Browsing by Author "Tesfaye, Tewodros (BSc, MSc)"

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    Determinants of preterm birth among newborns delivered in public hospitals of Hawassa Town,South,Ethiopia,2020:a case control study.
    (Addis Abeba University, 2020-09) Zewde, Ashenafi; Gebremichael, Bereket (MSc,Ass’t Professor); Tesfaye, Tewodros (BSc, MSc)
    Background Preterm birth is alive childbirth before 37 completed weeks or 259 days of gestation from the first date of a woman's last menstrual period. About 15 million babies are born preterm annually and more than a million died due to complications. Preterm birth rates appear to have increased over time and the exact cause of preterm birth is unknown with different risk factors are assumed to have an association. Objective The objective of the study was to assess determinants of preterm birth among newborns in public hospitals of Hawassa town, Southern Ethiopia, 2020.Method A Facility-based unmatched case-control study design was conducted from March 1 st to June 30 th , 2020.The sample size was determinedfrom previous studies by considering double population proportions formulausing r = 2 (ratio of cases to controls), 80% power and 95% confidence level and total sample size was270 mothers 90 cases and 180 controls. Consecutive sampling method for cases and systematic random sampling controls were used.Data was coded and entered into Epi data 3.1 and analyzed by using SPSS version 25.Variables that had (P- value <0.25) in the bivariate logistic regression analysis were entered in multivariable logistic regression model. Finally pvalue <0.05 was used to claim statistical significance. Result Out of the 270 mothers, a total of 266 participated in the study comprising 89 cases and 177 controls with a 98% response rate. Factors like sex of newbornAOR3.39, 95% CI (1.53-7.52), parity AOR4.25,95%CI(1.7010.59), pregnancy induced hypertensionAOR5.62,95%CI(1.10-28.71), antepartum hemorrhage hemorrhage AOR9.20,95%CI(2.09-40.32),premature rapture of membraneAOR4.69,95%CI(1.83-12.07), birth weight AOR6.2,95%CI(1.97-19.53), stressful lifeeventsAOR5.67,95%CI(2.16-14.91) and intimate partner violence AOR5.19,95%CI(2.0613.07)were found to predict preterm birth. Therefore interventions that target the identified modifiable risk factors should be developed by health professionals, professional associations, ministry of health in collaboration with non-governmental organization.
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    Knowledge on neonatal danger signs and associated factors among post natal mothers in public hospitals of Addis Ababa, Ethiopia, 2019: a cross-sectional study.
    (Addis Abeba University, 2019-06) Eneyew, Wudie; Murugan, Rajalakshmi(Asst. professor); Tesfaye, Tewodros (BSc, MSc)
    Background: Neonatal danger signs are now a public health problem and a contributing factor for neonatal death. Even though, intervention programs like integrated management of newborn and childhood illness and institution delivery service are implemented danger signs related neonatal morbidity and mortality is high still now because of lack of maternal knowledge towards it. Early detection of neonatal danger signs is an important step towards improving newborn survival. Therefore, mothers‟ knowledge is needed to reduce neonatal death and further complication of those danger signs. Objective: The aim of this study was to assess the knowledge on neonatal danger sign and associated factors among post natal mothers in public hospitals of Addis Ababa Ethiopia. Methods and materials: An institutional based cross sectional study was conducted among 363 postnatal mothers from March 15 th to May 15 th , 2019. Systematic random sampling technique was used to select the study participants. Interviewer-administered, structured and pretested questionnaire was used to collect the data. The data were checked for completeness, entered to Epi- Data version 4.4.3.1 and exported to SPSS version 25.0 for analysis. Bivariable and multivariable logistic regression analysis with 95% CI, crud odds ratio and adjusted odds ratio were used to identify factors associated with the outcome variable. Statistical significance was declared at P-value < 0.05. Then the results were presented with text, tables, graphs and figures for different variables. Result: A total of 363 post natal mothers were interviewed with a response rate of 100%. Overall, only 33.1% of mothers had good knowledge about neonatal danger signs. Factors like maternal education college and above (AOR=2.11, 95% Cl: 1.51-2.99), caesarean section mode of delivery (AOR=3.72, 95% Cl: 1.71-8.12), parity (AOR=5.34, 95% Cl: 1.64-2.64) and education during PNC follow up (AOR=2.77, 95% Cl: 1.49-5.15) were significantly associated with the level of good maternal knowledge. Similarly, access to television was also a statistical significant factor for maternal knowledge (AOR=2.15, 95% Cl: 1.11-4.15). Conclusion: Maternal knowledge on neonatal danger signs was poor. Therefore educational intervention during ante natal care, institution delivery and post natal care visit, advocating the use of media and increase maternal birth preparedness are highly recommended.