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Knowledge, Attitude and Practice of Women Towards Female Genital Mutilation in Lejet Kebele, Dembecha Woreda, Amhara Regional State, Northwest, Ethiopia, 2014
Nurilign Abebe Moges,
Getachew Mullu,
Mihiretie Gedfew,
Mohammednur Redi,
Mohammed Molla,
Setarg Ayenew,
Shegaw Fentahun,
Solomon Adisie,
Zewudu Dagnew
Issue:
Volume 3, Issue 2, March 2015
Pages:
21-25
Received:
28 January 2015
Accepted:
9 February 2015
Published:
15 February 2015
Abstract: Introduction: Female genital mutilation (FGM) is cutting away part of the female external genitalia or other injuries to the female genitalia for cultural purpose. This practice is against human reproductive health rights with many serious consequences in physical, mental, social and psychological makeup of girls. Therefore, study the prevalence of FGM among under five daughters, knowledge about the ill health effects of FGM and attitude of mothers towards FGM was timely to recommend the concerned body according to the findings. Methods and materials: community based cross sectional study design was among 235 women with under five years of age daughters. Systematic random sampling was used and data were entered in to Epi data version 3.1 then exported to SPSS version 16 for further analysis. Bivariate and multivariate logistic regression was fitted to identify associated factors. Result: about 94% of mothers and 34% of their under five daughters were circumcised. More than half of them had positive attitude to continue FGM practice with poor knowledge about ill health effects of FGM. Conclusion and recommendation: Majority of women were in poor knowledge of the ill health effects of FGM. Most of them had favorable attitude to continue FGM among their daughters. The practice of FGM is very high among women and under five daughters. Most of the FGM practices were done in the seventh days of life. The government should strength the legal measurement taken on FGM practice involvers. The woreda health office should strengthened HTP/FGM discouragement through health extension workers (HEW), community leaders and women involvement. Continued community conversation on the ill health effects of FGM should be implemented.
Abstract: Introduction: Female genital mutilation (FGM) is cutting away part of the female external genitalia or other injuries to the female genitalia for cultural purpose. This practice is against human reproductive health rights with many serious consequences in physical, mental, social and psychological makeup of girls. Therefore, study the prevalence of...
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Magnitude and Pattern of Caesarean Sections in a Teaching Hospital, Northwest Nigeria: A 5 Year Analysis
I. S. Abubakar,
A. Rabiu,
A. D. Mohammed
Issue:
Volume 3, Issue 2, March 2015
Pages:
26-28
Received:
1 February 2015
Accepted:
25 February 2015
Published:
2 March 2015
Abstract: Background: The pattern of Caesarean section rate is on the rise with emergency surpassing elective caesarean deliveries. This could not be unconnected to the safety of anaesthesia in modern obstetrics. Method: Data on Caesarean deliveries conducted from January, 2005 to December, 2009 was analyzed using Epi Info Statistical Software. Results: The Caesarean section rate was 18.75%. The mean age was 28.02±5.86 years. Emergency Caesarean section was the majority (59.4%) while the remaining (40.6%) were elective. General anaesthesia was used for the majority (66.68 %) of the cases, while 33.32% had subarachnoid block. Univariate analysis, shows statistically significant association between the type of surgery and anaesthetic technique used (χ2=22.741, df = 1, p = 0.000). A statistically significant association was also established between age group of the patients and the anaesthetic technique (χ2=10.878, df = 2, p = 0.004). However, there was no statistically significant association between age group of the patients and the type of Caesarean section (χ2=0.224, df = 2, p = 0.894). Conclusion: The high rate of emergency caesarean intervention has been a persistent denominator in several studies. The root cause of these anomalies such as dearth of expertise at secondary facilities should be addressed. With effective pregnancy supervision, obstetric cases that would end with emergency intervention can be handled electively.
Abstract: Background: The pattern of Caesarean section rate is on the rise with emergency surpassing elective caesarean deliveries. This could not be unconnected to the safety of anaesthesia in modern obstetrics. Method: Data on Caesarean deliveries conducted from January, 2005 to December, 2009 was analyzed using Epi Info Statistical Software. Results: The ...
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Prevalence and Antibiotic Susceptibility Pattern of Streptococcus agalactiae Among Pregnant Women at Adigrat Zonal Hospital and Adigrat Health Center, Tigray, Ethiopia
Tsega Kahsay Gebremeskel,
Tamrat Abebe Zeleke,
Adane Mihret,
Mulugeta Desta Tikue
Issue:
Volume 3, Issue 2, March 2015
Pages:
29-35
Received:
6 February 2015
Accepted:
19 February 2015
Published:
2 March 2015
Abstract: Back ground: Streptococcus agalactiae or Lancefield group B Streptococci (GBS) is part of the microbiota of the mucous membranes of humans and animals, mainly colonizing the intestinal and genitourinary tracts. This study was undertaken to determine the carriage rate of S. agalactiae and to assess their antimicrobial susceptibility pattern. An attempt has been also made to identify the possible risk factors related with S. agalactiae colonization. Methods: Rectal and vaginal swabs were obtained from 150 pregnant women at 35-37 weeks of gestational period that attended antenatal clinic at Adigrat Zonal Hospital and Adigrat Health Center, Tigray, Ethiopia. Then the specimen was cultured on selective CHROMagarTMStrepB. In cases of positive cultures obtained, antibiotic susceptibility tests were carried out on all S. agalactiae isolates using the disc diffusion technique on Mueller-Hinton agar supplemented with 5% sheep blood. A univariate and multivariate binary logistic regression model was used to ascertain the association between the frequencies of colonization in relation to the different variables. Results: The prevalence of rectovaginal S. agalactiae colonization was (11.3%). Bacterial resistance was detected to erythromycin (11.8%) and clindamycin (17.6%). By multi variant logistic regression analysis, prolonged rupture of membrane was associated with a higher colonization rate of S. agalactiae (OR=5.864, 95% CI= 1.395 – 24.643, P-value= 0.016). Conclusion: The carriage rate of S. agalactiae among pregnant women in the present and a previous study in Gondar, remain low. The rates, risk factors of maternal GBS colonization may vary in different communities and need to be thoroughly evaluated in each country to allow the most appropriate preventive strategy to be selected.
Abstract: Back ground: Streptococcus agalactiae or Lancefield group B Streptococci (GBS) is part of the microbiota of the mucous membranes of humans and animals, mainly colonizing the intestinal and genitourinary tracts. This study was undertaken to determine the carriage rate of S. agalactiae and to assess their antimicrobial susceptibility pattern. An atte...
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Determinants of Skilled Institutional Delivery Service Utilization among Women Who Gave Birth in the Last 12 Months in Bako District, Oromia, Ethiopia, 2012/13 (Case-Control Study Design)
Eshetu Ejeta,
Tadele Nigusse
Issue:
Volume 3, Issue 2, March 2015
Pages:
36-42
Received:
11 February 2015
Accepted:
24 February 2015
Published:
9 March 2015
Abstract: Background: High maternal mortality is a continued challenge for the achievement of millennium development goal in sub-Saharan African countries including Ethiopia. Although institutional delivery services utilization ensures safe birth and a key to reduce maternal mortality, interventions at the community or institutions were unsatisfactorily reduced maternal mortality. Institutional delivery service utilization is affected by the interaction of personal, socio-cultural, behavioral and institutional factors. Methods: A community based un-matched Case Control study was conducted in Bako district, West shoa, Ethiopia. Three hundred eighty mothers were included in the study. Data were collected by trained female data collectors via face to face interview and pretested structured questionnaire was used to collect data on different variables. Descriptive statistics, binary and multivariable logistic regression analyses were computed by SPSS version 16. Statistical significance was considered at p<0.05 and the strength of statistical association were assessed by odds ratio (OR) with 95% confidence intervals. Result: In this study, a total of 380 mothers (130 cases and 250 controls) were included in the analysis. Majority (77%) of respondents were Oromo. Ninety four percent (94%) of mothers were married where as 2.4% were singles (never married). Ten percent (10%) of mothers have attended secondary and above grade. Secondary and above education (AOR: 2.754, 95%CI: 1.51–8.91), house wife (AOR: 23, 95% CI: 2.0-25.0), private employee (AOR: 14, 95% CI: 1.04-19.0) were significantly associated with utilization of skilled institutional delivery. Similarly, ANC visit (AOR=0.19[95% CI: 0.086-0.42], joint (husband and wife) final decision where to give birth (AOR=0.25[95% CI: 0.08-0.75], access to transport (AOR=0.53[95% CI: 0.30-0.94] were independently factors affecting institutional delivery service. Conclusion: Women’s education, occupation, ANC visit, joint(husband and wife) final decision making on place of delivery and access to transport service were found to be determinant of skilled institutional delivery service utilization. Hence, intensifying education for women and strengthen decision making power of women, enhance transport accessing of women and well communicating benefit of ANC use were recommended.
Abstract: Background: High maternal mortality is a continued challenge for the achievement of millennium development goal in sub-Saharan African countries including Ethiopia. Although institutional delivery services utilization ensures safe birth and a key to reduce maternal mortality, interventions at the community or institutions were unsatisfactorily redu...
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