Browsing by Author "Seifu, Abiy (MPH)"

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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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    Inequality in Perinatal Mortality and its Covariates: Secondary Analysis of the Ethiopian Demographic Health Surveys from 2005-2016
    (Addis Abeba University, 2020-07) Aredo, Abebech Demise; Betre, Mulugeta (Assoc. Prof. - Dr.); Seifu, Abiy (MPH); Dr.Mekonnen, Wubegzier (Associate Professor)
    Background: Perinatal mortality is an important indicator of health and the quality of health care. Countries or regions are often compared using perinatal mortality rate. The aim of the study is to determine the trends and inequality in perinatal mortality and its covariates in Ethiopia by using the three round of Ethiopian Demographic Health Survey (EDHS) data (2005, 2011 and 2016). Method: EDHS sample designs were stratified, clustered and two-stage probability sampling. The trend of perinatal mortality rate was computed using the annual rate of reduction and the 95% confidence interval also used to indicate statistically significant reduction. The inequality in perinatal mortality was measured by using both the simple (ratio and difference) and complex measure of inequality (relative concentration index). The concentration index was decomposed using the “decomp” package in R studio. Result: The trend of perinatal mortality rate in Ethiopia showed slow rate of reduction with 0.72 percent reduction per annuum. Annual rate of reduction for the stillbirth rate was -1.3% whereas the early neonatal mortality was 1.5%. The ratio and difference inequality summary measure for the region showed high disparity across region with highest mortality (Oromiya) and lowest mortality (Harari region), difference (D)= -0.0070, 95% CI (-0.0117, -0.0023) and the ratio(R) = 0.7868 95% CI (0.6619, 0.9354). However, place of residence showed insignificant disparity (difference (D)= -0.0118, 95% CI (-0.0276, 0.0041) and ratio (R)= 0.7254, 95% CI (0.4962, 1.0605)). The results indicated that the concentration index for wealth-based inequality across the three survey years were 0.0158926, -0.0117815 and 0.01130234, respectively. While the concentration index for the level of maternal education over the three-survey year was (-0.00011, -0.0013 and 0.0010), respectively. Conclusion and Recommendation: Even though trend show some rate of reduction in PNMR, the rate remains high in the country. In all survey years (2005,2011 and 2016) there was wealth and level of maternal education-based inequality in perinatal mortality. In order to minimize the inequality in perinatal mortality in Ethiopia effort should be made narrowing the economic variation within population (regions).