Browsing by Author "Shibre, Gebretsadik (MPH)"
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Item Male partner's involvement in antenatal care service use and associated factors in selected public health centers, Bole sub city, Addis Ababa Ethiopia(Addis Abeba University, 2019-07) Girum, Eskedar; Assefa, Demeke (MD, MA); Shibre, Gebretsadik (MPH)Background: Antenatal care (ANC) service utilization is an important strategy for improved maternal and child healthcare. Evidence show that male partner’s involvement in ANC has helped the improvement of women’s and children`s wellbeing. However, there is limited evidence about male partner’s involvement in ANC service in Ethiopia, particularly in Addis Ababa. Objective: The survey aimed to assess male partner’s involvement in the utilization of ANC and associated factors in selected public health centers of Bole sub city, Addis Ababa, Ethiopia Methods: Facility based cross sectional study design was conducted among 383 male partner participants who accompanied their pregnant wives in ANC visit in selected public health centers, Bole sub city. Study participants were selected by using convenience sampling method. The purpose and significance of the study was explained to each participant ahead of their interview. Interviewers administered structured questionnaires, which was pre-tested on five percent of the total sample size, to gather data. The consistency and completeness of the data was checked throughout the data collection process. The collected data were entered into Epi data v 3.1 Software and were analyzed by using SPSS v 22 software. Binary logistic regression model was used to identify factors that predict the response variable. The findings are presented in texts, tables and charts. Odds Ratio (OR) was used as a measure of association. The 95% uncertainty interval was constructed around each point estimate of the OR. In addition to the confidence interval (CI), p-value <0.05 was used as a measure of statistical significance. Results: More than 60% of the respondents (N= 205) accompanied their spouse at least on one ANC visit in the previous pregnancy. The largest percentage of participants, 93.7% (N=310), were also involved in shared decision making. Besides, almost all respondents, 97.9% (N=324), supported their wives financially for their previous pregnancy ANC service. Respondents who were employee of private sector [AOR=3.54, 95% CI (1, 12.9)], self- employed [AOR=3.7, 95% CI (1, 13.9)] and those who got positive attitude from health professionals [AOR=3.19, 95% CI (1.90, 5.36)].had significant association with male partners involvement in previous pregnancy ANC visit. Conclusion: The study has revealed that male partner involvement in wife’s ANC service was high in the studied setting. In complement to this, further study is recommended to verify the positive outcome achieved from the involvement of male partners, on maternal and child health.Item A systematic review on the determinants of neonatal mortality in Ethiopia.(Addis Abeba University, 2020-01) Kibret, Fantahun; Betre, Mulugeta (Associate Professor, MD); Shibre, Gebretsadik (MPH)Background:Neonatal period is the age of child’s first 28 days from birth to 27compeleted days of life. The neonatal period represents the most vulnerable time for a child’s survival. Nearly halfof under-five death globally was occurred during neonatal period.Neonatal mortality rate in Ethiopia is 29 deaths per 1000 live births in 2016. Objective: Theobjective of this study is to identifyand summarize the common determinants of neonatal mortality in Ethiopia, in the periods of from 1 January, 2014 until 30 April, 2019. Methods: Atotal of six studies were included in this study, and these studies were selected based on a predefined protocol that contains clear criteria for eligibility. Major bibliographic database Pub Med-Medline, Google scholar, Cochrane, EMBASE, was used to collect study articles. Data were analyzed by narrative synthesis. Results: The most common important determinants of neonatal death identified in this review were early age of neonatal period especially in the first 24 hours, prematurity, asphyxia, and sepsis. And home delivery, lack of antenatal and postnatal care, delayed initiation of breast feeding and delay in seeking of treatment or health service (delay one)were also among the leading socio economicdeterminants of neonatal deaths. Conclusion;This study revealed thatthe determinants of neonatal mortality are largely preventable by addressing essentialneonatal careand case management service around labor, delivery and the immediate postpartum periodalong with health education and community awareness creation.