Browsing by Author "Shewanawul Etabezahu"

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    Assessment of the Practice of Obstetric Care Providers in Initial Management of Post-Partum Hemorrhage and its Associated Factors, at Selected Health Centers of Addis Ababa, Ethiopia, 2021
    (Addis Ababa University, 2021-05) Shewanawul Etabezahu; Berhe Semarya (PhD); Assefa Yeshi (MSC)
    Background: Post-partum hemorrhage (PPH) is one of the foremost reasons of maternal death globally. in Ethiopia 80% of maternal death is associated with PPH, there is no enough paper to assess the practice of mid-level health professionals specially in initial PPH management as primary respondents. Objective: to assess the practice of obstetric care providers in initial management of PPH and its associated factors at selected health centers of, Addis Ababa, Ethiopia, 2021. Methods: A descriptive cross-sectional facility-based study design was conducted with sample of 561 respondents. Through logistic regression in the bivariate analysis variables with p value at 0.25 was candidate for multivariate. And multivariate analysis was used to determine the association between the outcome variable. 95% CI used for association and pvalue <0.05 stated as statistically significant. The result was explained in text,chart,graph and tables. Result:In this study finding 53% of the study participants had good initial post-partum hemorrhage care practice, while 47% had poor practice. according to multivariable regression,male participants had 1.5 times good practice on PPH initial management than female (AOR=1.5, 95%CI=1.97, 2.18). the odds of being midwife in profession had almost two times good practice on PPH initial management than health officer (AOR=1.9, 95%CI=1.92, 3.70).Participant who has 4 year and above experience in labour ward has 2.5 times good practice onPPH initial management than duration of work less than six months in labour ward (AOR=2.5,95%CI=1.09, 5.87). Participant who had training in BEMNOC had 3 times good practice on PPH initial management than had not training on BEMNOC (AOR=3.3, 95%CI=1.91, 5.76). Conclusion and recommendation: in this study the overall practice for initial management of postpartum hemorrhage by mid-level health professional in health center level were (53%)good practice. the remaining (47%), poor practice could fulfill by training of professionals with updated PPH management, follow protocol and improve education. the determinant variable that affects positively were experience in labor ward, midwife profession, sex of participants and training in obstetric based management systems.