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Background: Satisfactory client-provider communication is essential especially when providing antenatal care. Despite improved antenatal coverage, client-provider communication during antenatal care service is still poor. Even though, client-provider communication reduces challenges of pregnancy complications, it is mostly ignored in medical researchers. In Ethiopia, such studies are non-existent both at national and local level. Objective: To assess clients' satisfaction with health care providers' communication and associated factors among pregnant women attending antenatal care in Jimma Town public Health Facilities, Jimma Zone, and Southwest Ethiopia. Methodology: Cross sectional study design with mixed data collection method was conducted, from March 1 to 30/2017. Three hundred twenty two clients and six key informants participated in this study. Participants selected using systematic random sampling technique. Quantitative and qualitative data were collected from clients and key informants using structured questionnaires and in-depth interview guide respectively. Data were entered into Epi data and exported into SPSS version 21.0 for analysis. Descriptive statistics, bivariate and multivariate binary logistic analyses were carried out. Qualitative data were analyzed based on thematic frameworks to triangulate quantitative findings. Result: Overall status of clients' satisfaction with providers' communication accounted 163(52.2%). Highest satisfaction (70.8%) was reported on providers' support and respect dimension. similarly, 54.7% and 43.5% of clients were dissatisfied with providers' information provision and clients' consultation time dimension respectively. According to multivariate analysis clients' marital, educational and occupational statuses were predictors of communication satisfaction. Qualitative finding reveals shorter consultation time, inappropriate utilization of aids and low health information were major reported challenges. Conclusion and recommendation: status of clients' communication satisfaction was low compared to other studies. Clients' occupation, educational and marital status were significant predictors of communication satisfaction. Investigator recommends providers should give relevant health message to pregnant women with appropriate communication.

Background. World Health Organization strongly recommends that every obstetrical provider at birth needs to have knowledge and skills on active management of the third stage of labor and use it routinely for all women. However, implementation of this lifesaver intervention by skilled birth attendants is questionable because 3% to 16.5% of women still experience postpartum hemorrhage. Even though coverage of giving births at health facilities in Ethiopia increases, postpartum hemorrhage accounts for 12.2% of all maternal deaths occurring in the country. Lack of the necessary skills of birth attendants is a major contributor to these adverse birth outcomes. Objectives. This study aimed to assess the active management of the third stage of labor practice and associated factors among obstetric care providers. Methods. An institution-based cross-sectional study design was applied from March 15 to April 15, 2020. Multistage sampling techniques were used to get 254 participants, and data were collected using self-administered structured questionnaires and an observation checklist. Data were entered into EpiData version 3.1 and exported to Statistical Package for the Social Sciences (SPSS) version 23.0 for analyses. The multivariable logistic regression model was used at 95% confidence interval with P value <0.05. Among the 232 providers participating in the study, only 75 (32.3%) of respondents had a good practice. The practice of the provider was significantly associated with work experience (adjusted odd ratio 0.206 (95% confidence interval, 0.06–0.63)), knowledge (adjusted odd ratio (2.98 (95% confidence interval, 1.45–6.14)), the presence of assistance (adjusted odd ratio 2.04 (95% confidence interval, 1.06–3.93)), and time of uterotonic drug preparation (adjusted odd ratio 4.69 (95% confidence interval, 2.31–9.53)). Conclusion. Only one-third of obstetric care providers had good practice during active management of third stage of labor. Practice was significantly associated with work experience, knowledge, the presence of assistance during third-stage management, and time of uterotonic drug preparation. Consistent and sustainable on job training and clinical audit should be applied in all facilities with regular supportive supervision and monitoring. Furthermore, team work and adequate preparation should be done to facilitate the management of active third stage of labor.

Introduction and aims: As directed by the WHO, antenatal care providers have good opportunities to identify and refer mothers who are struggling with psychosocial problems. In Ethiopia, the pooled prevalence of perinatal depression is 25.8%, which is almost two-fold of the pooled global prevalence. Though this is an indication of the need for prompt interventions, there is no assessment targeted to this population. Therefore, the aim of this project was to promote an antenatal psychosocial assessment practice among midwives.Methods: Using the Joanna Briggs Institute Practical Application of Evidence System, 66 first visit antenatal care assessment opportunities were observed in both baseline and follow-up audit using three audit criteria. Fourteen midwives were interviewed for the first criterion. On the basis of the results, the gaps and barriers were analyzed using Getting Research into Practice strategies. Result:The baseline audit result revealed a 0% compliance rate for all evidence-based antenatal psychosocial assessment audit criteria. This scenario disclosed that there had not been psychosocial problem assessment practice at antenatal clinic. However, the postimplementation result showed that an average 91.5% practice of evidencebased antenatal psychosocial assessment was applied as per standards. Conclusion:Carrying out discussions on evidence summary with providers, on-the-job training, using local leaders' opinions, and involving relevant stakeholders appeared to be the key methods in improving compliance to best available evidence in antenatal psychosocial assessment.

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