Quality of life and its associated factors among women diagnosed with pelvic organ prolapse in Gynecology outpatient department Southern Nations, Nationalities, and Peoples region public referral hospitals, Ethiopia 2022

Abstract

Background Pelvic organ prolapse is an important public health issue influences millions of adult women’s lives; through limitations on physical, social, and sexual activities as well as psychological distress. However, there were no reports on the quality of life for women with pelvic organ prolapse in Ethiopia. Therefore this study amid to assess the magnitude of quality of life and its associated factors among women diagnosed with pelvic organ prolapse in Gynecology outpatient department Southern Nations, Nationalities, and Peoples region public referral hospitals; Ethiopia. Method An institutional-based cross-sectional study was conducted in Southern Nations, Nationalities, and Peoples region of public referral hospitals from May1-July 4, 2022 among 419 diagnosed women with pelvic organ prolapse. A validated tool was used to collect the data. The collected data were entered into EPI data version 3.1 and analyzed using the Statistical Package for Social Sciences. Bivariable and multivariable logistic regression was computed. The p-value of < 0.05 was used to declare the final statistical significance. Result A total of 409 women with pelvic organ prolapse were included in the study, giving a response rate of 97.6%. The overall poor quality of life was 57.5%. Regarding the quality of life domains; personal relationships (73.6%), were highly affected, and sleep/energy (24.2%) was the least affected domain. Stage III/IV prolapse (AOR = 4.61, 95% CI: 2.51, 8.48), menopause (AOR = 3.59, 95% CI: 1.85, 6.97), unmarried women(widowed, divorced) (AOR = 3.81, 95% CI: 2.02, 7.19), low-income level (AOR = 7.48, 95% CI: 3.67, 15.24), and longer duration of prolapse (AOR = 8.8, 95% CI: 4.81, 16.11), were significantly associated with poor quality of life. Conclusion More than half of women with pelvic organ prolapse had a poor quality of life. Stage III/IV prolapse, longer duration of prolapse, low-income level, menopause women, and unmarried women are statistically significant factors for the quality of life of women with POP. Therefore, Ethiopian Ministry of health with their stakeholders should develop an early detection and treatment strategy, and financial support for women with pelvic organ prolapse.

Assessing the Impact of Social, Demographic, and Economic Factors on the Economic Empowerment of Rural Women in Agricultural Activitie : A Partial Proportional Odds Model Analysis in Dire Dawa Administration, Ethiopia

“…Additionally, the results of this study may also be seen in the context of the broader literature on land ownership and its impact on women's empowerment. While access to land has been shown to have a positive influence on women's empowerment in previous studies (Tefera and Beyan, 2014), the findings in this study suggest that the ownership of livestock may have a similarly positive impact. This is noteworthy, as it highlights the importance of examining multiple dimensions of property ownership when evaluating the factors that contribute to women's empowerment.…”

“…In Ethiopia, few studies have explored women's economic empowerment (WEE), but Kifle et al (2013) found that factors such as monthly savings, family size, and landholding were major drivers of women's microfinance participation decisions. Dadi (2013) and Tefera & Beyan (2014) explored the drivers of agricultural women's economic empowerment through Ethiopia and discovered that ownership of and access to over economic resources are important factors.Overall, these studies highlight the significance of addressing barriers to women's economic empowerment to reduce poverty and promote sustainable development.…”

“…Land and livestock holdings are essential contributors to household income, as research has found (Adekunle, 2013;Rebecca, 2012). Access to land, in particular, has been identified as a crucial factor in promoting women's empowerment (Tefera & Beyan, 2014), while livestock ownership has also been found to have a direct relationship with women's economic empowerment (Gupta et al, 2019). In addition to economic factors, social factors also play a significant role in women's economic empowerment, particularly in rural areas.…”