scholarly journals Completion and Factors Associated with Maternity Continuum of Care among Mothers Who Gave Birth in the Last One Year in Enemay District, Northwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Anguach Shitie ◽  
Nega Assefa ◽  
Merga Dhressa ◽  
Tenagework Dilnessa
Keyword(s):  
Health Care ◽  
Multivariable Analysis ◽  
Continuum Of Care ◽  
Northwest Ethiopia ◽  
Cross Sectional ◽  
Health Care Decision ◽  
Factors Associated ◽  
One Year ◽  
Care Decision ◽  
The Continuum

Background. Ethiopia still suffers high levels of neonatal and maternal mortality, so the maternity continuum of care is a continuous framework for the delivery of maternal care from pregnancy to the postnatal period. Skilled care during pregnancy, childbirth, and the postpartum period is an important intervention in reducing maternal and neonatal morbidity and mortality. But in Ethiopia, there are limited studies on the completion of the maternity continuum of care, so this study will help to suggest interventions in order to reduce the dropout of the maternity continuum of care. Objective. To assess the completion of the maternity continuum of care and factors associated with it among mothers who gave birth in the last one year in Enemay District, Northwest Ethiopia. Method and Materials. A community-based cross-sectional study was conducted from February 25 to March 10, 2019, on 651 women who gave birth in the last one year. The data were collected by a face-to-face interview through pretested and structured questionnaires. Binary logistic regression was used to identify predictors of the completion of the maternity continuum of care. Variables with a P value < 0.05 in multivariable analysis were declared as statistically significant associated factors. Results. This study revealed that about 45% (95% CI: 40.9%, 48.8%) of respondents completed the continuum of care. Women with secondary education (AOR=6, 95% CI: 2.26, 16.6), women whose occupation is farming (AOR=0.18, 95%, CI: 0.1, 0.32), women who have autonomy in health care decision (AOR=4, 95% CI: 2.26, 7.2), women who have exposure to media (AOR=1.97, 95% CI: 1.2, 3.27), women with wanted pregnancies (AOR=3.33, 95% CI: 1.87, 5.9), para five and above women (AOR=2.85, 95% CI: 1.28, 6.3), and women whose husbands are employed (AOR=4.97, 95% CI: 1.16, 21.2) were significantly associated with the completion of the maternity continuum of care. Conclusions and Recommendation. This study showed that less than half of the participants had achieved the continuum of care and education level, and both respondents and their husband’s occupation, parity, autonomy in health care decision, exposure to the mass media, and wantedness of pregnancy were associated with the completion of the maternity continuum of care; therefore, working on enhancing the capacity of women’s autonomy in health care and decision-making and preventing unintended pregnancy helps to improve the completion of the maternity continuum of care.

scholarly journals Patient Engagement in Decision Making and Associated Factors among Outpatients with Selected Non-Communicable Chronic Diseases in Public Hospitals of West Shoa, Ethiopia,2020

2021 ◽  
Author(s):  
Desalegn Emana
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Chronic Diseases ◽  
Patient Engagement ◽  
Associated Factors ◽  
Public Hospitals ◽  
Health Care Decision ◽  
Factors Associated ◽  
High Engagement ◽  
Care Decision

Abstract Background: Despite the importance of patient engagement in health care decision-making in the care of patients with chronic diseases, there is limited information about it and the factors affecting it in Ethiopia in general and in the Public Hospitals of West Shoa in particular. Thus this study is designed to assess the engagement of patients with selected chronic non-communicable diseases in health care decision making and associated factors in public hospitals of West Shoa Zone, Oromia, Ethiopia.Methods: Facility-based cross-sectional study design was used. Systematic sampling was used for the selection of study participants from June 7 – July 26, 2020. Standardized, pretested, and structured Patient Activation Measure was used to measure patient engagement in healthcare decision-making. Descriptive analysis was done to determine the magnitude of patient engagement in health care decision-making. Multivariate logistic regression analysis was used to determine factors associated with patients’ engagement in the health care decision-making process. Adjusted odds ratio with a 95% confidence interval was calculated to measure the strength of association. Statistical significance was declared at p<0.05. The results were presented by tables and graphs.Results: A total of 406 patients with chronic diseases participated in the study yielding a response rate of 96.2%. Less than a fifth [19.5% (95% CI: 15.5, 23.6)] of participants in the study area had a high engagement in their health care decision-making. Educational level (college or above) [AOR=5.2, 95% CI (1.76-15.46)], duration of diagnosis >5 years [AOR= 1.8, 95% CI (1.03-3.2)], health literacy [AOR=1.15, 95% CI (1.06-1.24)], autonomy preference in decision making [AOR=1.35, 95% CI (1.03-1.96)] were factors significantly associated with participants’ engagement in health care decision making among patients with chronic diseases. Conclusion- Low number of respondents had a high engagement in their health care decision-making. Preference for autonomy in decision making, educational level, health literacy, duration of diagnosis with the disease were factors associated with patient engagement in health care decision making among patients with chronic diseases in the study area. Thus individualized patient-centered care and patient empowerment is essential among patients with chronic non-communicable diseases.

scholarly journals Sociodemographic Representativeness in a Nationwide Web-Based Survey of the View of Men on Involvement in Health Care Decision-Making: Cross-Sectional Questionnaire Study

10.2196/19517 ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. e19517 ◽  
Author(s):  
Søren F Birkeland ◽  
Anders K Haakonsson ◽  
Susanne S Pedersen ◽  
Nina Rottmann ◽  
Michael J Barry ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Rural Areas ◽  
Urban Areas ◽  
Secure Communication ◽  
Response Rates ◽  
Cross Sectional ◽  
Web Based ◽  
Health Care Decision ◽  
Care Decision

Background Being able to generalize research findings to a broader population outside of the study sample is an important goal in surveys on the internet. We conducted a nationwide, cross-sectional, web-based survey with vignettes illustrating different levels of patient involvement to investigate men’s preferences regarding participation in health care decision-making. Following randomization into vignette variants, we distributed the survey among men aged 45 to 70 years through the state-authorized digital mailbox provided by the Danish authorities for secure communication with citizens. Objective This study aimed to investigate the sociodemographic representativeness of our sample of men obtained in a nationwide web-based survey using the digital mailbox. Methods Response rate estimates were established, and comparisons were made between responders and nonresponders in terms of age profiles (eg, average age) and municipality-level information on sociodemographic characteristics. Results Among 22,288 men invited during two waves, a total of 6756 (30.31%) participants responded to the survey. In adjusted analyses, responders’ characteristics mostly resembled those of nonresponders. Response rates, however, were significantly higher in older men (odds ratio [OR] 2.83 for responses among those aged 65-70 years compared with those aged 45-49 years, 95% CI 2.58-3.11; P<.001) and in rural areas (OR 1.10 compared with urban areas, 95% CI 1.03-1.18; P=.005). Furthermore, response rates appeared lower in areas with a higher tax base (OR 0.89 in the highest tertile, 95% CI 0.81-0.98; P=.02). Conclusions Overall, the general population of men aged 45 to 70 years was represented very well by the responders to our web-based survey. However, the imbalances identified highlight the importance of supplementing survey findings with studies of the representativeness of other characteristics of the sample like trait and preference features, so that proper statistical corrections can be made in upcoming analyses of survey responses whenever needed.

scholarly journals Sociodemographic Representativeness in a Nationwide Web-Based Survey of the View of Men on Involvement in Health Care Decision-Making: Cross-Sectional Questionnaire Study (Preprint)

2020 ◽  
Author(s):  
Søren F Birkeland ◽  
Anders K Haakonsson ◽  
Susanne S Pedersen ◽  
Nina Rottmann ◽  
Michael J Barry ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Rural Areas ◽  
Urban Areas ◽  
Secure Communication ◽  
Response Rates ◽  
Cross Sectional ◽  
Web Based ◽  
Health Care Decision ◽  
Care Decision

BACKGROUND Being able to generalize research findings to a broader population outside of the study sample is an important goal in surveys on the internet. We conducted a nationwide, cross-sectional, web-based survey with vignettes illustrating different levels of patient involvement to investigate men’s preferences regarding participation in health care decision-making. Following randomization into vignette variants, we distributed the survey among men aged 45 to 70 years through the state-authorized digital mailbox provided by the Danish authorities for secure communication with citizens. OBJECTIVE This study aimed to investigate the sociodemographic representativeness of our sample of men obtained in a nationwide web-based survey using the digital mailbox. METHODS Response rate estimates were established, and comparisons were made between responders and nonresponders in terms of age profiles (eg, average age) and municipality-level information on sociodemographic characteristics. RESULTS Among 22,288 men invited during two waves, a total of 6756 (30.31%) participants responded to the survey. In adjusted analyses, responders’ characteristics mostly resembled those of nonresponders. Response rates, however, were significantly higher in older men (odds ratio [OR] 2.83 for responses among those aged 65-70 years compared with those aged 45-49 years, 95% CI 2.58-3.11; <i>P</i>&lt;.001) and in rural areas (OR 1.10 compared with urban areas, 95% CI 1.03-1.18; <i>P</i>=.005). Furthermore, response rates appeared lower in areas with a higher tax base (OR 0.89 in the highest tertile, 95% CI 0.81-0.98; <i>P</i>=.02). CONCLUSIONS Overall, the general population of men aged 45 to 70 years was represented very well by the responders to our web-based survey. However, the imbalances identified highlight the importance of supplementing survey findings with studies of the representativeness of other characteristics of the sample like trait and preference features, so that proper statistical corrections can be made in upcoming analyses of survey responses whenever needed.

scholarly journals Factors associated with knowledge and attitude towards adult cardiopulmonary resuscitation among healthcare professionals at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia: an institutional-based cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e037416
Author(s):  
Abraham Tarekegn Mersha ◽  
Amare Haile Kiros Gebre Egzi ◽  
Hailu Yimer Tawuye ◽  
Nigussie Simeneh Endalew
Keyword(s):  
Health Professionals ◽  
Work Experience ◽  
Multivariable Analysis ◽  
Northwest Ethiopia ◽  
Good Knowledge ◽  
P Value ◽  
Cross Sectional ◽  
Factors Associated ◽  
Knowledge And Attitude ◽  
Cpr Training

ObjectiveThis study was conducted to assess the factors associated with knowledge and attitude towards adult cardiopulmonary resuscitation (CPR) among health professionals at the University of Gondar Hospital, Northwest Ethiopia.Study designAn institutional-based cross-sectional study was conducted from 15 February to 15 March 2018. Both bivariable and multivariable logistic regression analyses were used to identify factors associated with knowledge and attitude level of health professionals towards CPR. Variables with a p value less than <0.2 in the bivariable analysis were fitted into the multivariable analysis. In the multivariable analysis, variables with a p value <0.05 were considered statistically significant.SettingUniversity of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia.ParticipantsA total of 406 health professionals (physicians, nurses, anaesthetists, health officers and midwives) were included.ResultsAmong the study participants, 25.1% (95% CI 21.2 to 29.3) had good knowledge and 60.8% (95% CI 55.9 to 65.5) had good attitude towards adult CPR. Work experience (adjusted OR (AOR): 5.02, 95% CI 1.25 to 20.20), number of work settings (AOR: 6.52, 95% CI 2.76 to 15.41), taking CPR training (AOR: 2.76, 95% CI 1.40 to 5.42), exposure to cardiac arrest case (AOR: 2.16, 95% CI 1.14 to 4.07) and reading CPR guidelines (AOR: 5.57, 95% CI 2.76 to 11.20) were positively associated with good knowledge. Similarly, taking CPR training (AOR: 1.74, 95% CI 1.42 to 1.53) and reading CPR guidelines (AOR: 2.74, 95% CI 1.55 to 4.85) were positively associated with good attitude.ConclusionsThe level of knowledge and attitude of health professionals towards adult CPR was suboptimal. Health professionals who were taking CPR training and reading CPR guidelines had good knowledge and attitude towards CPR. In addition, work experience, number of work settings and exposure to cardiac arrest case had a positive association with CPR knowledge. Thus, providing regular CPR training and work setting rotations is highly crucial.

scholarly journals FACTORS ASSOCIATED WITH WOMEN’S HEALTH CARE DECISION-MAKING AUTONOMY: EMPIRICAL EVIDENCE FROM NIGERIA

2017 ◽  
Vol 50 (1) ◽  
pp. 70-85 ◽  
Author(s):  
Pauline Osamor ◽  
Christine Grady
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Women’S Health ◽  
Women's Health ◽  
Strong Association ◽  
Health Care Decision ◽  
Factors Associated ◽  
Women's Health Care ◽  
West Region ◽  
Care Decision

SummaryWomen’s decision-making autonomy has been poorly studied in most developing countries. The few existing studies suggest that it is closely linked to women’s socio-demographic characteristics and the social settings in which they live. This study examined Nigerian women’s perceived decision-making autonomy about their own health care using nationally representative data from the 2013 Nigerian Demographic and Health Survey. The study sample consisted of 27,135 women aged 15–49 years who lived with their husbands/partners. Responses to questions about who usually makes decisions about the respondent’s health care were analysed. Factors associated with women’s health care decision-making were investigated using logistic regression models. Only 6.2% of the women reported making their own decisions about health care. For most women (61.1%), this decision was made by their husband/partner alone and 32.7% reported joint decision-making with their husband/partner. Factors independently associated with decision-making by the woman included: geographical region, rural/urban residence, age, education, religion, wealth index, occupation, home ownership and husband’s occupation. A strong association between women making their own health care decision was seen with region of residence (χ2=3221.48,p<0.0001), even after controlling for other factors. Notably, women from the South West region were 8.3 times more likely to make their own health care decisions than women from the North West region. Factors that were significantly associated with joint health care decision-making were also significantly associated with decision-making by the woman alone. The study found that individual-level factors were significantly associated with Nigerian women’s decision-making autonomy, as well as other factors, in particular geographic region. The findings provide an important perspective on women’s health care decision-making autonomy in a developing country.

scholarly journals Factors Associated with Tobacco Cessation in Primary Health Care

2021 ◽  
Author(s):  
Ricardo Melnick ◽  
Gabriela Soares Rech ◽  
Rafaela Soares Rech ◽  
Daniel Demétrio Faustino-Silva
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Tobacco Cessation ◽  
Multivariable Analysis ◽  
Prevalence Ratio ◽  
Cross Sectional ◽  
Personalized Care ◽  
Factors Associated ◽  
Quit Smoking ◽  
Primary Health

Abstract Introduction Cigarettes are the main cause of preventable death in the world, and primary health care services can contribute to the management of this habit. Objective To describe and analyze the factors associated with tobacco cessation in groups of smokers in primary health care. Methods The present is a cross-sectional study conducted in 12 primary health care units from July 2016 to May 2017. We investigated sociodemographic and health variables, as well as smoking characteristics and different interventions for tobacco cessation, with the outcome being studied and analyzed after the fourth group care session. Results We evaluated 329 smokers, of which 182 quit smoking after the fourth interview. Most of the individuals who quit smoking were women (n = 121, 66.5%), with a monthly income of 2 to 5 minimum wages (n = 88, 77.9%). After the multivariable analysis, we observed that tobacco cessation was significantly associated with depression (prevalence ratio [PR] = 1.11; 95% confidence interval [95%CI] = 1.02 to 1.22), as well as with belonging to the groups which used as approaches motivational interviewing (PR = 1.21; 95%CI = 1.13 to 2.01), patches (PR = 1.36; 95%CI = 1.24 to 1.48), and bupropion (PR = 1.16; 95%CI = 1.03 to 1.31). Conclusion Primary health care is the ideal site for the reduction of smoking rates, given that different technologies may be applicable and useful for tobacco cessation. The comprehensiveness and longitudinal care offered in primary care may provide opportunities for health professionals to understand which is the best technology for each health system user, thus contributing to personalized care.

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