Browsing by Author "Genzeb Siraye"

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    Adolescent Communication to their Parents on Sexual and Reproductive issues and Associated Factors Among Secondary School Students in Meki Town, East Shoa, Oromia, Ethiopia: Mixed Method Study 2023
    (Addis Ababa Unaiversity, 2023) Furo Barke; Berhe Semarya; Genzeb Siraye
    BACKGROUND: Adolescents are more vulnerable than any other age group to a range of sexual and reproductive health problems. Adolescents are exposed to various sexual and reproductive risks due to lack of communication with their parents, such as early-unprotected sex, early pregnancy, school dropout, sexually transmitted Infections (STIs) and human immune virus (HIV). OBJECTIVES: To assess adolescent parent sexual and reproductive health communication and associated factors among secondary school students in Meki town, East Shoa, Oromia, Ethiopia 2023. METHODS: Institution based convergent mixed method was applied. The study was conducted from February 20- March 20/2023 among 392 students at Meki town. The quantitative data was collected using pretested structured self-administered questionnaire by systematic sampling technique. Data was entered using EPI data version 4.6.0.6 and then transport to SPSS window version 25 for statistical analysis. The association was determined using 95% CI and p value (<0.05) for multivariable logistic regression. The qualitative data was collected using interview guides(open-ended). The response was tape-recorded. In-depth interview was conducted among purposively selected parents. Thematic analysis was used using Atlas ti 9 software. Result: The proportion of respondents who had communicated with their parents regarding SRH issues on at least two components was 156 (39.8%). Being grade 10 student (AOR = 0.44: 95% CI; 0.225-0.862), merchant mothers (AOR =2.76: 95% CI; 1.36-5.62), attitude toward SRH (AOR= 0.182 95% CI, 0.1-0.333), adolescent had SRH information (AOR=3.28; 95% CI 1.3- 8.23) and knowledge of SRH issues (AOR=1.75: 95% CI: 1.03-2.98) were significantly associated. Five themes were discussing about SRH components, Source of SRH information,approach to Improve SRH discussion, SRH reason and challenges for not discussing and SRH discussion age and satisfaction. Conclusion and Recommendation: There was insufficient adolescent-parent communication regarding SRH components. The main reason from both quantitative and qualitative study was cultural barriers, fear of parent response, lack of trust in adolescent, morally unacceptable and shame to talk. The Ministry of Health has to give focus and facilitate health care professional, different government sector, and nongovernmental organization to work on it.
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    Assessment of Knowledge, Attitude and Practice of Immediate Postpartum Intra Uterine Contraceptive Device and Associated Factors among Postpartum Women at Selected Governmental Hospitals in Addis Abeba, Ethiopia , 2019.
    (Addis Ababa University, 2019-06) Genzeb Siraye; Derbe Leul(PhD); Mekonnen Baze(PhD)
    Background: Contraceptive discontinuation is one of a worldwide problem that has a negative consequence on maternal, neonatal and infant health. Twenty- five million out of 74 million unintended pregnancies were resulted from contraceptive discontinuation and it account 33% of unintended birth and 35% of unintended pregnancy. To decrease this problem, identifying factors lead to contraceptive discontinuation is crucial. So the objective of this study is to assess the prevalence of modern contraceptives discontinuation and associated factors among married reproductive aged group women in Debre Berhan town, Ethiopia, 2019. Methods: Community based cross-sectional study was conducted in Debre Berhan town.Study participants were selected by using systematic random sampling and data was collected by using semi-structured face-to-face interview questionnaire. The data was entered in epidata version 4.2 then exported to SPSS version 25 for analysis. Result: The finding of this study showed that the prevalence of modern contraceptive discontinuation among married reproductive age group women who had a history of modern contraceptives use within 5 years at the time of survey was 35.2% with the mean duration of use 2.6±2.1months. Multiple logistic regressions results with p-value of 0.05 and CI of 95% demonstrated that, women who could not read and write (AOR=4.95),had primary educational status (AOR=3.89), had secondary educational status (AOR=2.98), were not live with their husband (AOR=3.81), had experienced side effects while using modern contraceptives (AOR=2.45), had not gotten counseling (AOR=5.50) , haven’t gotten husband acceptance to use (AOR=3.85)were significantly associated with modern contraceptive discontinuation. Conclusion and recommendation: In conclusion modern contraceptive discontinuation was 35.2%. Educational status, were not living with their husband, had experienced side effects, did not get counseling, have not gotten husband support, were predictors for modern contraceptive discontinuation. Counseling and awareness creation among community should be made to decrease modern contraceptives discontinuation rate.