Background The COVID-19 pandemic has a significant challenge for countries to maintain the provision of essential maternity services. Many women could experience difficulties in accessing maternal healthcare due to transport problems, anxiety, and fear of infection. A reduction in the utilization of maternity services has been suggested as a possible cause of worsened maternal health outcomes. Thus, this study aimed to determine the impact of the COVID-19 pandemic on the utilization of maternal healthcare services in Ethiopia. Methods Searching of articles was conducted from PubMed, Science Direct, Cochrane Library, Web of Science, Scopus, and Google scholar. The quality of studies was evaluated using the Newcastle-Ottawa scale. Inspection of the Funnel plot and Egger’s test were used to evaluate the evidence of publication bias. Heterogeneity was evaluated using Cochran’s Q statistic and quantified by I2. A random-effects model was used to determine pooled estimates using STATA 14. Results After reviewing 41,188 articles, 21 studies were included in this systematic review and meta-analysis. The pooled reduction was 26.62% (95% CI: 13.86, 39.37) for family planning, 19.30% (95% CI: 15.85, 22.76) for antenatal care, 12.82% (95% CI: 7.29, 18.34) for institutional delivery, 17.82% (95% CI: 8.32, 27.32) for postnatal care, and 19.39% (95% CI: 11.29, 27.49) for abortion care. This study also demonstrated that maternal perception of poor quality of care and fear of infection, lack of transport, cultural events, diversion of resources, lack of essential drugs, and lack of personal protective equipment and sanitizer were identified as the main challenges faced during the pandemic. Conclusion This study revealed that the utilization of maternal healthcare services in Ethiopia significantly decreased during the COVID-19 pandemic. Government measures, health facility-related barriers, and maternal-related factors were identified as challenges faced during the pandemic. Thus, service providers, policy-makers, and other relevant stakeholders should prioritize maternity care as an essential core healthcare service. Besides, increasing awareness of women through mass media, and making maternity services more accessible and equitable would likely increase the utilization of maternal healthcare services. Systematic review registration PROSPERO CRD42021293681.
Introduction Traditional uvulectomy is widely practiced in Africa especially in sub-Saharan countries including Ethiopia. Studies conducted in different times and areas of the world have shown that the level of practice of uvulectomy and its associated factors were varied from country to country. Therefore, this study was carried out to assess the practice and associated factors of traditional uvulectomy among caregivers having children less than 5 years old in the South Gondar Zone. Objective This study aimed to assess practice and associated factors of traditional uvulectomy among caregivers having children less than 5 years old in South Gondar Zone, Amhara Region, Ethiopia, 2020. Method A community–based cross-sectional study was conducted on 634 participants who were selected using a multistage with a simple random sampling method. Data were collected using a structured interviewer-administered Amharic version questionnaire; it was entered into Epi Data and analyzed using SPSS. Descriptive statistics were calculated and logistic regressions were fitted to declare statistical significance at p-value < 0.05 and 95% CI. Result The prevalence of traditional uvulectomy in this study was 52.5% (95% CI, 48.6–56.3%). Moreover, lack of information [AOR = 2.975 (1.677–5.277)], perceived as uvula causes illness [AOR = 4.888 (2.954–8.086)], future intention or will perform [AOR = 4.188 (2.584–6.788)], perceived as traditional uvulectomy should not be eradicated [AOR = 1.893 (1.172–3.057)]), saw the previous good result [AOR = 9.396 (5.512–16.016)], health personnel hospitality problem [AOR = 5.922 (2.392–14.664)] and did not get cured by pharmacologic treatment [AOR = 3.918 (2.073, 7.405)] were significantly associated with traditional uvulectomy. Conclusion and recommendation The prevalence of traditional uvulectomy was high. Lack of information, perceived as uvula causes illness, future intention to uvulectomy, perceived as traditional uvulectomy should not be eradicated, saw the previous good result, health personnel hospitality problem and did not get cured by pharmacologic treatment were the factors significantly associated with traditional uvula cutting. Therefore, special attention will be given to creating further awareness to the community at large and setting controlling mechanisms for the health care delivery system.
Introduction: Traditional uvulectomy is widely practiced in Africa especially in sub-Saharan countries including Ethiopia. Studies conducted in different times and areas of the world have shown that the level of practice of uvulectomy and its associated factors were varied from country to country. Therefore, this study was carried out to assess the practice and associated factors of traditional uvulectomy among caregivers having children less than 5 years old in the South Gondar Zone. Objective; this study aimed to assess practice and associated factors of traditional uvulectomy among caregivers having children less than 5 years old in South Gondar Zone, Amhara Region, Ethiopia, 2020. Method: a community – based triangulated cross-sectional study was conducted on 644 participants. Quantitative data were collected from 634 participants using a structured interviewer-administered Amharic version questionnaire; it was entered into Epi Data and analyzed using SPSS. Qualitative data were collected from 10 participants via an in-depth interview and analyzed by OpenCode. Descriptive statistics were calculated and logistic regressions were fitted to declare statistical significance at p-value < 0.05 and 95% CI. Result: the prevalence of traditional uvulectomy in this study was 52.5% (95% CI, 48.6 – 56.3%). Moreover, lack of information [AOR = 2.975 (1.677 - 5.277)], perceived as uvula causes illness [AOR = 4.888 (2.954 - 8.086)], future intention or will perform [AOR = 4.188 (2.584 - 6.788)], perceived as traditional uvulectomy should not be eradicated [AOR = 1.893 (1.172 - 3.057)]), saw the previous good result [AOR = 9.396 (5.512 - 16.016)], health personnel hospitality problem [AOR = 5.922 (2.392 – 14.664)] and did not get cured by pharmacologic treatment [AOR = 3.918 (2.073, 7.405)] were significantly associated with traditional uvulectomy. Conclusion and recommendation: the prevalence of traditional uvulectomy was high. Lack of information, perceived as uvula causes illness, future intention to uvulectomy, perceived as traditional uvulectomy should not be eradicated, saw the previous good result, health personnel hospitality problem and did not get cured by pharmacologic treatment were the factors significantly associated with traditional uvula cutting. Therefore, special attention will be given to creating further awareness to the community at large and setting controlling mechanisms for the health care delivery system.
Introduction: Traditional uvulectomy is widely practiced in Africa especially in sub-Saharan countries including Ethiopia. Studies conducted in different times and areas of the world have shown that the level of practice of uvulectomy and its associated factors were varied from country to country. Therefore, this study was carried out to assess the practice and associated factors of traditional uvulectomy among caregivers having children less than 5 years old in the South Gondar Zone.Objective: this study aimed to assess practice and associated factors of traditional uvulectomy among caregivers having children less than 5 years old in South Gondar Zone, Amhara Region, Ethiopia, 2020.Method: a community – based triangulated cross-sectional study was conducted on 644 participants. Quantitative data were collected from 634 participants using a structured interviewer-administered Amharic version questionnaire; it was entered into Epi Data and analyzed using SPSS. Qualitative data were collected from 10 participants via an in-depth interview and analyzed by OpenCode. Descriptive statistics were calculated and logistic regressions were fitted to declare statistical significance at p-value < 0.05 and 95% CI.Result: the prevalence of traditional uvulectomy in this study was 52.5% (95% CI, 48.6 – 56.3%). Moreover, lack of information [AOR = 2.975 (1.677 - 5.277)], perceived as uvula causes illness [AOR = 4.888 (2.954 - 8.086)], future intention or will perform [AOR = 4.188 (2.584 - 6.788)], perceived as traditional uvulectomy should not be eradicated [AOR = 1.893 (1.172 - 3.057)]), saw the previous good result [AOR = 9.396 (5.512 - 16.016)], health personnel hospitality problem [AOR = 5.922 (2.392 – 14.664)] and did not get cured by pharmacologic treatment [AOR = 3.918 (2.073, 7.405)] were significantly associated with traditional uvulectomy.Conclusion and recommendation: the prevalence of traditional uvulectomy was high. Lack of information, perceived as uvula causes illness, future intention to uvulectomy, perceived as traditional uvulectomy should not be eradicated, saw the previous good result, health personnel hospitality problem and did not get cured by pharmacologic treatment were the factors significantly associated with traditional uvula cutting. Therefore, special attention will be given to creating further awareness to the community at large and setting controlling mechanisms for the health care delivery system.
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