Pub Date : 2021-06-04DOI: 10.21203/RS.3.RS-590282/V1
Gerba Fufa, T. Solomon, Teka Girma
Background Exclusive breastfeeding is the best and cost effective intervention to prevent childhood morbidities and mortalities in developing countries. But there was no evidence in the study area regarding the practice of exclusive breastfeeding and its associated factors. Therefore, this study was aimed to assess exclusive breastfeeding practice and its associated factors in a rural district, Western part of Ethiopia. Methods A community-based cross-sectional study was conducted from August 15–30, 2020 among 565 mothers who have an infant less than six months in Nono District. Study participants were selected using random sampling. Data on infant breastfeeding practice were collected by trained interviewers by using a structured questionnaire. Multivariable logistic regression analysis was used to determine factors associated with exclusive breastfeeding. Statistical significance was declared at P < 0.05 at 95% confidence interval. Results A total of 565 participants were participated in this study, giving a 95.9% response rate. The prevalence of exclusive breastfeeding practice was 70.8%. Age of Mothers (AOR = 2.67, 95%CI = 1.79, 4.60), attended antenatal care during the recent pregnancy (AOR = 2.31, 95%CI = 1.31,4.71), attended delivery in health facilities (AOR = 1.34, 95%CI = 1.21,2.11), having information about exclusive breastfeeding (AOR = 2.34, 95%CI = 1.13,4.76) and knowing the importance of exclusive breastfeeding (AOR = 1.46, 95% CI = 1.12, 3.73) were associated factors with exclusively breastfeeding. Conclusions The prevalence of exclusive breastfeeding among infants less than six months in the Nono district was 70.8%. Factors associated with exclusive breastfeeding were the age of mothers, antenatal care service utilization, place of birth, mothers' information about breastfeeding, and knowledge of mothers about the importance of exclusive breastfeeding. Therefore, it is recommended that awareness should be continuously raised and pregnant women should be encouraged to attend health facilities for antenatal care and delivery by health service providers hence improving exclusive breastfeeding.
{"title":"Exclusive breastfeeding practice and its associated factors among mothers with infants aged less than six months in Nono, Western Ethiopia: A cross-sectional study","authors":"Gerba Fufa, T. Solomon, Teka Girma","doi":"10.21203/RS.3.RS-590282/V1","DOIUrl":"https://doi.org/10.21203/RS.3.RS-590282/V1","url":null,"abstract":"\u0000 Background\u0000\u0000Exclusive breastfeeding is the best and cost effective intervention to prevent childhood morbidities and mortalities in developing countries. But there was no evidence in the study area regarding the practice of exclusive breastfeeding and its associated factors. Therefore, this study was aimed to assess exclusive breastfeeding practice and its associated factors in a rural district, Western part of Ethiopia.\u0000Methods\u0000\u0000A community-based cross-sectional study was conducted from August 15–30, 2020 among 565 mothers who have an infant less than six months in Nono District. Study participants were selected using random sampling. Data on infant breastfeeding practice were collected by trained interviewers by using a structured questionnaire. Multivariable logistic regression analysis was used to determine factors associated with exclusive breastfeeding. Statistical significance was declared at P < 0.05 at 95% confidence interval.\u0000Results\u0000\u0000A total of 565 participants were participated in this study, giving a 95.9% response rate. The prevalence of exclusive breastfeeding practice was 70.8%. Age of Mothers (AOR = 2.67, 95%CI = 1.79, 4.60), attended antenatal care during the recent pregnancy (AOR = 2.31, 95%CI = 1.31,4.71), attended delivery in health facilities (AOR = 1.34, 95%CI = 1.21,2.11), having information about exclusive breastfeeding (AOR = 2.34, 95%CI = 1.13,4.76) and knowing the importance of exclusive breastfeeding (AOR = 1.46, 95% CI = 1.12, 3.73) were associated factors with exclusively breastfeeding.\u0000Conclusions\u0000\u0000The prevalence of exclusive breastfeeding among infants less than six months in the Nono district was 70.8%. Factors associated with exclusive breastfeeding were the age of mothers, antenatal care service utilization, place of birth, mothers' information about breastfeeding, and knowledge of mothers about the importance of exclusive breastfeeding. Therefore, it is recommended that awareness should be continuously raised and pregnant women should be encouraged to attend health facilities for antenatal care and delivery by health service providers hence improving exclusive breastfeeding.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"72 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2021-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84160044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2167-0420.21.10.521
A. Mohammed, Tilahun Ermeko, Abate Lette Wodera
Background: Ethiopia is the second most populous country in Africa. The total fertility rate of Ethiopia is 4.8 births per women with population growth rate of 2.13% per year and contraception prevalence rate of 29% while the unmet need for family planning is 25% for spacing 16% and 9% for limiting. Almost all of these users are using modern contraceptive method. The most widely used are injectable (21%) followed by implant (3%) and intrauterine contraceptive device (2%) and female sterilization (<1%) are the least used. Objective: The aim of this study was to assess the utilization of long-acting and permanent family planning methods and associated factors among married women of reproductive age group in Goba town, Bale zone, Oromia region, Ethiopia 2017. Methods: A community based cross sectional study was conducted. Data collection was performed using pre tested structured questionnaire. The households were chosen at regular interval using systematic sampling method. Data was analysed by SPSS version 22and association of dependent and predictors using variable was declared at 95%CI on P<0.05. Result: A total of 354 women during collection period were interviewed. The response rate was 98.9%. The overall prevalence of LAPMs contraceptives was 18.9%; the least used methods were female and male sterilization. Sixty three point six percent of women have knowledge about LAPMs and more than half of respondents (54.5%) have an intention to use LAPMs. The major source of modern contraceptive was governmental health facility (72.5%) and knowledge about LAPMs, support using LAPMs, partner attitude towards LAPMs, intention to use LAPMs, discussion with partner about LAPMs and knowledge about LAPMs have association with utilization of LAPMs. Conclusion: Utilization of LAPMs in Goba town was low. More than half of the respondents know about LAPMs. The majority of respondent support use of LAPMs. Therefore, Goba hospital should increase accessibility of contraceptive especially. Media should increase provision of accurate and continues information on LAPMs.
{"title":"Utilization of Long Acting and Permanent Contraceptive Methods and Associated Factors among Married Women of Reproductive Age Group in Goba Town, Southeast Ethiopia","authors":"A. Mohammed, Tilahun Ermeko, Abate Lette Wodera","doi":"10.35248/2167-0420.21.10.521","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.521","url":null,"abstract":"Background: Ethiopia is the second most populous country in Africa. The total fertility rate of Ethiopia is 4.8 births per women with population growth rate of 2.13% per year and contraception prevalence rate of 29% while the unmet need for family planning is 25% for spacing 16% and 9% for limiting. Almost all of these users are using modern contraceptive method. The most widely used are injectable (21%) followed by implant (3%) and intrauterine contraceptive device (2%) and female sterilization (<1%) are the least used. Objective: The aim of this study was to assess the utilization of long-acting and permanent family planning methods and associated factors among married women of reproductive age group in Goba town, Bale zone, Oromia region, Ethiopia 2017. Methods: A community based cross sectional study was conducted. Data collection was performed using pre tested structured questionnaire. The households were chosen at regular interval using systematic sampling method. Data was analysed by SPSS version 22and association of dependent and predictors using variable was declared at 95%CI on P<0.05. Result: A total of 354 women during collection period were interviewed. The response rate was 98.9%. The overall prevalence of LAPMs contraceptives was 18.9%; the least used methods were female and male sterilization. Sixty three point six percent of women have knowledge about LAPMs and more than half of respondents (54.5%) have an intention to use LAPMs. The major source of modern contraceptive was governmental health facility (72.5%) and knowledge about LAPMs, support using LAPMs, partner attitude towards LAPMs, intention to use LAPMs, discussion with partner about LAPMs and knowledge about LAPMs have association with utilization of LAPMs. Conclusion: Utilization of LAPMs in Goba town was low. More than half of the respondents know about LAPMs. The majority of respondent support use of LAPMs. Therefore, Goba hospital should increase accessibility of contraceptive especially. Media should increase provision of accurate and continues information on LAPMs.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"13 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72817047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2167-0420.21.10.516
Z. Babure, Aklilu Fikadu Tufa
Background: Measles is one of the world’s most contagious viral diseases that have the potential to be life-threatening. In Ethiopia, measles is among the most common cause for morbidity and mortality in children. Major outbreaks with large attack rates resulting in as high as 15-20% case fatality rates have been reported in this country. There is a paucity of information on measles outbreak response activities and surveillance system performance in Eats Wollega Zone in general and NunuKumba district in particular, Ethiopia. Methods: A descriptive cross-sectional survey was employed from June 01-05, 2020 at NunuKumba district of East Wollega Zone. The data was collected by three senior technical experts using semi-structured questionnaires, and a secondary data was taken from the line list of cases. Purposive sampling technique was used. Quantitative data was analyzed using Microsoft Excel 2010 while the qualitative data was themed; analyzed and then triangulated with quantitative result. The result was displayed by graphs, tables and Epi-curve. Results: The overall Attack rate and Case Fatality Rate were 1.05% and 0.41% respectively. The most affected age group was under five year’s children 552(56.55%). The Epicurve indicated the propagation of the outbreak and covered the majority (73%) of Kebeles in the district. The outbreak reached climax at middle of January and declined by the middle of February, 2020. Conclusion: The AR and CFR of this outbreak were higher than nationally expected target. Age group of 1-4years had higher attack rate. The probable contributing factors for this outbreak were poor health seeking behaviour (poor community awareness and engagement), poor surveillance system, poor PHEM report completeness, lack of operational surveillance guidelines and protocols, and dalliances of lab specimen result written feedback written recommended time period. Therefore, training of human power, and surveillance system should get due attention.
{"title":"Evaluation of Measles Outbreak Response Activities and Surveillance System Performance in Nunukumba District, East Wollega Zone of Oromia Region, Ethiopia, June 2020","authors":"Z. Babure, Aklilu Fikadu Tufa","doi":"10.35248/2167-0420.21.10.516","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.516","url":null,"abstract":"Background: Measles is one of the world’s most contagious viral diseases that have the potential to be life-threatening. In Ethiopia, measles is among the most common cause for morbidity and mortality in children. Major outbreaks with large attack rates resulting in as high as 15-20% case fatality rates have been reported in this country. There is a paucity of information on measles outbreak response activities and surveillance system performance in Eats Wollega Zone in general and NunuKumba district in particular, Ethiopia. Methods: A descriptive cross-sectional survey was employed from June 01-05, 2020 at NunuKumba district of East Wollega Zone. The data was collected by three senior technical experts using semi-structured questionnaires, and a secondary data was taken from the line list of cases. Purposive sampling technique was used. Quantitative data was analyzed using Microsoft Excel 2010 while the qualitative data was themed; analyzed and then triangulated with quantitative result. The result was displayed by graphs, tables and Epi-curve. Results: The overall Attack rate and Case Fatality Rate were 1.05% and 0.41% respectively. The most affected age group was under five year’s children 552(56.55%). The Epicurve indicated the propagation of the outbreak and covered the majority (73%) of Kebeles in the district. The outbreak reached climax at middle of January and declined by the middle of February, 2020. Conclusion: The AR and CFR of this outbreak were higher than nationally expected target. Age group of 1-4years had higher attack rate. The probable contributing factors for this outbreak were poor health seeking behaviour (poor community awareness and engagement), poor surveillance system, poor PHEM report completeness, lack of operational surveillance guidelines and protocols, and dalliances of lab specimen result written feedback written recommended time period. Therefore, training of human power, and surveillance system should get due attention.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"125 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79520773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2167-0420.21.10.525
Aynamaw Embiale, Muche Argaw, B. Meshesha, Dubale Dulla
Objective: This study was assessed knowledge and practice of cervical cancer prevention, and its associated factors among primary school female teachers of Hawassa city, southern Ethiopia. Methods: A school-based cross-sectional study design was used to investigate the Knowledge and practice of cervical cancer prevention and its associated factors. Data was collected from 475 female teachers with simple random sampling techniques. Data were analyzed and presented with frequency, proportion, mean and standard deviations while crude odds ratio and p-value were generated with binary logistic regression. Multivariate logistic regression was used to identify associated factors of knowledge and practices towards cervical cancer prevention with p-value ≤ 0.05. Results: From 475 respondents 129 (27.2%) were knowledgeable and 95 (20%) have practices to prevent cervical cancer. Age 35-39 years old were 2.20 times and have a history of pregnancy 2.09 times(Adjusted odds ratio 2.20, 95% Confidence Interval: 1.11-3.46) and (Adjusted odds ratio 2.09, 95%, Confidence Interval: 1.08-4.05) respectively, increases the odds of a good level of knowledge. On the other hand Age between 30-39 years old were 1.85 times more likely (Adjusted odds ratio 1.85, 95% Confidence Interval: 1.02-3.36), and those having a good level of knowledge 6.14 times more likely (Adjusted odds ratio 6.14, 95% Confidence Interval: 3.71-10.16) increases the odds level of practices. Conclusions: Inthis study knowledge and practice towards cervical cancer prevention were low. Age 35-39 years old, and was having history of pregnancy, increases the odds of a good knowledge. Where-as age 30-39 years old and was having a good level of knowledge increases the odds practices towards cervical cancer prevention. Therefore counseling with information, education, communication and service should be given at maternal and child health units and platforms should be created in schools to give health health education in order to reach more need specific groups. Keywords: Cervical cancer, Knowledge, Practice, Teachers, Hawassa, Prevention information
{"title":"Knowledge and Practice of Cervical Cancer Prevention and its Associated Factors among Primary School Female Teachers of Hawassa City, Southern Ethiopia: Cross-Sectional Study","authors":"Aynamaw Embiale, Muche Argaw, B. Meshesha, Dubale Dulla","doi":"10.35248/2167-0420.21.10.525","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.525","url":null,"abstract":"Objective: This study was assessed knowledge and practice of cervical cancer prevention, and its associated factors among primary school female teachers of Hawassa city, southern Ethiopia. Methods: A school-based cross-sectional study design was used to investigate the Knowledge and practice of cervical cancer prevention and its associated factors. Data was collected from 475 female teachers with simple random sampling techniques. Data were analyzed and presented with frequency, proportion, mean and standard deviations while crude odds ratio and p-value were generated with binary logistic regression. Multivariate logistic regression was used to identify associated factors of knowledge and practices towards cervical cancer prevention with p-value ≤ 0.05. Results: From 475 respondents 129 (27.2%) were knowledgeable and 95 (20%) have practices to prevent cervical cancer. Age 35-39 years old were 2.20 times and have a history of pregnancy 2.09 times(Adjusted odds ratio 2.20, 95% Confidence Interval: 1.11-3.46) and (Adjusted odds ratio 2.09, 95%, Confidence Interval: 1.08-4.05) respectively, increases the odds of a good level of knowledge. On the other hand Age between 30-39 years old were 1.85 times more likely (Adjusted odds ratio 1.85, 95% Confidence Interval: 1.02-3.36), and those having a good level of knowledge 6.14 times more likely (Adjusted odds ratio 6.14, 95% Confidence Interval: 3.71-10.16) increases the odds level of practices. Conclusions: Inthis study knowledge and practice towards cervical cancer prevention were low. Age 35-39 years old, and was having history of pregnancy, increases the odds of a good knowledge. Where-as age 30-39 years old and was having a good level of knowledge increases the odds practices towards cervical cancer prevention. Therefore counseling with information, education, communication and service should be given at maternal and child health units and platforms should be created in schools to give health health education in order to reach more need specific groups. Keywords: Cervical cancer, Knowledge, Practice, Teachers, Hawassa, Prevention information","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"153 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77531323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01Epub Date: 2021-03-27DOI: 10.47275/2692-0948-121
Lucy T Brink, Daan G Nel, David R Hall, Hein J Odendaal
Background: The extent to which smoking and drinking in a local community is associated with nutrition and Z-scores of infants from spontaneous preterm deliveries, is uncertain.
Aim: To investigate associations of different levels of maternal smoking and drinking in spontaneous preterm birth with infant birthweight Z-scores.
Methods: Information, including gestational age (determined by earliest ultrasound), maternal arm circumference (measured at enrolment), smoking-drinking data (obtained up to 4 occasions), birthweight data (obtained from medical records) and birthweight Z-scores (calculated from INTERGROWTH- 21st study), collected over a period of nine years was used to compare 407 spontaneous preterm births with 3 493 spontaneous term births Analyses of variance, correlations and multiple regression were performed in STATISTICA.
Results: Women with spontaneous preterm birth, had significantly lower gravidity and smaller arm circumference when compared to women with spontaneous birth at term. Women with spontaneous preterm birth drank more and heavier during pregnancy, and more smoked. Gestational age at birth was significantly longer in heavy-smokers-heavy-drinkers compared to heavy-smokers-no-drinkers (7.1 days) and in no-smokers-heavy-drinkers when compared to no-smokers-no-drinkers (11.2 days). Birthweight was significantly lower in low-smokers-heavy-drinkers when compared to low-smokers-no-drinkers (240g) and in heavy-smokers-low-drinkers when compared to no-smokers-low-drinkers (273g). Birthweight Z-scores were significantly lower in low-smokers-heavy-drinkers when compared to low-smokers-low-drinkers and low-smokers-no-drinkers; and, also significantly lower in heavy-smokers-low-drinkers when compared to low-smokers-low-drinkers and no-smokers-low-drinkers.
Conclusion: Alcohol aggravates the detrimental effect of smoking on birthweight and birthweight Z-scores but seems to counteract the negative association of smoking with gestational age.
背景：目的：研究自发性早产儿中不同程度的产妇吸烟和饮酒与婴儿出生体重 Z 值的关系：方法：利用九年来收集的信息，包括胎龄（通过最早的超声波检查确定）、产妇臂围（入院时测量）、吸烟饮酒数据（最多获得 4 次）、出生体重数据（通过医疗记录获得）和出生体重 Z 值（通过 INTERGROWTH- 21st 研究计算），对 407 例自发性早产儿和 3 493 例自发性足月儿进行比较：与自然早产和足月分娩的妇女相比，自然早产妇女的孕酮明显偏低，臂围明显偏小。自然早产的妇女在怀孕期间饮酒更多、更重，而且吸烟更多。与不吸烟的人相比，大量吸烟和大量饮酒的人的胎龄明显较长（7.1 天），而不吸烟和不大量饮酒的人的胎龄明显较长（11.2 天）。与不吸烟的低度饮酒者（240 克）和不吸烟的低度饮酒者（273 克）相比，低度吸烟-大量饮酒者的出生体重明显较低。与低度吸烟低度饮酒者和低度吸烟低度不饮酒者相比，低度吸烟重度饮酒者的出生体重 Z 值明显较低；与低度吸烟低度饮酒者和低度吸烟低度不饮酒者相比，重度吸烟低度饮酒者的出生体重 Z 值也明显较低：结论：酒精会加重吸烟对出生体重和出生体重 Z 值的不利影响，但似乎可以抵消吸烟与胎龄的负相关。
{"title":"The Intricate Interactions between Maternal Smoking and Drinking During Pregnancy and Birthweight Z-Scores of Preterm Births.","authors":"Lucy T Brink, Daan G Nel, David R Hall, Hein J Odendaal","doi":"10.47275/2692-0948-121","DOIUrl":"10.47275/2692-0948-121","url":null,"abstract":"<p><strong>Background: </strong>The extent to which smoking and drinking in a local community is associated with nutrition and Z-scores of infants from spontaneous preterm deliveries, is uncertain.</p><p><strong>Aim: </strong>To investigate associations of different levels of maternal smoking and drinking in spontaneous preterm birth with infant birthweight Z-scores.</p><p><strong>Methods: </strong>Information, including gestational age (determined by earliest ultrasound), maternal arm circumference (measured at enrolment), smoking-drinking data (obtained up to 4 occasions), birthweight data (obtained from medical records) and birthweight Z-scores (calculated from INTERGROWTH- 21st study), collected over a period of nine years was used to compare 407 spontaneous preterm births with 3 493 spontaneous term births Analyses of variance, correlations and multiple regression were performed in STATISTICA.</p><p><strong>Results: </strong>Women with spontaneous preterm birth, had significantly lower gravidity and smaller arm circumference when compared to women with spontaneous birth at term. Women with spontaneous preterm birth drank more and heavier during pregnancy, and more smoked. Gestational age at birth was significantly longer in heavy-smokers-heavy-drinkers compared to heavy-smokers-no-drinkers (7.1 days) and in no-smokers-heavy-drinkers when compared to no-smokers-no-drinkers (11.2 days). Birthweight was significantly lower in low-smokers-heavy-drinkers when compared to low-smokers-no-drinkers (240g) and in heavy-smokers-low-drinkers when compared to no-smokers-low-drinkers (273g). Birthweight Z-scores were significantly lower in low-smokers-heavy-drinkers when compared to low-smokers-low-drinkers and low-smokers-no-drinkers; and, also significantly lower in heavy-smokers-low-drinkers when compared to low-smokers-low-drinkers and no-smokers-low-drinkers.</p><p><strong>Conclusion: </strong>Alcohol aggravates the detrimental effect of smoking on birthweight and birthweight Z-scores but seems to counteract the negative association of smoking with gestational age.</p>","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"2 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553154/pdf/nihms-1688326.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39581002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2167-0420.21.10.553
Vaibhavi Chaudhri
{"title":"Common Gynaecological Symptoms: Causes, Diagnosis, and Management","authors":"Vaibhavi Chaudhri","doi":"10.35248/2167-0420.21.10.553","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.553","url":null,"abstract":"","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"25 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87275340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2167-0420.21.10.511
Deepa.
The present study assessed the effect of structured exercise program on fatigue among women with carcinoma cervix receiving radiotherapy in Medical College Hospital, Kozhikode. The objectives were to assess the fatigue among women with carcinoma cervix receiving radiotherapy, evaluate the effect of structured exercise program on fatigue and to find out the association between fatigue and selected socio-personal variables. Experimental approach with quasi experimental, pre-test -post-test control group design was used. The tools used were interview schedule to assess socio-personal data and rating scale to assess the fatigue (r=0.744). The sample consisted of 60 women with carcinoma cervix receiving radiotherapy, from which 30 were assigned to the control and experimental group using non-probability purposive sampling. Using interview schedule, socio-personal data were collected from both groups. In the control group, the fatigue assessment was done for 3 consecutive weeks and in experimental group, the structured exercise program was taught and continued for 3 consecutive weeks, and fatigue was assessed in this period. The data were analysed by descriptive and inferential statistics. The findings revealed that the structured exercise program is effective in reducing the fatigue of women with carcinoma cervix receiving radiotherapy. There is significant association between the fatigue and the education, monthly family income, ability to perform activities of daily living, treatment modality and body built. The study has implications in various aspects in nursing.
{"title":"Effect of Structured Exercise Program on Fatigue among Women with Carcinoma Cervix Receiving Radiotherapy","authors":"Deepa.","doi":"10.35248/2167-0420.21.10.511","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.511","url":null,"abstract":"The present study assessed the effect of structured exercise program on fatigue among women with carcinoma cervix receiving radiotherapy in Medical College Hospital, Kozhikode. The objectives were to assess the fatigue among women with carcinoma cervix receiving radiotherapy, evaluate the effect of structured exercise program on fatigue and to find out the association between fatigue and selected socio-personal variables. Experimental approach with quasi experimental, pre-test -post-test control group design was used. The tools used were interview schedule to assess socio-personal data and rating scale to assess the fatigue (r=0.744). The sample consisted of 60 women with carcinoma cervix receiving radiotherapy, from which 30 were assigned to the control and experimental group using non-probability purposive sampling. Using interview schedule, socio-personal data were collected from both groups. In the control group, the fatigue assessment was done for 3 consecutive weeks and in experimental group, the structured exercise program was taught and continued for 3 consecutive weeks, and fatigue was assessed in this period. The data were analysed by descriptive and inferential statistics. The findings revealed that the structured exercise program is effective in reducing the fatigue of women with carcinoma cervix receiving radiotherapy. There is significant association between the fatigue and the education, monthly family income, ability to perform activities of daily living, treatment modality and body built. The study has implications in various aspects in nursing.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"47 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86840798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2167-0420.21.10.540
Tagay Reta, Legesse Tadesse
Background: Service satisfaction encourages mothers to continuously utilize and consume the maternal health care package. But no alike work in the current research area reported so far which this research committed to delivering evidence about the contentment of women in delivery care service provision. Objective: To assess mother's satisfaction and determinants toward childbirth service in Mana District, Jimma Zone, Ethiopia, 2018. Methods: A facility-based cross-sectional study was conducted on 674 women who delivered at the health centers in the last one-year prior study. Data were entered into EPI info version 7, exported to SPSS version 21 then descriptive and multiple regression analysis performed. Result: Mothers' delivery service satisfaction in this study was 45 percent. Supplies, perceived average monthly income, numbers of health facility delivery, being a housewife, and the age of women were found as the independent predictors of delivery service satisfaction. Conclusion and recommendation: Poor cleanliness of the delivery room, inadequacy of water during delivery, and not being asked for accord were major sources of dissatisfaction. Older age, low income, being a non- housewife, and delivering only once at a health facility had better chances of satisfaction. Hence health facilities should resolve problems of physical aspects like poor hygiene and water shortage. Care providers better are vigilant of the apprehension of delivering mothers during the care process with consensus.
背景:服务满意度鼓励母亲持续使用和消费孕产妇保健套餐。但在目前的研究领域中，还没有类似的研究报告表明，该研究致力于提供有关分娩护理服务提供中妇女满意度的证据。目的:了解2018年埃塞俄比亚吉马区马纳区产妇对分娩服务的满意度及其影响因素。方法:对674名在过去一年的研究中在卫生中心分娩的妇女进行了基于设施的横断面研究。数据输入EPI info version 7，导出到SPSS version 21，进行描述性和多元回归分析。结果:本研究产妇对接生服务的满意度为45%。研究发现，供应、感知的平均月收入、在卫生机构接生的次数、是否为家庭主妇和妇女年龄是分娩服务满意度的独立预测因素。结论与建议:产房清洁度差、分娩时饮水不足、未征得同意是产妇不满意的主要原因。年龄较大、收入较低、非家庭主妇、只在医疗机构生产一次的产妇满意度较高。因此，卫生设施应解决卫生条件差和缺水等物质方面的问题。护理提供者最好在护理过程中对分娩母亲的忧虑保持警惕，并达成共识。
{"title":"Satisfaction with Childbirth Services Given in Public Health Facilities: A Cross-Sectional Survey in Ethiopia","authors":"Tagay Reta, Legesse Tadesse","doi":"10.35248/2167-0420.21.10.540","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.540","url":null,"abstract":"Background: Service satisfaction encourages mothers to continuously utilize and consume the maternal health care package. But no alike work in the current research area reported so far which this research committed to delivering evidence about the contentment of women in delivery care service provision. Objective: To assess mother's satisfaction and determinants toward childbirth service in Mana District, Jimma Zone, Ethiopia, 2018. Methods: A facility-based cross-sectional study was conducted on 674 women who delivered at the health centers in the last one-year prior study. Data were entered into EPI info version 7, exported to SPSS version 21 then descriptive and multiple regression analysis performed. Result: Mothers' delivery service satisfaction in this study was 45 percent. Supplies, perceived average monthly income, numbers of health facility delivery, being a housewife, and the age of women were found as the independent predictors of delivery service satisfaction. Conclusion and recommendation: Poor cleanliness of the delivery room, inadequacy of water during delivery, and not being asked for accord were major sources of dissatisfaction. Older age, low income, being a non- housewife, and delivering only once at a health facility had better chances of satisfaction. Hence health facilities should resolve problems of physical aspects like poor hygiene and water shortage. Care providers better are vigilant of the apprehension of delivering mothers during the care process with consensus.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"44 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81155033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2167-0420.21.10.530
Aboma Diriba, A. Gebremariam, R. Ali, Tadesse Sime
Background: Limited women’s autonomy in Maternal Health Care is the main underlying causes of poor utilization of maternal health care, and contributed in high maternal and children morbidity and mortality, low birth weight, and infertility. However, up to our search, in Ethiopia little emphasis has been placed on assessing factors associated with women autonomy. So this study was intended to assess status of Women’s Autonomy and its Associated Factors on Maternal Health Care utilization in west Ethiopia. Method: A mixed community based cross-sectional study was employed from March 1-30, 2019. We selected 468 study participants through a multi-stage sampling method. Collected data were entered into Epi Data version 3.1 and exported to SPSS 21.0 for analysis. Statistical significance level was set at p < 0.05. Result: Response rate of the study was 99.2%. This study revealed that 66.2% of women had high autonomy. Women who attended secondary and above education [AOR=3.22, 95% CI [1.40, 7.44]], those from richest family [AOR= 9.86, [95% CI [4.21, 23.08]], having favorable attitude toward maternal health care, [AOR:[3.34, 95%CI [1.89, 5.89]], being urban dwellers [AOR: 2.47,95% CI [1.212, 5.046]], early marriage [3.30[1.89, 5.75]], and women’s employment for payment [3.39[1.84, 6.23]] were showed significant association with high women’s autonomy on maternal health care utilization. Conclusion: Even though there is a progress, still women autonomy regarding maternal health care utilization needs emphasis.
{"title":"Women?s Autonomy on Maternal Health Care Utilization and its Associated Factors in Western Ethiopia, a Community based Mixed Crosssectional Study, 2019","authors":"Aboma Diriba, A. Gebremariam, R. Ali, Tadesse Sime","doi":"10.35248/2167-0420.21.10.530","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.530","url":null,"abstract":"Background: Limited women’s autonomy in Maternal Health Care is the main underlying causes of poor utilization of maternal health care, and contributed in high maternal and children morbidity and mortality, low birth weight, and infertility. However, up to our search, in Ethiopia little emphasis has been placed on assessing factors associated with women autonomy. So this study was intended to assess status of Women’s Autonomy and its Associated Factors on Maternal Health Care utilization in west Ethiopia. Method: A mixed community based cross-sectional study was employed from March 1-30, 2019. We selected 468 study participants through a multi-stage sampling method. Collected data were entered into Epi Data version 3.1 and exported to SPSS 21.0 for analysis. Statistical significance level was set at p < 0.05. Result: Response rate of the study was 99.2%. This study revealed that 66.2% of women had high autonomy. Women who attended secondary and above education [AOR=3.22, 95% CI [1.40, 7.44]], those from richest family [AOR= 9.86, [95% CI [4.21, 23.08]], having favorable attitude toward maternal health care, [AOR:[3.34, 95%CI [1.89, 5.89]], being urban dwellers [AOR: 2.47,95% CI [1.212, 5.046]], early marriage [3.30[1.89, 5.75]], and women’s employment for payment [3.39[1.84, 6.23]] were showed significant association with high women’s autonomy on maternal health care utilization. Conclusion: Even though there is a progress, still women autonomy regarding maternal health care utilization needs emphasis.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"19 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83468066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2167-0420.21.10.532
Tadios Niguss, Melake Gizaw, A. Asefa
Background: Pelvic organ prolapse is an anatomic support defect of the pelvic viscera, and may result from a series of long term failure of the supporting and suspension mechanisms of the uterus and the vaginal wall. Objective: The aim of this study intended to assess determinant factors 8of pelvic organ prolapse among patients attending at hospitals in Southern Ethiopia. Methods: This facility-based unmatched case-control study included 416 (104 cases and 312 controls with a case to control ratio of 1:3) participants selected by using simple random sampling technique. Data was collected using interviewer administered questionnaire and the collected data was entered in to Epi data version 3.1 which was then exported to SPSS version 20.0 for analysis. The association between variables was analyzed with bivariate and multi variable logistic regression. A statistical significance was declared at p value < 0.05, with 95% confidence interval. Results: A total number of 401 (104 cases and 297 controls) study participants participated in the present study yielding a response rate of 96.4% (95.2% for controls and 100 % for cases). After adjusting for the possible confounders, Age > 55 years [AOR=13.85, 95% CI (1.27- 26.26)], educational status, no formal education [AOR=1.75, 95% CI (1.58-4.90)], number of delivery > 4 [AOR=5.76, 95% CI (3.88 -9.47)], place of delivery [AOR=1.94, 95% CI (1.03-4.86)], vaginal tear [AOR=2.07, 95% CI (1.33-7.74)], family planning ever use [AOR=0.41, 95% CI (0.27- 0.93)], type of usual work [AOR=2.66, 95% CI (1.42- 8.43)] and history of chronic cough [AOR=11.99, 95% CI (1.21- 21.81)] were found to be significant predictors for pelvic organ prolapse among patients attending at hospitals of Southern Ethiopia. Conclusion: Age, educational status of the respondent, number of delivery, place of delivery, vaginal tear, and type of usual work, family planning ever use and history of chronic cough were found to be significant predicators for pelvic organ prolapse. The regional and zonal health bureau could train health extension workers to encourage women to use family planning and institutional deliveries.
{"title":"Determinants of Pelvic Organ Prolapse among Patients Attending At Hospitals in Southern Ethiopia: A Case Control Study","authors":"Tadios Niguss, Melake Gizaw, A. Asefa","doi":"10.35248/2167-0420.21.10.532","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.532","url":null,"abstract":"Background: Pelvic organ prolapse is an anatomic support defect of the pelvic viscera, and may result from a series of long term failure of the supporting and suspension mechanisms of the uterus and the vaginal wall. Objective: The aim of this study intended to assess determinant factors 8of pelvic organ prolapse among patients attending at hospitals in Southern Ethiopia. Methods: This facility-based unmatched case-control study included 416 (104 cases and 312 controls with a case to control ratio of 1:3) participants selected by using simple random sampling technique. Data was collected using interviewer administered questionnaire and the collected data was entered in to Epi data version 3.1 which was then exported to SPSS version 20.0 for analysis. The association between variables was analyzed with bivariate and multi variable logistic regression. A statistical significance was declared at p value < 0.05, with 95% confidence interval. Results: A total number of 401 (104 cases and 297 controls) study participants participated in the present study yielding a response rate of 96.4% (95.2% for controls and 100 % for cases). After adjusting for the possible confounders, Age > 55 years [AOR=13.85, 95% CI (1.27- 26.26)], educational status, no formal education [AOR=1.75, 95% CI (1.58-4.90)], number of delivery > 4 [AOR=5.76, 95% CI (3.88 -9.47)], place of delivery [AOR=1.94, 95% CI (1.03-4.86)], vaginal tear [AOR=2.07, 95% CI (1.33-7.74)], family planning ever use [AOR=0.41, 95% CI (0.27- 0.93)], type of usual work [AOR=2.66, 95% CI (1.42- 8.43)] and history of chronic cough [AOR=11.99, 95% CI (1.21- 21.81)] were found to be significant predictors for pelvic organ prolapse among patients attending at hospitals of Southern Ethiopia. Conclusion: Age, educational status of the respondent, number of delivery, place of delivery, vaginal tear, and type of usual work, family planning ever use and history of chronic cough were found to be significant predicators for pelvic organ prolapse. The regional and zonal health bureau could train health extension workers to encourage women to use family planning and institutional deliveries.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"105 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75310458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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