Department of Reproductive Health

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    Antenatal care services satisfaction and related factors, among pregnant women attending antenatal clinic in Public general hospitals of central zone of Tigray region, Ethiopia; 2024: hospital based cross-sectional study design (mixed)
    (Mekelle University, 2025-04-28) KIDU GEBREYOHANES
    Introduction: Antenatal care (ANC) is care offered by skilled healthcare professionals to pregnant women to guarantee the greatest possible health for both the mother and the baby. In Tigray, 78% of health posts, 72% of health centers, and 80% of hospitals had been destroyed during the war according to the Tigray Regional Health Bureau. As a result, ANC coverage decreased from 94% to 16% during the war. Since there is no related research done in the study area, it necessitates undertaking this research. Objective: This study aims to assess ANC services satisfaction and related factors in public general hospitals of central zone of Tigray region, Ethiopia, 2024. Methods: A hospital-based cross-sectional study involving both qualitative and quantitative approaches of data collection was used from September 10 to November 15, 2024. Data were gathered from systematically selected 420 individuals via interviewer administered face-to-face interviews using Kobo toolbox. Data from the kobo toolbox was exported to and analyzed using the Statistical Package for Social Sciences (SPSS) software version 27. Bivariate and multivariable logistic regression analyses were used to identify the factors associated with the outcome variable. For the qualitative part, convenience sampling was used to select respondents, and data were collected through in-depth interviews. Then, inductive thematic analysis was used to manually review qualitative data. Results: Pregnant mothers’ satisfaction with ANC service was found 44.8%. Type of pregnancy, tone of pregnancy, ANC start time, waiting time to see a doctor, getting additional clinical examination, counseling on self-care and on birth preparedness and complication readiness plan and availability of free laboratory service were among the significant predictors of ANC satisfaction. The qualitative findings also highlight that early initiation of ANC, friendly and respectful care, easily accessibility of the institution, etc were frequently raised as a favorable contributors for a satified care. Conclusion and recommendation: pregnant mothers’ satisfaction with ANC was low in this study. Concerned bodies are recommended to undertake continues monitoring, improve financing for health care, staffing and making comprehensive counselling accessible at each service contacts.
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    PREVALENCE AND FACTORS ASSOCIATED WITH FAILD INDUCTION OF LABOR AMONG WOMEN UNDERGOING INDUCTION AT PUBLIC HOSPITALS OF MEKELLE CITY, TIGRAY
    (Mekelle University, 2025-06-28) HABEN NIGUSE
    Introduction: Induction of labor is more frequently used obstetric procedure, practiced in over 20% of pregnancies globally, with 20% resulting in cesarean delivery. Worldwide, unsuccessful induction of labor is a public health concern. Numerous unfavorable outcomes for both the mother and fetus are linked to it, including postpartum hemorrhage, uterine rupture, birth asphyxia, and prolonged hospital stays. This study aimed to assess the prevalence and factors associated with failed induction of labor among women undergoing induction at public hospitals of Mekelle city, Tigray origin, Ethiopia. Objective: To determine the prevalence and factors associated with failed induction of labor among women undergoing induction at public hospitals of Mekelle city, Tigray, 2024/25 Method: A facility-based cross-sectional study design was implemented on 312 samples from women undergoing labor induction at public hospitals of Mekelle city from September to October, 2024. The sample size was allocated to the selected hospitals proportionally. A structured questionnaire was used for interview of woman on induction and checklist was used to extract data from medical records. Data was analyzed using Statistical Package for Social Science version 27. Binary logistic regression model was used to see the association between dependent and independent variables and multivariable logistic regression was used to identify the independent predictors of failed labor induction. Odds ratio with 95% confidence interval computed and level of significance declared at P-value <0.05. Result: This study showed that the prevalence of failed induction was 26.3% (95% CI: 21.6- 31.4). Factors associated with failed inductions were; Lack of labor induction history (AOR: 10.6; 95% CI: 1.61-70.29), no artificial rupture of membrane (AOR: 4.1; 95% CI: 1.28–13.27), shorter maternal height, (AOR=0.9, 95% CI: 0.88–0.99), and longer induction-to-delivery time (AOR= 0.9, 95% CI: 0.80–0.98). Conclusion: The prevalence of failed induction was high in this study. Lack of labor induction history, no artificial rupture of membrane, shorter maternal height, and longer induction-todelivery time were independent predictors for failed induction of labor. Recognizing these factors and timely interventions can help reduce the risk of failed inductions and improve both maternal and neonatal outcomes.
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    DETERMINANTS OF PRECANCEROUS CERVICAL LESIONS AMONG WOMEN SCREENED FOR CERVICAL CANCER IN PUBLIC HOSPITALS OF TIGRAY, ETHIOPIA, 2024. CASE-CONTROL STUDY
    (Mekelle University, 2025-01-28) HAFTOM BIRHANE
    Back ground: - Cervical cancer is a common health problem in sub-Saharan countries, mainly in Ethiopia, where a significant number of women are diagnosed, and pre-cancerous lesions are being detected at a late stage, leading to high mortality. The prevalence of precancerous cervical lesions has increased dramatically in Ethiopia (from 7% to 28%), with some regions showing even higher rates. However, the determinants contributing to this rise remain unstudied in Tigray, especially in a case-control study design. Objective: To assess determinants of precancerous cervical lesions among women screened for cervical cancer in public hospitals of Tigray, Ethiopia, 2024. Methods: This study employed a case-control design among (112 cases and 336controls) from August 1 to October 30/2024. Cases and controls were selected by systematic random sampling method and data was collected via a structured questionnaire then data were entered to Epi Data version 4.7 then exported to statistical package for social sciences, p value less than 0.2 in bivariate analysis were included multivariable logistic regression with 95% confidence interval. Finaly p value <0.05 were decided as determinates of precancerous cervical lesions. Result: - Women with a secondary school (AOR=0.044; 95% CI: 0.018-0.107), diploma and above of the women (AOR=0.008; 95% CI: 0.002-0.028), women with two or more life time sexual partners (AOR=9.001, 95% CI: 4.221-19.193), history of STIs, (AOR=3.433, 95% CI: 1.600-7.364) and ever use of hormonal contraceptives (AOR=2.340, 95% CI: 1.220-4.487) were found to be determinates of precancerous cervical lesions. Conclusion and Recommendation: Having two or more lifetime sexual partners, education status of women secondary, diploma, and above, ever use of hormonal contraceptives, and having history of sexual transmission infections were identified as determinants of precancerous cervical lesions. Therefore, efforts should be made to reduce the risk of sexual transmission infections, provide health education and strengthening education for those no formal education women, educate about faithful, one to one relationship, and promote early screening for cervical cancer in women who have ever use hormonal contraceptives.