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Gomora D, Kene C, Embiale A, Tekalegn Y, Geta G, Seyoum K, Beressa G, Atlaw D, Sahiledengle B, Desta F, Ejigu N, Hussein U, Mwanri L. Health related quality of life and its predictors among postpartum mother in Southeast Ethiopia: A cross-sectional study. Heliyon 2024; 10:e27843. [PMID: 38560152 PMCID: PMC10979148 DOI: 10.1016/j.heliyon.2024.e27843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Revised: 03/06/2024] [Accepted: 03/07/2024] [Indexed: 04/04/2024] Open
Abstract
Background Post-childbirth, woman's health-related quality of life (HRQOL) is significantly impacted, leading to decreased daily activity, reduced self-care, challenges with breastfeeding and baby weaning, and increased medical costs for both mother and newborn.This study aimed to assess the HRQOL and its predictors among postpartum women in Southeast Ethiopia. Methods A cross-sectional study was conducted in Southeast Ethiopia between March and May 2022, involving randomly selected sample of 794 postpartum women attending immunization services in public health facilities. Data was collected using a validated questionnaire, and descriptive statistics were computed. A bivariable and multivariable logistic regression model was fitted to predict HRQOL, with odds ratios and 95% confidence intervals used to estimate associations. Results The study revealed that the overall HRQOL, physical component summary, and mental component summary of quality of life had mean scores of 43.80 ± 27.88, 45.39 ± 28.58, and 42.20 ± 28.15(mean ± SD) respectively. Walking to the health facility (AOR = 2.09; 95% CI: (1.31,3.31); using public transport (AOR = 2.58; 95% CI = 1.69-3.93); having the fear of COVID-19 (AOR = 1.46; 95% CI = 1.08-1.99); having health facility admission history during the recent pregnancy (AOR = 1.62; 95% CI = 1.08-2.44); having postpartum depression (PPD) (AOR = 2.13; 95% CI = 1.57-2.89) were predictors of a lower level of overall HRQOL among postpartum women. Conclusion The study found that nearly half of postpartum women in Ethiopia have lower HRQOL, with factors such as transport use, recent baby's pregnancy admission history, and postpartum depression (PPD) significantly affecting their overall, physical, and mental HRQOL. Fear of COVID-19 was found to be significantly associated with lower overall and physical HRQO. The implementation of appropriate strategies addressing identified factors is crucial for enhancing the HRQOL among postpartum women in Ethiopia.
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Affiliation(s)
- Degefa Gomora
- Madda Walabu University, Goba Referral Hospital, School of Health Sciences, department of Midwifery, Bale, Goba, Ethiopia
| | - Chala Kene
- Madda Walabu University, Goba Referral Hospital, School of Health Sciences, department of Midwifery, Bale, Goba, Ethiopia
| | - Ayinamaw Embiale
- Madda Walabu University, Goba Referral Hospital, School of Health Sciences, department of Midwifery, Bale, Goba, Ethiopia
| | - Yohannes Tekalegn
- Madda Walabu University, Goba Referral Hospital, School of Health Sciences, Department of Public Health, Bale, Goba, Ethiopia
| | - Girma Geta
- Madda Walabu University, Goba Referral Hospital, School of Health Sciences, department of Midwifery, Bale, Goba, Ethiopia
| | - Kenbon Seyoum
- Madda Walabu University, Goba Referral Hospital, School of Health Sciences, department of Midwifery, Bale, Goba, Ethiopia
| | - Girma Beressa
- Madda Walabu University, Goba Referral Hospital, School of Health Sciences, Department of Public Health, Bale, Goba, Ethiopia
| | - Daniel Atlaw
- Madda Walabu University, Goba Referral Hospital, School of medicine, Department of Human Anatomy, Bale, Goba, Ethiopia
| | - Biniyam Sahiledengle
- Madda Walabu University, Goba Referral Hospital, School of Health Sciences, Department of Public Health, Bale, Goba, Ethiopia
| | - Fikreab Desta
- Madda Walabu University, Goba Referral Hospital, School of Health Sciences, Department of Public Health, Bale, Goba, Ethiopia
| | - Neway Ejigu
- Madda Walabu University, Goba Referral Hospital, School of Health Sciences, department of Midwifery, Bale, Goba, Ethiopia
| | - Usman Hussein
- Madda Walabu University, Goba Referral Hospital, School of Health Sciences, department of Midwifery, Bale, Goba, Ethiopia
| | - Lillian Mwanri
- Torrens University Australia, Adelaide Campus, South Australia, Australia
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Eshetu D, Aschalew Z, Bante A, Negesa B, Gomora D, Ejigu N, Geta G, Mersha A. Delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale zones, Ethiopia. A cross-sectional study. PLOS Glob Public Health 2024; 4:e0002964. [PMID: 38416745 PMCID: PMC10901325 DOI: 10.1371/journal.pgph.0002964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/02/2023] [Accepted: 02/02/2024] [Indexed: 03/01/2024]
Abstract
Maternal mortality occurs in developing nations as a result of inadequate health care, delayed medical attention and the inability to access medical facilities. The three-delay model was employed to determine the causes of maternal death. There was limited data on maternal delay in reaching health facilities for emergency obstetric care services in the study area. Therefore, the aim of this study was to assess the prevalence of delay in reaching health facilities for emergency obstetric care and associated factors among postpartum mothers at Bale and east Bale zones. An institutional-based cross-sectional study was conducted among 407 postnatal women from April 6 to May 6, 2022. A systematic sampling technique was used to select study participants. The data were collected electronically using an Open Data Kit and exported to SPSS window version 25 for cleaning and analysis. Both bivariable and multivariable analysis was done by using a binary logistic regression model to identify factors associated with delay in traveling for emergency obstetric care services. Statistical significance was declared at P-value < 0.05. In this study, the prevalence of delay in reaching health facilities during emergency obstetric care was 38.1% (95%CI: 33.3, 43). The following factors showed significant association with delay in reaching health facilities during emergency obstetric care: Average monthly income (AOR = 1.87; 95% CI: 1.12, 3.14), distance (AOR = 4.35; 95% CI: 2.65, 7.14), a referral from other health facilities (AOR = 1.77; 95% CI: 1.01, 3.11) and delay one (AOR = 2.9; 95% CI: 1.7, 4.93). This study showed that the prevalence of delay in reaching health facilities for emergency obstetric care services in the study area was high. Promoting road accessibility and transport mechanisms and strengthening referral mechanisms shall be emphasized.
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Affiliation(s)
- Derese Eshetu
- Department of Midwifery, College of Medicine & Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Zeleke Aschalew
- School of Nursing, College of Medicine & Health Sciences, Arba Minch University, Arba Minch, Ethiopia
| | - Agegnehu Bante
- School of Nursing, College of Medicine & Health Sciences, Arba Minch University, Arba Minch, Ethiopia
| | - Belda Negesa
- Department of Midwifery, Institute of Health Sciences, Bule Hora University, Bule Hora, Ethiopia
| | - Degefa Gomora
- Department of Midwifery, College of Medicine & Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Neway Ejigu
- Department of Midwifery, College of Medicine & Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Girma Geta
- Department of Midwifery, College of Medicine & Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Abera Mersha
- School of Nursing, College of Medicine & Health Sciences, Arba Minch University, Arba Minch, Ethiopia
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Mesfin T, Kedir I, Tilahun T, Seyoum K, Dadi S, Ejigu N, Desta F, Geta G, Tsegaye M, Salih H. Situs inversus with levocardia in a 15-year-old male adolescent: a case report. J Med Case Rep 2023; 17:499. [PMID: 38042875 PMCID: PMC10693697 DOI: 10.1186/s13256-023-04254-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 11/08/2023] [Indexed: 12/04/2023] Open
Abstract
BACKGROUND Situs inversus with levocardia is a rare anomaly in which the heart is present in the left chest but the abdominal viscera are transposed. It is caused by a single incomplete penetration of an autosomal recessive gene. It is unclear what exactly causes situs inversus with levocardia. Even if situs inversus can be identified following a comprehensive physical examination, it is now possible to validate the results and search for further information and pathologies since medical imaging is so widely accessible. CASE A 15-year-old Oromo male child from a remote area of Bale Zone presented to the Goba Referral Hospital's medical emergency outpatient department complaining of periumbilical pain that had persisted for 4 months. He frequently came to our hospital and was admitted three times with the same problem. Objectively, there was tenderness over the left lower quadrant and periumbilical area. The sonographic evaluation discovered the transposition of the liver and spleen with cardiac apex on the left side. He received conservative treatment with ceftriaxone 1 g intravenous twice a day and metronidazole 500 mg intravenous for 5 days, and he went home improved. CONCLUSION Isolated levocardia is a rare form of situs inversus in which the heart is in the traditional levo position while the abdominal organs are in the dextro position. What causes situs inversus with levocardia is unknown. Despite the fact that situs inversus can be diagnosed after a thorough physical examination, medical imaging has allowed us to confirm the findings as well as understand more about diseases. Due to the severity of an underlying heart defect, situs inversus with levocardia has a dismal prognosis.
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Affiliation(s)
- Telila Mesfin
- School of Medicine, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia.
| | - Ibrahim Kedir
- School of Medicine, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Teketel Tilahun
- Department of Public Health, Menelik II Comprehensive Specialized Hospital, Finfinnee, Oromia, Ethiopia
| | - Kenbon Seyoum
- Department of Midwifery, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Sisay Dadi
- Department of Internal Medicine, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Neway Ejigu
- Department of Midwifery, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Fikreab Desta
- Department of Public Health, Madda Walabu University, Goba General Hospital, Goba, Oromia, Ethiopia
| | - Girma Geta
- Department of Midwifery, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Mesfin Tsegaye
- School of Medicine, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
| | - Husien Salih
- Department of Nursing, Goba General Hospital, Madda Walabu University, Goba, Oromia, Ethiopia
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Mesfin T, Sahiledengle B, Taha M, Nigusu F, Seyoum K, Geta G, Ejigu N, Zenbaba D, Gomora D, Beressa G, Dadi S, Ibrahim E, Tsegaye M, Kusa G, Bezaw E. Isolated breast hydatid cyst: A case report. Clin Case Rep 2023; 11:e8183. [PMID: 38033691 PMCID: PMC10683032 DOI: 10.1002/ccr3.8183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Revised: 10/05/2023] [Accepted: 10/31/2023] [Indexed: 12/02/2023] Open
Abstract
A hydatid cyst is a parasitic infestation most frequently caused by the larval tapeworm known as Echinococcus granulosus. Breast hydatidosis is a very uncommon condition that may be the main site or one of its components in cases of extensive hydatidosis. We discussed a 28-year-old female patient who had been experiencing left breast pain for a year prior to her presentation.
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Affiliation(s)
- Telila Mesfin
- Department of MedicineGoba General HospitalGobaEthiopia
| | | | | | - Fikadu Nigusu
- Department of Public HealthGoba General HospitalGobaEthiopia
| | - Kenbon Seyoum
- Department of MidwiferyGoba General HospitalGobaEthiopia
| | - Girma Geta
- Department of MidwiferyGoba General HospitalGobaEthiopia
| | - Neway Ejigu
- Department of MidwiferyGoba General HospitalGobaEthiopia
| | - Demisu Zenbaba
- Department of Public HealthGoba General HospitalGobaEthiopia
| | - Degefa Gomora
- Department of MidwiferyGoba General HospitalGobaEthiopia
| | - Girma Beressa
- Department of Public HealthGoba General HospitalGobaEthiopia
| | - Sisay Dadi
- Department of Internal MedicineGoba General HospitalGobaEthiopia
| | - Elias Ibrahim
- Department of SurgeryGoba General HospitalGobaEthiopia
| | | | - Getu Kusa
- Department of MedicineGoba General HospitalGobaEthiopia
| | - Elias Bezaw
- Department of MedicineGoba General HospitalGobaEthiopia
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Mesfin T, Taha M, Sahiledengle B, Nigusu F, Seyoum K, Geta G, Ejigu N, Zenbaba D, Desta F, Gomora D, Dadi S, Bezaw E, Erdachew T, Kusa G, Tsegaye M. Prevesical hydatid cyst: A case report. Clin Case Rep 2023; 11:e8243. [PMID: 38028035 PMCID: PMC10658573 DOI: 10.1002/ccr3.8243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 11/01/2023] [Accepted: 11/08/2023] [Indexed: 12/01/2023] Open
Abstract
Hydatid cyst is a zoonotic disease caused by a tapeworm of the genus Echinococcus granulosus either in its adult or larval forms. Original pelvic cysts are rare; however, the majority of abdominal and pelvic hydatid cysts are believed to result from inadvertent surgical inoculation or spontaneous rupture from a primary hepatic focus. We present a 35-year-old female patient who visited our facility complaining of lower abdominal pain that had persisted for the last 5 months.
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Affiliation(s)
- Telila Mesfin
- Department of MedicineGoba General HospitalGobaOromiaEthiopia
| | | | | | - Fikadu Nigusu
- Department of Public HealthGoba General HospitalGobaOromiaEthiopia
| | - Kenbon Seyoum
- Department of MidwiferyGoba General HospitalGobaOromiaEthiopia
| | - Girma Geta
- Department of MidwiferyGoba General HospitalGobaOromiaEthiopia
| | - Neway Ejigu
- Department of MidwiferyGoba General HospitalGobaOromiaEthiopia
| | - Demisu Zenbaba
- Department of Public HealthGoba General HospitalGobaOromiaEthiopia
| | - Fikreab Desta
- Department of Public HealthGoba General HospitalGobaOromiaEthiopia
| | - Degefa Gomora
- Department of MidwiferyGoba General HospitalGobaOromiaEthiopia
| | - Sisay Dadi
- Department of Internal MedicineGoba General HospitalGobaOromiaEthiopia
| | - Elias Bezaw
- Department of MedicineGoba General HospitalGobaOromiaEthiopia
| | | | - Getu Kusa
- Department of MedicineGoba General HospitalGobaOromiaEthiopia
| | - Mesfin Tsegaye
- Department of MedicineGoba General HospitalGobaOromiaEthiopia
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Mesfin T, Tekalegn Y, Adem A, Seyoum K, Geta G, Sahiledengle B, Mesfin E, Zenbaba D, Desta F, Beressa G, Tsegaye M, Ejigu N, Gomora D. Magnitude of erectile dysfunction and associated factors among adult diabetic men on follow-up at Goba and Robe hospitals, Bale Zone, South East Ethiopia: hospital-based cross-sectional study. BMC Endocr Disord 2023; 23:236. [PMID: 37880632 PMCID: PMC10601257 DOI: 10.1186/s12902-023-01489-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 10/13/2023] [Indexed: 10/27/2023] Open
Abstract
PURPOSE Erectile dysfunction is defined as the inability to achieve and/or maintain an erection of sufficient rigidity and duration to permit satisfactory sexual performance. The purpose of this study is to assess the prevalence of erectile dysfunction and associated factors among adult diabetic men on follow-up at Goba and Robe hospitals, Bale Zone, South East Ethiopia,2022. METHODS Hospital-based cross-sectional study design was used among 420 adult diabetic men from March 1 to April 30 using a systematic random sampling technique. An international index of erectile function questionnaire containing five questions was used to assess the outcome variable. The data were entered, edited, and coded using Epidata version 4.6 and analyzed using SPSS version 26. Bivariable and multivariable binary logistic regression analysis were performed to identify factors associated with erectile dysfunction. Adjusted odds ratios with their corresponding 95% confidence interval were computed to estimate the strength of association. Statistical significance was declared at p-value < 0.05. RESULTS The prevalence of erectile dysfunction was found to be 354 (84.3%). Multivariable logistic regression revealed that erectile dysfunction is significantly associated with old age (AOR = 12.39, 95% CI:5.10-30.08), inadequate physical activity (AOR = 4.15, 95% CI:1.33-12.97), and being rich (AOR = 2.62, 95% CI = 1.21-5.66). CONCLUSION The prevalence of erectile dysfunction in this study population is nearly nine out of ten. Age, inadequate physical activity, and wealth index were independent predictors of erectile dysfunction. Assessment and management of erectile dysfunction in diabetic clinics should be routine medical care.
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Affiliation(s)
- Telila Mesfin
- Department of Medicine, School of Health Sciences, Madda Walabu University, Goba, Ethiopia.
| | - Yohannes Tekalegn
- Department of Public Health, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Ahmednur Adem
- Department of Public Health, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Kenbon Seyoum
- Department of Midwifery, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Girma Geta
- Department of Midwifery, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Biniyam Sahiledengle
- Department of Public Health, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Eshetu Mesfin
- Department of Public Health, ICAP, Addis Ababa, Ethiopia
| | - Demisu Zenbaba
- Department of Public Health, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Fikreab Desta
- Department of Public Health, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Girma Beressa
- Department of Public Health, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Mesfin Tsegaye
- Department of Medicine, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Neway Ejigu
- Department of Midwifery, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
| | - Degefa Gomora
- Department of Midwifery, School of Health Sciences, Madda Walabu University, Goba, Ethiopia
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Seyoum K, Sahiledengle B, Kene C, Geta G, Gomora D, Ejigu N, Mesfin T, Kumar Chattu V. Determinants of neonatal sepsis among neonates admitted to neonatal intensive care units in ethiopian hospitals: A systematic review and meta-analysis. Heliyon 2023; 9:e20336. [PMID: 37809495 PMCID: PMC10560049 DOI: 10.1016/j.heliyon.2023.e20336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Revised: 09/15/2023] [Accepted: 09/19/2023] [Indexed: 10/10/2023] Open
Abstract
Objective Several studies have identified risk factors for neonatal sepsis, but they are limited to specific geographical areas with results that may not be generalizable to other populations. Hence, the objective of this study was to determine the contributing factors, representative at a national level, that influence the occurrence of neonatal sepsis in neonates receiving hospital care in Ethiopia. Methods and materials A thorough search was conducted across PubMed/Medline, Hinari, Cochrane Library, and Google Scholar to identify relevant studies. The pooled odds ratio was estimated using the random effect model. The heterogeneity among the included studies was evaluated using the I2 and Cochrane Q-statistics tests. Egger's tests used to assess publication bias. Results A total of 19 studies comprising 6190 study participants were included. Neonatal sepsis was positively associated with several factors, namely: prolonged premature rupture of membrane (OR: 3.85, 95% CI: 2.31-6.42), low first minute APGAR score (OR: 3.74, 95% CI: 1.29-10.81), low fifth minute APGAR score (OR: 4.17, 95% CI: 1.76-9.91), delayed initiation of breastfeeding (OR: 3.41, 95% CI: 2.18-5.36), and infection of the maternal urinary tract (OR: 3.17, 95% CI: 1.87-5.35). Conclusion Duration of rupture of membrane, APGAR score, time of initiation of breastfeeding, and urinary tract infection have a role in the development of neonatal sepsis.
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Affiliation(s)
- Kenbon Seyoum
- Madda Walabu University Goba Referral Hospital, Department of Midwifery, Goba, Ethiopia
| | - Biniyam Sahiledengle
- Madda Walabu University Goba Referral Hospital, Department, Department of Public Health, Goba, Ethiopia
| | - Chala Kene
- Madda Walabu University Goba Referral Hospital, Department of Midwifery, Goba, Ethiopia
| | - Girma Geta
- Madda Walabu University Goba Referral Hospital, Department of Midwifery, Goba, Ethiopia
| | - Degefa Gomora
- Madda Walabu University Goba Referral Hospital, Department of Midwifery, Goba, Ethiopia
| | - Neway Ejigu
- Madda Walabu University Goba Referral Hospital, Department of Midwifery, Goba, Ethiopia
| | - Telila Mesfin
- Madda Walabu University Goba Referral Hospital, Department of Medicine, Goba, Ethiopia
| | - Vijay Kumar Chattu
- Center for Global Health Research, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai 600077, India
- Department of Community Medicine, Faculty of Medicine, Datta Meghe Institute of Medical Sciences, Wardha 442107, India
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Ejigu N, Seyoum K, Kene C, Gomora D, Mengistu S, Geta G, Eshetu D, Tadesse S, Mesfin T, Tekalign Y, Atlaw D. Prevalence and associated risk factors for failed obstetric fistula repair in East African countries: A systematic review and meta-analysis. SAGE Open Med 2023; 11:20503121231187742. [PMID: 37492647 PMCID: PMC10363902 DOI: 10.1177/20503121231187742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 06/26/2023] [Indexed: 07/27/2023] Open
Abstract
Objective Obstetric fistula repair failure is a combination of unsuccessful fistula closure and/or incontinence following a successful closure. There is an inconsistent finding on the failure of obstetric fistula repair in East Africa. Therefore, this systematic review and meta-analysis aimed to determine the pooled prevalence of failed obstetric fistula repair and its associated factors among women who have undergone fistula repair in East Africa. Methods This systematic review and meta-analysis were written following the PRISMA guideline protocol. A web-based electronic search of PubMed, Google Scholar, and HINARI was performed to find primary studies. Additional articles were searched by cross-referencing references. A random-effects model was used to estimate the pooled prevalence of failed obstetric fistula repair. The heterogeneity of studies was weighed using I2 test statistics. Publication bias was assessed by Eggers and funnel plot test. Results The 16 studies that met the inclusion criteria for this systematic review and meta-analysis of failed obstetric fistula repair were included. Nonetheless, one study was used for factor analysis but not in pooled prevalence analysis. The pooled prevalence of obstetric fistula repair failure in East Africa was 26.89% (95% confidence interval: 21.71, 32.07). Labor duration > 48 h (Pooled odds ratio = 2.46; 95% confidence interval 1.58, 3.82), fistula size >3 cm (Pooled odds ratio = 3.92; 95% confidence interval 2.19, 7.05), previous fistula repair (Pooled odds ratio = 3.20; 95% confidence interval 1.94, 5.29), Goh Type 4 fistulas (Pooled odds ratio = 6.07; 95% confidence interval 2.50, 14.75), completely destructed urethra (Pooled odds ratio = 3.35; 95% confidence interval 1.69, 6.65), and severe vaginal scaring (Pooled odds ratio = 3.89; 95% confidence interval 1.99, 7.62) were significantly associated with obstetric fistula repair failure. Conclusions One in four women with obstetric fistula repair experienced repair failure. To fight the problem The Ministry of Health in every part of the country, in collaboration with obstetric care providers, shall intervene on factors affecting obstetric fistula repair failure to reduce or prevent the failure of obstetric fistula repair.
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Affiliation(s)
- Neway Ejigu
- Department of Midwifery, College of Medicine and Health Sciences, Madawalabu University, Robe, Bale Goba, Ethiopia
| | - Kenbon Seyoum
- Department of Midwifery, College of Medicine and Health Sciences, Madawalabu University, Robe, Bale Goba, Ethiopia
| | - Chala Kene
- Department of Midwifery, College of Medicine and Health Sciences, Madawalabu University, Robe, Bale Goba, Ethiopia
| | - Degefa Gomora
- Department of Midwifery, College of Medicine and Health Sciences, Madawalabu University, Robe, Bale Goba, Ethiopia
| | - Shelema Mengistu
- Department of Midwifery, College of Medicine and Health Sciences, Madawalabu University, Robe, Bale Goba, Ethiopia
| | - Girma Geta
- Department of Midwifery, College of Medicine and Health Sciences, Madawalabu University, Robe, Bale Goba, Ethiopia
| | - Derese Eshetu
- Department of Midwifery, College of Medicine and Health Sciences, Madawalabu University, Robe, Bale Goba, Ethiopia
| | - Shimelis Tadesse
- Department of Midwifery, College of Health Sciences, Mattu University, Ethiopia
| | - Telila Mesfin
- Department of Medicine, College of Medicine and Health Sciences, Madawalabu University, Ethiopia
| | - Yohannes Tekalign
- Department of Public Health, College of Medicine and Health Sciences, Madawalabu University, Ethiopia
| | - Daniel Atlaw
- Department of Human Anatomy, College of Medicine and Health Sciences, Madawalabu University, Ethiopia
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Kene C, Geta G, Ejigu N, Desta F. Knowledge of Sexual and Reproductive Health Rights Among University Students: A Cross-Sectional Study in Southeast Ethiopia. Adolesc Health Med Ther 2023; 14:1-12. [PMID: 36636601 PMCID: PMC9829977 DOI: 10.2147/ahmt.s394883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 12/21/2022] [Indexed: 01/05/2023] Open
Abstract
Background In many situations, it can still be challenging to talk about sexual and reproductive health rights, and the little scientific research available indicates that university students have a poor understanding of these issues. Therefore, the aim of this study was to assess the knowledge of sexual and reproductive health rights among university students in southeast Ethiopia. Methodology From February to March 2022, 483 study participants took part in an institutionally based cross-sectional study. The study participants were chosen using a SRS method. EpiData version 4.6.2.0 was used to enter data, and SPSS version 26.0 was used to analyze it. A bivariate and multivariable binary logistic regression model was used to identify factors associated with SRHR knowledge. The odds ratio and a 95% confidence interval were used to calculate the significance level. Results The optimal level of knowledge on SRHR was discovered to be 52.1% [95% CI (47.32-55.08)] among university students in southeast Ethiopia. The multivariate binary logistic analysis indicated that being urban in the origin of residency [AOR=1.52, 95% CI (1.02-1.14)], being a health student [AOR= 12.21, 95% CI (7.27-14.88)], attending secondary school in private [AOR=6.12, 95% CI (1.02-1.14)], accessibility of a RH club on campus [AOR=6.12, 95% CI (1.02-1.14)] and participating in RH club [AOR=3.95, 95% CI (3.47-5.90)] to be variables that are strongly related to the optimal level of knowledge. Conclusion and Recommendation Four out of ten students had poor knowledge of SRHR. The variables associated with a high level of knowledge about SRHR were urban residency, health students, attending a private secondary school, the availability of a RH club on campus, and participation in a RH club. Including sexual education in the non-health department's course, establishing RH clubs on campus, and encouraging participation of students in these clubs are recommended.
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Affiliation(s)
- Chala Kene
- Madda Walabu University, School of Health Science, Department of Midwifery, Bale Goba, Ethiopia,Correspondence: Chala Kene, Email
| | - Girma Geta
- Madda Walabu University, School of Health Science, Department of Midwifery, Bale Goba, Ethiopia
| | - Neway Ejigu
- Madda Walabu University, School of Health Science, Department of Midwifery, Bale Goba, Ethiopia
| | - Fikreab Desta
- Madda Walabu University, School of Health Science, Department of Public Health, Bale Goba, Ethiopia
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Gomora Tesfaye D, Geta G, Kene C, Seyoum K, Tekalegn Y, Desta F, Sahiledengle B, Atlaw D, Ejigu N, Negash W. Maternal Health Care Seeking Behavior for Neonatal Danger Signs and Associated Factors Among Post-Partum Mothers in Southeast Ethiopia: A Cross-Sectional Study. Inquiry 2022; 59:469580221143629. [PMID: 36541223 PMCID: PMC9791296 DOI: 10.1177/00469580221143629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Early health care seeking could save neonates' lives and have a significant role in decreasing neonatal death, while delayed health care seeking has many contributions to neonatal mortality. Therefore, this study aimed to assess maternal health-seeking behavior for neonatal danger signs and associated factors among postpartum mothers in Southeast Ethiopia. A community-based cross-sectional study was conducted on a random sample of 400 women with sick neonates from June 1st, 2020 to 27th, November. A Modified Anderson and Newman behavioral model consisting predisposing, enabling, need, and health system factors were utilized and participants were interviewed by using structured questionnaires. Multivariate logistic regression analysis was used to identify factors associated with maternal health-seeking behavior. Adjusted odds ratios (AOR) were reported with their corresponding 95% confidence interval (CI) to determine the strength of the association. The statistical significance was declared at P < .05. Slightly higher than two-fifths, (44%, 95% CI: 39.2-48.9) of the respondents' have appropriate healthcare-seeking behavior for neonatal danger signs. Postnatal care follows-up (AOR = 3.5; 95% CI: 2.06-5.80), good knowledge of neonatal danger signs (AOR = 2.78; 95% CI: 1.63-4.73), decision-making power for taking sick neonates to health institution (AOR = 3.02, 95% CI: 1.61-5.67), mothers living with their partner (AOR = 3.00; 95% CI: 1.42-6.31), and health insurance (AOR = 1.82; 95% CI: 1.08-3.06) were significantly associated with having appropriate healthcare-seeking behavior. Healthcare-seeking behavior of the respondents' was low and indicated by nearly 2 out of 5 respondents' had appropriate health-seeking behavior for neonatal danger sign. Postnatal care follow-up, health insurance, good knowledge of neonatal danger signs, living with a partner, and decision-making power were predictors of appropriate healthcare-seeking behavior for neonatal danger signs. Emphasis should be given to creating awareness of neonatal danger signs, maintaining postnatal follow-up, and encouraging mothers/caregivers to make immediate decisions for seeking healthcare at healthcare institutions.
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Affiliation(s)
- Degefa Gomora Tesfaye
- Madda Walabu University, Bale Goba, Ethiopia,Degefa Gomora Tesfaye, Department of Midwifery, School of Health Sciences, Goba Referral Hospital, Madda Walabu University, Bale Goba 305, Ethiopia.
| | - Girma Geta
- Madda Walabu University, Bale Goba, Ethiopia
| | - Chala Kene
- Madda Walabu University, Bale Goba, Ethiopia
| | | | | | | | | | | | - Neway Ejigu
- Madda Walabu University, Bale Goba, Ethiopia
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Tadesse S, Ejigu N, Edosa D, Ashegu T, Dulla D. Obstetric fistula repair failure and its associated factors among women underwent repair in Yirgalem Hamlin fistula center, Sidama Regional State, Southern Ethiopia, 2021: a retrospective cross sectional study. BMC Womens Health 2022; 22:288. [PMID: 35811314 PMCID: PMC9272558 DOI: 10.1186/s12905-022-01866-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Accepted: 07/06/2022] [Indexed: 01/09/2023] Open
Abstract
Background Obstetric fistula repair failure is a combination of unsuccessful fistula closure and/or incontinence following a successful closure. It causes a burden on both the patients and the fistula centers. The aim of this study was to assess the magnitude and associated factors of obstetric fistula repair failure among women who underwent fistula repair at Yirgalem Hamlin fistula center in Southern Ethiopia. Methods A facility-based retrospective cross-sectional study was conducted among women who underwent fistula repair at Yirgalem Hamlin fistula center, Southern Ethiopia, during the period from January 2016 to December 2020. All 562 women who underwent fistula repair in the last 5 years were included in the study. The data were collected using a pre-tested checklist from September 22 to October 22, 2021. The data were then imported into EPI info-data version 3.1, exported to SPSS version 25, and analyzed. Descriptive and logistic regression analyses were performed, and the significant statistical test was assessed at a 95% confidence interval. Variables with a p value of < 0.05 in multivariable logistic regression were regarded to have a statistically significant relationship. Results The magnitude of obstetric fistula repair failure in this study was 28.8%. Obstetric fistula repair failure was found to be associated with labor duration > 48 h (AOR = 2.037; 95% CI 1.268, 3.272), Goh Type 4 fistulas (AOR = 3.939; 95% CI 1.623, 9.560), fistula size > 3 cm (AOR = 6.627; 95% CI 3.802, 11.554), completely destructed urethra (AOR = 3.192; 95% CI 1.234, 8.256), and bladder catheterization > 14 days (AOR = 2.944; 95% CI 1.380, 6.281). Conclusions The magnitude of obstetric fistula repair failure was significantly higher than the World Health Organization standard. Obstetric fistula repair failure had a positive association with a longer duration of labor, Goh Type 4 fistulas, large fistula size, total urethral injury, and a longer period of bladder catheterization. Therefore, the concerned bodies need to implement interventions on factors affecting obstetric fistula repair failure to reduce or prevent the failure of obstetric fistula repair. Supplementary Information The online version contains supplementary material available at 10.1186/s12905-022-01866-z.
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Kene C, Tekalegn Y, Dibaba D, Abdella M, Fikadu G, Atlaw D, Gomora D, Geta G, Seyoum K, Hailu S, Ejigu N, Sahiledengle B, Tasew A. Level of women-friendly care provision among mothers in immediate post-partum period at public hospitals of Southeast Ethiopia: a cross-sectional study. BMC Womens Health 2022; 22:475. [PMID: 36434654 PMCID: PMC9700868 DOI: 10.1186/s12905-022-02061-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Accepted: 11/10/2022] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND The women-friendly care approach focuses on women's rights to have access to quality care for themselves as individuals, as mothers, and for their infants. However, access to quality health services is not guaranteed for many women, particularly in low and middle-income countries. Hence, this study aimed to assess the level of women-friendly care provision and associated factors among mothers in the immediate post-partum period at public hospitals of Bale Zone, Southeast Ethiopia 2021. METHODS An institutional-based cross-sectional survey was employed among mothers in the immediate post-partum period in public hospitals of Bale Zone from March 1-30, 2021. A total of 363 mothers were recruited by systematic random sampling technique in this study. Data was collected through pre-tested structured questionnaires. A 21-verified questionnaire was used to measure the outcome variable. The data were entered into Epi Data version 4.6.2.0 and exported to the statistical package of social science version 26.0 for analysis. A variable with a P value of less than 0.25 in the bi-variable binary logistic regression model was transferred to a multivariable binary logistics regression model. Hosmer and Lemeshow's goodness of fit model was checked. Adjusted odds ratio with 95% confidence intervals were used to estimate the strength of association between the outcome variable and independent variables. A p-value less than 0.05 was considered as significantly associated. RESULTS The level of women-friendly care provision among mothers in immediate post-partum at public hospitals of Bale Zone was found to be 61% [95% confidence interval (55.73-66.04)]. Being prim para mother [Adjusted odds ratio = 1.88(1.07-3.33)], having planned pregnancy [Adjusted odds ratio = 1.94(1.04-3.63)] and staying at a health facility after delivery [Adjusted odds ratio = 4.8(1.71-13.39)] were found to be statistically significant predictors of level of women-friendly care provision. CONCLUSION The women-friendly care provision among mothers in the immediate post-partum period in this study area was found to be low against most of the pre-existing findings. Strong counseling on planned pregnancy and staying at a health facility after delivery is recommended.
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Affiliation(s)
- Chala Kene
- Midwifery Department, School of Health Science, Madda Walabu University, Bale-Goba, Ethiopia
| | - Yohannes Tekalegn
- Public Health Department, School of Health Science, Madda Walabu University, Bale-Goba, Ethiopia
| | - Diriba Dibaba
- Public Health Department, School of Health Science, Madda Walabu University, Bale-Goba, Ethiopia
| | - Mujib Abdella
- Midwifery Department, School of Health Science, Madda Walabu University, Bale-Goba, Ethiopia
| | - Genet Fikadu
- Midwifery Department, School of Health Science, Madda Walabu University, Bale-Goba, Ethiopia
| | - Daniel Atlaw
- Department of Human Anatomy, School of Medicine, Madda Walabu University, Bale-Goba, Ethiopia
| | - Degefa Gomora
- Midwifery Department, School of Health Science, Madda Walabu University, Bale-Goba, Ethiopia
| | - Girma Geta
- Midwifery Department, School of Health Science, Madda Walabu University, Bale-Goba, Ethiopia
| | - Kenbon Seyoum
- Midwifery Department, School of Health Science, Madda Walabu University, Bale-Goba, Ethiopia
| | - Sintayehu Hailu
- Public Health Department, School of Health Science, Madda Walabu University, Bale-Goba, Ethiopia
| | - Neway Ejigu
- Midwifery Department, School of Health Science, Madda Walabu University, Bale-Goba, Ethiopia
| | - Biniyam Sahiledengle
- Public Health Department, School of Health Science, Madda Walabu University, Bale-Goba, Ethiopia
| | - Alelign Tasew
- Public Health Department, School of Health Science, Madda Walabu University, Bale-Goba, Ethiopia
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