Prof. Worku, Alemayehu (MSc, PhD)Wondimagegn, Abigiya(MSc)Shishay, Fiyori2021-02-032023-11-052021-02-032023-11-052020-11http://etd.aau.edu.et/handle/123456789/24938Background: Pre-eclampsia/eclampsia is one of the leading causes of maternal and perinatal morbidity and mortality worldwide affecting 2–8% of pregnancies. In Ethiopia severe preeclampsia/ eclampsia accounts for 11% of maternal deaths among the five major causes. Optimizing health care to prevent and treat women with hypertensive disorders is a necessary step towards reducing maternal and infant mortality and morbidity. Many developing countries including Ethiopia face difficulties in using world health organization recommended practices for preeclampsia screening. Therefore, the aim of this study is to assess the factors or constraints associated with preeclampsia screening. Objective: To assess the status of appropriate preeclampsia screening service during antenatal care follow-ups and the constraints for the provision of this service in health institutions in Mekelle, Tigray, Ethiopia from April to September 2020 G.C. Method: Institution based quantitative cross sectional study design with internal comparison was applied in Mekelle city, Ethiopia from April to September 2020 G.C. A total of 268 samples; Doctors, health officers, midwives and nurses in antenatal care unit of the governmental and private health institutions in Mekelle were interviewed. The data collection was done through observation, reviewing of clients‟ charts and interviewer administered questionnaires by trained data collectors. Quota sampling method was used to select the health workers in the antenatal care stream. Multiple logistic regression was applied to identify the factors and adjusted odds ratio (AOR) with corresponding 95% confidence interval was used to show the strength of association and a P value of <0.05 was used to declare statistical significance. Result: The magnitude of appropriate preeclampsia screening service among the health professionals was 140 (52.2% with 95% CI: 46.1-58.4). The factors significantly associated with appropriate preeclampsia screening were; profession type for one category i.e. nurses (AOR=0.045, 95% CI: 0.01-0.197), level of knowledge (AOR =4.17, 95% CI: 1.903-9.142), resources i.e. health workers in the ANC unit, BP cuffs, urine containers, dipsticks and laboratory (AOR =2.55, 95% CI: 1.091-5.965) and guideline 22.14 (AOR=22.14, 95% CI: 6.539-74.947). Conclusion: Around half i.e. 47.8% of the health professionals were not providing appropriate preeclampsia screening service due to different reasons from lack of knowledge to lack of resources and guideline issues which indicates that work still needs to be done on these areas in order to improve appropriate preeclampsia screening service.en-USPre-eclampsia,eclampsiaThesis