Zemenu Yohannes - Academia.edu (original) (raw)
Papers by Zemenu Yohannes
Family Medicine and Medical Science Research, 2015
Parent-adolescent communication about sexual issues remains a challenging issue in many sub-Sahar... more Parent-adolescent communication about sexual issues remains a challenging issue in many sub-Saharan African countries as the social milieu in many traditional communities still limit such communication. Moreover, when adolescents feel unconnected to home, family, and school, they may become involved in activities that put their health at risk [7]. Sexual and reproductive health problems of adolescents in Ethiopia are rising from time to time, and this is associated with early sexual initiation, STI, PID, unwanted pregnancy & unsafe abortion [8]. Communication parent-adolescent about sexual health and good family communication regarding sexual risk behavior have been associated with less engagement in sexual risk behavior [9]. Early initiation of sexual intercourse is associated with other behaviors that increase risk, including more frequent intercourse and greater numbers of sexual partners and lower probability of contraceptive use during the adolescent years [10]. Methods and Materials Study area and period The study was conducted in Yirgalem town from February to March 2015. Yirgalem town is located in the Southern part of the country and 316 Kilometers away from Addis Ababa. It covers 28 square kilometers and had an estimated population of 38,438 [11]. There were a total of 3 secondary and preparatory schools, out of this 2 government high schools and one private high schools. There were 7035 students in the academic year 2014/2015. From this 45.1% were males and 54.89% were females [12]. Study population The study population was all students from grade 9 to grade 12 who
The Journal of medical research, 2016
Back ground: Adolescent is an experimental and transitional time to adulthood, they also suscepti... more Back ground: Adolescent is an experimental and transitional time to adulthood, they also susceptible to different sexual and reproductive health problems. Almost all of studies weren’t addressed on repetition of parent–adolescent communication on sexual and reproductive health issues. This study aimed to assess repetition of parent-adolescent communication on sexual and reproductive health matters among secondary and preparatory school students in Yirgalem Town, South Ethiopia. Methods: An institution based cross sectional study was conducted in 2015.A 684 high school adolescents were recruited by simple random sampling method in Yirgalem Town. Focus group discussion qualitative was used through separately for female and male parents. Data were entered using Epi Info version 3.5.1 was exported and analyzed by SPSS version 20.Bivariate and multivariate logistic regression was used to identify repetition of adolescent- parent communication. Results: Three hundred ninety (59.1%) respon...
Background: Pelvic organ prolapse is a main gynaecological problem and admission in developing co... more Background: Pelvic organ prolapse is a main gynaecological problem and admission in developing countries, including Ethiopia. It affects women’s day to day activities and quality of life. This study was conducted to assess knowledge on risk factors of pelvic organ prolapse and associated factors among mothers who attending MCH clinic, at Bansa Daye Primary Hospital, South Ethiopia. Methodology: A facility-based cross-sectional study was conducted from April 1–30, 2018 among 408 mothers who attended MCH clinic at Daye primary hospital. The mothers were selected using systematic random sampling technique and interviewed using pre-tested structured questionnaires. Data were analyzed using bivariate and multivariable techniques. Results: In this study, 51.2% (95% CI: 46.6, 56.1) of mothers who visited MCH at Daye primary hospital had a good level of knowledge on risk factors of pelvic organ prolapse . Conclusion: The finding of this study revealed that the level of women’s knowledge tow...
Gynecology & Obstetrics, 2018
Introduction: Childbirth is one-day event but the experience lasts lifelong and is shared with ot... more Introduction: Childbirth is one-day event but the experience lasts lifelong and is shared with others. Client dissatisfaction at public health hospitals causes parturient women to do health care shopping to private hospitals and decrease utilization of service at public heath hospitals. The aim of this study was to assess client satisfaction and associated factors at public health hospitals in Hawassa city. Method: A hospital based cross sectional study was conducted from December to January 2015. A systematic sampling technique was applied, and 398 mothers who gave live births were included in the study subjects. Data were entered into EPI info version 7.1 statistical software and exported to SPSS version 20 for analysis. Bivariate and multivariate analysis was applied to check the association of explanatory variables with outcome variable. Result: In public health hospitals, clients’ satisfaction at three dimensions was 87.7%. Non-formal education (AOR=6.8, 95 % CI: 1.2-38.7), had primary education (AOR=4.25, 95 % CI: 1.4-13.2) and getting prompt attention by caregivers within five minutes (AOR= 5, 95 % CI: 2.08-12.03). Being a student (AOR=0.16, 95 % CI: 0.05-0.59) and instrumental delivery (AOR=0.19, 95 % CI: 0.06-0.69). Conclusion: This study showed that client satisfaction is better than other public hospitals on delivery service. There is needed to intervene on predictors of maternal dissatisfaction like being a student, instrumental delivery and waiting time to get obstetric care providers and points to improve and strengthen for better maternal satisfaction.
Background : Cesarean section is a common major operation performed on women in developing and de... more Background : Cesarean section is a common major operation performed on women in developing and developed parties.Today the cesarean section is alarmingly increasing in both low and middle-income countries while maternal morbidity and mortality could not be decreased at the expected level.The aim of this study was to assess the prevalence, indication and associated factors of cesarean section, in Wolayta Zone, Southern, Ethiopia. Methods: A hospital-based cross-sectional study was conducted from January 01-February 30, 2017 on a sample of 514 mothers who delivered at public hospitals in Wolayta Zone. The mothers were selected using systematic random sampling.The data were collected using structured and pretested interviewer-administered questionnaires at the postnatal ward of each hospital. Data entry and cleaning were done by using EPI Data3.5.1 and exported to SPSS version 20.0 software package for analysis.Bivariate and multivariable analyses were done to test the presence of asso...
Diversity & Equality in Health and Care, 2016
Background: Active management of third stage of labour properly is frontline to prevent post-part... more Background: Active management of third stage of labour properly is frontline to prevent post-partum haemorrhage related maternal morbidity and mortality. 99% of the maternal deaths take places in developing countries. The majority causes of death occur within 4 h after delivery because of haemorrhage. Clinical trial suggests that Routine practice of active management third stage of labour dramatically reduce haemorrhage by 60%. Active management third stage of labour can help to save thousands of women life with low cost. The aims of this study to assess Obstetric care providers Knowledge and Practices o n active management of third stage of labour at Hawassa city, South Ethiopia 2015. Methods: An institutional based cross sectional study was conducted to health institution in Hawassa city, from April to May 2015. By using pretested structured questionnaires for knowledge assessment and observation checklists for practice. Simple random sampling technique was used to select 76 obstetric care providers. Data were entered using Epi Info version 3.5.1 was coded, edited, exported and analyzed by SPSS version 20. Bivariate and multivariate logistic regressions were used to identify independent predictors of knowledge and practice of obstetric care providers. Results: 24 (33.3%) of obstetric care providers had knowledgeable about active management third stage of labour and 16.7 % obstetric care providers was applied correctly active management of third stage of labour. Obstetric care providers who took pre/in-service training were 7.4 times was done correctly active management of third stage of labour than didn't take training [AOR=7.4, 95% CI, (1.07-51)]. Conclusion and recommendation: In this study knowledge and practice of obstetric care providers towards active management of third stage of labour is still low. T he governmental and non-governmental organization which works in health related activities plan to give trainings on active management of third stage of labour.
PLOS ONE, 2018
Home birth among ANC booked women is low compared to other studies. Yet, giving attention to wome... more Home birth among ANC booked women is low compared to other studies. Yet, giving attention to women with no education and those coming from far areas while providing advice on birth preparedness and pregnancy danger signs may be useful to further reduce the rate of home birth. Advising mothers to start ANC early and trying to reduce ANC waiting time could also be of importance.
Backgroundprepregnancy health care is vital to alleviate and prevent maternal and neonatal disabi... more Backgroundprepregnancy health care is vital to alleviate and prevent maternal and neonatal disability and death.ObjectiveThe purpose of the study was to measure the levels of knowledge and attitude on preconception care and their determinants among women who delivered at government hospitals in a rural setting in southern Ethiopia.MethodA facility-based cross sectional study was done from January 01 to February 30, 2017 on a sample of 370 women who delivered at government hospitals in Wolayita zone. The mothers were selected using systematic random sampling. The data were collected using structured and pretested interviewer administered questionnaires at the postnatal ward of each hospital. Data were analyzed using bivariate and multivariable techniques.ResultsThe result showed that 53% (95% confidence interval [CI]: 47.8%, 58.1%) of mothers who delivered at public hospitals had adequate level of knowledge on preconception care, whereas 54.3% (95% CI: 49.2%, 59.5%) possessed positiv...
BMC Research Notes, 2018
Objective: Preconception care is pivotal to improve pregnancy and birth outcome. It is vital for ... more Objective: Preconception care is pivotal to improve pregnancy and birth outcome. It is vital for the future health of mother, her child and her family, which is routinely practice. The study aims to assess knowledge of preconception care and associated factors in post natal women at public health institution in Hawassa city, South Ethiopia. Results: In this study 20% (95% CI 16.9, 23.1) of post natal women at public health institution had a good level of knowledge on preconception care. Women who have secondary and above education level, urban residence, and have at least one ANC contact had significantly higher odds of good level of knowledge on preconception care. The finding of this study showed that level of women's knowledge towards preconception care to be low compared to other studies. Having at least one ANC contact, urban residence and having secondary and above education are predictors of knowledge on preconception care. It shall be beneficial if the city health administration, regional and national health authorities work towards improving the knowledge of mothers towards preconception care as well as routine provision of preconception care in the health care system.
BMC Pregnancy and Childbirth, 2017
Background: Active management of third stage of labor played a great role to prevent child birth ... more Background: Active management of third stage of labor played a great role to prevent child birth related hemorrhage. However, maternal morbidity and mortality related to hemorrhage is high due to lack of knowledge and skill of obstetric care providers 'on active management of third stage of labor. Our study was aimed to assess knowledge, practice and associated factors of obstetric care providers (Midwives, Nurses and Health officers) on active management of third stage of labor in Sidama Zone, South Ethiopia. Methods: An institution based cross sectional study design was conducted from December 1-30 /2015 among midwives, nurses and health officers. Simple random sampling technique was used to get the total of 528 participants. Data entry was done using EPI Info 3.5.1 and exported to SPSS version 20.0 software package for analysis. The presence of association between independent and dependent variables was assessed using odds ratio with 97% confidence interval by applying logistic regression model. Results: Of the 528 obstetric care providers 37.7% and 32.8% were knowledgeable and skilled to manage third stage of labor respectively. After controlling for possible confounding factors, the result showed that pre/in service training, being midwife and graduation year were found to be the major predictors of proper active management of third stage of labor. Conclusion: The knowledge and practice of obstetric care providers towards active management of third stage of labor can be improved with appropriate interventions like in-service trainings. This study also clearly showed that the level of knowledge and practice of obstetric care providers to wards active management of third stage of labor needs immediate attention of Universities and health science colleges better to revise their obstetrics course contents, health institutions and zonal health bureau should arrange trainings for their obstetrics care providers to enhance skill.
Science Discovery, 2015
Background: Adolescence is a period of transition from childhood to adulthood where new behaviors... more Background: Adolescence is a period of transition from childhood to adulthood where new behaviors are more easily learned than when in adulthood. sexual and reproductive health are among the most essential aspects of life for adolescents, but due to cultural taboo and political sensitivities, they often obtain little attention in public health policy discussion. In Ethiopia, sexual and reproductive health problems of adolescents are increasing from time to time and this is related with most parents do not feel happy to discuss about sexual issues with their adolescents and early sexual commencement. Therefore, the aim of this study was to identify factors affecting parent adolescent communication on sexual and reproductive health issues among Secondary and Preparatory school students in Mekelle city, North Ethiopia. Method: School based Cross sectional study was conducted among high school students in Mekelle city from August 1 to 30, 2014. High school students in Mekelle of age 10-19 years enrolled in grade 9th-12th for the academic year 2013-2014 was selected from the source population using multistage sampling. Simple random sampling technique was used to select 537 Students from 9th-12th grades. Data were entered using Epi Info version 3.5.1 was exported and analyzed by SPSS version 20. Bivariate and multivariate logistic regressions were used to identify independent predictors of adolescent-parent communications. Results: More than half (57.6%) respondents had discussed on sexual and reproductive health issues with their parents. In the multivariate analysis adolescents who had illiterate mother were found to be 0.43 and 0.46 times less likely to have communication on sexual and reproductive health issues than such adolescent with mothers who have attained secondary and higher degree and/or qualification, respectively (AOR=0.43; 95% CI: 0.22-0.84) and (AOR=0.46; 95%CI: 0.24-0.89).Those adolescents communicate HIV/AIDS with relatives (aunts, uncles, grandmothers and grandfathers) 4 times more likely to discuss sexual and reproductive health issues than such adolescents who communicate with peers (AOR=3.94, 95%CI: 1.98, 7.82), These Adolescents discussed sexual intercourse 3 times more likely to communicate sexual and reproductive health than such adolescent who don't communicate (AOR=2.88, 95%CI: 1.89-4.38). Conclusion and recommendations: In this study parent-adolescent communications on sexual and reproductive health issues were low.so that it is vital to develop a comprehensive national adolescent sexual and reproductive health and development strategy to implement in school, family and community level to increase parent-adolescent communication.
Family Medicine & Medical Science Research, 2015
Parent-adolescent communication about sexual issues remains a challenging issue in many sub-Sahar... more Parent-adolescent communication about sexual issues remains a challenging issue in many sub-Saharan African countries as the social milieu in many traditional communities still limit such communication. Moreover, when adolescents feel unconnected to home, family, and school, they may become involved in activities that put their health at risk [7]. Sexual and reproductive health problems of adolescents in Ethiopia are rising from time to time, and this is associated with early sexual initiation, STI, PID, unwanted pregnancy & unsafe abortion [8]. Communication parent-adolescent about sexual health and good family communication regarding sexual risk behavior have been associated with less engagement in sexual risk behavior [9]. Early initiation of sexual intercourse is associated with other behaviors that increase risk, including more frequent intercourse and greater numbers of sexual partners and lower probability of contraceptive use during the adolescent years [10]. Methods and Materials Study area and period The study was conducted in Yirgalem town from February to March 2015. Yirgalem town is located in the Southern part of the country and 316 Kilometers away from Addis Ababa. It covers 28 square kilometers and had an estimated population of 38,438 [11]. There were a total of 3 secondary and preparatory schools, out of this 2 government high schools and one private high schools. There were 7035 students in the academic year 2014/2015. From this 45.1% were males and 54.89% were females [12]. Study population The study population was all students from grade 9 to grade 12 who
BMC Research Notes, 2019
Objective: Maternal mortality rates in Ethiopia remain highest in the world. Information with res... more Objective: Maternal mortality rates in Ethiopia remain highest in the world. Information with respect to factors that influence preference of institutional delivery among pregnant women are of relevance for designing intervention programs to reduce these deaths. This study aimed to determine level and factors affecting preference of institutional delivery among pregnant woman in Debretabor,
Family Medicine and Medical Science Research, 2015
Parent-adolescent communication about sexual issues remains a challenging issue in many sub-Sahar... more Parent-adolescent communication about sexual issues remains a challenging issue in many sub-Saharan African countries as the social milieu in many traditional communities still limit such communication. Moreover, when adolescents feel unconnected to home, family, and school, they may become involved in activities that put their health at risk [7]. Sexual and reproductive health problems of adolescents in Ethiopia are rising from time to time, and this is associated with early sexual initiation, STI, PID, unwanted pregnancy & unsafe abortion [8]. Communication parent-adolescent about sexual health and good family communication regarding sexual risk behavior have been associated with less engagement in sexual risk behavior [9]. Early initiation of sexual intercourse is associated with other behaviors that increase risk, including more frequent intercourse and greater numbers of sexual partners and lower probability of contraceptive use during the adolescent years [10]. Methods and Materials Study area and period The study was conducted in Yirgalem town from February to March 2015. Yirgalem town is located in the Southern part of the country and 316 Kilometers away from Addis Ababa. It covers 28 square kilometers and had an estimated population of 38,438 [11]. There were a total of 3 secondary and preparatory schools, out of this 2 government high schools and one private high schools. There were 7035 students in the academic year 2014/2015. From this 45.1% were males and 54.89% were females [12]. Study population The study population was all students from grade 9 to grade 12 who
The Journal of medical research, 2016
Back ground: Adolescent is an experimental and transitional time to adulthood, they also suscepti... more Back ground: Adolescent is an experimental and transitional time to adulthood, they also susceptible to different sexual and reproductive health problems. Almost all of studies weren’t addressed on repetition of parent–adolescent communication on sexual and reproductive health issues. This study aimed to assess repetition of parent-adolescent communication on sexual and reproductive health matters among secondary and preparatory school students in Yirgalem Town, South Ethiopia. Methods: An institution based cross sectional study was conducted in 2015.A 684 high school adolescents were recruited by simple random sampling method in Yirgalem Town. Focus group discussion qualitative was used through separately for female and male parents. Data were entered using Epi Info version 3.5.1 was exported and analyzed by SPSS version 20.Bivariate and multivariate logistic regression was used to identify repetition of adolescent- parent communication. Results: Three hundred ninety (59.1%) respon...
Background: Pelvic organ prolapse is a main gynaecological problem and admission in developing co... more Background: Pelvic organ prolapse is a main gynaecological problem and admission in developing countries, including Ethiopia. It affects women’s day to day activities and quality of life. This study was conducted to assess knowledge on risk factors of pelvic organ prolapse and associated factors among mothers who attending MCH clinic, at Bansa Daye Primary Hospital, South Ethiopia. Methodology: A facility-based cross-sectional study was conducted from April 1–30, 2018 among 408 mothers who attended MCH clinic at Daye primary hospital. The mothers were selected using systematic random sampling technique and interviewed using pre-tested structured questionnaires. Data were analyzed using bivariate and multivariable techniques. Results: In this study, 51.2% (95% CI: 46.6, 56.1) of mothers who visited MCH at Daye primary hospital had a good level of knowledge on risk factors of pelvic organ prolapse . Conclusion: The finding of this study revealed that the level of women’s knowledge tow...
Gynecology & Obstetrics, 2018
Introduction: Childbirth is one-day event but the experience lasts lifelong and is shared with ot... more Introduction: Childbirth is one-day event but the experience lasts lifelong and is shared with others. Client dissatisfaction at public health hospitals causes parturient women to do health care shopping to private hospitals and decrease utilization of service at public heath hospitals. The aim of this study was to assess client satisfaction and associated factors at public health hospitals in Hawassa city. Method: A hospital based cross sectional study was conducted from December to January 2015. A systematic sampling technique was applied, and 398 mothers who gave live births were included in the study subjects. Data were entered into EPI info version 7.1 statistical software and exported to SPSS version 20 for analysis. Bivariate and multivariate analysis was applied to check the association of explanatory variables with outcome variable. Result: In public health hospitals, clients’ satisfaction at three dimensions was 87.7%. Non-formal education (AOR=6.8, 95 % CI: 1.2-38.7), had primary education (AOR=4.25, 95 % CI: 1.4-13.2) and getting prompt attention by caregivers within five minutes (AOR= 5, 95 % CI: 2.08-12.03). Being a student (AOR=0.16, 95 % CI: 0.05-0.59) and instrumental delivery (AOR=0.19, 95 % CI: 0.06-0.69). Conclusion: This study showed that client satisfaction is better than other public hospitals on delivery service. There is needed to intervene on predictors of maternal dissatisfaction like being a student, instrumental delivery and waiting time to get obstetric care providers and points to improve and strengthen for better maternal satisfaction.
Background : Cesarean section is a common major operation performed on women in developing and de... more Background : Cesarean section is a common major operation performed on women in developing and developed parties.Today the cesarean section is alarmingly increasing in both low and middle-income countries while maternal morbidity and mortality could not be decreased at the expected level.The aim of this study was to assess the prevalence, indication and associated factors of cesarean section, in Wolayta Zone, Southern, Ethiopia. Methods: A hospital-based cross-sectional study was conducted from January 01-February 30, 2017 on a sample of 514 mothers who delivered at public hospitals in Wolayta Zone. The mothers were selected using systematic random sampling.The data were collected using structured and pretested interviewer-administered questionnaires at the postnatal ward of each hospital. Data entry and cleaning were done by using EPI Data3.5.1 and exported to SPSS version 20.0 software package for analysis.Bivariate and multivariable analyses were done to test the presence of asso...
Diversity & Equality in Health and Care, 2016
Background: Active management of third stage of labour properly is frontline to prevent post-part... more Background: Active management of third stage of labour properly is frontline to prevent post-partum haemorrhage related maternal morbidity and mortality. 99% of the maternal deaths take places in developing countries. The majority causes of death occur within 4 h after delivery because of haemorrhage. Clinical trial suggests that Routine practice of active management third stage of labour dramatically reduce haemorrhage by 60%. Active management third stage of labour can help to save thousands of women life with low cost. The aims of this study to assess Obstetric care providers Knowledge and Practices o n active management of third stage of labour at Hawassa city, South Ethiopia 2015. Methods: An institutional based cross sectional study was conducted to health institution in Hawassa city, from April to May 2015. By using pretested structured questionnaires for knowledge assessment and observation checklists for practice. Simple random sampling technique was used to select 76 obstetric care providers. Data were entered using Epi Info version 3.5.1 was coded, edited, exported and analyzed by SPSS version 20. Bivariate and multivariate logistic regressions were used to identify independent predictors of knowledge and practice of obstetric care providers. Results: 24 (33.3%) of obstetric care providers had knowledgeable about active management third stage of labour and 16.7 % obstetric care providers was applied correctly active management of third stage of labour. Obstetric care providers who took pre/in-service training were 7.4 times was done correctly active management of third stage of labour than didn't take training [AOR=7.4, 95% CI, (1.07-51)]. Conclusion and recommendation: In this study knowledge and practice of obstetric care providers towards active management of third stage of labour is still low. T he governmental and non-governmental organization which works in health related activities plan to give trainings on active management of third stage of labour.
PLOS ONE, 2018
Home birth among ANC booked women is low compared to other studies. Yet, giving attention to wome... more Home birth among ANC booked women is low compared to other studies. Yet, giving attention to women with no education and those coming from far areas while providing advice on birth preparedness and pregnancy danger signs may be useful to further reduce the rate of home birth. Advising mothers to start ANC early and trying to reduce ANC waiting time could also be of importance.
Backgroundprepregnancy health care is vital to alleviate and prevent maternal and neonatal disabi... more Backgroundprepregnancy health care is vital to alleviate and prevent maternal and neonatal disability and death.ObjectiveThe purpose of the study was to measure the levels of knowledge and attitude on preconception care and their determinants among women who delivered at government hospitals in a rural setting in southern Ethiopia.MethodA facility-based cross sectional study was done from January 01 to February 30, 2017 on a sample of 370 women who delivered at government hospitals in Wolayita zone. The mothers were selected using systematic random sampling. The data were collected using structured and pretested interviewer administered questionnaires at the postnatal ward of each hospital. Data were analyzed using bivariate and multivariable techniques.ResultsThe result showed that 53% (95% confidence interval [CI]: 47.8%, 58.1%) of mothers who delivered at public hospitals had adequate level of knowledge on preconception care, whereas 54.3% (95% CI: 49.2%, 59.5%) possessed positiv...
BMC Research Notes, 2018
Objective: Preconception care is pivotal to improve pregnancy and birth outcome. It is vital for ... more Objective: Preconception care is pivotal to improve pregnancy and birth outcome. It is vital for the future health of mother, her child and her family, which is routinely practice. The study aims to assess knowledge of preconception care and associated factors in post natal women at public health institution in Hawassa city, South Ethiopia. Results: In this study 20% (95% CI 16.9, 23.1) of post natal women at public health institution had a good level of knowledge on preconception care. Women who have secondary and above education level, urban residence, and have at least one ANC contact had significantly higher odds of good level of knowledge on preconception care. The finding of this study showed that level of women's knowledge towards preconception care to be low compared to other studies. Having at least one ANC contact, urban residence and having secondary and above education are predictors of knowledge on preconception care. It shall be beneficial if the city health administration, regional and national health authorities work towards improving the knowledge of mothers towards preconception care as well as routine provision of preconception care in the health care system.
BMC Pregnancy and Childbirth, 2017
Background: Active management of third stage of labor played a great role to prevent child birth ... more Background: Active management of third stage of labor played a great role to prevent child birth related hemorrhage. However, maternal morbidity and mortality related to hemorrhage is high due to lack of knowledge and skill of obstetric care providers 'on active management of third stage of labor. Our study was aimed to assess knowledge, practice and associated factors of obstetric care providers (Midwives, Nurses and Health officers) on active management of third stage of labor in Sidama Zone, South Ethiopia. Methods: An institution based cross sectional study design was conducted from December 1-30 /2015 among midwives, nurses and health officers. Simple random sampling technique was used to get the total of 528 participants. Data entry was done using EPI Info 3.5.1 and exported to SPSS version 20.0 software package for analysis. The presence of association between independent and dependent variables was assessed using odds ratio with 97% confidence interval by applying logistic regression model. Results: Of the 528 obstetric care providers 37.7% and 32.8% were knowledgeable and skilled to manage third stage of labor respectively. After controlling for possible confounding factors, the result showed that pre/in service training, being midwife and graduation year were found to be the major predictors of proper active management of third stage of labor. Conclusion: The knowledge and practice of obstetric care providers towards active management of third stage of labor can be improved with appropriate interventions like in-service trainings. This study also clearly showed that the level of knowledge and practice of obstetric care providers to wards active management of third stage of labor needs immediate attention of Universities and health science colleges better to revise their obstetrics course contents, health institutions and zonal health bureau should arrange trainings for their obstetrics care providers to enhance skill.
Science Discovery, 2015
Background: Adolescence is a period of transition from childhood to adulthood where new behaviors... more Background: Adolescence is a period of transition from childhood to adulthood where new behaviors are more easily learned than when in adulthood. sexual and reproductive health are among the most essential aspects of life for adolescents, but due to cultural taboo and political sensitivities, they often obtain little attention in public health policy discussion. In Ethiopia, sexual and reproductive health problems of adolescents are increasing from time to time and this is related with most parents do not feel happy to discuss about sexual issues with their adolescents and early sexual commencement. Therefore, the aim of this study was to identify factors affecting parent adolescent communication on sexual and reproductive health issues among Secondary and Preparatory school students in Mekelle city, North Ethiopia. Method: School based Cross sectional study was conducted among high school students in Mekelle city from August 1 to 30, 2014. High school students in Mekelle of age 10-19 years enrolled in grade 9th-12th for the academic year 2013-2014 was selected from the source population using multistage sampling. Simple random sampling technique was used to select 537 Students from 9th-12th grades. Data were entered using Epi Info version 3.5.1 was exported and analyzed by SPSS version 20. Bivariate and multivariate logistic regressions were used to identify independent predictors of adolescent-parent communications. Results: More than half (57.6%) respondents had discussed on sexual and reproductive health issues with their parents. In the multivariate analysis adolescents who had illiterate mother were found to be 0.43 and 0.46 times less likely to have communication on sexual and reproductive health issues than such adolescent with mothers who have attained secondary and higher degree and/or qualification, respectively (AOR=0.43; 95% CI: 0.22-0.84) and (AOR=0.46; 95%CI: 0.24-0.89).Those adolescents communicate HIV/AIDS with relatives (aunts, uncles, grandmothers and grandfathers) 4 times more likely to discuss sexual and reproductive health issues than such adolescents who communicate with peers (AOR=3.94, 95%CI: 1.98, 7.82), These Adolescents discussed sexual intercourse 3 times more likely to communicate sexual and reproductive health than such adolescent who don't communicate (AOR=2.88, 95%CI: 1.89-4.38). Conclusion and recommendations: In this study parent-adolescent communications on sexual and reproductive health issues were low.so that it is vital to develop a comprehensive national adolescent sexual and reproductive health and development strategy to implement in school, family and community level to increase parent-adolescent communication.
Family Medicine & Medical Science Research, 2015
Parent-adolescent communication about sexual issues remains a challenging issue in many sub-Sahar... more Parent-adolescent communication about sexual issues remains a challenging issue in many sub-Saharan African countries as the social milieu in many traditional communities still limit such communication. Moreover, when adolescents feel unconnected to home, family, and school, they may become involved in activities that put their health at risk [7]. Sexual and reproductive health problems of adolescents in Ethiopia are rising from time to time, and this is associated with early sexual initiation, STI, PID, unwanted pregnancy & unsafe abortion [8]. Communication parent-adolescent about sexual health and good family communication regarding sexual risk behavior have been associated with less engagement in sexual risk behavior [9]. Early initiation of sexual intercourse is associated with other behaviors that increase risk, including more frequent intercourse and greater numbers of sexual partners and lower probability of contraceptive use during the adolescent years [10]. Methods and Materials Study area and period The study was conducted in Yirgalem town from February to March 2015. Yirgalem town is located in the Southern part of the country and 316 Kilometers away from Addis Ababa. It covers 28 square kilometers and had an estimated population of 38,438 [11]. There were a total of 3 secondary and preparatory schools, out of this 2 government high schools and one private high schools. There were 7035 students in the academic year 2014/2015. From this 45.1% were males and 54.89% were females [12]. Study population The study population was all students from grade 9 to grade 12 who
BMC Research Notes, 2019
Objective: Maternal mortality rates in Ethiopia remain highest in the world. Information with res... more Objective: Maternal mortality rates in Ethiopia remain highest in the world. Information with respect to factors that influence preference of institutional delivery among pregnant women are of relevance for designing intervention programs to reduce these deaths. This study aimed to determine level and factors affecting preference of institutional delivery among pregnant woman in Debretabor,