ObjectivesThis study aimed to assess the prevalence of, and factors associated with, early initiation of antenatal care (ANC) follow-up among pregnant women attending ANC services at Bahir Dar Zuria zone public health centres (HCs), Bahir Dar, Northwest Ethiopia.DesignAn institution-based, cross-sectional study was conducted from 15 December 2020 to 1 March 2021. A systematic random sampling technique was applied to select the study participants.SettingFive public HCs (Han HC, Shimbit HC, Dagmawi Minilik HC, Shumabo HC and Meshentie HC) in Bahir Dar Zuria zone.ParticipantsPregnant mothers who were attending their ANC service during the data collection period were enrolled in this study. A total of 592 mothers were interviewed for the study.Outcome measureEarly initiation of ANC services (within 16 weeks of gestation).Results48.6% (95% CI 41.6% to 53.5%) of participants began their first ANC service before 16 weeks of gestation. Family size less than five (adjusted OR 2.0, 95% CI 1.25 to 3.25), urban residence (3.0, 1.48 to 6.17), secondary education (2.1, 1.3 to 3.6), college-level education and above (3.5, 1.8 to 6.8), primigravida (2.6, 1.65 to 4.14), planned pregnancy (3.5, 1.5 to 8.1) and knowledge about early initiation of ANC (1.7, 1.14 to 2.55) were significantly associated with early initiation of ANC.ConclusionA substantial number of participants had not received ANC services in a timely manner. Sociodemographic and obstetric characteristics of the respondents were associated with timely booking of ANC services. Dissemination of information about recommended time to initiate ANC services and efforts to improve women’s educational status to increase knowledge about early initiation of ANC are needed in the region.
Birth interval is time between two successive live births. Ethiopia is one of the populated African countries with total fertility rate of 4.6 and annual population growth rate of 2.6.Short birth intervals (<24 months) contribute to infant and child mortality risks. Currently, in Ethiopia women still have shorter birth intervals and studies addressing its determinants and maps to show the varied spatial distribution are scarce. This study examined individual and community level factors associated with duration of birth interval.Method: Data from the Ethiopian Demographic and Health Survey undertaken in 2016 was used for this analysis. Data was analyzed using STATA version 14, Arc Map GIS 10.3 and SaTScan. Multilevel Binary Logistic regression models were also used to explain regional inequalities in duration of birth intervals among women of reproductive age.Result: The median birth interval of the study population was 32 months (2.67 years). The result of this study reveals that 1935(25%) of women have intervals shorter than 24 months. Duration of birth interval was associated with index child died, women from highest economic level, women who breastfeed and women aged 45-49. Duration of birth interval had spatial variation across the country. A high proportion of shorter duration of birth interval was identified in Somalia and Affar Regions. Whereas the lower proportion of short birth interval found in Amhara, Tigray and Gambela.Conclusion: In this study both the individual and community level Factors were found to have significant influence on preceding birth interval of children. The spatial effect of duration of birth was captured by the spatial analysis. Additionally dissemination of information about recommended interval and cooperative effort to improve women’s economic independency and decision making power to increase maternal social status has to be conducted.
Background: The novel coronavirus(COVID-19) pandemic has been dramatically affecting healthcare organizations across the world. Accessing modern health care is still limited in developing countries due to different factors. Within physical distancing, telemedicine has become the preferred communication channel between health professions and patients. Therefore, this study was aimed to assess Perception and Associated factors for the implementation of telemedicine during the COVID-19 Pandemic among Health Professionals Working at Governmental health facility in Addis Ababa, Ethiopia, 2021.Methods: -Institutional-based cross-sectional study design was conducted among 845 study participants. A structured interview administrative questionnaire using ODK(open data kit) was used. A pre-test was done on 5% of the total sample size. The quality of data was assured by checking its completeness and consistency. Descriptive statistics Bivariable and multivariable logistic regression were fitted. Variables having P-value less than 0.25 during bi-variable logistics regression were entered into multivariable logistic regression. Adjusted odds ratio (AOR) with 95% confidence level (CL) were used to declare association between dependent and the outcome variable. Model fitness and multicollinearity was checked using by using Hosmer-Lemeshow AND Variable inflation factors(VIF) respectively.Result:- Over all 60.9% (95% CI: [57.5, 64.4]) of health professionals had a good perception towards telemedicine with response rate of 737( 87.2%). Health professionals who had IT supporting staff (AOR:7.13, 95% CI: 4.264-13.201), health professionals ’ being certified concerning with ICT (AOR:4.42, 95%CI: 2.69-7.524), frequency of using social media platforms (AOR=3.263, 95% CI: 1.621-6.561) were variables significantly associated with the perception of telemedicine among health professionals for control and prevention of COVID-19.Conclusion:- More than half of respondents had a good perception of telemedicine. being trained with ICT, accessibility of computers,s and Having IT support staff in their health facility were significantly associated with the level of telemedicine perception in the era of the COVID-19 pandemic. Therefore, the Ministry of health recommended to encourage the health professions and the stakeholders to collaborate on promotion of safe and evidence-based use of telemedicine during the current COVID-19 pandemic and future outbreaks.
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