scholarly journals Factors Affecting Choice of Childbirth Place among Childbearing Age Women in Western Ethiopia: A Community-Based Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Tariku Tesfaye Bekuma ◽  
Belaynesh Firrisa ◽  
Melese Girmaye Negero ◽  
Gemechu Kejela ◽  
Haile Bikila

Background. Access to proper medical attention and hygienic conditions during delivery can reduce the risk of complications and infections that may lead to serious illness or death or for the mother, baby, or both. In Ethiopia, the high maternal mortality rate with delivery by unskilled birth attendants shows low utilization of maternal health services. Objective. This study was aimed at assessing factors determining the choice of childbirth place among women of childbearing age in Jimma Arjo District. Method. A cross-sectional design was conducted in Jimma Arjo District, East Wollega Zone, Ethiopia, from March 20 to April 20, 2018. Multistage sampling technique was used to select a total sample of 506 participants. Data were collected using structured questionnaires to interview women of childbearing age with two trained data collectors. Data was entered into Epi Info and exported to SPSS software version 20 for analysis. Data was checked for its completeness, cleaned, entered, and analyzed accordingly. Bivariate and multivariable data analyses were used to examine factors affecting choice of childbirth place. Results. A total of 506 women participated in this study, giving a response rate of 97.8%. The study investigated that home delivery was found to be 200 (39.5%)in the study area. Factors found to be statistically associated with choice of institutional delivery at p<0.05 were history of obstetric difficulties (AOR=6, 95%CI=2.08,17.60), woman educational status (AOR=4.4, 95%CI=1.47,13.42), husband educational status (AOR=4, 95%CI=1.43,11.60), two or more ANC visits (AOR=4, 95%CI=1.95,8.52), and accessibility to vehicle transportation (AOR=2.8, 95%CI=1.23,6.46). Conclusion. Preferring health facility as the birthplace in this study seems relatively better compared to other studies. It is shown that both mothers and their husbands attending secondary and greater educational level, history of obstetric difficulties, two or more ANC visits, and physical accessibility to health care facility have influenced mothers to prefer a health institution as the childbirth place. Therefore, any programs aimed at increasing the choice of institutional delivery should work on increasing ANC attendance and transportation facilities in the study area.

2019 ◽  
Author(s):  
Tariku Tesfaye Bekuma ◽  
Belaynesh Firrisa ◽  
Melese Girmaye ◽  
Haile Bikila ◽  
Gemechu Kejela

Abstract Background: Maternal death is the most extreme consequence of poor maternal health. More than 30 million women in developing regions suffer from serious diseases and disabilities due to inadequate care during pregnancy and delivery. Access to proper medical attention and hygienic conditions during delivery can reduce the risk of complications and infections that may lead to death or serious illness for the mother, baby, or both. In Ethiopia, the high maternal mortality rate with delivery by unskilled birth attendants shows low utilization of maternal health services.Objective: This study was aimed to assess factors determining the choice of childbirth place among women of childbearing age in Jimma Arjo District.Method A cross-sectional study design was conducted in Jimma Arjo District East Wollega Zone, Ethiopia, from March 20 to April 20, 2018. Multistage sampling technique was used to select a total sample of 506 participants. Data were collected using structured questionnaires to interview women of childbearing age. It was entered into Epi-Info and was exported to SPSS software version 20 for analysis. Data was checked for its completeness, cleaned, entered and analyzed accordingly. Bivariate and Multivariable data analysis was used to examine the association between dependent and independent variables. Result: A total of 506 women participated in this study, giving a response rate of 97.8%. This study has investigated that home delivery was found to be 200(39.5%) whereas institutional delivery was 306(60.5%) in the study area. Factors found to be statistically associated with choice of institutional delivery at p<0.05 were; history of obstetric difficulties (AOR=6, 95% CI= (2.08, 17.60)), women educational status(AOR = 4.4, 95% CI= (1.47, 13.42)), husband educational status (AOR=4, 95% CI= (1.43, 11.60)), having 2-3 ANC Visits (AOR=4, 95%CI= (1.95, 8.52)), and accessing vehicle transportation (AOR = 2.8, 95% CI= (1.23, 6.46)).Conclusion: Preferring health facility as birth place in this study seems relatively better compared to other studies. It’s shown that attending secondary and more educational level in both mothers’ and their husbands’, history of obstetric difficulties, history of ANC attendance, having 2-3 ANC visits, and accessing facilty nearby have influenced mothers to prefer health institution as childbirth place. Therefore, any programs aimed at increasing choice of institutional delivery should first work on education, ANC follow up and transportation facilities in the study area.


2019 ◽  
Author(s):  
Tariku Tesfaye Bekuma ◽  
Belaynesh Firrisa ◽  
Melese Girmaye ◽  
Gemechu Kejela ◽  
Haile Bikila

Abstract Background : Maternal death is the most extreme consequence of poor maternal health. More than 30 million women in developing regions suffer from serious diseases and disabilities resulted from maternal causes. Access to proper medical attention and hygienic conditions during delivery can reduce the risk of complications and infections that may lead to death of the mother, baby, or both. In Ethiopia, the high maternal mortality rate with delivery by unskilled birth attendants shows low utilization of maternal health services. Objective : This study was aimed to assess choice of childbirth place and its associated factors among women of childbearing age. Method A cross-sectional study design was conducted in Jimma Arjo district, western Ethiopia, from March 20 to April 20, 2018. Multistage sampling technique was used to select 506 participants. Collected data was entered into Epi-Info, checked for its completeness, cleaned and finally exported to SPSS software version 20 for analysis. Bivariate and Multivariable data analysis was used to examine the association between dependent and independent variables. Result : The study investigated that home delivery was found to be 200(39.5%) whereas institutional delivery was 306(60.5%) in the study area. Factors found to be statistically associated with choice of institutional delivery at p<0.05 were; history of obstetric difficulties (AOR=6, 95% CI= [2.08, 17.60]), women educational status (AOR = 4.4, 95% CI= [1.47, 13.42]), husband educational status (AOR=4, 95% CI= [1.43, 11.60]), having 2-3 ANC Visits (AOR=4, 95%CI= [1.95, 8.52]), and accessing vehicle transportation (AOR = 2.8, 95% CI= [1.23, 6.46]). Conclusion: Preference of institutional delivery in this study seems relatively better compared to other studies. It’s shown that attending secondary and more educational level in both mothers’ and their husbands’, history of obstetric difficulties, ANC attendance, and accessing vehicle for transportation have influenced mothers to prefer health institution as childbirth place. Therefore, any programs aimed at increasing choice of institutional delivery should first work on education, ANC follow up and transportation facilities in the study area.


2017 ◽  
Vol 1 (01) ◽  
pp. 61
Author(s):  
Hepi Diah Apika ◽  
Endo Dardjito ◽  
Dyah Umiyarni Purnamasari

Abstract The purpose of this study analyze the relationship between the iodine content of salt consumption and the level of consumption of iodine levels in women of childbearing age UIE. The study was observational with cross sectional design. The research location in the village of Kebumen, Baturraden subdistrict, Banyumas. Subjects were 38 selected by simple random sampling technique. The consumption level of iodine was measured by the method of Food Recall 2x24 hours. Salt iodine content was measured by iodometric titration method and UIE levels measured by acid digestion method in the laboratory BP2GAKI Magelang. Data analysis using spearman correlation. A total of 71.1% women of childbearing age using the iodine content of salt consumption of <30 ppm. The consumption level of iodine less subject category (86.8%). UIE levels by an average of 156.50 μg/L category of normal iodine intake. There was no relationship with the iodine content of salt UIE levels (p=0.671). No correlation with levels of iodine consumption levels UIE (p=0.586). Levels of UIE women of childbearing age are not affected by the iodine content of salt and iodine consumption levels.   Keywords: Iodized salt, consumption levels, UIE   Abstrak   Tujuan penelitian ini adalah menganalisis hubungan kadar yodium konsumsi garam dan tingkat konsumsi kadar yodium pada wanita usia subur UIE. Penelitian ini bersifat observasional dengan rancangan cross sectional. Lokasi penelitian di desa Kebumen, Kecamatan Baturraden, Banyumas. Subjek penelitian dipilih dengan teknik simple random sampling. Tingkat konsumsi yodium diukur dengan metode Food Recall 2x24 jam. Kandungan garam yodium diukur dengan metode titrasi iodometrik dan tingkat UIE yang diukur dengan metode pencernaan asam di laboratorium BP2GAKI Magelang. Analisis data menggunakan korelasi spearman. Sebanyak 71,1% wanita usia subur menggunakan kandungan yodium konsumsi garam <30 ppm. Tingkat konsumsi kategori subjek kurang yodium (86,8%). Tingkat UIE rata-rata 156,50 μg / L kategori asupan yodium normal. Tidak ada hubungan dengan kadar yodium kadar garam UIE (p = 0,671). Tidak ada korelasi dengan tingkat kadar konsumsi yodium UIE (p = 0,586). Tingkat wanita UIE pada usia subur tidak terpengaruh oleh kadar yodium tingkat konsumsi garam dan yodium.  Kata kunci: garam beryodium, tingkat konsumsi, UIE


2016 ◽  
Vol 3 (1) ◽  
pp. 48
Author(s):  
Annisaa’ Nurmasari ◽  
Fatimah Fatimah ◽  
Febrina Suci Hati

<p>HIV infection in pregnant women can threaten the life of the mother and the mother can transmit the virus to their babies. Sleman PHC registered 2 people including one pregnant woman and one women of childbearing age in the year of 2014. Incidence of pregnant women suffering from HIV-AIDS in 2014 is 1 patients and detected from PITC test results for 7 weeks in a row is 1 patient. And in January year of 2015 found 1 patient with 3 times test and the results was positive. The purpose of this study was to determine relationship between Knowledge Level of Pregnant women about HIV/AIDS and Behaviour of PITC (Provider Initiated Test and Counselling) test. This study was a quantitative analysis of correlation with cross-sectional design. The population of this study were all pregnant women checkups at the health center in Yogyakarta Sleman. The sampling technique was used accidental sampling study which consisted of 72 respondents. The analysis used univariate and bivariate. The results showed that most respondents aged 20-35 (72.2%), senior high school education (47.2%) and work as a housewife (IRT) (38.9%). Most respondents have good knowledge about HIV/AIDS were 50 respondents (69.4%). Most respondents perform checks PITC were 71 respondents (98.6%). There was no relationship between knowledge level of pregnant women about HIV/AIDS and Behaviour of PITC (p-value=0.243&gt;0.005). In Conclusion, There was no relationship between knowledge level of pregnant women about HIV/AIDS and Behaviour of PITC in Sleman, Yogyakarta.</p>


2020 ◽  
Vol 20 (2) ◽  
pp. 410
Author(s):  
M Dody Izhar

Overweight is one of the nutritional problems in Indonesia that will affect the quality of health. Increased prevalence of obesity is identified as being more at risk in the group of women as they age. As for other determinants including the use of contraception, food intake that is not in accordance with needs, lack of activity and family history. This study aims to determine and identify preventive measures against risk factors that may be a determining factor for overweight in women of childbearing age. This study was an observational study using a cross sectional design. Sampling using a multistage random sampling technique with a sample size of 276 respondents in the Simpang Kawat Puskesmas Work Area in Jambi City in 2019, the study was conducted in August 2018-July 2019. Data were analyzed using the chi square test (α = 0.05). The results showed that the prevalence of obesity in women of childbearing age was 35.5%, poor diet (50.4%), heavy physical activity (81.9%), no family history of obesity (80.4%) and use hormonal contraception (60.9%). Based on comparative analysis, it is known that a significant factor with overweight is eating variable (p value = 0.019), while other factors are declared insignificant namely physical activity; both mild activity (p value = 0.596) and moderate (p value = 0.216), family history (p value = 0.126) and use of contraception; both hormonal (p value = 0.485) and non hormonal (p value = 0.505). The conclusion of this study is the determinant of the incidence of overweight in women of childbearing age caused by poor diet and is not influenced by physical activity, family history and use of contraception.


2019 ◽  
pp. 200-214
Author(s):  
Eghosa Morgan ◽  
Nosa Akpede ◽  
Emmanuel Friday Osagiede ◽  
Vivian Ajekweneh ◽  
Francis Erah ◽  
...  

Background. Spinal Bifida is a congenital malformation of the spine that typified defect of the neural tube with devastating neurological, psychosocial and developmental burden to the growing child with associated huge financial burden to the parents, community and the country. Past and present studies have shown strong evidence to indicate that folic acid supplementation during the periconceptional period reduces the occurrence of spinal bifida in children.Aim. To assess the knowledge, attitude, and practice of use of folic acid during the periconceptional period among women of childbearing age in two rural communities in Edo State, Nigeria.Materials and methods. A prospective cross-sectional study of 170 women between the ages of 15 and 49 years recruited through a multi-stage sampling technique. The survey instrument was a structured interviewer-administered questionnaire. The data was analysed using Statistical Package for Social Sciences (SPSS) version 21 and presented as charts, tables, and associations tested with Chi-square at a statistical level of significance set at p<0.05.Results. One hundred and twenty-two (71.8%) of the respondents showed good knowledge, 147(86.5%) had a positive attitude, and 106 (62.4%) had a good practice of use of folic acid. There was a statistically significant association between respondents’ age, marital status, level of education, occupation, and their knowledge of the use of folic acid as well as with their attitude towards the use of folic acid. However, the practice was mainly associated with the socio-demographic variable of each household.Conclusion. The use of folic acid during the perinatal period for the prevention of spinal bifida is found to be absent in about two-fifths of the study population, a number found to be alarming despite the high level of good knowledge and attitude towards the use of folic acid. There is, therefore, an urgent need to step up more advocacy and health education to women of childbearing age to increase the uptake of folic acid for effective reduction of the incidence of spinal bifida.


2019 ◽  
pp. 088626051988819
Author(s):  
Sanni Yaya ◽  
Alzahra Hudani ◽  
Amos Buh ◽  
Ghose Bishwajit

Intimate partner violence (IPV) among married women of childbearing age can significantly enhance their risk of adverse health outcomes such as injury and disability, depression and anxiety, unwanted pregnancies, premature labor, complications with delivery, and perinatal and neonatal mortality. The objective of this study was to examine the prevalence and individual and societal factors associated with IPV among Egyptian women. Cross-sectional data on 12,205 ever-married women between the ages of 15 to 49 years were collected from the Egypt Demographic and Health Survey (EDHS). Data from the 2005 and 2014 EDHS were pooled and analyzed. Self-reported responses on violence by husbands were classified into physical, sexual, and emotional violence. The factors of association were quantified using logistic regression methods. The prevalence of experiencing any form of violence among ever-married women in Egypt was 29.4%. Overall, women reported experiencing physical, emotional, and sexual violence at 26.7%, 17.8%, and 4.6%, respectively. Women in the age group of 25 to 29 years had the highest odds (odds ratio [OR] = 1.539, 95% confidence interval [CI] = [1.327, 1.785]) of suffering from any form of IPV. Women residing in urban areas (OR = 1.149, 95% CI = [1.046, 1.262]), having only a primary-level education (OR = 1.756, 95% CI = [1.543, 1.999]), being followers of Islam (OR = 1.713, 95% CI = [1.379, 2.126]), and having husbands with no education (OR = 1.422, 95% CI = [1.263, 1.601]) reported having higher odds of experiencing any form of IPV. Nearly one third of married women of childbearing age are exposed to IPV of any form in Egypt. IPV intervention programs should pay special attention to the socioeconomically vulnerable segments of the population and promote educational status among men and women to curb the occurrence of IPV.


2019 ◽  
Vol 1 (2) ◽  
pp. 1-7
Author(s):  
Tiffani Tantina

Premenstrual syndrome is quite high, with almost (75%) of women of childbearing age around the world experiencing premenstrual syndrome. Country of Indonesia itself the number of events around (70-90%), which occurs in women of childbearing age and more often found in women aged 20-40 years. This figure indicates that Premenstrual Syndrome in Indonesia is quite a lot that needs to be done countermeasures to stay and overcome it. Low knowledge of the various forms of adolescents have risky behavior / action. The purpose of this study was to analyze the relationship between the variables studied and knowledge with Premenstrual Actions Syndrome. This research method uses pure quantitative in cross sectional approach. The research subjects were female teenagers residing in the new village of Pancur Batu sub-district, which faced 90 people who were 12-16 years old. Random sampling technique by simple random sampling. Data analysis was done by Chi-Square test with multiple Linear regression test. The result of the study was no correlation between end result of age, education, first menstruation with action of overcoming premenstrual syndrome , the most dominant and significant variable is age, and knowledge also has a significant relationship with the action of overcoming premenstrual syndrome.


2017 ◽  
Vol 6 (1) ◽  
pp. 22-26
Author(s):  
Sushila Shrestha ◽  
Geeta Kamal Shrestha

Background:  Health facility delivery is considered a critical strategy to improve maternal health. The Government of  Nepal is promoting institutional delivery through different incentive programs and the establishment of birthing centers.  The objective of this study was to identify utilization of institutional delivery and its associated factors.Method:  A descriptive cross-sectional study was carried out among the mothers of under five children in Dhungkharka.  Pre-tested questionnaire was administered to 170 mothers between 15-45 years of age group. Household survey was done by using purposive sampling technique and face to face interview technique was used to collect the data from 1st Julyto 30 th December 2014. Data was analyzed using simple descriptive statistic with SPSS version 16. Association with  institutional delivery was assessed by using chi-square test.Results: Among the total participants, 90.0% of them had institutional delivery. The higher proportions of institutional  delivery were found in both literate mothers (p=0.001), and literate husband (p=0.023). The proportion of institutional  delivery among the mothers decided by their relatives (husband, father/mother-in-laws and other family members) for  institutional delivery had higher portion (p=0.048) of  institutional delivery than participants who decide themselves.Conclusion: Utilization of institutional delivery was much higher than national figure. Institutional delivery was associated  with both educational status of mothers and their husband. Decision made by husband, mother in-law, father in-law and other family members were also associated with institutional delivery. So, to increase institutional delivery, family members need to be encouraged for safe motherhood program.Journal of Kathmandu Medical College Vol. 6, No. 1, 2017, page: 22-26


2019 ◽  
Vol 1 (2) ◽  
pp. 1-7
Author(s):  
Tiffani Tantina

Premenstrual syndrome is quite high, with almost (75%) of women of childbearing age around the world experiencing premenstrual syndrome. Country of Indonesia itself the number of events around (70-90%), which occurs in women of childbearing age and more often found in women aged 20-40 years. This figure indicates that Premenstrual Syndrome in Indonesia is quite a lot that needs to be done countermeasures to stay and overcome it. Low knowledge of the various forms of adolescents have risky behavior / action. The purpose of this study was to analyze the relationship between the variables studied and knowledge with Premenstrual Actions Syndrome. This research method uses pure quantitative in cross sectional approach. The research subjects were female teenagers residing in the new village of Pancur Batu sub-district, which faced 90 people who were 12-16 years old. Random sampling technique by simple random sampling. Data analysis was done by Chi-Square test with multiple Linear regression test. The result of the study was no correlation between end result of age, education, first menstruation with action of overcoming premenstrual syndrome ,the most dominant and significant variable is age,and knowledge also has a significant relationship with the action of overcoming premenstrual syndrome.


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