Utilization of Family Planning Services and Influencing Factors Among Women of Child Bearing Age in Assosa District, Benishangul Gumuz Regional State, West Ethiopia
Muluwas Amentie,
Muluemebet Abera,
Misra Abdulahi
Issue:
Volume 4, Issue 3, May 2015
Pages:
52-59
Received:
5 April 2015
Accepted:
26 April 2015
Published:
15 May 2015
Abstract: Background: Nearly all (99%) of maternal death occur in the developing countries. However, family planning (FP) could prevent as many as one in every three maternal deaths by allowing women to delay motherhood, space birth, avoid unintended pregnancies and abortion and stop childbearing when they reached their desired family size. Objective: To assess utilization of family planning services and influencing factors among women in Assosa District. Methods: A community based cross sectional study was conducted from May 17 – 31, 2012 on the selected samples of 536 women who had at least one delivery in the five years prior to the study using simple random sampling technique. Structured questionnaire, FGD and in-depth interview guide were used to collect data. Data were analyzed by using SPSS version 16.0. Binary logistic regression was used to determine the association between dependent and independent variables. Results: Out of the 525 study subjects 339(64.6%) women were currently using any method of contraceptive. Factors influencing utilization of family planning services were attending grade 7 and above [AOR= 2.19, 95% CI: 1.11, 4.33], being knowledgeable on family planning service [AOR= 3.9, 95% CI: 1.36, 8.48], having favorable attitude towards family planning service [AOR= 2.16, 95% CI: 1.45, 3.23] and availability of family planning service [AOR= 4.33, 95% CI: 1.5, 12.46]. Conclusion: This study revealed that family planning services were relatively better; they are still low as compared to national HSDP IV target. Educational status, knowledge on family planning, attitude towards family planning services and availability of family planning services were identified as factors affecting current utilization of family planning service. Providing IEC and house-hold level discussion on the important of family planning service utilization in the district is recommended.
Abstract: Background: Nearly all (99%) of maternal death occur in the developing countries. However, family planning (FP) could prevent as many as one in every three maternal deaths by allowing women to delay motherhood, space birth, avoid unintended pregnancies and abortion and stop childbearing when they reached their desired family size. Objective: To ass...
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Comparison between Four Types of Long Term Tube Feeding Regarding Nutritional Effects, Complications and Outcomes
Muneerah Albugami,
Yasmin Al Twaijri,
Abeer Ibrahim,
Habib Bassil,
Ulrike Laudon,
Mohamed El Karouri,
Abdulaziz Al Rashed,
Abdelazeim Elamin,
Ahmed Sabry,
Rania Abdelreheem,
Abdulwahab Motieb,
Ali Al Araj,
Reem Hawary,
Sawsan Al Balawi
Issue:
Volume 4, Issue 3, May 2015
Pages:
60-66
Received:
27 March 2015
Accepted:
3 April 2015
Published:
6 June 2015
Abstract: Objective: to compare four types of long term tube feeding regarding nutritional effects, tube-related complications and outcome. Methods: retrospective study. Results: Mean BMI at time of tube insertion is 23.3, two years later 20.3 (P= 0.0312). Patients have follow up with HHC their mean BMI at base line is 23.5, after two years 21.53 (p =0.547). No difference regarding albumin, urea, sodium, potassium, hemoglobin over 6, 12, 24 months either patient has followed up with HHC or not. High creatinine level in 12 months with jejunostomy tube (p= 0.0270). There are no major complications among the patients. No minor complications within 48 h of tube insertion in 42.18%, No complications after 48 h of tube insertion in 36.05%.The mortality rate is 56.59%. Old age is associated with a higher mortality (p 0.0018) and survival is better for patients who have HHC follow up (p <0.0001).The commonest cause of death is aspiration pneumonia with septic shock and respiratory failure 37.68 % and PFG has the highest mortality rate. Conclusion: 1) Patients on long-term feeding tubes don’t gain weight. There is an urgent need to improve method of nutritional assessment and to have regular follow up to calculate their calories requirement and adjust their formula accordingly; 2) The nutritional status in four feeding tubes is similar except in12 months there is significant difference in creatinine in jejunostomy tube; 3) Rate of complications is low among our patients with reference to the long period of follow-up. Almost all complications have been mild and could be managed throughout adequately; 4) Tube related infection and leakage reported more in PFG. It could be because it is the commonest tube used among our patients.
Abstract: Objective: to compare four types of long term tube feeding regarding nutritional effects, tube-related complications and outcome. Methods: retrospective study. Results: Mean BMI at time of tube insertion is 23.3, two years later 20.3 (P= 0.0312). Patients have follow up with HHC their mean BMI at base line is 23.5, after two years 21.53 (p =0.547)....
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