Masters of Science

URI for this collectionhttps://rps.wku.edu.et/handle/987654321/9

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    SELF-MEDICATION PRACTICE AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN IN RURAL KEBELES OF CHEHAWEREDA GURAGE ZONE CENTERAL ETHIOPIA
    (WOLKITE UNIVERSITY, 2024-04) -SHIKURIA ABDELA
    Introduction: Self-medication practice is the use of drugs without a medical advice to treat self identified illnesses. This could lead to a multiple health problems for the mother and the fetus during pregnancy. However, the prevalence is reported to be high both in developed and developing countries. A large proportion of pregnant women in Ethiopia live in rural areas with low healthcare coverage and a lack of basic drug safety information. Despite this, studies are limited in rural Ethiopia and at the community level, and as a result, limited scientific evidence on SMP during pregnancy in the Gurage zone. Objective: To assess the prevalence of self-medication practice and identify its associated factors among pregnant women in rural Keble of Cheha Woreda Method: A community-based cross-sectional study design supplemented with qualitative data was employed on 607 pregnant women and 40 key informants in the rural kebele of Cheha woreda from March 1 to April 30/2024 GC. A multi-stage sampling technique was used to select study participants; the quantitative data was collected using a structured interview questionnaire and analyzed with Binary logistic regression and thematic analysis for qualitative data. Results: Out of the sample pregnant women, 555 pregnant women and 38 key informants participated in the study with a response rate of 91.5%. The overall prevalence of SMP among pregnant women was 286(51.5%).Age of the pregnant women(AOR = 0.34, 95% CI (0.04-3.013)), ANC follow up (AOR=2.94, 95%CI (1.08-8.0)), Pregnancy related problem (AOR =0.056, 95% CI (0.03-0.09)), Knowledge(AOR = 2.02, 95% CI (1.06-3.84)), Distance from health facility (AOR =3.52 95% CI (1.13-10.9)) and Drug availability in the nearest health facility (AOR=2.6,95% CI: (1.44-4.7)) were significantly associated with self-medication practice. Minor illness, low cost alternative and time saving were the reasons to SMP. Conclusion and Recommendation: Almost half of the pregnant women practiced self-medication in the study setting. An awareness-building campaign and health education for pregnant mothers and general population, focusing on rural areas, need to be advocated.
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    SLEEP QUALITY AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN ATTENDING ANTENATAL CARE UNIT AT WOLKITE TOWN PUBLIC HEALTH FACILITY GURAGE ZONE CENTRAL ETHIOPIA
    (WOLKITE UNIVERSITY, 2025-08) BEDRU ELIAS
    Background: A basic physiological requirement for both mental and physical well-being is sleep. Variations in the length and quality of sleep as well as the occurrence of symptoms while you sleep are linked to the quality of your sleep. Sleep problems are fammilar during pregnancy, but they are not diagnosed and not investigated. Objectives: To determine the magnitude of poor sleep quality and related factors among pregnant mother visiting antenatal care unit at wolkite town public health facilities, Gurage zone, central, Ethiopia, 2025. Methods: Institution-based cross-sectional study was employed among 409 pregnant mother visiting ANC service that were pick out by using systematic sampling method at Wolkite town public health service from January 1 to January 30/2025. A systematic sampling technique was performed to pick out study participants; the data was composed by apply a structured interview questionnaire and spell out applying Statistical Package for the social sciences with version 25 and for related factors using Binary logistic regression model with adjusted odds ratio at 95% confidence interval and p-values < 0.05 were applied to announce significant association. Results: Out of the sample size, 409 pregnant mother, 400 of them involved in the study with a response rate of 97.8%. The overall magnitude of poor sleep quality among pregnant women was ―54.8% (95%CI: 49.7-59.7). Monthly household income of the pregnant women (AOR: 8.61; 95% CI: 5.10-14.55), poor sleep hygiene practice during pregnancy (AOR: 2.81; 95%CI: 1.53- 5.17), depression (AOR: 4.81; 95% CI: 2.11-11.21) and history of abortion (AOR: 2.44; 95%CI: 1.25-4.78) were significantly associated with poor sleep quality. Conclusion and Recommendation: This study shows that magnitude of poor sleep quality among pregnant mother was high. Factors such as monthly household income, exposure of abortion, poor sleep hygiene practice and depressive symptoms were associated with poor sleep quality among pregnant women. Health services should implement detect for sleep quality as part of ongoing antenatal visit, counsel effectively and those who have psychiatric symptoms linked to a psychiatry unit.
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    MAGNITUDE OF INADEQUATE GESTATIONAL WEIGHT GAIN AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN SEEKING MATERNAL HEALTH SERVICES IN GURAGE ZONE, CENTRAL ETHIOPIA
    (WOLKITE UNIVERSITY, 2025-08) ADMASSU TESHOME(
    Background; Gestational weight gain (GWG) is the increment in the weight of pregnant women from conception to delivery. The recommended total weight gain during pregnancy is 12.5Kg (11.5 to 16 Kg) for women with normal prepregnancy weight. Despite the fact that gestational weight gain is essential for positive pregnancy outcomes, a significant proportion of women gain inadequate weight and limited data about the subject in developing countries including Ethiopia. Objectives; the study aimed to assess the magnitude of inadequate gestational weight gain and its associated factors among pregnant women who seek maternal health care service on public health facilities in Gurage zone central Ethiopia, 2025. Methods; Mixed method design was employed. Five hundred forty pregnant women for quantitative study and 55 for qualitative study were selected using multi stage sampling and phenomenological sampling techniques respectively. Data was collected using interviewer administered structured questionnaire, focus discussion groups FDGs and in-depth interview. Then quantitative data was entered and analyzed using SPSS version 25. Descriptive statistics including frequency, mean and standard deviation were computed. Bivariable and multivariable binary logistic regression analysis was used to assessing the association of factors with outcome variable. The association declared at P Result: Out of total participants yielding a response rate of 98 %, and 52.8 % (95% CI: 46.2, 57.8) pregnant mothers had Inadequate gestational weight gain. Women from rural residency had higher odds (AOR = 4.53, 95%CI: 2.39, 8.58) of inadequate gestational weight compared to urban residents. The other variables including BMI (AOR=20.6, 95% CI: 4.89,87.2), suboptimal ANC (AOR = 2.36, 95% CI: 1.35, 4.13), inadequate diet diversity (AOR = 8.75, 95% CI: 4.72-16.2) and food insecurity (AOR = 2.03, 95% CI:1.14-3.63) had positive association with gestational weight gain. Conclusion; Nearly half of pregnant women had inadequate gestational weight in Gurage zone, Ethiopia. Enhancing ANC uptake, promoting dietary diversity with major focus on rural community can help to reduce inadequate weight gain