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URI for this collectionhttps://rps.wku.edu.et/handle/123456789/46883

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Start date: 2025Subject: search.filters.subject.utilization

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    UTILIZATION AND DETERMINANTS OF PRECONCEPTION CARE AMONG PREGNANT WOMEN ATTENDING ANTENATAL CARE IN WOLKITE TOWN, CENTRAL ETHIOPIA, 2026.
    (wolkite University, 2026-06) DR. ADDIS GEBRU
    Background: Preconception care (PCC) improves maternal and neonatal outcomes by addressing health risks before pregnancy, yet utilization remains low in Ethiopia. This study assessed PCC utilization and determinant factors among pregnant women in Wolkite town. Methods: A multi-centered institution-based cross-sectional study was conducted among 728 pregnant women attending antenatal care from December 2025 to January 2026. Multi-staged Systematic Random sampling and interviewer-administered questionnaires were used. Data were analyzed with SPSS using bivariable and multivariable logistic regression. Statistical significance was set at p < 0.05 (AOR, 95% CI). Results: Magnitude of PCC utilization was 21.4% (95% CI: 17.5%–25.3%). Advanced maternal age >35 years (AOR = 2.78; 95% CI: 1.75–4.42), Higher education (AOR = 2.74; 95% CI: 1.85– 4.05), Employed women (AOR = 1.97; 95% CI: 1.33–2.92), Higher income (>20,000 ETB/month) (AOR = 6.38; 95% CI: 3.12–13.04; P < 0.001), Good Knowledge (AOR = 16.5; 95% CI: 9.2–29.6), Preexisting medical conditions (AOR = 12.8; 95% CI: 6.7–24.5), Contraceptive use (AOR = 13.2; 95% CI: 8.1–21.6), Husband support, and Residence within 30 minutes of a health facility were independent predictors of PCC utilization. Conclusion: PCC uptake in Wolkite town is low due to limited awareness and access barriers. Enhancing community education, integrating PCC into routine reproductive services, strengthening facility readiness, and promoting male partner involvement are essential to improve maternal and neonatal health.
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    MAGNITUDE OF MATERNITY WAITING HOME UTILIZATION AND ASSOCIATED FACTORS AMONG WOMEN WHO GAVE BIRTH WITHIN 12 MONTHS BEFORE SURVEY IN GETA DISTRICT, GURAGE ZONE, CENTRAL ETHIOPIAN,2025
    (wolkite University, 2026-06) CHERU BIREGA
    Introduction: Maternity waiting homes are a cost-effective approach to ensure safer deliveries and healthier mothers and babies. It is important to enhance accessibility of healthcare services, by closing the gap between remote communities and medical facilities, an ensuring timely access to skilled birth attendance. In Sub-Saharan Africa, close to 30% of women with proper ANC follow-up ended up delivering at home. The types of waiting homes and their capacity to accommodate clients differed across regions in Ethiopia. Objective: To assess the magnitude of maternity waiting home Utilization and associated factors among women who gave birth within 12 months prior to the survey in rural kebeles of Geta district Gurage zone, Central Ethiopian. 2025 Methods: A community-based cross-sectional study design was conducted to determine the extent of maternity waiting home utilization and its associated factors among women who gave birth within 12 months prior the survey in Geta district. A simple random sampling method was used to extract 365 samples from six rural kebeles from July 1 up to 30/2025. The data was collected through face-to-face interview by using pre-tested structured questionnaires. Then it was entered into Epi-data version 4.2 and then exported to SPSS version 26 for cleaning, coding, and analysis. And major analysis of data was conducted with binary logistic regression model Results: 365 mothers who had given birth in the last year were successfully interviewed. Out of the total study participants, 131 study participants (36%) mothers with the 95%CI of (31.0 _40.8) utilized maternity waiting home. ANC follow up (AOR = 9.001, 95% CI: 2.407,33.662, p = 0.001), maternal age 25-35yrs (AOR =20.1, 95% CI: 3.765,107.41, p = 0.001),no access to transportation facilities (AOR =57, 95% CI: 14.607,225.608, p = 0.000), multigravida 95%CI AOR =7.728 (1.692,35.293), maternal occupation being merchants were AOR= 12.787 , 95% CI: (3.193,51.207), women whose husbands were farmers With AOR= 22.9 with 95% CI of (4.912,106.767) p = 0.001, were identified as independent predictors of maternity waiting utilization Conclusion Overall, maternity waiting home utilization accounted for 36% of the study population, which is predicted with ANC follow up, maternal age, maternal gravidity, maternal and husband occupation. Therefore, enhancing maternity waiting home utilization may require expanding strategic approaches