Knowledge and Practice on Prevention of Obstetric Fistula Among Skilled Birth Attendants in Public Health Centers in Addis Ababa, Ethiopia
No Thumbnail Available
Date
2016-05
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
BACKGROUND:
Obstetric fistula although is eliminated in high income countries, it remains prevalent and
debilitating condition in many parts of the developing world leaving women with the immediate
consequences, such as leakage of urine or feces or both and has been observed since women first began
delivering children despite of the fact that it is completely preventable if high quality basic and
comprehensive maternal health services are available to all woman during pregnancy and childbirth by a
well-trained and knowledgeable skilled birth attendants.
OBJECTIVE: The objective of this study was to assess knowledge and practice on prevention of Obstetric
Fistula among skilled birth attendants in public Health Centers in Addis Ababa.
METHODS: Institutional based Quantitative Cross sectional study was undertaken in public health centers
in Addis Ababa. A multi staged systematic random sampling technique was implemented to select a total
of 548 skilled birth attendants. The data was collected by using self-administered questionnaire prepared
in English language from March–April 2016 after ensuring that all requirement of Ethical consideration is
fulfilled. The collected data was cleaned, entered and analyzed using SPSS Version 20. Odds ratios with
95 % confidence interval with binary logistic regression model was used to measure the association of
dependent and independent variables. Descriptive statistics with frequency and percentages, table’s graphs
and cross-tabulations was used.
Results: This study revealed that 67% of skilled birth attendants had good knowledge on prevention of
obstetric fistula and in-service training related to obstetric fistula (AOR =1.53, 95% CI 1.04-2.25),
resource availability (AOR =2.78, 95% CI 1.46-5.28) and service year (AOR =1.90, 95% CI 1.08-3.36)
were significantly associated. About 66.2% of skilled birth attendants had good practice. Diploma nurses
and degree nurses were less likely to have good practice as compare to Diploma midwives. (AOR =0.41,
95% CI 0.23-0.74; AOR =0.29, 95% CI 0.16-0.56) respectively. Pre-service training (AOR =2.19, 95% CI
1.48-3.24), in-service training (AOR =1.59, 95% CI 1.05-2.39), resource availability (AOR =2.85, 95%
CI 1.44-5.65), and knowledge (AOR =2.47, 95% CI 1.65-3.68) were other factors independently
associated with practice on prevention of obstetric fistula.
Conclusion and recommendation: In conclusion majority of skilled birth attendants were found to have
good knowledge and good practice towards prevention of Obstetric Fistula. Obstetric Fistula should be
adequately addressed for health students during their pre-service training and training regarding Obstetric
Fistula and related issues should also be given for skilled birth attendants.
Key word: Obstetric Fistula Prevention, Skilled birth attendants
Description
Keywords
Obstetric Fistula Prevention, Skilled birth attendants