Background: Contraceptive use has increased markedly in the recent years in most developing countries, due to desire for smaller families; however, millions of women still want to delay or avoid pregnancy but are not using contraception to limit or to space their birth.Thus, the objective of this study is to assess unmet need for family planning among married women in Mekelle city, Tigray. Methods: Community based cross-sectional study was conducted among married reproductive age women. Data were collected from October, 15 up to Novmber, 15/ 2018. A total of 426 study participants were interviewed using a systematic random sampling technique. Structured and interviewer administered questionnaire was used to collect the data and were analyzed using SPSS version 22. Bivariate and multivariable logistic regression models were used to assess the predictors of the outcome variable. P-value of less than 0.05 was considered to test statistical significance. Results: The overall unmet need for modern contraception among the currently married women of reproductive age women was 19.7% (95% CI: 16.2%-23.7%) and of which 13.3% was unmet need for spacing and 6.4% was unmet need for limiting.Age of mother (25-34 years: AOR =2.79, 95%CI =1.03-7.60), occupational status of mother (AOR =2.72, 95%CI =1.72-4.02), number of living children (AOR =2.31 95%CI =1.09-4.84) and knowledge of mother about modern contraceptive methods (AOR =3.38, 95%CI=1.82-9.92) were independent predicators for unmet need for modern contraception. Conclusion: The prevalence of unmet need for contraception is low. Age of mother, occupational status of mother, number of children and knowledge of mother about modern contraceptive methods were the independent predicators for unmet need of modern contraception. Strong effort should be made by health care workers to reduce unmet need and policy makers should use different approaches to educate women about modern contraception and increase its utilization for spacing and limiting.
Background: - Uncontrolled hypertension is if SBP is ≥140 mm Hg and/or DBP ≥90 mm Hg for general hypertensive population or if SBP ≥130 mm Hg and/or DBP ≥80 mm Hg in patients with established diabetes mellitus or chronic kidney disease based on the average of two or more properly measured, seated, BP readings on each of two or more office visits. The aim of this study was to assess the magnitude of uncontrolled hypertension and associated factors among adult hypertensive patients in public hospitals of central zone, Tigray, Ethiopia, 2018. Methods:- A hospital based cross sectional study design was used. The study population was all sampled adult hypertensive patients who had follow up in public hospitals of central zone, Tigray and the data collection period was from March 01 to April 30, 2018. About 421 study participants were selected using systematic random sampling. Interviewer administered structured questionnaire, chart review checklist and measurements were used. The collected data was checked for its completeness manually and then entered and cleaned in to epi data version 3.1 and exported to Statistical packages for social science version 22 for analysis. Bivariate and multivariable analyses were done to identify factors of uncontrolled hypertension. Then those variables significant at p<0.25 with the outcome variable in bivariate analysis were selected for multivariable analysis and odds ratio with 95% confidence level was computed and p-value < 0.05 was described as a significant association in multivariable analysis. Result: - Among 421 respondents about 177(42%) had uncontrolled hypertension. Co-morbidity [AOR=0.36, (0.205, 0.631)], five to ten years duration of medication taken [AOR=0.398, (0.218, 0.725)], side effect of medication [AOR=0.542, (0.339, 0.866)] and medication adherence [AOR=4.092, (2.419, 6.924)] were significantly associated with uncontrolled hypertension. Conclusion: - In this study the magnitude of uncontrolled hypertension was high. Co-morbidity, antihypertensive medication taken for long duration, side effect of antihypertensive medication and non adherence to antihypertensive medication shows statistical association with uncontrolled hypertension.
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