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, whichmakes disability an important global public health problem and Prevalence of intellectual disability in theworld is 1% - 3%. However, they are still one of the most marginalized and socially excluded groups inmany countries including, Ethiopia.
Objective: To assess health care providers attitudes and its associated factors towards caring of womenwith intellectual disability during pregnancy and child birth at selected governmental hospitals of AddisAbaba, Ethiopia, 2018 G.C.
Method: Institution based cross Sectional study design was used from April 01 – 30, 2018. Sample sizewas calculated by using single population proportion formula and the final sample size was 257. Thennumbers of health care providers was allocated for selected hospitals by using proportion formula andnumbers 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 usingstructured self- administered questionnaire. Data was coded, entered into a computer and analyzed usingSPSS 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 anddependent 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 11.25times (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 disabledwomen were 2.08 (AOR=2.08; 95% CI: 1.12-3.85) times more likely to have a positive attitude than whohave a poor knowledge. Health care providers from institutions who organize the care of pregnant womenwith intellectual disability separately were 2.37 times (AOR=2.37; 95% CI: 1.18-4.76) more likely tohave a positive attitude as compared to other health care providers. Finally, trained health care providersabout intellectual disability were 2.93 times (AOR=2.93; 95% CI: 1.26-6.79) more likely to have apositive 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 womenwith intellectual disability, more than half of health care providers had a good knowledge and health careproviders; who had more contact, with pregnant women with intellectual disability, who had a goodknowledge, who are working in institutions with a special organizational structure for care of pregnantwomen with intellectual disability and who are received training about intellectually disabled womenwere 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