Health care providers attitudes towards caring for women’s with intellectual disability during pregnancy and childbirth at selected government hospitals in Addis Ababa, Ethiopia
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Date
2018-06
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Addis Ababa University
Abstract
Background: Globally More than 1 billion peoples have some form of disability in the world, which
makes disability an important global public health problem and Prevalence of intellectual disability in the
world is 1% - 3%. However, they are still one of the most marginalized and socially excluded groups in
many countries including, Ethiopia.
Objective: To assess health care providers attitudes and its associated factors towards caring of women
with intellectual disability during pregnancy and child birth at selected governmental hospitals of Addis
Ababa, Ethiopia, 2018 G.C.
Method: Institution based cross Sectional study design was used from April 01 – 30, 2018. Sample size
was calculated by using single population proportion formula and the final sample size was 257. Then
numbers of health care providers was allocated for selected hospitals by using proportion formula and
numbers health care providers in each hospitals were proportional allocated based on their profession.
Final study participants were selected by systematic random sampling method. Data were collected using
structured self- administered questionnaire. Data was coded, entered into a computer and analyzed using
SPSS version 24.0. Descriptive spastics such as frequencies, means, tables and graphs were carried out.
Logistic regression analysis was employed in order to identify the association between independent and
dependent variables. Cut-off point for the detection of significance is p < 0.05.
Results: Healthcare providers who cared 11- 20 and 21-30 women with intellectual disability were 11.25
times (AOR=11.25; 95% CI: 3.68- 34.39) as well as 13.27 times (AOR=13.27; 95% CI: 2.91- 60.58)
more likely to have positive attitude as compared to who cared 1-10 women with intellectual disability,
respectively. Health care providers who have a good knowledge about care of intellectually disabled
women were 2.08 (AOR=2.08; 95% CI: 1.12-3.85) times more likely to have a positive attitude than who
have a poor knowledge. Health care providers from institutions who organize the care of pregnant women
with intellectual disability separately were 2.37 times (AOR=2.37; 95% CI: 1.18-4.76) more likely to
have a positive attitude as compared to other health care providers. Finally, trained health care providers
about intellectual disability were 2.93 times (AOR=2.93; 95% CI: 1.26-6.79) more likely to have a
positive attitude as compared to health care providers who are untrained.
Conclusion: About two-third of the respondents had a positive attitude about care of pregnant women
with intellectual disability, more than half of health care providers had a good knowledge and health care
providers; who had more contact, with pregnant women with intellectual disability, who had a good
knowledge, who are working in institutions with a special organizational structure for care of pregnant
women with intellectual disability and who are received training about intellectually disabled women
were found to have a positive attitude about care of pregnant women with intellectual disability.
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Keywords
Knowledge, Attitudes, Intellectual disability, pregnant women, Health Care provider