Birth Preparedness, Complication Readiness, and Determinants Among Women Attending Antenatal Care from Ethiopia: A Cross-sectional Facility-Based Survey
Alemayehu Dereje Jaleta,
Legesse Tadesse,
Hiwot Zelalem,
Dassalegn Daraje Jalata
Issue:
Volume 7, Issue 3, June 2021
Pages:
37-43
Received:
19 April 2021
Accepted:
27 May 2021
Published:
4 June 2021
Abstract: A large number of mothers die from pregnancy complications and childbirth worldwide and Sub-Saharan Africa including Ethiopia accounts for the third. Although several studies were done on birth preparedness and complication readiness in different parts, there is limited information in the current study setting. Hence, the aim of the current study was to assess birth preparedness and complication readiness practices and determinants among pregnant women attending antenatal care in Sibu Sire District, East Wollega Zone, Ethiopia. Accordingly, a facility-based cross-sectional study was conducted on 398 women attending ANC. Data were collected through an interviewer applied structured questionnaire. Data were entered into EPI-INFO version 7 and exported to SPSS version 21 for analysis. After the descriptive statistics, bivariate and multiple variable regression were carried out using the odds ratio and its 95% confidence interval at p<0.05. The response rate was 100% and the magnitude of BPCR among pregnant women in the study setting was 30.2%. Educated elementary, achieved secondary and above, history of live-birth, history of stillbirth, ANC four & above visits, knowledge of danger signs of pregnancy, awareness of BPCR, and knowledge of birth preparedness were significantly associated with BPCR with (AOR=2.59; 95% CI: 1.30-5.18), (AOR=5.88; 95% C/I: 2.57- 13.46), (AOR=4.31; 95% C/I: 2.45-7.60), (AOR=2.00; 95% C/I: 1.01- 3.86), (AOR=2.11; 95% C/I: 1.25-3.55), (AOR=2.21; 95% C/I: 1.17-4.18), (AOR=2.55; 95% CI: 1.48-4.40), (AOR=2.1; 95% C/I: 2.1 (1.24-3.53)) respectively. In conclusion, the magnitude of BPCR practice was low in the area. The key determinants in the study setting were educational status, history of live-birth, history of stillbirth, having ANC ≥ 4 visits, knowledge of danger signs of pregnancy, awareness of BPCR, and knowledge of BPCR. Therefore, improving the means of creating awareness, ANC attendance, and education coverage are recommended based on the finding. Furthermore, to explore the underlined reason a wide scope follow-up study and mixed methods studies is recommended.
Abstract: A large number of mothers die from pregnancy complications and childbirth worldwide and Sub-Saharan Africa including Ethiopia accounts for the third. Although several studies were done on birth preparedness and complication readiness in different parts, there is limited information in the current study setting. Hence, the aim of the current study w...
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Latrine Utilization and Associated Factors Among Households in SebetaHawas Woreda, Oromia Special Zone, Ethiopia
Abebe Zewdie,
Worku Dugassa,
Ephrem Mannekulih,
Zalalem Kaba,
Robert Wondimu
Issue:
Volume 7, Issue 3, June 2021
Pages:
44-52
Received:
23 April 2021
Accepted:
29 May 2021
Published:
7 June 2021
Abstract: In developing regions almost half of the population does not have access to improved latrine facilities. In Ethiopia up to 60% of the current disease burden was attributable to poor sanitation. However, the information regarding latrine utilization was minimal in the study area. This study assessed the magnitude of latrine utilization and associated factors among households in SebetaHawas Woreda Oromia special zone, Ethiopia from June 1-20, 2019. Cross-sectional study design was conducted. Using interviewer administered semi-structured questionnaires and observational checklist; data were collected from 631 households by using stratification sampling technique. Then data were entered in to Epi-Info version 7 and analyzed using statistical package for social science (SPSS) version 21. Descriptive statistics were performed to analyze frequencies, percentages, mean and standard deviation to describe the study population. Using bivariate and multivariate logistic regression, independent variables with P-value of <0.25 was considered a candidate for the final multiple logistic regression model. The association was expressed in odds ratio with 95% confidence interval and P-value <0.05 were used as cut-off points to declare significance in the final model. A total of 631 households were assessed for their latrine utilization status with 100% of response rate. The latrine utilization was 68% [(95%CI: 64.8-71.8)] in the study area. In multivariable analysis, respondents with age greater than or equal to 48 years [AOR: 6.24, 95%CI: 1.23-32.91)], collage and above [AOR: 8.02, 95%CI: 6.96-16.52)], family size greater than or equal to five [AOR: 0.51, 95%CI: 0.32 - 0.82], households with no availability of hand washing facility [AOR: 0.36, 95%CI, 0.14-0.89)], knowledgeable towards the use of latrine [AOR: 0.07, 0.02- 0.27)], and no feces observed around the pit hole [AOR: 4.37, 95%CI, 1.78-10.73)] were factors associated with latrine utilization. The magnitude of latrine utilization among households of SebetaHawas Woreda was low. Age, educational status, family size, availability of hand washing facility, knowledgeable towards the use of latrine, cleanliness of latrine were factors which affects latrine utilization. It needs attention to maximize 100% latrine utilization and zero open defecation.
Abstract: In developing regions almost half of the population does not have access to improved latrine facilities. In Ethiopia up to 60% of the current disease burden was attributable to poor sanitation. However, the information regarding latrine utilization was minimal in the study area. This study assessed the magnitude of latrine utilization and associate...
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