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PREVALENCE AND INDICATION AND OUTCOME OF CESAREAN SECTION IN JUGAL HOSPITAL, HARARI REGIONAL STATE, ETHIOPIA, 2019: A RETROSPECTIVE STUDY Jamie, Arif Hussen
Public Health of Indonesia Vol. 5 No. 4 (2019): October - December
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v5i4.296

Background: Rising rates of cesarean delivery is becoming a concern to developing countries. Though cesarean section is a lifesaving surgical intervention, the rise in rates has resulted in significant health problems of mothers and newborns. Objective: The aim to undertaking this research is to know the prevalence, indications and outcome of cesarean section delivery In Jugal Hospital, Harari regional state, Ethiopia.Methods: Hospital based record review cross-sectional study was conducted in Jugal Hospital, Harar, Ethiopia from September 1, 2015 to September 1, 2019. Trained data collector and the principal investigator collected data employing a pre-tested extraction format. After checking the filled extraction format for completeness, data was entered, cleaned and analyzed using SPSS software Version 20.Results: In five years' time (2015-2019), there were 6,111 deliveries, of which 1,817 were delivered by cesarean section which gives the overall rate of 29.7%. The most common indications for cesarean section were Cephalo-pelvic Disproportion (CPD) 323 (17.78%) followed by fetal distress 292(16.07%) and the least indication was pre-eclampsia 9(0.5%) and the most cause of prenatal death was birth asphyxia 38% followed by prematurity34%.Conclusion: In this study, there is a steady increase in the rates of cesarean delivery in five years' time, the overall rate of C-section in Jugal Hospital was 29.7%. This rate is higher than the World Health Organization standard. Policies and efforts aimed at decreasing the unnecessary cesarean sections should be promoted and implemented at each health facility.

FACTORS ASSOCIATED WITH LOW BIRTH WEIGHT AMONG NEWBORNS IN ETHIOPIA Jamie, Arif Hussen; Ahmed, Abduseme Mohammed
Public Health of Indonesia Vol. 6 No. 1 (2020): January - March
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v6i1.319

Background: Worldwide more than 20 million low birth weights occur annually with the incidence of 15 to 20%, majority of this occur in low- and middle-income countries and 95.6% occur in developing nations. Its regional estimate was 28% in South Asia, 13% in sub-Saharan Africa and 13% in least developed countryObjective: To assess factors associated with low birth weight among newborns in Jugal Hospital, Harari Regional State, Ethiopia.Methods: A cross-sectional study was conducted among newborns in Jugal hospital, Ethiopia from June 01 to July 10, 2019. Systematic random sampling technique was used to select the study subjects. Multivariate logistic regression analysis was used to identify factors associated with low birth weight among newbornsResults: The magnitude of low birth weight was 19.53%. Women who had previous history of low birth weight had 5.21 times higher odds ratio of delivered low birth weight baby than their counterparts [AOR = 5.21, 95% CI: (1.5-14.2)], and pregnant women who delivered before 37 weeks of gestational age had 4.8 times higher odds ratio of delivered low birth weight neonates than those delivered at term [AOR = 4.8, 95% CI: (1.3-10.4)]Conclusion: The prevalence of low birth weight in Harar, Jugal Hospital was 19.53%. Low birth weight in the previous pregnancy and gestational age <37 weeks, and showed significant association with birth weight neonates. Governmental and non-governmental organizations working on maternal and child health should focus on identified factors in order to tackle the problem of birth weight.

PREVALENCE OF INDUCED ABORTION AND ASSOCIATED FACTORS AMONG WOMEN OF REPRODUCTIVE AGE IN HARARI REGION, ETHIOPIA Jamie, Arif Hussen; Abdosh, Mohammed Zekeria
Public Health of Indonesia Vol. 6 No. 2 (2020): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v6i2.333

Background: Abortion is a very common experience in every culture and society. Out of the 210 million pregnancies that occur each year globally, an estimated 46 million (22%) end up in induced abortion, in relation to that, 19 million women experience unsafe abortions annually.Objective: The aim of the study is to determine the prevalence and associated factors of induced abortion among women of reproductive age group in public health facilities from March 25– April 25, 2019, in Harari Region.Methods: A cross sectional study design was conducted. The sample size was 620 abortion cases. Structured questionnaire was used for data collection. Data were entered to Epi-Data version 3.5.3 and analyzed using SPSS version 20. Descriptive statistics, binary and multivariate logistic regression and odds ratio with 95% confidence intervals was used to identify the independent factors of induced abortion cases status. P-value <0.05 was considered as statistically significant association.Result: The mean age of the respondents was 29.5 years, with a standard deviation of 6.5. In this study the magnitude of induced abortion was 42.7%. Age >30, single marital status, occupational status students and commercial sex worker were statistically significant associated with induced abortion (p<0.05).Conclusion: The study revealed a high level of induced abortion. Unwanted pregnancy is high among abortion patients in the study area. Hence, strict counseling about family planning method reminder, and partner involvement in family planning service should be recommended.

KNOWLEDGE, ATTITUDE AND PRACTICE OF HEALTHCARE WORKERS TOWARDS NOVEL CORONA VIRUS (COVID-19) IN JUGAL HOSPITAL, HARARI REGIONAL STATE, ETHIOPIA Jamie, Arif Hussen
Public Health of Indonesia Vol. 6 No. 3 (2020): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v6i3.341

Introduction: Coronavirus (CoVs) belong to the subfamily Corona virinae in the family of Corona viridae of the order Nido virales, and this sub family includes four genera: Alpha corona virus, Beta corona virus, Gamma corona virus and Delta corona virus. The genome of CoVs is a single"stranded positive"sense RNA (+ssRNA) (~30 kb) with 5"²"cap structure and 3"²"poly"A tail.Method: Cross sectional quantitative study was conducted from February to March 2020 at Jugal Hospital, Harar, Ethiopia, which is found 525 km to East of Addis Ababa. Data were collected using a self-administered questionnaire. Data were analyzed using a descriptive statistic using SPSS version 20.Result: Majority of the staffs had a good knowledge about COVID-19, almost all 201(97.10%) answered they are not ready to give care for a patient who is positive for COVID-19 and only 7(3.38%) of the participants answered that there is enough soap and water to wash hand, hand sanitizers and personal protective equipment materials.Conclusion: The findings of this study showed that majority of the respondents have adequate knowledge, attitude and practice about COVID-19. Nevertheless, greater than 95% of respondents said that they are not ready to give care for a patient who is positive for COVID-19, there is no enough soap and water to wash hand, hand sanitizers and Personal Protective Equipment materials like mask, glove and they are afraid that one of their family members can get infection.

KNOWLEDGE, ATTITUDE AND PRACTICE OF KANGAROO MOTHER CARE AMONG POSTNATAL MOTHERS IN A TERTIARY CARE CENTRE OF HARARI REGION, HARAR, ETHIOPIA Jamie, Arif Hussen
Public Health of Indonesia Vol. 6 No. 4 (2020): October - December
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v6i4.355

Background: Kangaroo Mother Care (KMC) is a method was invented by Dr. Rey in 1978 and developed by Dr. Martinez and Dr. Navarrete until 1994. It is holding a small nappy neonate in skin to skin contact, prone and upright on the maternal chest. At first it was developed to alleviate overcrowding, and insufficient resources in neonatal intensive care units. But today it is formally approved by WHO.Objective: The aim of this study was to assess knowledge, attitude and practice of Kangaroo mother care among postnatal mothers in a tertiary care center of Harari region, Harar, Ethiopia, 2020.Method: An institution based cross-sectional study method was conducted in Hiwot-Fana Specialized Referral Hospital in Harar town. Sample size was calculated by using single population proportion sample formula and the final sample size was 166. The study subject was selected by using consecutive sampling method, and adopted data collection tool was used. Data were analyzed using SPSS version 20. Descriptive analyses were performed and bivariate analyses were used to find out the association of independent variables.Results: There was 82.53% of mothers had good knowledge, 82.53% had positive attitude towards KMC, 32.12% practiced KMC correctly. The participants also reported the benefits of KMC, such as protection from infection, warmth to the baby, exclusive breast feeding, weight gain and growth, early discharge from hospital, safety and love.Conclusion: The finding of this study showed that there was a clear gap in knowledge and practice. Therefore, it is very important to have health education sessions during ANC follow-up on KMC. A qualitative research to explore temporal relationship is also recommended.

Documentation of implemented of Nursing process in Jugal Hospital Harar Ethiopia Jamie, Arif Hussen; Abdosh, Mohammed Zekeria Abdosh
COMMICAST Vol. 3 No. 3 (2022): December
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/commicast.v3i2.5760

Nursing care documentation has been defined as the record of nursing care that is planned and performed to specific patients and by nurses since the early days of Nightingale. To assess Documentation of Implemented nursing process in Jugal Hospital, Harar, Ethiopia. At Jugal hospital in Harar town, 525 kilometers east of Addis Ababa, hospital-based retrospective study design was used and the research took place from January 1st to 27th,2022.The sample size was derived using the single population proportion calculation, the total sample size was 289. IBM SPSS software package version 20.0 (Armonk, NY: IBM Corp) was used to enter, clean, and analyze data. The overall the implementation of the nursing process in this study is 62.97 %, With regards to the specific components implemented the result shows that 35.99% charts were recorded with assessment and diagnosis part of the nursing process followed by planning 29.07 % whereas implementation and evaluation parts were the least documented in the hospital. In nursing practice, documentation is important; hence it is believed that what is not recorded has not been done and lack of documentation may make it suspicious that they did not do their duty. So the nursing process committees or the hospital matron and the nurse managers at the hospital should conduct routine supportive supervision on NP.

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