Browsing by Author "Getachew, Mahilet"
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Item Assessment of postpartum contraceptive adoption and associated factors in Butajira Health and Demographic Surveillance Site (HDSS), in Southern Ethiopia(Addis Abeba Universty, 2015-06) Getachew, Mahilet; Seifu, Abiy (PhD)Background: Using PPFP during the first year after delivery helps the women to realize their desire of spacing between births and their wish to keep absent from child bearing. But women in postpartum period do not get the service that deal with their desire to extend birth interval and to evade untended pregnancy and its outcome. Resumption of sex exposes postpartum mothers to risk of unintended pregnancy even before return of menstruation after delivery. This study attempt to measure the 12 months FP experience of women. So, the result of this study is helpful on improving and designing appropriate family planning program during postpartum period. Objectives: To determine level of postpartum contraceptive adoption and identify factors associated among women of reproductive age group (15-49 years) in the first twelve months after delivery. Methods: Community based cross sectional study was conducted in Butajira HDSS from Feb 2016- Mar 2016. Single population proportion formula was used to calculate the final sample size of 421. All the ten Kebeles in the HDSS were included in the study. Using the demographic surveillance data as sample frame simple random sampling technique was applied to recruit the study subjects after allocation of the sample size proportional to the size of each Kebele. After getting informed consent from each study participant interviewer administered pretested questionnaire was used to collect the data. Data was entered using Epi Info 7 and exported to STATA12 for cleaning and analysis. Bivariate and multivariate logistic regression analyses were applied to estimate the crude and adjusted odds ratios with 95% CI to determine the presence and strength of association. Result: Nearly half (47%) of women use contraceptive during the extended postpartum period. Among this 10(2.4%) women adopted family planning in the first 42 days after delivery, 76(18%) adopted during the first three months and 156(37%) adopted during the first six months after delivery. The most commonly used method was inject able which is 77% during extended postpartum period. Discussion with husband [AOR =0.28;95%CI(0.10-0.77)], knowledge of family planning [AOR=3.71;95%CI (1.93-7.12)], menstrual resumption [AOR=3.71;95%CI(1.93-7.12)], having ANC [AOR=3.81;95%CI(1.53-9.51)], having PNC [AOR =2.84;95%CI(1.44-5.58)] and having linkage to FP service during immunization visit [AOR =4.31 ;95%CI (2.10-8.81)] were collarets that have significant association with postpartum contraceptive use. Conclusion and recommendation; PPFP use in Butajjira HDSS is low and is dominated by injectable contraceptives. Discussion with husband, knowledge of FP and use of ANC, PNC and child immunization services was positively correlated with likelihood of using PPFP. Integrating PPFP service with maternal and child health care service further improve the utilization of the service.Item Prevalence and Determinants Of Sexual Violence Among Female Housemaids in Selected Junior Secondary Night School:Cross Sectional Study Addis Ababa, Ethiopia 2015(Addis Ababa University, 2015-06) Getachew, Mahilet; Cherie, Amsale (PhD)Background: Sexual violence is a serious public health and human rights problem with both short-and long-term consequence on women’s physical, mental, sexual and reproductive health. Objective: To assess the prevalence and determinants related to sexual violence among house maids of Addis Ababa, Ethiopia Methods: School based cross sectional study design was conducted among female housemaid students from January 27-march7, 2015 in Addis Ababa, Ethiopia. A total of 473 sample sizes were considered. Multistage sampling techniques were employed. Data was collected using closed ended and open ended self-administered questionnaire. Five percent of the questionnaire was pretested. Data was entered through Epi-data version 3.1 and was analyzed through SPSS version 20. Measurements of central tendency like mean were presented. Odds Ratio and 95% Confidence Interval was calculated for each independent variable against the dependent variables. Result: A total of 451 housemaid’s had participated with a response rate of 95.3%. The study has indicated that the prevalence of sexual violence was 28.6%.Housemaid monthly income <300birr were three times [AOR=3.112(1.484, 6.523)] more likely to be sexually violated than those whose monthly income is >450birr. Housemaids whose employer drunk alcohol were 14 times [AOR=14.53(7.62, 27.703)] more likely to be sexually violated compared to those housemaids whose employer do not drink alcohol. Conclusion and Recommendation Sexual violence among housemaids is rampant. Low income of the housemaid and alcohol drinking by perpetrator was found to be a risk for sexual violence. Empowering housemaids to develop self-confidence through education, and improving their ability to find employment and income, along with increasing public awareness of human rights issues is vital. Key words: sexual violence, determinants of sexual violence, housemaid, school based, Addis Ababa