three or four children(AOR = 10.32, 95% CI = [2.98,59.45]), time to desire for child after two years [AOR = 4.05; 95% CI: 1.74,9.45], heard about LARCs method in the last three months [AOR = 7.95; 95% CI: 4.41,14.36] and joint decision maker[AOR=5.66,95% CI: 1.39,22.97]. were factors significantly associated with demand for LARCs. Conclusions: The study showed that more than half of respondents had demand for LARC. Variables such as being merchants in occupation, college and above educational level, age at first marriage, number of alive children, time to desire for child after 2 years, decision maker, and heard about LARCs in the last three months were significantly associated with having higher demand for LARCs. Recommendation:- Based on this study the demand and unmet need for LARC was found high, so it is better to increase contraceptive utilization. The government should promote education of women beyond secondary school. Strengthening information about LARC and empowering women to participate in decision making are very important.
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    Determinants of still birth among mother who gave birth in selected hospital of south west, Ethiopia, 2019.
    (Addis Abeba University, 2019-10) Tebeka, Melese; Assegid, Meselech( MPH, PhD Fellow); Assefa, Nigussie(BSc,MPH)
    Background: The cause of stillbirth is often unknown, but can be attributable to various causes; hypertensive disorders and obstetric factors supposed to complicate pregnancy and may cost the life of the fetus. Increased risk of stillbirth in most conditions is not precisely known and available few research findings are inconsistent & its effect is not well established. Objectives: To identify the determinants of still birth among mother who gave birth in Mizan Tepi University Teaching Hospital South West Ethiopia. Methods: Facility based unmatched case-control study design was employed from January2018 to June2019, (287 cases and 574 controls) was selected using systematically random sampling methods. Double population proportions formula with a 1:2 case to control ratio was used to calculate sample size with 95% confidence interval and 80% power. The data was collected from clinical records of mother’s a using data collecting checklist. Epi data version 4.4.2.1 was used for data entry, and analysis was done by SPSS version 21 statistical software. Descriptive analysis such as frequency, percentage and chi-square test were done. For the inferential analysis, a multivariable analysis was done. Statically significant was used at a p-value <0.05both for the univarible and multivariable analysis. Result: women who had hypertensive disorder were 1.76 times at risk to have stillbirth than women who had no hypertensive disorder (AOR: 1.76: 95%CI :( 1.06, 2.9). In addition, women who had first antenatal care at third trimester were 4 times at higher risk to have still birth than women who had first antenatal care at first trimesters (AOR: 4, 95%CI: (1.54, 11). Women who had more than four children were 2.6 times at higher risk of having still birth compared to with women one child (AOR: 2.6, 95%CI: (1.2, 5.7). And also, the odds of having still birth was found to be higher in women who had blood group O than women who had blood group A (AOR: 1.7, 95%CI: (1.057, 2.8). Women who received iron for less than three months were 1.8 times at risk of having stillbirth than women who received iron for more than three months (AOR: 1.8, 95%CI: (1.031, 3.15). Conclusion: According to the findings of this study, we conclude that a hypertensive disorders and obstetric factors were risk factors for stillbirth. Therefore, it is very important to give special attention to women with hypertensive disorder, multipara women, timing of antenatal care initiation and iron supplementation.