Browsing by Author "Yisma Engida"

Now showing 1 - 3 of 3
  • No Thumbnail Available
    Item
    Antenatal Care and Health Facility Delivery Practice among Mothers in Konso Woreda, Southern Ethiopia
    (Addis Ababa University, 2016-05) Urmale Kusse; Yisma Engida
    Background: Worldwide, developing countries accounted for the majority of maternal deaths.Even though antenatal care and institutional delivery were mentioned among the interventionsdirected toward improving maternal health, their utilization is unsatisfactory in most resource-poorsettimgs. Objectice: The main objective of this study was to assess antenatal care and health facility deliverypractice among mothers in Konso Woreda, Southern Ethiopia from March 21 to April 16, 2016 Methods: A community based cross-sectional study was done from March 21, 2016 to April 16,2016 on sample of 865 mothers who gave birth in the last one year prior to the study in KonsoWoreda by employing multi-stage stratified cluster sampling technique. The data were collectiedusing a pre-tested interviewer administered questionnaire. We analysed the data to identify thefactors associataed with antenatal care and health facility delivery practice using logistic regression analysis. Results: The proportion of mothers who made at least one antenatal care visit for their most recentbirth was 82.0% however, only 54% of them had received the recommended four or more visits.Although the proportion of at least one antenatal care visits was high, only 60% of the mothersgave birth at health institutions. After controlling for residence, husband education and household wealth quintile in the adjusted logistic regression model, maternal age, possession of communication Mediasand walking distance (in hours) to the nearest health were found significantly associated with antenatal care practice. Similarly after controlling for residence andpregnancy intention, provision of delivery care by the nearest health facility and proximity of thehealth facility to the residence were found to significantly affect institutional delivery. Conclusions and recommendations: Despite high attendance of at least one antenatal care visit, low utilization of the recommended antenatal care visits and institutional delivery was observed.Socio-demographic, obstetric and health facility factors were associated with both antenatal careand health facility delivery practice. More effort should be taken to equip health facilities with thecapacity to provide maternal health care services, delivery care in particular. Keywords: Antenatal care practice, Health facility delivery practice, Konso Woreda.
  • No Thumbnail Available
    Item
    Knowledge and Utilization of Pantograph among Obstetric Care Givers in Public Health Institutions of Addis Ababa, Ethiopia, in 2012.
    (Addis Ababa University, 2012-05) Yisma Engida; Dessalegn Berhanu; Astatikie Ayalew; Fesseha Nebreed
    Background. Globally, there was an estimated of 358,000 maternal deaths. Of which developing countries accounted for 99 % (355,000). Nearly three fifths of the maternal deaths (204,000) occurred in sub-Saharan Africa region alone. More than 70% of all maternal deaths are due to major complications of hemorrhage, infection, unsafe abortion, hypertensive disorders of pregnancy, and obstructed labor. A number of cases of obstructed labour do happen in health facilities, thus reflecting poor quality of intrapartum care. Use of the partograph is well known best practice for quality monitoring of labour and subsequent prevention of obstructed and prolonged labour. Objective: To assess knowledge and utilization of partograph among Obstetric care givers in public health institutions of Addis Ababa, Ethiopia from September 2011 to May 2012. Methods: A cross sectional quantitative study, supplemented by record reviews of 420 partographs, assessed knowledge and utilization of partograph in public health institutions of Addis Ababa, Ethiopia using a structured interviewer administered questionnaire and observational checklists. The collected data was analyzed using SPSS version 16.0. Logistic regression was used to control confounding variables Results: Knowledge about the partograph was fair: 189 (96.6%) of all the respondents correctly mentioned at least one component of the partograph, 104 (53.3%) correctly explained the function of alert line and 161(82.6%) correctly explained the function of action line. The study has shown that 112 (57.3%) of the obstetric care givers at public health institutions reportedly used partograph to monitor mother in labour. But partograph record reviews showed only 32.9%, 30.70% and 20.70% of the fetal heart rate, cervical dilation and uterine contraction were recorded according to the standard for monitoring of these three labour parameters. There was statistically significant association between utilization of the partograph and working in the health center level of care compared with Hospital level of care [67.9% vs 34.4% Adjusted OR=21.2 (6.6, 68.6)]. Conclusions and recommendations; A significant percentage of obstetric care givers had fair knowledge of partograph and why it is necessary to use it in the management of labour. In spite of fair knowledge of the partograph by obstetric care givers in this study, a large number of the partograph cards reviewed were not recorded or poorly filled. Training of obstetric care givers on use of the partograph with periodic workshops and seminars and mandatory health facility policy are recommended and vital to safety of women in labour in Addis Ababa, Ethiopia.
  • No Thumbnail Available
    Item
    Knowledge, Attitude and Associated Factors of Women Aged 30-49 Years Towards Menopause In Gulele Sub-City of Addis Ababa, Ethiopia
    (Addis Ababa University, 2015-06) Eshetu Natnael; Yisma Engida
    Background: Menopause is a process which typically occurs during the ages of 45 and 55and is marked by a reduction in estrogen and progesterone levels and eventual cessation ofmenstruation. Appropriate understanding of the menopausal phenomenon among womenregarding physical, mental, social and psychological changes that occur during menopausewill help women to cope with menopausal changes with greater readiness. Knowledge andattitude of menopausal phenomenon are greatly influenced by social, cultural and economic settings and may influence the method of treatment for menopausal symptoms.In Ethiopia, health policies and programs give much emphasis on women's health promotion but given less emphasis for menopause phenomena and few studies have been conducted in the field of investigating women's knowledge and attitude towards menopause and its associated factors. Objective: The objective of this study was to assess level of knowledge and attitude of women aged 30-49 years towards menopause in Gulele sub-city of Addis Ababa, Ethiopiafrom April 26 to May 10, 2015. Methods: A cross-sectional community based study was conducted on a sample of 586mothers aged 30-49 years in Gulele sub-city of Addis Ababa Ethiopia using multi-stage sampling method. Data on knowledge status of mothers regrinding menopause, attitude ofmothers towards menopause and other pertinent variables were collected usinginterviewer-administered questionnaires. The gathered data analysis was done by thesoftware SPSS version 20. The association between knowledge, and attitude towardsmenopause and the independent variables was investigated using binary logistic regressionmodel. Results: The results of this study showed that the prevalence of natural menopause is 8.9%. Out of 568 respondents 63.3% knew about the age of menopause and 72.2% knew menopause occurs due to decrease in sexual hormones. Respondents, 68.3%, believed that menopause is a usual and natural phenomenon in women’s life and 55.1% perceivedmenopause as the beginning of the period of women’s disablement. Regarding the level of knowledge, 15.7% had poor knowledge, 61.8% had moderate knowledge and 22.5% had good knowledge. On the other hand, 84% of the women had a positive attitude towardsmenopause. The study showed that there is a significant association between knowledgeabout menopause and having information about menopause [Adjusted OR = 0.143 (95%CI:0.073, 0.281)] and economic status [Adjusted OR = 0.369 (95%CI: 0.192, 0.710)]. Thereis also a significant association between attitude and economic status (lower economicstatus [Adjusted OR = 0.11 (95%CI: 0.044, 0.275)], and medium economic status[Adjusted OR = 0.217 (95%CI: 0.085, 0.55)]), having information about menopause[Adjusted OR = 0.143 (95%CI: 0.196, 0.566)] and age (30-34) group [Adjusted OR = 0.203(95%CI: 0.089, 0.463)]. Conclusions and recommendations: knowledge and attitude of women's towardsmenopause was found low and positive in this study respectively. The relationship betweenknowledge and economic status; and the source of information was found to be significant.There was also a significant association between attitude and economic status; the sourceof information; and age. Federal Ministry of health, Addis Ababa Health bureau and themass media should disseminate appropriate information concerning menopause to raise theknowledge of women. Health professional should manage menopause as one-phenomenon rather than treating it as an individual symptoms.