Background Vasectomy is one of the highly effective and non-reversible types of long-term family planning methods for men. Ethiopia has a limited number of studies on the use of vasectomy, and they are focused on men rather than married men. The current study was aimed to identify the intention to use vasectomy as a method of contraception among married men in the study setting. Methods A community-based cross-sectional study was conducted from February 1 – April 30, 2018. A sample of 422 married men was recruited using a systematic random sampling method. We conducted face to face interviews with a structured questionnaire (i.e. closed-ended questions). Data were entered into Epi data version 3.1 and SPSS version 23 used for data analysis. The statistical association between the outcome variable (Intention to use vasectomy) and the explanatory variables were first tested with binary logistic regression. Multivariable logistic regression was used to control for confounding effect of each predictor. Results The study findings showed that the intention to use vasectomy as a method of family planning was reported as high (24%). About 34.8% of the respondents had good knowledge and nearly a quarter (23.2%) of them had a positive attitude toward the acceptance of vasectomy use. In multivariate analysis, age range between 30 and 39 years [AOR = 2.4, 95% CI = (1.16–4.82)], having good knowledge about vasectomy use [AOR = 6.22, 95% CI = (3.17–12.21)], and having a positive attitude toward vasectomy use [AOR = 7.81, 95% CI = (4.25–14.38)] were factors significantly associated to use vasectomy as compared to their counterparts. Conclusion The level of acceptance of vasectomy (24%) was high compared to the level of its use in developing countries (i.e. if acceptability translates to use). The study revealed that age, good knowledge, and a positive attitude towards the use of vasectomy were important predictors of the intention to accept vasectomy. To further promote the use of vasectomy effective communication strategies in family planning programs are needed.
Background: Around 303,000 women and adolescent girls pass on from pregnancy and childbirth-related complications in 2015 and 99% of these deaths occur in developing countries. That same year, 2.6 million babies were stillborn. Almost all of the maternal deaths (99%), child deaths (98%), Sixty percent of the stillbirths (1.46 million) occurred during the antepartum period and mainly due to untreated maternal infection, hypertension, and poor fetal growth and occurred in low-and middle-income countries. These maternal deaths could have been prevented if the pregnant women or adolescent girls had been able to access quality antenatal care. A high-risk pregnancy refers to anything that situates the mother, fetus, or neonate at increased risk for morbidity or mortality during pregnancy or childbirth, even during postpartum.Methods: Facility based cross-sectional study was conducted to determine the prevalence of high risk among pregnant women. Non-probability, Convenient sampling technique was used to collect the data by using structured, closed ended and pretested questionnaire and the data collection will be conducted by interviewing the study participants. Data was analyzed by using tally sheets and computer. The association between variables was analyzed using Chi-square test. The result was presented in tables and figures.Result: Out of 314 pregnant mothers with response rate of 100% 47 (15.0%) were < 19 years, 261 (83.12%) were 20-34 years and 6 (1.9%) were ≥ 35 years. While, 60 (19.1%) of the study participants were primigravida mothers and the rest were multigravida. In addition, 210 (66.9%) were at their first visit in first trimester, 77 (24.5%) were at second trimester, and 27 (8.6%) were at third trimester. Among all, the prevalence of high risk pregnancy was 83 (26.43%). The leading risk factor identified in the index pregnancies were HTN 40 (12.5%), anemia 15 (4.8%), 12 (3.8%) had DM, 9 (2.87%) had APH, 7 (2.2%) had malpresentation. Conclusion:From the total of study participant's hypertension, anemia, DM, APH and mal presentation founded as the major health problems. Expanding the utilization of antenatal care, early detection, problem identification and management for all pregnant women should be under taken.
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