Journal of women's health care and management最新文献

{"title":"Prevalence of Herbal Medicine Utilization and Associated Factors among Pregnant Women in Shashamane Town, Southern Ethiopia, 2020;Challenge to Health Care Service Delivery","authors":"G. Bekele, Dajane Negesse Gonfa","doi":"10.35248/2167-0420.21.10.551","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.551","url":null,"abstract":"Introduction: Despite the fact that knowledge of potential side effects of many herbal medicines in pregnancy is limited and that some herbal products may be teratogenic, data on the extent of use of herbal medicines by women during pregnancy in the study setting is unknown. Therefore, the aim of the study was to assess the prevalence of herbal medicine utilization and associated factors among pregnant women in Shashamane town, southern Ethiopia. Methods: A community based cross sectional study was conducted among 358 pregnant women in, shashamane town, southern Ethiopia from august 1-30/2020. Data was collected using semi structured interviewer administered questionnaire, entered into Epi-data version 3.1 and exported to statistical package for social science (SPSS) version 20 for analysis. Bivariate and multivariate logistic regression analysis was performed. P-value < 0.05, at 95% confidence interval was considered as cut off point to declare the presence of statistically significant association. Result: This study revealed that prevalence of herbal medicine utilization during current pregnancy was 16.8%% (95% CI: 13.5-19.3). Counselling about the risk of herbal medicine during antenatal care follow up (AOR=2.51, 95% CI: 1.08-5.84), history of health problem during their current pregnancy (AOR=2.34, 95% CI: 1.56-3.18), and previous experience (AOR=4.50, 95% CI: 3.67-9.46) were significantly associated with utilization of herbal medicine during pregnancy. Conclusion and recommendation: The prevalence of herbal medicine utilization during pregnancy was found to be low compared to most of the previous studies conducted in Ethiopia. Therefore it is necessary to provide adequate counseling for all pregnant women attending antenatal care regarding the risks associated with herbal drug use on mother and fetus.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"26 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84796112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Importance of Antenatal Folate Supplementation and Neural Tube Defects","authors":"K. Santhosh, P. Naveena","doi":"10.35248/2167-0420.21.10.537","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.537","url":null,"abstract":"Birth defects are one of major burden in human public health with estimates from CDC every year. Neural tube defects are common complex multifactorial disorder in neurulation of brain and spinal cord that occur between 21 and 28 days of conception in human over past years incidence of neural tube defects (NTD’s) has been steadily decreased secondary to better nutrition and screening with maternal serum αFP [AlphaFeto Protein] and now ultrasonography. Therefore antenatal intake of folate plays major role in high risk women of child bearing age in preventing the neural tube defects which include anencephaly, spina bifida, meningocele, myelomeningocele and Craniorachischisis.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"10 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74326696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Community Based Health Insurance Implementation: Evidence from South Gondar Zone, Amhara Region (2020)","authors":"Alebel Woretaw Asaye, M. Engidaw","doi":"10.35248/2167-0420.21.10.528","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.528","url":null,"abstract":"Recently in Ethiopia, there is an increasing movement to implement community based mostly insurance theme as integral a part of health care finance and significant movements has resulted within the unfold of the theme in several elements of the country. Despite such increasing effort, recent empirical proof shows entering have remained low. The aim of this study is to spot determinants of enrollment in community based mostly insurance implementation in South Gondar Zone, Amhara region A community based mostly cross sectional survey was conducted to gather information from 1,035 family heads employing a multi-stag sampling technique. A binary logistic regression was accustomed to determine the determinants of family decisions for CBHI enrollment. Out of the participants, (68.17%) were CBHI members. Besides, family size (AOR=2.18; CI=1.13-1.45), average health status (AOR=.590; CI=.281-.906), chronic malady (AOR=4.42; CI=1.92-8.22), theme benefit package adequacy (AOR=3.18; CI=1.90- 6.20), perceived health service quality (AOR=4.69; CI=1.78-7.70), CBHI awareness (AOR=4.78; CI=1.75-15.7), community commonality (AOR = 4.87; CI = 2.06–6.93) and wealth (AOR = 4.52; CI = 1.78–7.94) were vital determinant factors for entering within the community based mostly insurance theme. CBHI awareness, family health condition, community commonality, quality of health service of health organizations and wealth were major factors that almost all confirm the family decisions to register within the system. Therefore, in depth and continuous awareness creation programs on the scheme; stratified premium – supported economic status of households; incorporation of social capital factors, notably building community commonality within the theme implementation are important to boost continuous enrollment. As perceived family health status and therefore the existence of chronic malady were also found vital determinants of enrollment, the government may need to seem for choices to create the theme obligatory.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"102 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86898773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ovarian Cysts: Types, symptoms, Diagnosis & Treatment","authors":"Pallavi Suram","doi":"10.35248/2167-0420.21.10.541","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.541","url":null,"abstract":"","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"27 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85129029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Late Initiation of Antenatal Care and Associated Factors among Pregnant Women Attending Antenatal Care in Southeast Ethiopia","authors":"Tilahun Ermeko Wanamo, Abate Lette Wodera, Desalegn Bekele","doi":"10.35248/2167-0420.21.10.535","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.535","url":null,"abstract":"Background: Antenatal care (ANC) also known as prenatal care given for women during pregnancy, and it is important for both maternal and fetal health. Pregnant women with late initiation of antenatal care are more likely to attain poor outcomes of pregnancy. Therefore; this study was conducted to determine the prevalence of late initiation of antenatal care and associated factors among pregnant women attending antenatal care unit in Goba town, southeast Ethiopia. Methods: An institutional based cross-sectional study was conducted from April 1 to April 28/2018 among 379 pregnant women. Systematic sampling technique was used to select the study participants. Data were collected using interview based pre tested and structured questionnaire. The data was analyzed using SPSS version 20; bivariate and multivariable logistic regressions were used. Bivariate analysis was carried out to examine the relationship between dependent and independent variables of the study; in addition, multivariable logistic regression analysis was carried out to see independent effect of the predictor variables on the dependent variable by adjusting the effect of potential confounding variables. Adjusted Odds ratio with 95% CI was used to show strength of association between dependent and predictor variables. Result: .Out of 379 pregnant mothers included in the study, 232(61.2%) pregnant women had started their first antenatal care (ANC) early in the first trimester, while the remaining 147(38.8%) pregnant mothers had started late. Educational level of respondents, monthly income, and obstetrics history of stillbirth were significantly associated with late initiation of first ANC among pregnant mothers. Conclusion: In this study a high occurrence of late initiation of ANC was found among pregnant women compared other studies conducted in Ethiopia. Factors such as no formal education, monthly income of <= 400 EB, and no obstetrics history of stillbirth were significantly associated with higher level of late initiation of first ANC among pregnant women. So, timely strategic actions should be implemented by government as well non-governmental stake holders at predictors’ of late early initiation of first ANC","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"96 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75551596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Unplanned Pregnancy and Associated Factors among Mothers Attending Antenatal Care at Shashemane District Public Hospital, Oromia Region, Ethiopia: A Cross- Sectional Study","authors":"Nurye Sirage, G. Gemeda","doi":"10.35248/2167-0420.21.10.531","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.531","url":null,"abstract":"Introduction: Unplanned pregnancy is an important public health problem both in developing and developed world, because of its association with adverse social and health outcome for mothers, children and family as whole. The aim of this study was to assess the prevalence and associated factors of unplanned pregnancy among antenatal care attendants in Shashemane public hospitals, west Arsi zone in Oromia region. Methods: Institution-based cross sectional study design was employed on 380 pregnant women who came for antenatal care visit in Shashemane referral hospital and Melkaoda hospital from Mar 25- April 22/2019 G.C. The study participants were selected using systematic random sampling method and semi structured questionnaire was used to collect the data. The collected data were entered into Epi-data version 3.1 and exported to Statistical Package for Social Science version 22. Both bivariate and multivariable logistic regression analysis were performed to identify associated factors. P values <0.05 with 95% confidence level were used to declare statistical significance. Result: The prevalence of unplanned pregnancy was 31.1%. Most of the respondents (57%) were found to have poor knowledge towards family planning. Predictor like parity of three and above and having poor knowledge towards general use of family planning were found to be positively associated with unplanned pregnancy as evidenced by statistical result of [AOR=9.7 (95%CI):(2.0, 47.7)] and [AOR=2.85 (95%CI):(1.54, 5.3)] respectively. Being rural in residence [AOR =0.27 (95%CI) :( 0.15, 0.5)] and husbands educational level of primary and above [AOR=0.34 (95%CI): (0.16, 0.73)] were found to be protective factors for unplanned pregnancy. Conclusion: According to this study the prevalence of unplanned pregnancy was 31.1%. Maternal age group of 35- 45, rural residence, multiparty, and having poor knowledge towards general use FP are significantly associated with unplanned pregnancy.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"6 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84874405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bacterial Vaginosis: Prevalence in Sexually Active Women Living in the City of Franceville (Gabon) and its Surroundings","authors":"R. W. Lendamba, R. Onanga, M. Bignoumba, Y. M. Ndzime, P. P. M. Nguema, Rol, Fabrice Kassa-Kassa, Gafou Amahani, K. M. Moghoa, Anicet Dikoumba, Jean-Fabrice Yala","doi":"10.35248/2167-0420.20.10.501","DOIUrl":"https://doi.org/10.35248/2167-0420.20.10.501","url":null,"abstract":"Background: Bacterial vaginosis has been the subject of numerous studies to assess its impact on vaginal health. It is a very common vaginal syndrome in women who are sexually active in general and of childbearing age in particular. This study was conducted in the city of Franceville and its surroundings to establish the prevalence of bacterial vaginosis. Material and Methods: A socio-demographic survey sheet made it possible to collect the data of the 257 participants and to record the different characteristics of the vaginal samples taken after signing the informed consent. These vaginal swabs were stained with Gram stain, examined under an immersion microscope, and then classified by the Nugent score to diagnose the presence of bacterial vaginosis or not. Associated infections were sought by culturing the samples on specific media. The IST2 kit was used to diagnose urogenital mycoplasmas. The Chi 2 test was used to determine whether the distribution of bacterial vaginosis according to the different factors considered was significant with an α risk set at 5%. Results: The diagnosis of bacterial vaginosis using the Nugent score gave a prevalence of 64.59% while the use of Amsel criteria alone provided prevalence of 26.07% with a statistically significant difference between two methods (p=2.2.10-16). Women aged 25 to 35 (p=0.137), those with a history of abortion or having an ectopic pregnancy (p=0.102), unmarried women (p=0.217), those consuming alcohol (p=0.151) and those who are employed or traders (p=0.145) are the most affected without this being statistically significant. The prevalence of bacterial vaginosis was significantly high in participants who had at least two weekly sexual relationships (p=0.003), in those who relapsed (p=9.5.10-13), in those who consulted without apparent symptoms (p=0.026) and in its association with urogenital mycoplasmas (p=0.027) and in those who are pregnant (p=0.044). Conclusions: Bacterial vaginosis is very high in the city of Franceville and its surroundings.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"21 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76197281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seroprevalence of Hepatitis B Virus and Associated Factors among Pregnant Women Attending Ante Natal Care services at Nekemte Town Public Health Facilities, Ethiopia","authors":"Sinkinesh Eba, G. Kejela, Afework Tamiru, A. Tafari","doi":"10.35248/2167-0420.21.10.547","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.547","url":null,"abstract":"Background: Viral hepatitis is an emerging global health problem. A pregnant woman infected with the Hepatitis B virus has a high rate of vertical transmission, causing adverse fetal and neonatal outcomes. Understanding the magnitude of the problem and associated factors has paramount importance to avert such adverse fetal and neonatal outcomes. So, the main aim of this study was to assess the Sero-prevalence of hepatitis B virus and associated factors among pregnant women attending antenatal care clinics at Nekemte town public health facilities. Methods: Institutional based cross-sectional study was conducted among 277 pregnant women attending Antenatal Care at Nekemte town public health facilities from June 1 to July 30, 2020. All public health institutions in Nekemte town (two hospitals and one health center were taken and the study participants were selected by using a systematic sampling technique. The data were collected using pretested and structured questionnaires using a face-to-face interview and a blood sample was collected to test for hepatitis B surface antigen. Logistic regression analysis was employed to identify factors significantly associated with hepatitis B virus infection. Variables with a p-value <0.05 were considered statistically significant predictors of the outcome variable. Results: The overall Sero-prevalence of Hepatitis B Virus infection was 16 (5.8%) [95% CI: 3.2-8.7] which indicates intermediate endemicity. History of abortion (AOR=6.155; 95% CI: 1.780, 21.291), history of contact with hepatitis patient (AOR=7.178; 95%CI: 1.702, 30.279), and having multiple sexual partners (AOR=6.788; 95%CI: (1.701, 27.086) had a statistically significant association with hepatitis B surface antigen Sero-positivity. Conclusion: Hepatitis B Virus Seroprevalence among pregnant women in this study shows intermediate endemicity. Therefore, health education on the risk of having multiple sexual partners, unprotected contact with hepatitis patients, and abortion should be given.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"18 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79806304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitude and Practice of Infection Prevention among Health Care Workers in Public Health Facilities in West Guji Zone, Oromia,Ethiopia, 2018","authors":"Girma Tufa Melesse, Belda Negesa, Z. Wayessa","doi":"10.35248/2167-0420.21.10.546","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.546","url":null,"abstract":"Background: Infection prevention and control play an essential role in patient safety and improve the quality of universal health coverage. The problem is more common in developing countries as compared to developed countries. This study aimed to assess knowledge, attitude and practice of infection prevention among health care workers in public health facilities in West Guji Zone, Oromia, Ethiopia, 2018 Methods and Materials: Facility-based descriptive cross-sectional study was done from may1-30, 2018.Data were collected by a self-administered structured pretested questionnaire from 203 health care workers. The health care workers were selected through a stratified sampling technique. After the data were checked for completeness, cleaning and coding were performed. The data was entered into Epi-Info version 3.5.2 and analyzed using statistical package for social sciences(SPSS) version 20.0. The data was summarized by descriptive statistics using the frequency, percentage, and graphs. Results: A total of 201 Health care workers were participated in the study, with the response rate of (99%). The proportion of Hhealth Care Wworkers about infection prevention who was knowledgeable, had a positive attitude, and safe practice was 120(59.7%), 82(40.8%), and 110(54.7%), respectively. From the respondent, 169(84%) of health care workers were use glove in daily activities and 32(16%) of health workers did not use a glove in their daily activities. Regarding potentially infectious and susceptible to infection 164 (81.6 %) and 37 (18.4%) of Health care workers think that both of them and patient/staff were infectious and susceptible to infection, respectively. Among the respondents, 138 (68.7%) of health care workers were not recapped needles after use and 71(31.3%) of health care workers recap needles after use. From study participant 174(86.6%) of health care workers were discarded needles and other wastes to their container. Conclusion: Generally, the result of this study revealed the level of knowledge, attitude, and practice of health care employees for infection prevention was low. The health care facility at which a study conducted should update health care worker's awareness by providing training services on PPE utilization and proper waste disposal system to increase the quality of health care services by preventing infection.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"253 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74085560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Practice of Breast Self-examination and Associated Factors among Women Students in West Arsi Zone, Southeast Ethiopia","authors":"Habib Kedir, K. Ahmed, A. Abdulkadir, Tilahun Ermeko Wanamo, A. Lette","doi":"10.35248/2167-0420.21.10.542","DOIUrl":"https://doi.org/10.35248/2167-0420.21.10.542","url":null,"abstract":"Background: Breast cancer is the leading cause for maternal mortality globally, especially in developing countries like Ethiopia. The incidence is increasing specially in developing regions. Regular breast self-examination is one of the most cost-effective methods for early detection of breast cancer in asymptomatic women. Objective: The aim of the study is to assess the level of knowledge and breast self-examination practice, and its associated factors among students in private universities at west Arsi zone, south east Ethiopia. Methods: A facility based cross-sectional study design was conducted from April 1 to 30, 2018. A total of 355 undergraduate female students were participated in the study. Simple random sampling technique was used to select the study participants. Binary and multivariate logistics regression analyses was applied using backward step wise method with p 0.25 criteria to enter and exit from the model respectively. Odds ratios with 95% confidence intervals were computed and significance of all tests was determined at p ≤ 0.05. Results: From all participants 84(23.7%) were knowledgeable about breast self-examination and 148(41.7%) and 65(18.3%) of them have knowledge about sign and risk of breast cancer respectively. Only 112(31.5%) ever practiced breast self-examination, from those 79(22.3) of them practice breast self-examination monthly and most them started breast self-examination between age of 20-30 years. After adjusting for possible confounders; Field of study, knowledge of breast cancer risk and sign were significantly associated with knowledge of breast self-examination. Knowledge about breast self-examination and from constructs of health belief model perceived susceptibility and perceived barriers were significantly associated with breast self-examination practice. Conclusion: knowledge and practice of breast self-examination of undergraduate female students was low as a National guideline of Ethiopia FMOH that states all female age above 20 years should practice BSE. Therefore, the health sector should design strategies to improve female students’ knowledge and practice of breast self-examination.","PeriodicalId":93471,"journal":{"name":"Journal of women's health care and management","volume":"921 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77531428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}