Process Evaluation of Skilled Delivery Service in Hadiya Zone in Southern Nations, Nationalities, and Peoples Region, Ethiopia

Introduction: Gastrointestinal helminth parasite infection is a major influencing factor against the profitability of working equines all over the world. Methods: This cross-sectional study was conducted in the Hosaena district to investigate the prevalence and the potential risk factors of strongyle infection. To address this, 384 equines; donkeys (n = 208), and horses (n = 176) were randomly selected for the coprological examination to identify strongyle eggs using the floatation technique. Results: The study revealed that the overall prevalence of strongyle infection in the Hosaena district was 54.2% and the respective prevalence was 59.1% and 48.2.0% in donkeys and horses, respectively. Strongyles' infection rates in equines were 56.3%, 53.2%, and 56.6% in young, adult, and old animals, respectively, while the rates were 52.8% and 57.1% in male and female animals. Equids with a good body condition were highly prone to strongyle infection than equines with poor and medium body condition, and equids used for transport and packing, cart pulling, and no purpose were highly infected than those used for packing and transport purposes. A significant variation (P< 0.05) was shown in the statistical analysis between the equines and the prevalence of strongyle infection. However, the occurrence of strongyle infection was not significantly (P>0.05) associated with age, sex, and body condition score of equines. Conclusion: Hence, strongyles infection is widely distributed in equines in the study area. Further research, including broad sample sizes of gastrointestinal nematodes in all equines, should therefore be recommended for strategic prevention and control measures in order to understand the severity of the disease.

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“…The long rainy season runs between June and September, while the short rainy season runs from mid-February to late April. 19 …”

Section: Methodsmentioning

confidence: 99%

Study on Strongyle Infection of Donkeys and Horses in Hosaena District, Southern Ethiopia

Mathewos¹,

Fesseha²,

Yirgalem³

2021

VMRR

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“…Cesarean section delivery (12.1%) was within the range of UN recommendation (5–15%) and slightly higher than an evaluation study done Hadya zone (7.1%) [ 32 ]. Antepartum hemorrhage (13%) and obstructed labor (11.2%) while puerperal sepsis (6.5%), postpartum hemorrhage (6%), premature rupture of membrane (3.4%) and rupture of uterus (1%) commonly recorded obstetric complications encountered in the hospital.…”

Section: Discussionmentioning

confidence: 67%

Comprehensive emergency management of obstetric and newborn care program implementation at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2021: an evaluation study

Jejaw¹,

Debie

Yazachew

et al. 2023

Reprod Health

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Background Maternal healthcare service is the care given for the woman during her gestation, delivery and postpartum period. The Maternal Mortality Ratio (MMR) was remains high and a public health problem in Ethiopia. Sub-Saharan African (SSA) countries account two-thirds of the global total maternal deaths. To curb such high burden related with child births, comprehensive emergency obstetric care is designed as one of the strategies for maternal healthcare services. However, its implementation status was not well investigated. This study aims to evaluate the implementation of comprehensive emergency obstetric and new born care program in terms of Availability, compliance and acceptability dimensions at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. Methods A single case study design was employed from 01 to 30 April 2021. A total of 265 mothers who gave birth at University of Gondar Comprehensive Specialized Hospital (UoGCSH) during the data collection period for acceptability, 13 key informant interviews (KIIs), 49 non-participatory observations (25 observations during C/S performance and 24 assisted spontaneous vaginal deliver) and 320 retrospective document review were conducted. Availability, compliance and acceptability dimensions were evaluated using 32 indicators. Binary logistic regression model was fitted to identify factors associated with acceptability of the services. Adjusted Odds Ratio (AOR) with 95% confidence interval (CI) and p-value < 0.05 were also used to identify associated variables with acceptability. The qualitative data were recorded using tape recorder, transcribed in Amharic and translated to English language. Thematic analysis was done to supplement the quantitative findings. Results The overall implementation of comprehensive emergency obstetric and newborn care (CEmONC) was 81.6%. Moreover, acceptability, availability and care provider’s compliance with the guideline accounted 81, 88.9 and 74.8%, respectively. There were stocked-out of some essential drugs, such as methyldopa, nifidipine, gentamycin and vitamin K injection. CEmONC training gaps, inadequate number of autoclaves, shortage of water supply and long-distance delivery ward to laboratory unit were also the barriers for the CEmONC service. Short waiting time of clients (AOR = 2.40; 95%CI: 1.16, 4.90) and maternal educational level (AOR = 5.50, 95%CI: 1.95, 15.60) were positively associated with acceptability of CEmONC services. Conclusion The implementation status of CEmONC program was good as per our judgment parameter. Compliance of healthcare providers with the guideline was fair and needed improvement. Essential emergency drugs, equipment and supplies were stocked-out. The University of Gondar Comprehensive Specialized Hospital was therefore had better to give great emphasis to expand maternity rooms/ units. The hospital had better to avail the resources and provide continuous capacity building for healthcare providers to enhance the program implementation.

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“…10,11 Previous studies in Ethiopia focused on the magnitude of institutional delivery. However, the implementation of the program organized by its components-inputs, activities and outputs 12 and the barriers and facilitators for the process are not well addressed yet. Therefore, this evaluation will generate a comprehensive evidence on the program process and the barriers and facilitators of the process for decision-making.…”

Section: Introductionmentioning

confidence: 99%

Process Evaluation of Facility Delivery Services in Northwest Ethiopia: In the Case of Public Health Centers

Tafere¹,

Aschalew²,

Tsehay³

et al. 2023

IJWH

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Background: Even if giving birth at health facility is vital for both the mothers and their newborns, the coverage of institutional delivery in Ethiopia is very low (50%). In that regard, several studies have shown the possible factors of low delivery service uptake from the patients' side, but evidences on delivery services at the health centers are meagre. This study aimed to evaluate the process of delivery services in public health centers of northwest Ethiopia. Methods: A case study evaluation design with an embedded mixed-method was used to evaluate institutional delivery in public health centers of Gondar city. Dimensions from the access (availability, accommodation, and acceptability) and implementation fidelity (compliance) frameworks were used. A total of 363 mothers, 32 document reviews, 32 direct observations, and 17 key informants were included. The qualitative data were transcribed, translated, coded, and analysed using a thematic analysis approach. The overall process of institutional delivery services was measured based on pre-determined judgmental criteria. Results: The overall facility delivery process was 75.1%, judged by availability (78.5%), compliance (70.6%), accommodation (68.8%), and acceptability (80.2%) of services. Essential medicines in some of the health centers were stockout, insufficient delivery rooms and inadequate training of health workers on obstetric and newborn care were observed. Using partograph and examining vulval-perineal region for possible laceration during intrapartum period were less practiced. Residence (AOR: 0.13, 95% CI: 0.06-0.30), ANC 1 to 3 visits (AOR: 2.65, 95% CI: 1.05-6.74) and ANC4 + (AOR: 5.57, 95% CI: 2.09, 14.84) were factors affected acceptability of delivery services. Conclusion: Major constraints were in the accommodation of delivery services which needs a holistic effort from all stakeholders. Therefore, implementors with other stakeholders shall improve delivery rooms, facilitate training, and provide parenteral drugs as part of the obstetric and newborn care to improve the facility delivery services in Ethiopia.

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Process Evaluation of Skilled Delivery Service in Hadiya Zone in Southern Nations, Nationalities, and Peoples Region, Ethiopia

Cited by 6 publications

References 3 publications

Study on Strongyle Infection of Donkeys and Horses in Hosaena District, Southern Ethiopia

Study on Strongyle Infection of Donkeys and Horses in Hosaena District, Southern Ethiopia

Comprehensive emergency management of obstetric and newborn care program implementation at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2021: an evaluation study

Process Evaluation of Facility Delivery Services in Northwest Ethiopia: In the Case of Public Health Centers

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