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

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    Association of maternal knowledge of neonatal danger signs and postnatal care utilization of neonatal services, among mothers in Butajira, Ethiopia, 2019.
    (Addis Abeba University, 2020-12) Zenebe, Seble; Assegid, Meselech (MPH, PhD candidate); Seifu, Abiy (MPH)
    Introduction: Neonatal period is the first 28 days of life; they face highest risk of death during this time. Global rate of neonatal mortality rate is 19 deaths/1000 births. One of the prevention method which could decrease neonatal mortality is postnatal care to mother and baby after birth up to 6weeks.Worldwide, about one third of the neonates use postnatal care, while its utilization coverage in Ethiopia is very low. Knowledge of the neonatal danger sign is one of important factor for utilization of neonatal postnatal care. Objective -The aim of this particular study was to determine the association between maternal knowledge of neonatal danger signs and postnatal care service utilization of neonate. Method: Community based cross-sectional study using quantitative method was conducted at Butajira Ethiopia. A total of 523 mothers who had given birth before one year were selected using simple random sampling. Data were collected using a pre-tested structured intervieweradministered questionnaire. The data were entered using Epi-data v-4.4.3.1 and export to STATA14 for analysis. Bivariate and multivariate logistic regression were done to assess the association between knowledge of neonatal danger signs and utilization of postnatal care of neonate and P-value < 0.05 was used to declare the statistical significance. Result -Postnatal care service utilization of neonates was 78.1% and maternal knowledge of neonatal danger signs were 15.8%. Place of residence [AOR=4.54, 95%CI (1.23-16.77)], place of delivery [AOR=26.9,95% CI (11.5-63.37)] and wealth index [AOR=8.13,95%CI (1.49 - 44.29)] had significant association with postnatal care utilization of neonates with in the first three days. However, mothers’ knowledge of neonatal danger sign had no significant association with postnatal care utilization in the first three days [COR= 0.8,95% CI (0.45 - 1.42)]. Conclusion - In this study mothers’ knowledge of neonatal danger sign hadn’t shown association with neonatal postnatal care service utilization. Mothers in urban areas were found to utilize more neonatal postnatal care service than rural and mothers who had facility delivery were also found to utilize more than those with no facility birth. Strengthen and improve neonatal service provision in rural communities and also encouraging facility delivery is important.
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    Cesarean Section Delivery Prevalence and Associated Factors among Private and Public Hospitals in Addis Ababa
    (Addis Abeba University, 2020-12) Hussein, Yeshi; Assegid, Meselech (MPH, PhD candidate); Assefa, Nigusse(BSc, MPH, MSc)
    Background Caesarean section is a surgical technique in which a baby is brought through incisions made in the mother’s abdomen. Caesarean section as a proportion of all births is used as an Emergency Obstetric Care indicator because it is a degree of use and access to a common obstetric intervention that avert maternal and neonatal deaths as well as preventing problems, such as obstetric fistulae. According to a 2007 analysis expected a global caesarean section rate of 15% and there was great regional difference: the lowest caesarean section rates were seen in Africa (3.5%) while the highest were in Latin America (29.2%). Objective This study was aimed to assess the prevalence, indications and factors affecting cesarean section delivery among mothers who gave birth in public and private health facilities of Addis Ababa from August,2019 to October ,2019. Methods cross sectional study was conducted to assess the prevalence of cesarean section delivery, indications and associated factors in selected private and public hospitals in Addis Ababa. Using simple random sampling method two hospitals from the public and four from private hospitals were selected. Using systematic random sampling method 642 mothers who gave birth in the selected hospitals were included in the study. Data was entered in to SPSS version 20 then data cleaning was done. Descriptive statistics were used for frequency and percentage, binary and multivariable logistic regressions was done to see relationship (associations) of the dependent variable with multiple factors. OR together with 95% CI and P-value <0.05 was used to measure statistical significance. The result is summited to Addis Ababa university school of public health, Addis Ababa health office and for those hospitals where the study was conducted. Results The study discovered that the prevalence of cesarean section in public hospitals was 46.7% and 72.3% in private hospitals in Addis Ababa. 31.8 % of cesarean section deliveries in private hospital were not performed due to maternal or fetal conditions(elective). Cesarean section delivery was significantly associated with: age of respondents [AOR of 0.26 0.89,0.57)95 % CI], partner work condition [AOR =0.44 (0.26,0.76) 95%CI]. Economic status [AOR=5.02(1.21,20.70) 95%CI], operational history [AOR = 25.39(13.972.46.15)95 % CI], pregnancy history [ AOR = 2.61(1.63,4.16) 95 % CI] and facility type [AOR =0.29(0.17,0.50) 95% CI]. Regarding to indications of CS, 96.1% of CS performed in public hospitals has been based on mother and fetal condition and about 3.9% was based on mothers’ interest. In contrast, only 68.1% of CS delivery performed in private hospitals was based on indications recognized from mother and fetal condition. Conclusions The proportion of CS delivery was higher than the recommended one in both government and private hospitals. Delivering at government hospital was found to be more protective than private hospital for cesarean section delivery. Age of respondents, Partner work condition, economic status of respondents, history of previous operations, pregnancy history (multigravida) and facility type were factors significantly associated with cesarean section delivery.