36 research outputs found
Catastrophic Health Expenditure and Associated Factors Among Hospitalized Cancer Patients in Addis Ababa, Ethiopia
No full textGirum Yihun Matebie,1,2 Anagaw Derseh Mebratie,1 Tamiru Demeke,1,2 Bezawit Afework,3 Eva J Kantelhardt,2 Adamu Addissie1,2 1School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia; 2Global Health Working Group, Medical Faculty Martin-Luther-University Halle-Wittenberg, Wittenberg, Germany; 3Department of Midwifery, College of Medicine and Health Science, Arba Minch University, Arba Minch, EthiopiaCorrespondence: Girum Yihun Matebie, School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia, P.o Box 9086, Tel +251910474367, Fax +251115157701, Email [email protected]: Out-of-pocket (OOP) health expenditures for cancer care expose households to unanticipated economic consequences. When the available health services are mainly dependent on OOP expenditure, the household faces catastrophic health expenditure (CHE). This study aimed to estimate the incidence and intensity of CHE in hospitalized cancer patients and identify coping strategies and associated factors.Method and Material: Hospital-based cross-sectional study design was conducted on 305 cancer inpatients in Addis Ababa between November 2021 and February 2022. All patients with cancer who were hospitalized during the data collection period were included in the study. The incidence of CHE was estimated at the 40% threshold of households’ non-food expenditure and the intensity of CHE was captured based on the amount by which household expenditure exceeded the threshold and mean positive overshoot, the mean level by which CHE exceeds the threshold used. Multivariate logistic regression was used to assess the relationship between CHE levels and the independent variables.Results: The incidence of CHE at the 40% threshold of households’ non-food expenditure was 77.7%, while the O and MPO were 36.2% and 46.6%, respectively. CHE for cancer care was significantly associated with patient residence, increased number of chemotherapy cycles, increased duration of hospital admission, lack of insurance enrolment, and lower-income quintiles. Saving and selling assets were identified as the primary coping mechanisms.Conclusion: The incidence and intensity of CHE among inpatients with cancer were high and which could lead to impoverishment of households. Improved quality and coverage of health insurance and decentralizing cancer care to regions standards similar to Addis Ababa will save households from incurring CHE.Keywords: catastrophic out-of-pocket health expenditure, coping mechanisms, cancer, Ethiopi
Childbirth Self-Efficacy and Its Associated Factors among Pregnant Women in Arba Minch Town, Southern Ethiopia, 2023: A Cross-Sectional Study
No full textBackground. Childbirth self-efficacy is a pregnant women’s perception of their ability to cope with labor stress. Low childbirth self-efficacy is linked to pain intolerance and poor labor progression, which increase the possibility of operative delivery. However, Ethiopia has limited data. So, the aim of this study was to assess childbirth self-efficacy and its factors among pregnant women attending antenatal care in public health facilities in Arba Minch town, Southern Ethiopia, in 2023. Objective. To assess childbirth self-efficacy and associated factors among pregnant women attending antenatal care in public health facilities in Arba Minch town, Southern Ethiopia, in 2023. Methods. An institution-based cross-sectional study was carried out among 416 women from January 1 to January 30, 2023. A systematic random sampling technique was employed. Data were collected by KoboToolbox through face-to-face interviews using a structured and pretested questionnaire. Modified short-form childbirth self-efficacy inventory was used to score self-efficacy. The Statistical Package for Social Sciences, version 27, was used for data management and analysis. Descriptive statistics were calculated for each variable, and a logistic model was used. Statistical significance was determined at a p value of less than 0.05 and 95% confidence level. Results. A total of 416 pregnant women participated in the study. Two hundred twenty-eight (54.8%) of the pregnant women had low childbirth self-efficacy. Age group in ≤24 years (AOR=3.80, 95% CI: 1.82-8), primigravida (AOR=1.51, 95% CI: 1.10-2.86), unplanned pregnancy (AOR=1.67, 95% CI: 1.02-2.70), poor social support (AOR=2.17, 95% CI: 1.09-4.30), having anxiety (AOR=1.30, 95% CI: 1.10-3.64), having poor knowledge of childbirth (AOR=2.21, 95% CI: 2.09-5.39), and severe fear of childbirth (AOR=6.40, 95% CI: 2.60-9.80) were statistically significant with low childbirth self-efficacy. Conclusions. The magnitude of low childbirth self-efficacy was high in the study area. Being primigravida, unplanned pregnancy, age≤24 years, severe fear of childbirth, anxiety, poor social support, and poor knowledge were significantly associated with low childbirth self-efficacy. Therefore, giving special attention to these factors during antenatal care would be important
Extended postpartum intimate partner violence and its associated factors: community-based cross-sectional study design
No full textAbstract Background Intimate partner violence is a global problem that threatens mothers. It has multidimensional consequences but has not gained attention from scholars after childbirth. Objective To assess the prevalence of extended postpartum intimate partner violence and its associated factors. Method A community-based cross-sectional study design was employed among 570 postpartum mothers in Arba Minch Town, Southern Ethiopia, from May 21st to June 21st, 2022. A pretested, face-to-face interviewer-administered structured questionnaire was used. Bivariable and multivariable logistic regression analyses were used. The level of statistical significance was declared at P < 0.05 with a 95% CI. Results Overall, the prevalence of extended postpartum intimate partner violence was 45% (95% CI: 40.89, 49.20). Participants whose husband has no formal education (AOR = 3.62; 95%CI: 1.32, 9.90) and only secondary education (AOR = 2.96; 95%CI: 1.56, 5.48), husband alcohol consumption (AOR = 1.73; 95%CI: 1.06, 2.80), husband dominance in decision-making (AOR = 1.94; 95%CI: 1.13, 3.33), husband disappointment in the gender of the baby (AOR = 2.13; 95%CI: 1.28, 3.56), previous history of intimate partner violence (AOR = 5.71; 95%CI: 3.59, 9.07), and low social support (AOR = 4.37; 95%CI: 2.53, 7.55) were significantly associated factors. Conclusions and recommendations The prevalence of extended postpartum intimate partner violence was found to be high. Thus, increasing awareness of husbands with no formal education and having lower academic achievement, incorporating maternal social support assessment into maternity and child health care; teaching on alcohol reduction behavior and gender roles; and screening of mothers during the prenatal period should be given
Utilization of non-pneumatic anti-shock garment among obstetric care providers working in public health facilities of southern Ethiopia, 2020.
No full textUtilization of non-pneumatic anti-shock garment among obstetric care providers working in public health facilities of southern Ethiopia, 2020.</p
Factors associated with the utilization of non-pneumatic antishock garment among obstetric care providers in public health facilities of Southern Ethiopia, 2020.
No full textFactors associated with the utilization of non-pneumatic antishock garment among obstetric care providers in public health facilities of Southern Ethiopia, 2020.</p
Knowledge of NASG among obstetric care providers in public health facilities of southern Ethiopia, 2020.
No full textKnowledge of NASG among obstetric care providers in public health facilities of southern Ethiopia, 2020.</p
Socio-demographic characteristics of obstetric care providers who participated in the study and were working in public health facilities of southern Ethiopia, 2020 (N = 412).
No full textSocio-demographic characteristics of obstetric care providers who participated in the study and were working in public health facilities of southern Ethiopia, 2020 (N = 412).</p
Additional file 1 of Extended postpartum intimate partner violence and its associated factors: community-based cross-sectional study design
No full textSupplementary Material
Provider and facility-related factors of the obstetric care providers in public health facilities of Southern Ethiopia, 2020.
No full textProvider and facility-related factors of the obstetric care providers in public health facilities of Southern Ethiopia, 2020.</p
