Department of Midwifery and Maternal Health

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Subject: search.filters.subject.Tigray region

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    UNMET NEED FOR MODERN CONTRACEPTION AND ASSOCIATED FACTORS AMONG REPRODUCTIVE AGE WOMEN IN LAELAY MAICHEW DISTRICT, CENTERAL TIGRAY, ETHIOPIA 2024/2025 (CROSS-SECTIONAL STUDY)
    (Mekelle University, 2025-01-28) DEBESOM G/KIDAN
    Background: - Unmet need for family planning is considered as one of the major public health concern, worldwide. Globally one in twelve and one in five married women in Africa faces unmet need for family planning. Despite some studies highlight on some parts of Ethiopia, however, there is lack of study on the post war and covid 19 in Tigray more specifically in the district areas. Moreover, there is a paucity of research on unmet need for family planning among reproductive age women in study area The results of this study was provided information on the current status of unmet need for family planning and factors that affect the need for family planning among reproductive age women in Laelay Maichew district. Objective; To assess the prevalence and factors associated with unmet need for modern contraception among reproductive age women in Laelay Maichew district, Tigray, Northern Ethiopia, 2024/2025. Methods and materials: - Community based cross-sectional study was conducted from September to October 2024 among reproductive age woman in Laelay Maichew district central zone of Tigray. A total of 575 study participants selected using a systematic random sampling technique were interviewed. Data was collected through structured and pretested intervieweradministered questionnaires. It was entered into Epi data version 4.6 and analyzed by Statistical Package for Social Science version 25. Hosmer- Lemeshow was used to test for model fitness which was (p-value=0.184) then result was summarized using tables, texts and figures. Result: The study found that 24.7% (95% CI: 21%, 28%) and of which 19.96% was unmet need for spacing and 4.74% was unmet need for limiting. Mother's educational status (AOR = 3.219, 95% CI = 1.417-7.311),), never having used modern contraceptive methods (AOR = 2.747, 95% CI = 1.634-4.616), having a partner who was unsupportive of family planning (AOR = 1.733, 95% CI = 1.023-2.934) and availability of radio or TV (AOR = 2.009, 95% CI = 1.201- 3.360 were independent predictors of unmet need for modern contraception among the study participants. Conclusions and Recommendations; In Laelay Maichew district, the unmet need for modern contraceptives was notably high. Significant factors linked to this unmet need included the educational status of women, prior use of family planning, partner support to use family planning, and the availability of radio and/or TV in respondents' homes. Addressing these areas may help improve family planning services and reduce unmet needs.
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    PREVALENCE AND FACTORS ASSOCIATED WITH SPONTANEOUS PRETERM BIRTH AMONG MOTHERS WHO DELIVERED IN PUBLIC GENERAL AND REFERRAL HOSPITALS OF TIGRAY REGION, NORTHERN ETHIOPIA, 2024
    (Mekelle University, 2025-01-28) PAWLOS TEKIA
    Preterm birth has been referring to as babies born alive before 37 weeks or before 259 days of gestation of pregnancy are completed. Preterm birth is the leading cause of infant morbidity and mortality throughout the world. the magnitude of PTB remains a major issue in most developing countries including Ethiopia. To assess the prevalence of spontaneous preterm birth and associated factors among women’s giving birth in Tigray region, North Ethiopia in 2024. A hospital-based cross-sectional study was undertaken from November to December 2024. A systematic sampling technique was used to select 325 mother. The data were collected using kobo toolbox by interviewing the mothers and reviewing their charts using a structured and pretested questionnaire. The outcome variable was spontaneous preterm birth. Data were export from Kobo Toolbox to Excel then to SSPS version 27. Then analyzed using SSPS version 27. Bivariate and multivariable logistic regression analyses were done to determine the risk factors associated with premature birth. Variables statistically significant in Bivariate analysis at p-value less than 0.25 were taken to the multivariable logistic regression. Multivariable logistic regression was done to identify the associated factors of spontaneous preterm birth at P-value < 0.05 were considered reliable for the analysis of this study. in this study, the prevalence of spontaneous preterm birth was 25.2 % (95% CI: 20.48, 29.92%). In multivariable logistic regression model; multiple gestation(AOR) =0.069: 95% CI 0.023–0.206), inadequate iron folate supplementation (AOR = 6.019% CI 1.568–23.105), PROM (AOR = 7.680: 95%CI 3.044–19.378), PIH (AOR = 3.554:95% CI 1.325–9.532), and UTI during pregnancy (AOR = 2.589: 95% CI 1.970–6.912) were significantly associated with preterm birth. The present study found that multiple gestation, inadequate iron folate supplementation, PROM, PIH and UTI during pregnancy were factors associated with preterm birth. Ensure that all pregnant women receive comprehensive ANC services with a focus on monitoring high risk pregnancy like multiple pregnancy, those with history of PROM, PIH, screening and treating infections such as UTI and providing adequate iron folate supplementation for at least three months during pregnancy is decisive.