Introduction. The first 12 months after giving birth in relation to family planning use is the time which is often given less attention by health care managers, health service providers, and users. Even most women do not realize that they are at risk for subsequent pregnancy. Due to this, there is an increased substantial risk of unwanted conception and an often-frustrated desire for contraceptive protection. As a result, many women in the postpartum period did not start use of any modern contraceptive method. Therefore, the objective of this study was to assess associated factors of postpartum modern contraceptive use in Burie District, Amhara Region, Ethiopia. Methods. A community-based cross-sectional study was employed among 686 mothers in Burie District from March 16 to March 25, 2017. A multistage sampling technique was used to select the study participants. Data were collected using face to face interviewer administered structured questionnaires. Then, the collected data was entered, coded, and cleaned into EPI Data version 3.1 and exported to SPSS version 20.0 for data analysis. Bivariate and multivariate logistic regression was done to assess the association of factors with postpartum modern contraceptive use. Adjusted odds ratios with 95% confidence intervals were calculated, and p values <0.05 were considered to indicate statistical significance. Result. This study revealed that postpartum modern contraceptive use was found to be 20.7%. Postpartum modern contraceptive use was significantly associated with women’s level of education (AOR=0.15, 95% CI (0.03-0.71)), discussing FP methods with partner (AOR=0.60, 95% CI (0.40-0.90)), knowing menses return after birth (AOR=0.39, 95% CI (0.25-0.59)), ever heard about modern FP methods (AOR=0.06, 95% CI (0.01-0.43)), and contacting health professionals (AOR=1.85, 95% CI (1.19-2.88)). Conclusion and Recommendations. Postpartum modern contraceptive use was found to be low. Therefore, health professionals should work on improvements in women’s educational status, making awareness of the women and counseling of their husbands about the use of postpartum contraception, when fertility returned and risky timing for becoming pregnant.
Background While parents are a crucial part of the social environment in which adolescents live, learn and earn, they could play important roles in efforts to prevent adolescent sexual and reproductive health (SRH) risk behaviors and promote healthy development. Involving parents in prevention programs to risky SRH practices in adolescents requires understanding of the effect of different parenting practices and styles on these behaviors. The purpose of this study was to investigate the relationships between various aspects of perceived parenting and self-reported engagement in sexual risk behavior among adolescents. Methods A cross-sectional study was employed among 406 randomly selected 14–19 years old high school adolescents in Legehida district, Northeast Ethiopia from 15 February to 15 March/ 2016. Structured and pre-tested self-administered questionnaire adapted from the Youth Risk Behavior Surveillance questionnaire was used for the data collection. Bivariate and multivariate logistic regression analysis with odds ratio along with the confidence interval of 95% were used. P -value < 0.05 were considered for statistical significance. Results About two-third (64.5%) of the participants reported that they had ever had sex. Nearly half (48.6%) of the participants who were currently sexually active reported that they engaged in at least one type of risky sexual behavior. Specifically, 42.7% reported starting sexual life earlier, 32.2% having more sexual partners in the past 12 months and 23.8% never used condom during the most recent sexual intercourse. High quality parent─adolescent relationships (AOR = 0.53; 95% CI (0.45–0.63) and authoritative form of parenting (AOR = 0.74; 95% CI (0.61–0.92) were associated with lower odds of engaging in risky sexual behaviors in adolescents. The odds of risky sexual behaviors were about three-fold higher in adolescents who perceived parental knowledge as poor (AOR = 2.97; 95% CI (1.51–4.25) and to some extent (AOR = 3.00; 95% CI (1.43–5.55) toward SRH than those whose parents were very knowledgeable. Adolescents with poor behavioral beliefs on SRH issues had a 37% increased odds of engaging in risky sexual behaviors. Conclusions Therefore, to engage the parents within preventive interventions design to support healthy SRH behaviors among adolescents, the role of authoritative parenting style, and improved quality of parent-adolescent relationship, as well as improving adolescents’ behavioral beliefs and parental knowledge towards SRH are essential.
Healthcare providers (HCPs) are at an increased risk of getting COVID-19 as a result of their front-line works. Health behaviors of HCPs can influence prevention and control actions implemented in response to the pandemic. Hence, this study aimed to assess the knowledge, attitude, and practice (KAP) and factors associated with prevention practice towards COVID-19 among healthcare providers in Amhara region, northern Ethiopia. A multicenter cross-sectional study was conducted among 422 HCPs in selected public health facilities of Amhara region, between 20th September and 20th October 2020. Data related to HCP’s KAP and socio-demographic characteristics were collected using a pre-tested self-administered questionnaire. Bloom’s cut-off ≥ 80%, ≥90%, and ≥75% was used to determine adequate knowledge, positive attitude, and good prevention practice, respectively. Data were analyzed using SPSSS version 25.0. A multivariable logistic regression analysis was performed to identify factors significantly associated with COVID-19 prevention practice. Statistical significance was determined at a p-value of < 0.05 and the presence of association was described using odds ratio (OR) with their 95% confidence interval (CI). Overall, 368 (89.8%), 387 (94.4%), and 326 (79.5%) HCPs had adequate knowledge, positive attitude, and good prevention practice towards COVID-19, respectively. Factors significantly associated with good COVID-19 prevention practice were being a Nurse in profession (AOR = 2.13, 95% CI = 1.13–3.99), having < 5 years of working experience (AOR = 0.46, 95% CI = 0.24–0.86), using social media (AOR = 6.20, 95% CI = 2.33–16.51) and television and or radio (AOR = 4.03, 95% CI = 1.56–10.38) as sources of COVID-19 information. HCPs had adequate knowledge, positive attitude and good prevention practice towards COVID-19. Being a Nurse, having < 5 years of working experiences, using social media and television and or radio were factors associated with good prevention practice. Thus, developing HCP’s professional carrier through training opportunities, sharing experiences and using verified information sources are crucial to better improve COVID-19 prevention practice.
Introduction Globally, breastfeeding duration is below the recommended level. In Ethiopia, more than 24% of mothers ceased breastfeeding before 24 months of age of a child which caused 14,000 preventable childhood deaths annually. To tackle this problem, current and up-to-date information regarding the time to breastfeeding cessation and its predictors is essential. Therefore, this study aims to determine the time to breastfeeding cessation and its predictors among mothers who have children aged two to three years in Gozamin district, Northwest Ethiopia. Methods A community-based retrospective follow-up study was used among 502 mothers who have children aged two to three years in the Gozamin district from October 1, 2017, up to September 30, 2020. Interviewer-administered structured questionnaires were used. Cox proportional hazard model was applied after its assumptions and model fitness were checked, to identify predictors for time to breastfeeding cessation. Results The overall mean time to breastfeeding cessation was 22.56 (95%CI: 22.21, 22.91) months, and the cumulative survival probability on breastfeeding up to 24 months was 82.5% (95%CI:78.85, 85.53). The overall incidence of early breastfeeding cessation was 7.77 (95%CI:6.31, 9.58) per 1000 person-month observations. Having no antenatal care follow up (AHR:2.15, 95%CI:1.19, 3.89), having ≥4 number of children (AHR:1.76, 95%CI:1.10, 2.80), < 24 months breastfeeding experience (AHR:1.77, 95%CI:1.14, 2.75), and presence of cow milk in the household (AHR:3.01, 95%CI:1.89, 4.78) were significant predictors for time to breastfeeding cessation. Conclusion The time to breastfeeding cessation is below the recommendation and therefore, strengthening breastfeeding education and related counseling at the community level is better.
Background: Sexual and gender based violence (SGBV) continues to be a concern of health, sexual and reproductive rights, sustainable peace and development issue that cuts across boundaries, cultural backgrounds and socio-economic groups to touch individuals of every sort around the world. SGBV remains one of the greatest inequalities of our time that takes life, violates the right they are entitled with, and seriously endangers women and girl’s mental and physical wellbeing, as well as sexual and economical security. This study aimed to assess the prevalence and associated factors of sexual and gender based violence among female high school students in Debre Markos Town, North West Ethiopia:. Methods: An institutionally based-cross-sectional study was conducted among 309 randomly selected female high school students in Debre Markos Town. Data was collected using self- administered questionnaire. Data was analyzed using multivariate logistic regression with odds ratio and 95% confidence interval to identify factors associated with sexual and gender based violence. Statistical significance was declared at p-value < 0.05.Results: The lifetime prevalence of GBV, sexual violence, and physical violence were found to be 47.0, 23.3, and 39.5%, respectively. The prevalence of sexual violence in the current academic year was 13.2%. Ever drink alcohol (AOR = 0.39; 95% CI: 0.18–0.86), have friends using substances (AOR = 0.26; 95% CI: 0.09–0.82), Grade level (AOR = 3.15; 95% CI: 1.32–7.48), witnessing parental conflict (AOR = 0.29; 95% CI: 0.17–0.52), ever discuss gender related issues (AOR = 2.23; 95% CI: 1.31–3.78) and living condition of students (AOR = 3.53; 95% CI: 1.55–8.07) were significantly associated with gender-based violence.Conclusion: The prevalence of sexual and gender-based-violence was high. This needs further intervention like awareness creation at school and community settings should be strengthened.
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