Obstetric Fistula is a medical condition that involves an opening or perforation between the vagina and the bladder or the vagina and the rectum. It is a serious, life threatening and often debilitating medical condition that affects thousands of women in developing countries.The study consists of 270 obstetric fistula patients having all required information who were taking treatment at Jimma University Specialized Hospital in south west Ethiopia from January, 2011 to January ,2017. The log-rank and generalized wilcoxon test were used to explore the association between the recovery time and different independent categorical covariates. Then using different baseline distribution parametric models were employed to have an appropriate model for the recovery time/status of the patients based on Akaike information criteria (AIC) of the model. Result of Both log-rank and generalized wilcoxon test showed that there were significant differences among obstetric fistula patients in survival experience of weight , marital status, Residence, Incontinence, Antenatal care, mode of delivery, status of urethra and types of fistula of patients at 5% level of significance. Based on AIC log-normal gamma shared frailty model is an appropriate model and there is heterogeneity between patients with zone. The final model showed that marital status, Residence, Incontinence, Antenatal care, status of urethra and types of fistula were the determinants of recovery status of the patients at 5% level of significance. In Conclusion, the result showed that married women, rural residence, incontinence of urine more than 3 months, hadn't antenatal care and completely damaged urethra were prolonged time recovery time of patients whereas having recto-vaginal-fistula shorten recovery status than vesico-vaginal fistula group of patients.
Background: Abortion is the expulsion of a fetus from the uterus before it has reached the stage of viability. Abortion among adolescents and youth is a major public health issue, especially in developing countries like Ethiopia. Therefore, the present study was headings to the survival time of first trimester women abortion and associated factors among women whose age group in 15-49 years admitted to Jugel Hospital in Harar city, Ethiopia.Method: A hospital record pregnant women were reviewed and retrospective study design was conducted at Jugel Hospital in Harar regional state from January 2018 to December 2020.The study was conducted among nine hundred and ninety seven sampled women with abortion.The data was entered into Stata version-14 for cleaning and data analysis. Cox proportional hazard and multivariate accelerated failure time regression with log-logistic distribution were carried out to determine significant association between response variable and covariates at 5% level statistical significance was ascertained at 5% level of significance.Result: The result from log-rank estimation revealed that the survival of a woman significantly associated with age of mother, gravidity, parity, abortion care, place of managed and type of uterine evacuation procedure of mother. Based on AIC and BIC criteria and.The log-logistic of acceleration failure time model has small AIC and BIC among compared models. The multivariate log-logistic acceleration failure time model result indicated that age of mother being 30-34years (Φ=1.1116, 95%CI=(1.0144 ,1.2181)), being in age group >=35 years (Φ=1.1607,95% CI=(1.0388, 1.2969)) having gravida 3-4(Φ=0.9442, 95%CI=(0.8960,0.9951)),safe abortion care(Φ=0.7805,95%CI=(0.7156, 0.8513)), in-patient place of managed (Φ=1.1582,95%CI=(1.0628,1.2621))and type of uterine evacuation of MVA(Φ=1.0636, 95% CI=(1.0125,1.1174)) was covariates significantly associated to survival time women abortion in first trimester stage.Conclusions: The findings of this study showed that age of mother, gravidity, abortion care, place of managed and type of uterine evacuation for abortion were potential covariates associated to survival time of women abortion. It is recommended that women should be aware on the burden of those risk factors and health workers should be give due attention to this proximate determinants on abortion case.
Introduction: Anemia is the most common public problem caused by nutritional deficiency diseases among women of reproductive age. The main objective of this study was determining the regional variation and associated factors of anemia status among women of reproductive age in Ethiopia. Methods: A cross-sectional study was conducted among 14,489 women who enrolled in Ethiopia demographic and health survey data of 2016. Binary and multilevel logistic regression was carried out for variables to determine associated factors with anemia status of women and its regional variations at ascertained of 5% level. This study was used information criteria to compared candidates models. Results: This finding shows that women who use improved source of drinking water (OR=1.98, 95%CI=1.05, 3.72), being in middle wealth index (OR=0.25, 95%CI=0.10, 0.63), being in rich wealth index (OR=0.42, 95%CI=0.19, 0.94), having age at 1st birth in 20-24 years(OR=0.24, 95%CI=0.11, 0.53), having number of living children 1-2(OR=3.68, 95%CI=3.48, 4.98), having number of living children 3-4(OR=3.03, 95%CI=2.48, 4.05) and women who used government health center for place of delivery(OR=0.96, 95%CI=0.22, 1.70) were significantly related to anemia status of women. Conclusion: This finding concluded that there is a significant variation of anemia status of women between regions in Ethiopia. Women in the middle and rich wealth index was less likely to be anemic than poor. Women having age at 1st birth in 20-24 years and women who used government health center for place of delivery were less likely to be anemic. But women having number of living children 1-2 and 3-4 were more likely to be more anemic than no child. Likewise, women who use improved source of drinking water were more likely to be anemic as compared to an unimproved source of drinking water. It is recommended that health workers should begive attention to these proximate determinants on anemia at regional level.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.