Maternity and Reproductive Health Nursing

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Perceived and Actual Knowledge of Diabetes Mellitus and Associated Factors among Nurses at Selected Public Hospitals in Addis Ababa, 2024
(Addis Ababa University, 2024-06-11) Tigist Kinfe; Fekadu Aga
Diabetes mellitus is a chronic diseases affecting huge number of people worldwide. Nurses are expected to have adequate knowledge of diabetes for effective management and care of patients. But studies showed that there are gaps in actual and perceived level knowledge of diabetes of nurses
Perception of Caring Self-Efficacy and Associated Factors among Nurse’s in Pediatric Units in Selected Government Hospitals, Addis Ababa, Ethiopia
(Addis Ababa University, 2024-05-08) Tigist Nigussie; Rajalakshmi Murugan
Caring Self-efficacy in nursing has been linked to improved patient outcomes, nurse resilience, and job satisfaction. However, more information is needed to determine a critical gap in understanding how pediatric nurses perceive and evaluate their caring self-efficacy. Therefore, this study investigated pediatric nurses’ caring self-efficacy, identifying potential challenges, strengths, and factors influencing their competencies
Admission Hypothermia and Associated Factors among Neonates Admitted to Neonatal Intensive Care unit in Public Hospitals, Addis Ababa, Ethiopia, 2024
(Addis Ababa University, 2024-06-19) Abebe Hodie; Yeshi Berhan
Neonatal hypothermia is a worldwide problem and an important contributing factor for neonatal morbidity and mortality, especially in developing countries. The risk is higher for infants who are smaller birth weight and more premature. In Ethiopia specifically, admission hypothermia is estimated to be present in a staggering 69.4% of all neonatal deaths.
Health Professional’s Communication and Laboring Mother’s Autonomy During Giving Birth in Selected Governmental Hospitals in Addis Ababa Ethiopia: a Mixed Study
(Addis Ababa University, 2024-06-13) Bezawit Worku; Roza Teshome
effective communication and autonomy between health care professionals and women in labor, is one of the means for increasing the quality of care. It helps women feel informed and could plausibly also empower disadvantaged women to speak up about the care they receive. In this regard, limited information is currently known about communication skills and laboring mother’s autonomy in Addis Ababa, Ethiopia. Therefore, the purpose of this study was to determine health professional’s communication skills and laboring mother’s autonomy in selected governmental hospitals
Health-Related Quality of Life and Associated Factors among Children with Rheumatic Heart Disease Attending Cardiac Outpatients at Selected Public Hospitals In Addis Ababa, Ethiopia, 2024
(Addis Ababa University, 2024-06-13) Bira Lema; Rajalakshmi Murugan
Rheumatic heart disease has a great negative impact on the health-related quality of life (HRQOL) of children by limiting their physical activity, cognitive and emotional, social, and academic functioning. Children with RHD have significantly varying HRQOLs in different parts of the world. However, there was no study done on HRQOL of children with RHD in the study.
Magnitude and Associated Factors of Hospital Acquired Infection in Neonates Admitted to Neonatal Intensive Care unit in Selected Public Hospitals, Addis Ababa, Ethiopia, 2024
(Addis Ababa University, 2024-06-19) Birhan Asafaw; Erdaw Tachbele
Neonates are particularly vulnerable to Hospital Acquired Infections (HAI) due to the severity of the illness, compromised immune systems, and exposure to invasive medical procedures. It is global health concerns, particularly in neonatal intensive care unit (NICU) that causes morbidity, mortality, prolonged hospital stays, and higher treatment costs in both developed and developing nations.
Acceptability of Human Milk Donation and Associated Factors among Postnatal Mothers at Public Hospitals in Addis Ababa, Ethiopia, 2024
(Addis Ababa University, 2024-05-10) Eyerus Mekonnen; Fekadu Aga
The best nutrition for babies is breast milk; nevertheless, problems with the mother or the child may cause breastfeeding to be stopped temporarily or permanently. According to WHO and UNICEF, pasteurized donor milk is advised as an infant's first option. Ethiopia does not have a human milk bank yet, but the Ministry of Health is considering to establishing one. It is important to carefully assess if mothers perspective on the acceptability before establishing a human breast milk bank.
Clinical Characterstics and Outcome of Patients Underwent Percutanous Coronary Intervention at Gesund Cardiac And Medical Center, Addis Ababa, Ethiopia, 2024
(Addis Ababa University, 2024-06-15) Kesete Eskias; Lemlem Beza
Percutaneous coronary intervention (PCI) improves blood flow by relieving artery blockages, but is not widely available in Ethiopia due to lack of resources, staff, and well equipped infrastructure. Factors limiting the delivery of percutaneous coronary intervention (PCI) for immediate patient intervention include access to healthcare facilities, time constraints , clinical stability, logistical challenges, and the presence of comorbidity
Assement of Level of Hope of Parents of Children with Cancer and Associatted Factors among Parents of Children Attending Cancer Treatement at Tikur Abessa Specialized Hospital, Addis Ababa, Ethiopia
(Addis Ababa University, 2024-05-10) Lidiya Girma; Girmay Medhin
Cancer and Associatted Factors among Parents of Children Attending Cancer Treatement at Tikur Abessa 21Specialized Hospital,Addis Ababa, Ethiopia
Assessment of Health-Related Quality of Life and Associated Factors among Asthmatic Children at Selected Public Hospitals, Addis Ababa, Ethiopia, 2024
(Addis Ababa University, 2024-10-05) Melat Keyredin; Zuriyash Mengistu
Bronchiai asthma is a global health problem in particular a respiratory condition characterized by bronchi spasms that negatively affect the quality of life (QOL) of children. However, there is a paucity of data regarding the health-related quality of life of asthma in children in Ethiopia, especially in the study area.
Pain Assessment and Management Practices among Nurses Working in Pediatric Department in Public Hospitals, Addis Ababa, Ethiopia
(Addis Ababa University, 2024-05-15) Samiya Tigabu; Tigistu Gebreyohannis
Pain is a primary motivator for patients to seek medical attention, and it is the most frequent symptom seen in children at hospitals. Evaluating pain is crucial and serves as the primary focus in patient care for pain management
Adherence to Anti-Seizure Medications and Associated Factors among Children with Epilepsy at Selected Public Hospitals in Addis Ababa, Ethiopia, 2024. A Cross-Sectional Study
(Addis Ababa University, 2024-06) Yohannes Adamu; Fikrtemariam Abebe
Epilepsy is a disorder of the brain characterized by an enduring predisposition to generate seizures, unprovoked by any immediate central nervous system insult, and by the neuro-biologic, cognitive, psychological, and social consequences of seizure recurrences. It significantly impacts children's health and wellbeing. Anti-seizure medications Adherence (ASMs) is crucial for optimal control of seizure and improved quality of life, but non-adherence remains a critical challenge.
Child Birth Service Quality in Public Hospitals of Shashemane Town, Shashemene, Qualitative Study, 2023.
(Addis Ababa University, 2023) Gemechu, Roba; Teshome, Roza(Assistant Prof., PhD Fellow)
Background: Medical care accessibility and availability are both essential but insufficient for enhancing mother and neonatal health outcomes. In fact, they are not guarantees of more service utilization or higher satisfaction among clients. The quality of care a woman receives during pregnancy, childbirth, and postpartum affects her health, the health of her baby, and her likelihood of being cared for in the future. The study was aimed to explore childbirth service quality in public hospitals of Shashemene town, Shashemene. Methods: A qualitative exploratory research design was conducted from February 30 – march 30 at public hospitals of shashemane town. Purposive sampling was employed to recruit women and hospital staff who fulfill the inclusion criteria for in-depth interview, key informant interview and observation. Women on Labour, mother who received labour and delivery care and staff in managerial position were study participants. The total participant for in-depth interview, observation of care and key informant interview were 12, 6 and 3 respectively. Both observation and interview were conducted using semi-structured guide. Data were audio recorded, transcribed verbatim and imported to ATLAS.ti 9 software for coding and analysis assist. Thematic data analysis were used for categorizing and interpretation of data. Result: The finding revealed the quality of childbirth service at facility. Which includes inadequate human and physical resource like number of staff, room and bed, cleanliness of room. In addition, provision of care is not inline to developed guideline; for example painful procedure, partograph use and inadequate labour follow-up. Moreover the finding from women’s perspective were strengthen the study finding in relation to communication and relationship with care providers which is explained as poor, undignified and disrespectful care were experienced by mothers. Conclusion and recommendation: The study identified many challenges and experience on quality of care related to childbirth service from both care providers and mothers. Prioritized financing on infrastructure, supportive staff supervision and capacity building on compassionate and respectful care for staff should be considered to enhance quality of service
Women’s decision-making process on their mode of birth among pregnant women with previous cesarean section in Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia 2023: a qualitative study
(Addis Ababa University, 2023) Molla,Mekdes; Derbie,Leul(Assistant professor, PHD candidate),Fantahun,Addishiwet (MSc)
Background: Women who have had previous cesarean delivery face a decision to birth option in a next pregnancy. Vaginal birth after caesarean is an alternative choice for most women with a prior cesarean section (CS) whereas its uptake is low. Reflects the limitations imposed on decision making. This decision making process varies for individuals and may result from considering several factors. In Ethiopia, no qualitative research is conducted, particularly on women’s decision making of their birth mode following previous CS. Objective: To explore decision-making processes on mode of birth among pregnant women with previous cesarean section in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia 2023. Methods: An explorative qualitative study was conducted from February 20 to march 20, 2023 among women seeking antenatal care. A total of 20 Participants were selected purposively and interviewed using semi-structured guide until data saturation reached. Thematic analysis was used. ATLAS ti 9 qualitative software was used to support the analysis and management of the data. Result: Three themes were identified: Women’s involvement in decision making, factors affecting Women’s decision making and women’s decision-making process. Women put forward their plan of mode of birth for next pregnancy immediately following caesarean delivery. Out of women who have a decision most decide to attempt Vaginal delivery after cesarean (VBAC). Conversely, some women plan repeated CS (RCS) because of labor pain experience and concern towards vaginal birth. However women’s decision is only in their mind and not discussed with their antenatal care providers. The process of decision making involves judging the experience, wanting VBAC or RCS, seeking information and wanting a supportive health provider. Conclusion: However women made the decision about their mode of birth themselves, their decisions were not based on thorough understanding of the advantages and disadvantages of vaginal versus cesarean delivery, rather on their previous experiences and their attitude in combination with other factors. Supporting women by providing clear, appropriate and adequate medical education timely will help women to make informed decisions that are consistent with their values and preferences.
Assess decision-to-delivery interval and associated factors among mothers who underwent emergency cesarean section at selected public hospitals of Addis Ababa City, Ethiopia,2023.
(Addis Ababa University, 2023) Teklie,Nigatu; Deribe, Leul (Asst.prof. PhD Can.), Hailu,Hanna(BSC, MSC)
Background: DDI for ECS is a matter of quality obstetrics care service. Unnecessary delays may end up in morbidity or mortality of the mother and/or the fetus. Therefore, the delivery interval must be within a reasonable time and the recommended one is within 30 minutes. The study area lacks information. Objective: Determine DDI and associated factors among mothers who underwent emergency cesarean section in the chosen governmental institutions of Addis Ababa City, Ethiopia, 2023. Method: A cross-sectional study was carried out in governmental hospitals of Addis Ababa city with total sample size of 348. Each respondent was recruited by means of probability sampling technique. The information was gathered based on the pilot study of interviewer-administered tool and document review after written consent secured from every respondent. The gathered information’s were coded and entered in Epi-data version 4.6.0.6 and analyzed using SPSS version 26. The binary logistic regression method was employed to detect risk factors related to crash c/s. Statistically, significance was determined by a P-value of less ≤ 0.05. Result: The total magnitude of DDI that was done within the recommended period was 23% [ 95% CI (18.9-27.6] and the Median time was 45(7-155) min. Fetal distress was the most common indication for ECS. The following factors were significantly linked to the decision-to- delivery interval: surgeon status [25.019;95% CI (10.602,59.037], indications other than fetal distress [AOR = 2.775; 95% CI (1.395,5.518], type of anesthesia [AOR=13.597;95% CI (4.969,37.209]. Conclusion: The study finding indicates that the magnitude of the crash c/s for ECS according to the international recommended time interval was very low. Therefore, hospitals and obstetric care providers should be alert and conscious of immediate life-threatening conditions
Assessment of Quality of care for sexually transmitted infections services on syndrome case management and factors associated with quality of service at public health institutions in Asella town, Arsi zone, Ethiopia, 2022.
(Addis Ababa University, 2023) Eshetu,Kimem; Berhe,Semariya (Ass.Prof., Phd Fellow)
Background: In most parts of the world, sexually transmitted infections (STIs) continue to be a serious public health issue. Quality of STIs services is key in managing and preventing transmission and more complications of the infection(1). Objective:- The goal of this study was to evaluate the quality of care provided for sexually transmitted infections related to quality of services on syndrome case management and associated factors in Asella town public health institution, Arsi Zone, Ethiopia. Method: A cross-sectional study based on an institution was carried out. A total of 129 study participants provided information. The study participants were chosen using a purposive sampling technique. A semi-structured questionnaire was used by trained interviewers to gather the data. The data was gathered between March 1 and April 25, 2022. The collected information was verified for accuracy before being coded and loaded into SPSS. Using descriptive statistics and logistic regression analysis, factors with a P-value of 0.05 or higher were deemed significant. Results: - surplus half of clinicians treat sexually transmitted infections correctly (78.4%). Good quality sexually transmitted infections services were provided. Being not knowledgeable clinicians (AOR=0.014, 95% CI (0.001, 0.211)), The quality of STIs services was significantly asssociated with health facility (AOR=7.78, 95% CI: (2.24, 26.97) and treatment strategy (AOR=4.23, 95% CI: (1.36, 14.47) Conclusion:- Over all the quality of care for STIs of Syndrome Management was good by the availability of National STIs syndrome management guidelines, examination lights, adequate availability of STIs drugs, and adequate knowledge of clinicians to treat sexually transmitted infections correctly. The quality of care is affected by some factors, the Clinician's training, and the Speculum examination is the most important ones
Barriers and enablers for women with disabilities to access sexual and reproductive health services in Addis Ababa, Ethiopia: A qualitative study
(Addis Ababa University, 2023) Tilahun,Sewnet; Sendo,Endalew Gemechu (Ph.D., RN, Asst. Prof.),Adugna,Haweni (MSC, Asst.Prof.)
Background: Despite having a fundamental right to access medical facilities and programs with similar range, efficacy, and guidelines to those provided to others, people who are disabled still have difficulty accessing sexual and reproductive health care in developing countries, including Ethiopia. Objectives: This study aims to explore barriers and enablers for women with disabilities to access sexual and reproductive health services in Addis Ababa, Ethiopia, 2023. Methods: A qualitative phenomenological study was conducted among purposively selected reproductive age (18-49) group women with disabilities living in Addis Ababa who were members of the Ethiopian National Association of Persons with physical disabilities and Ethiopian National Association for Blind. Ten individual in-depth interviews, as well as 2 focus group discussions, were conducted utilizing an interview guide. Data were audio recorded,transcribed verbatim and iomorted to ATLAS.ti 9.The analysis was conducted with thematic analysis by using inductive coding approaches. Result: Barriers that could prevent an individual from taking the step to seek SRH service which include negative attitudes in communities, structural hurdles in HFs, financial constraints, transportation issues, and lack of information regarding SRH programs. Enablers that made accessing SRH services and care easier include Social support and network, Access to education, Positive providers' attitudes, and women's self-confidence/Assertiveness. Conclusion and Recommendation: The study revealed that women with disability encountered numerous challenges and some enablers when receiving SRH treatment and care. To address the barriers and encourage enablers, SRH care Guidelines and programs need to take into account women with disabilities, and actions to eliminate economic barriers to service utilization and promote positive interactions with community members and healthcare providers should be implemented.
Folic Acid Supplements Prescribing Practice During Protective Period and its Associated Factors among Health Professionals in Selected Governmental Health Centers in Addis Ababa, Ethiopia, 2023.
(Addis Ababa University, 2023) Mengist ,Yaschalew; Tesfaye,Jemberie(Ass. Prof.), Lijaemiro,Hana(Msc)
Background; supplementing folic acid (FA) before and in the 1st month of the conception is an essential preventive factor especially for neural tube defects (NTDs) and other congenital anomalies. However, in Ethiopia it is not given attention by policy makers, poorly administered at the right time by healthcare professionals, less utilized by pregnant women and/or women planning conceive. As a result, FA deficiency and insufficiency are a major public health issue in Ethiopia. Objectives: a goal of a research was to assess folic acid supplement (FAS) prescribing practice during protective period and its associated factors among health professionals in selected governmental health centers in Addis Ababa, Ethiopia, 2023. Methods; Institutionalized cross-sectional survey was carried out in Addis Ababa public health centers with a total sample size 396 from February20-May22/2023. To choose the respondents systematic random sampling methods was used and after each respondent's signed consent, a row data was gathered using a pretested self-administered questionnaires. The data was coded, interred to Epi data 4.6.0.6 and transferred to Statistical package for social sciences (SPSS) 27 software. Then binary and multivariable logistic regression analysis method was used to show the associated variables with FA prescribing practice using a confidence interval of 95% and significance value<0.05). Result: The total prevalence of folic acid prescribing practice during periconception period was 64.4% [95% CI (59.68-69.12]. But those prescribed during protective period was 26.7%. Ever not attended birth of neonate with NTD, not prescribing dose of 4mg folic acid (FA) for women with NTD, type of women whom FA was prescribed were associated with FA prescribing practice during protective period. Conclusion and recommendations; the healthcare professional’s prescribing practice during protective period was still very low, needs more attention in order to FA strengthen FAS.
Lived Experiences of Infertile Couples who Seek Treatment at Saint Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia, 2023 G.C
(Addis Ababa University, 2023) Zewde Haymanot; Teshome Roza; Abere Kerebih
Background: In almost all cultures, having children and raising them are significant aspects of life, and for African women including Ethiopian women, it is their most important duty. Infertility is a medical condition that can touch every aspect of a couple’s life with a wide range of sociocultural, psychological, and financial problems for individuals as well as couples. There is a scarcity of literature in the country focusing on couples experiencing infertility and going through a treatment journey. Objective: This study aims to explore the lived experiences of infertile couples focusing on psychological, sociocultural and financial aspects among couples who seek treatment at Saint Paul hospital millennium medical college, Addis Ababa, Ethiopia 2023 G.C Methods: a qualitative study with a phenomenological study design was employed from February 20- March 20/2023 among 15 infertile couples who seek infertility treatment at Saint Paul hospital millennium medical college. Study participants were selected purposively and the interviews were conducted with a face-to-face in-depth interview using a semi-structured interview guide. The analysis was conducted with thematic analysis by using both a priori codes (from the query guide) and emerging inductive codes approaches. ATLAS ti V 9 qualitative software was used to support the analysis of the data. Result: Five themes and 14 sub-themes related to couple’s lived experiences of infertility were identified. Including (i) Emotional-psychological impacts; (ii) impacts on relationships; (iii) cultural impacts (iv) treatment related challenges and (v) coping mechanisms. These result shed light on the multi-dimensional impacts faced by infertile couples. Conclusion: According to this study, infertile couples seeking treatment encounter a number of psychological, sociological, and economical issues that have a grave impact on their mental health and general wellbeing. Therefore, including psychosocial interventions or counselling in the fertility treatment and receiving financial assistance from governmental agencies for the expense of treatment may lessen the burden of infertility.
Impact of Internet and Social Media Platform use on Youths' Risky Sexual Behavior in Addis Ababa University Undergraduate Students Addis Ababa, Ethiopia, 2023: a Qualitative Study.
(Addis Ababa University, 2023) Birhanu Helina; Tesfaye Jembere; Adugna Haweni
Background: Any sexual activity that raises one's risk of contracting a sexually transmitted infection (STI), such as HIV, or of having an unintended pregnancy is considered risky. Health and social consequences can result from exposure to sexual content. A significant wellspring of this openness is the social media (SM) platforms, which are broadly utilized by youths. The internet has multiplied how young person’s access information on any subject matter including sexual contents. Objectives: To explore the influence of internet platform use on youths' risky sexual behavior in Addis Ababa university students, Addis Ababa Ethiopia, 2023. Methods: A qualitative method, phenomenological study design was employed in Addis AbabaUniversity, Ethiopia. Information was retrieved from participants selected using a snowball purposive sampling technique through open ended in-depth interview and key informant interview in Addis Ababa University selected campus and using a topic guide which is initially based on a review of literature until saturation reached. The Data was analyzed in thematic analysis approach. Result: The results of this study showed that, internet and social media platform usage has its own influence on risky sexual behavior both negatively and positively; providing inaccurate information, exposure to Sexual Explicit Media, predispose to early sexual initiation, leading to skewed perception on risky sexual behavior also behavioral change and to the positive side it is seen as a source of sexual information which the youth students couldn’t get from their surroundings. Conclusion: The results of this study show that there were several internet-related issues that influence students' risky sexual behavior at Addis Ababa University in Ethiopia. The young participants in this study spoke about a variety of negative effects of internet use on their sexual lives. Measures should be taken by concerned body to dispel or at least to reduce these negative impact and have a proper use of this platform in a fruitful way.

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