Browsing by Author "Mahmoud, Emebet MSc"

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    Assessment of Mothers’ Experience of Disrepect and Abuse during Maternal Health Care Provision and Associated Factors, In Public and Private Health Facilities in Addis Ababa
    (Addis Ababa University, 2021-09) Gelgelu, Abdulkadir; Mahmoud, Emebet MSc
    Disrespect and abuse of women during labor and delivery is becoming recognized as a violat ion of their rights and a barrier to using life-saving, facility-based labor and delivery care. In Addis Ababa, the rate of expert birth attendance is 97 percent, with the remaining women giving birth at home. From the viewpoints of both providers and mothers, this study investiga tes the experiences of disrespect and abuse in maternal care, as well as the factors associated with facility-based maternal care. We conducted 455 interviewer-administered structured interviews at two randomly selected governmental health facilities with their four-catchment health centers and two hospitals of privately owned hospitals in Addis Ababa Ethiopia with midwives, health officers, nurses, and medical doctors, and women who had given birth within the three months prior to the survey date. In addition to the quantitative survey, the mothers who experienced disrespect and abuse took part in an in-depth interview. We discovered that during labor and delivery, both health care providers and women who pa rticipated in an in-depth interview reported physical and verbal abuse, as well as nonconsented care. Most abuse, according to providers, is unintentional and stems from the over crowding of the labor ward as a result of inappropriate referrals. We uncovered no evidence of more systematic types of abuse involving the detention of patients from living with her new-born rather than restraining women in the facility because they failed to pay health care fees. Most of the mothers reported that they were never asked to know the position she prefers to deliver in yet and also, they were denied to deliver in the position she preferred. However, it is small in number the disrespect and abuse that they shy away to report also appeared during the quantitative survey. Our findings recommend that respectful care training, which is included in the national midw ifery curriculum's professional ethics modules, be expanded to include a stronger emphasis on counseling skills and rapport building. Our findings also suggest that all treatments aimed at improving midwives' interpersonal contacts with women should be supplemented by addre ssing structural concerns related to provider workload.
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    Determinants of Adolescent Fertility in Oromia National Regional State of Ethiopia
    (2021-09) Teklu, Lidia; Mahmoud, Emebet MSc
    BACKGROUND: Adolescent pregnancy and fertility are often discussed in literature as causes of health concern and as a social problem. High teenage fertility is recognized as a worldwide challenge given its adverse consequences. In sub-Saharan Africa, adolescent childbearing remains common. Maternal and child mortality is greatly affected by adolescent pregnancy and contribute hugely to the vicious cycle of ill-health and poverty. OBJECTIVES: To examine the determinants of adolescent fertility in Oromia National Regional State of Ethiopia. METHODS: A cross-sectional sample survey design using stratified cluster sampling method by the Ethiopian Demographic Health Survey 2016 (EDHS-2016) was used. After the data for adolescents aged from 15 to 19 years were extracted from the large data set, descriptive statistics and logistic regression were done. Multivariable logistic regression model was fitted to identify socio demographic and economic determinants of adolescent fertility. RESULTS: A total of 415 adolescent girls from Oromia regional state were included in the selected sample in EDHS-2016. The prevalence of adolescent girls who ever had a child or pregnant was 17 %. Adolescents who had no education and primary education were 5.5 and 5.3 times more likely to have a child or be pregnant than those with secondary and above education respectively. [AOR=5.5; 95%CI (1.38,22.29)] [AOR=5.3; 95% CI (1.53,18.46)] Those ever married adolescents were 138 times more likely to have a child or be pregnant than never married adolescents. [AOR=138.7; 95% CI (70.83, 271.83) CONCLUSION: A considerable proportion of female adolescents in Oromia regional state had a child or was pregnant already. Being married and at low level of education were significant predictors of adolescents’ fertility status. In addition even though almost universally adolescents know about contraceptives (97%) utilization level is very low (4%). RECOMMENDATION: Concerned stakeholders should work towards supporting girls’ education and delaying marriage of adolescent girls