Browsing by Author "Seifu, Abiy (PhD)"

Now showing 1 - 2 of 2
  • No Thumbnail Available
    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.
  • No Thumbnail Available
    Item
    Assessment of the Magnitude of Bypassing Public Health Center Delivery Service and Associated factors among Postnatal Women in Negist Eleni Memorial Hospital, South Ethiopia
    (Addis Abeba Universty, 2016-06) Elisso, Melesech; Seifu, Abiy (PhD)
    Introduction: Quality obstetric, medical and nursing care under safe, skilled and well equipped health facilities during pregnancy, child birth and within 6 weeks after birth can reduce the risk of obstetric complications that may cause death or serious illness to the mother, the baby or both. The use of recommended appropriate standard facility in the catchment area for delivery and post partum care strengthen maternal and child health care at individual, community, health care planners and the government level. In developing countries including Ethiopia, bypassing the nearby health facility for childbirth service wastes resources at all levels. However, the magnitude and factors influencing bypassing closer health facilities for childbirth care were not adequately explored. Objective: To assess magnitude of bypassing public health centers to hospital for childbirth and identify factors associated with bypassing in postnatal women in Negist Eleni Memorial hospital. Method: Facility based cross sectional study was conducted among postnatal women in Negist Eleni Memorial hospital from February to March 2016.A pretested and structured interviewer administered questionnaire was used to gather data from 393 randomly selected postpartum women included by using systematic random sampling technique, and then every 2nd eligible woman was interviewed. The data was coded and entered into Epi Info version-7 and exported, cleaned and analyzed using STATA12.1. Tables and charts were used to describe study population and to display results. Bivariate and multivariate analysis was done to identify correlates of bypassing public health centers to hospital for delivery service. Finding: Sixty seven percent of mothers who gave birth in Negist Eleni Memorial hospital bypassed their catchment public health centers. The likelihood of bypassing health center for delivery service were 4.5 times higher among respondents whose husband’s educational level was above secondary education [AOR=4.5; 95%CI=1.06, 20.29],Past obstetric complications[AOR=0.28; 95% CI=0.09,0.86] and antenatal care(ANC) attendance in the health centers[AOR=0.13; 95% CI=0.04,0.46] were associated with less likely hood of bypassing. The odds of bypassing were 7.8 times higher [AOR=7.8:95%CI=3.5, 17.5]for those who were living within 13.02km to Nigist Eleni Memorial hospital compared to those living farther. Conclusion: The proportion of women bypassing health centers to receive childbirth care at hospital in our study is high. Preference of the type of health facility for delivery care is associated with husband education, past obstetric complication, place of ANC follow up and distance to hospital.