Background In developing countries, most maternal deaths are related to the lack of accessibility and availability of reproductive health services. In those nations, emergency contraceptive pills are the most commonly used family planning methods to prevent unintended pregnancy. However, women do not use this family planning method for different reasons. Consequently, women expose to unsafe abortion which results in maternal morbidity and mortality. Objective To assess the knowledge of and utilization of emergency contraceptive and its associated factors among women seeking induced abortion in public hospitals, Eastern Tigray, Ethiopia, 2017. Methods Hospital-based cross-sectional study was conducted on 380 women, who came for safe termination of pregnancy from April to July 2017. Systematic random sampling technique was used. Pretested structured questionnaire was used to collect data through interview. Data were entered using Epi Info version 7 and exported to SPSS version 20 for analysis. Data were presented using descriptive statistics. Bivariate and multivariate logistic regression was carried out to see if there was significant association between variables at P < 0.05 and 95% confidence interval (CI). Result Out of the total 369 respondents, 149 (40.4%) had the knowledge about emergency contraceptive pills. The magnitude of utilization of emergency contraceptive among respondents was found to be 45 (12.2%). Protestant in religion (AOR = 60.85, CI (5.34–693.29)), previous utilization of any contraceptive method (AOR = 0.13, CI (0.05–0.36)), and women who were not knowledgeable about emergency contraceptive (AOR = 0.030, CI (0.006–0.14)) were significantly associated with the utilization of emergency contraceptive. Conclusion Most of the women were not knowledgeable about emergency contraceptive and utilization of emergency contraceptive was also very low. In conclusion, religion, knowledge, and previous utilization of emergency contraceptive were associated with the utilization of emergency contraceptive.
Background. The use of birth control and its promotion has potential benefits of reducing poverty, maternal, and child mortality. However, there is limited evidence regarding modern contraceptive utilization among indigenous and nonindigenous married women of the reproductive age group in Ethiopia. Therefore, this study aimed to assess the magnitude of modern contraceptive utilization and its associated factors among indigenous and nonindigenous married women in Eastern Ethiopia. Methodology. A community based comparative cross-sectional study design was conducted among married women of the reproductive age group from February 01 to March 01/2018 in Jigjiga town, Eastern Ethiopia. A total of 1004 married women were selected using a simple random sampling method. The collected data were entered into EpiData software version 3.1 and exported to SPSS version 22.0 for analysis. Bivariable and multivariable logistic regression analyses were used to identify the associated factors. Statistical significance was declared using 95% confidence interval and p value of less than 0.05. Result. A total of 987 study participants were included in the study with a response rate of 98.3%. The overall prevalence of modern contraceptive utilization among married reproductive age group women was found to be 19.9% (95% CI (17.4%-22.3%) with 26.5% and 11.4% for nonindigenous and indigenous women, respectively. Primary level of education (AOR 0.84; 95% CI (0.15-0.85) p 0.0001) and Somali in ethnicity (AOR 0.75; 95% CI (0.15-0.94) p 0.03) were associated factors among indigenous group, while age group 30-34 years (AOR 1.56; 95% CI (1.31-9.52) p 0.02) and being a housewife in occupation (AOR 0.49; 95% CI (0.42-0.96) p 0.04) were the associated factors among the nonindigenous group. Conclusion. Overall utilization of modern contraceptives was approximately one-fifth, with markedly lower use among indigenous participants. One-third of nonindigenous and less than one-seventh of indigenous were utilizing modern contraceptive methods. There is a need to further explore and understand the factors across indigenous and nonindigenous women for the use of modern contraceptives; hence, a longitudinal study is desirable.
Background:Kangaroo mother care (KMC) practice ‘is the early, prolonged and continuous skin-to skin contact between the mother and her low birth weight baby that practiced in the hospital and after early discharge until at least the 40 th weeks of postnatal period with exclusive breast feeding and proper follow-up’. Low birth weight is an underling factor in 60-80% of all neonatal deaths. Therefore, this study aimed to assess kangaroo mother care practice and its associated factors among post natal mothers who gave birth in public hospitals of Eastern and Central zone, Tigray, North Ethiopia.Methods:An institutional based cross-sectional study was conducted in Eastern and central zone of Tigray Region from March –August/2019. A total of 411 study participants were selected using simple random sampling technique. Binary and Multiple logistic regression analysis were used to see the association of independent variables to the outcome variable at a P<0.05 using SPSS version 20.0 software.Results:A total of 397 study participants were included in the study with a response rate of 96.6%. Of these, the mean age of the respondents was 27.4(±5.7). More than half (54.4%) of mothers were practiced KMC to their low birth weight baby. Mothers age [AOR (95%CI):0.21(0.05,0.95)], occupational status of mothers [AOR (95%CI): 0.11(0.04,0.34)], occupational status of fathers [AOR (95%CI): 4.1(1.54,11.07)], monthly income[AOR(95%CI): 0.27(0.09,0.76)], place of delivery [AOR(95%CI):0.29(0.11,0.76) and complications of newborn baby at birth [AOR(95%):3.1(1.21,8.09)] were the factors significantly associated with kangaroo mother care practice.Conclusion:There was low proportion of mothers practiced kangaroo mother care to their low birth weight baby. Hence, health care providers should demonstrate for family members and mothers on how to practice kangaroo mother care immediately after delivery in health institution and to be continued at home.
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