Knowledge and Practice of Preconception Care and Related Factors Among Health Care Providers in Public Health Facilities of Assosa Zone, Western Ethiopia, 2022
Berhane Teklay Asfaha,
Hunduma Dina,
Yaregal Dessalew Tarik,
Nigus Chekole Sharew
Issue:
Volume 3, Issue 4, December 2022
Pages:
84-93
Received:
6 August 2022
Accepted:
25 September 2022
Published:
16 November 2022
DOI:
10.11648/j.ajnhs.20220304.11
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Abstract: Background: Preconception care refers to activities that women and their couples should undertake before and between pregnancies to improve pregnancy outcomes, and preconception prevention is still low worldwide, including Ethiopia. Objective: To assess of pre-conception nursing knowledge, practices and related factors among health care providers in public health facilities of the Assosa Zone, Benishangul Gumuz Region 2022. Methods: An institution-based cross-sectional study design was conducted. Pre-tested structured self-administered questionnaires were distributed to a sample of 421 study participants selected by simple random selection. Data were cleaned, coded and entered into Epi-Data software version 4.6 and then exported to version 25 of the Social Science Statistics Package (SPSS) for statistical analysis. Variables with a p-value < 0.25 in the bivariate analysis were candidates for multivariate logistic regression, and variables with a p-value < 0.05 in the multivariate analysis were considered statistically significant. The test for quality and multicolinearity was checked. Finally, the result was presented using tables, figures and texts. Result: Overall, around 66.1% and 42% of respondents respectively had good knowledge and practical experience of preconception care. The main determinants identified for knowledge of preconception care were level of education (medical doctorate) [AOR (95% CI = 3.23 (1.23-6.1)]), occupation [AOR (95% CI = 3 (1.8-7.65)], professional experience [AOR (95% CI = 2 (1.64-6.76)] and prior reading of the PCC guideline [AOR (95% CI = 3.2 (1.22-6.72))] And for practice, Education (medical PhD and BSc degree) [AOR (95% CI = 3.1 (1.67-5.89)] and [AOR (95% CI = 2.12 (1.09-4.89))], Knowledge of preconception care [AOR (95% CI = 3.3 (1.32-5.6)], Monthly salary [AOR (95% CI = 6.7 (2.8-15.9)] and work experience (3>=years) [AOR (95% CI = 2.4 (1.03-5.23)] were associated. Conclusion and recommendation: In this study, the majority of healthcare providers in the study area had good knowledge of PCC but poor PCC practice. It is recommended to create a PCC approach and rules and additionally create HCPs and guidelines to strengthen the integration of the health system.
Abstract: Background: Preconception care refers to activities that women and their couples should undertake before and between pregnancies to improve pregnancy outcomes, and preconception prevention is still low worldwide, including Ethiopia. Objective: To assess of pre-conception nursing knowledge, practices and related factors among health care providers i...
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Adherence and Associated Factors to Iron and Folic Acid Supplementation Among Pregnant Women
Ararsa Soboksa,
Mesfin Addissie,
Zalalem Kaba,
Robert Wondimu,
Ketema Gurmu,
Getu Mosisa
Issue:
Volume 3, Issue 4, December 2022
Pages:
94-100
Received:
24 September 2022
Accepted:
1 November 2022
Published:
23 November 2022
DOI:
10.11648/j.ajnhs.20220304.12
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Abstract: The purpose of this study was to assess the adherence and associated factors to iron and folic acid supplementation (IFAS) among pregnant women (PW) attending antenatal clinics in Federal Police Hospital, Addis Ababa, Ethiopia, 2018. Anemia is a global public health problem affecting both developing and developed countries. Africa has the largest number of women with anemia, next to South and Southeast Asia. However, there is a dearth of information on pregnant women's adherence and its associated factors which need to be known. An institutional-based cross-sectional study involving 418 PW was conducted. A systematic random sampling technique was employed. A pre-tested interviewer-administered structured questionnaire was used for quantitative data collection. The collected data were entered into a statistical package for social science (SPSS) version 22.0 for analysis, and multivariable logistic regressions were fitted to control the effect of confounding. Adjusted Odds ratios (OR) with their 95% confidence intervals (95% CI) were calculated to measure associations. Variables having P-value <0.05 were considered significant. There was high adherence (71.5%) to IFAS among PW. Some factors identified for non-adherence to IFAS were maternal early registration for Antenatal care (AOR=1.778, 95% CI: 1.076-2.936), awareness of IFAS (AOR=2.1, 95% CI: 1.24 -3.56), and history of anemia during current pregnancy (AOR=0.408, 95%CI: 0.224-0.744). The leading reason for adherence was getting medical advice (395, 94.5%). The adherence rate with IFAS among PW was found to be high. Early registration for antenatal care, number of antenatal visits, and anemia status were statistically significant predictors for maternal adherence to iron and folic acid supplementation. Therefore, comprehensive health promotion programs on IFAS should be given to PW to improve their adherence.
Abstract: The purpose of this study was to assess the adherence and associated factors to iron and folic acid supplementation (IFAS) among pregnant women (PW) attending antenatal clinics in Federal Police Hospital, Addis Ababa, Ethiopia, 2018. Anemia is a global public health problem affecting both developing and developed countries. Africa has the largest n...
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Experiences of Family Members of Healthcare Workers Caring for COVID-19 Patients in Lesotho: A Qualitative Study
Bokang Mahlelehlele,
Maselobe Lebona,
Moses Murandu
Issue:
Volume 3, Issue 4, December 2022
Pages:
101-106
Received:
17 November 2022
Accepted:
2 December 2022
Published:
27 December 2022
DOI:
10.11648/j.ajnhs.20220304.13
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Abstract: Background: In the wake of 2020, the world saw the beginning of a modern-day armageddon as a deadly and highly infectious disease emerged. The emergence of COVID-19 changed the world as we knew it. Amidst the resultant mayhem, several researchers engaged in studies about this disease, its impact on the global economy and on the healthcare system at large. Many studies focused on the impact it had on the well-being of healthcare workers but there is limited research on experiences of the family members of this vulnerable group. Material and Methods: The study employed a descriptive phenomenological research design and data was collected in the form of unstructured interviews. Analysis: Data analysis was done using Colaizzi’s seven-step method of qualitative data analysis. Results: Findings revealed a significant amount of negative emotions such as fear and frustration among family members, some positive emotions that among others included the opportunity of employment for their loved ones and gaining more knowledge about the disease. Conclusions: The well-being of family members of healthcare workers who were involved in the care of COVID-19 patients has an impact on the well-being of such healthcare workers. For the front-liners to function optimally, they need support from their loved ones, and this became difficult because of the fears that resulted from the pandemic. Many family members of front liners had to endure the continued possible exposure to the disease but they were overlooked as a vulnerable group during this pandemic.
Abstract: Background: In the wake of 2020, the world saw the beginning of a modern-day armageddon as a deadly and highly infectious disease emerged. The emergence of COVID-19 changed the world as we knew it. Amidst the resultant mayhem, several researchers engaged in studies about this disease, its impact on the global economy and on the healthcare system at...
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