Objective Early postnatal care service usage in developing countries is one of the healthcare service usage problems among postnatal women, which is related to extensive maternal and neonatal complications and mortality. Identification of the prevalence of early postnatal care services usage and associated factors among postnatal women is imperative to develop intervention measures to mitigate their complications and public health impact, which is not well known in Ethiopia, particularly in the selected study area. Thus, this study aimed to assess the prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, southeast Ethiopia. Design A community-based cross-sectional study design was conducted among 301 postnatal women from 15 May to 15 June 2021. Measurements Data were collected using a pretested structured questionnaire. The collected data were cleaned and entered in EpiData V.3.1 and then exported to SPSS V.23 for analysis. Finally, a multivariate logistic regression model was fitted to identify the factors associated with early postnatal care services usage. The p value4) (AOR=2.90, 95% CI 1.18 to 7.11) and had spontaneous vertex delivery (AOR=2.18, 95% CI 1.07 to 9.39) were statistically significant factors of early postnatal care service usage. Conclusion This study has shown that the prevalence of early postnatal care services usage was slightly low when compared with other studies. Thus, community-based health promotion should be an important recommendation to increase early postnatal care service usage among postnatal mothers to improve the level of awareness of early postnatal check-up schedules; done by healthcare providers.
Introduction: Iron deficiency anemia during pregnancy is a significant public health problem in low- and middle-income countries. The World Health Organization recommended a daily oral dose of iron and folic acid supplements throughout pregnancy. Poor adherence to iron and folic acid supplementation arises in pregnant women associated with serious adverse health outcomes. Objective: This study aimed to assess iron–folate adherence and associated factors among pregnant women in public health facilities of Durame town, Southern Ethiopia, in 2022. Methods: An institution-based cross-sectional study was conducted from March 1–30, 2022. A structured interviewer-administered questionnaire was used to interview a total sample size of 317 participants. Logistic regression analysis was computed, and variables with a p-value of less than 0.25 in the bivariate logistic regression analysis were selected for multivariable logistic regression analysis. Finally, significance was declared at p < .05 with 95%CI. Results: The findings of this study showed that adherence to iron–folate among pregnant women was 180 (60%) (95%CI: 54–65.7). The odds of iron–folate adherence among women who had not had anemia in their current pregnancy were 63% (AOR = 0.37, 95%CI: 0.14–0.99) less likely to have adherence, and the odds of iron–folate adherence among women who had not heard about the disease anemia were 58% (AOR = 0.42, 95%CI: 0.22–0.81) less likely to have adherence. Conclusion: Iron–folate adherence in Durame public health facilities was better compared to other studies even if it was not high enough to prevent anemia and folate deficiency. Women who had not had anemia in their current pregnancy and women who had not heard about the disease anemia were significantly associated with adherence to iron–folate. Thus, healthcare providers should provide health education on the enhancement of adherence to iron–folate utilization and the means how to prevent iron–folate deficiency during their clients’ pregnancy.
Objectives: - To assess female genital mutilation associated birth complications among postnatal women in Chuko Primary Hospital, Sidama National Regional state, Ethiopia, 2020Method: An institutional-based cross-sectional study was conducted in Chuko Primary Hospital, Sidama Regional State, Southern Ethiopia from May 1 to June 15, 2020. Two hundred fifty postnatal women were involved in the study. A systematic random sampling technique was used. The data was collected using pretested and structured interviewers administered questionnaire adapted from a validated questionnaire, content validity was checked by experts, and reliability of the scaled tools was tested by Cronbach's alpha test (0.70). Before analysis data was entered and checked using Epi data and exported into Statistical Package for Social Sciences version 25.00. Bivariate analysis was carried out between the dependent and independent to identify candidate variables for multivariable logistic regression. Multivariable logistic regression analysis was made to obtain the odds ratio and the confidence interval of statistical associations between Female Genital Mutilation associational Birth complications.Result: Two hundred fifty postnatal women were included in the study. The prevalence of FGM was 76.8% with 95% CI: [71.6- 81.6]. Episiotomy (AOR= 7.25[95% CI: 2.27, 23.2] and prolonged labour (AOR= 2.16[95% CI: 0.03, 0.82] were significantly associated with Female Genital Mutilation.Conclusion and recommendations: The prevalence of female genital mutilation among postnatal women in Chuko Primary Hospital was high. Family members, health and social care professionals have crucial roles in determining FGM and associated birth complication of women. Therefore, Stakeholders who are working on the improvement of maternal and neonatal health during delivery should try to reduce FGM by intervening at the individual level, family and community level to lessen the problem to some extent. Further researches in more detail to fully understand the problems and the findings will be used as inputs for concerned bodies.
Background: Preconception Preconception care (PCC) utilization remains a significant challenge in low- and middle-income countries, contributing to prevent high rates of maternal and neonatal morbidity and mortality. Despite its critical impact on health outcomes, there is a little evidence concerning the prevalence and determinants of service utilization within the Sidama region. Thus, this study aimed to assess the prevalence of preconception care utilization and its associated factors among low-income household mother in Sidama, Ethiopia, in 2025. Methods: An institutional based cross-sectional study design was conducted among 406 participants by using systematic random sampling technique. Data were collected using koobotool box, and exported to SPSS Version 25 for analysis. Binary logistic was employed to identify candidate variable (P-value≤ 0.25) for a multivariable logistic regression. A variable with P-value <0.05 in multivariable logistic regressions at 95% confidence interval was declared as having significant associations. Result: The study revealed that the prevalence of preconception care utilization among low-income household mother was 41.2 %( 95%CI: 34.5-46.1). The overall proper knowledge and attitude of professional ethics was 36.4%, 58.8% respectively. Level of education college and above (AOR= 5.08; 95%CI: 2.47 -12.07) and prim-gravid (AOR: 2.1; 95%1.3 to 5.9) were factors significantly associated with pre conception care utilization of mothers. Conclusion: This study revealed that the prevalence of preconception care utilization among low-income urban mothers was low. The level of education, college and above and being prim-gravidwere factors significantly associated with preconception care utilization. Thus, health promotion for low-income urban mothers on preconception care should be given by health care providers to increase proportion of service utilization.