Bachelor of Science

URI for this collectionhttps://rps.wku.edu.et/handle/987654321/112

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Subject: search.filters.subject.Gurage,

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    ADVERSE PREGNANCY OUTCOMES AND ASSOCIATED FACTORS AMONG ADVANCED AGE PRIMIGRAVIDAE WOMEN IN GURAGE ZONE PUBLIC HOSPITALS, SOUTHERN ETHIOPIA: A COMPARATIVE CROSS-SECTIONAL STUDY 2022.
    (WOLKITE UNIVERSITY, 2022-02) Feima Ahmedin; Asma Kamil,; Tseganesh Lencha,
    Introduction :Adverse pregnancy outcomes means those pregnancy outcomes are either maternal or perinatal outcomes other than normal live birth which majorly includes: pregnancy induced hypertension, Antepartum Hemorrhage, Postpartum Hemorrhage, Cesarean delivery, Congenital Anomalies, Perinatal Death. Elderly primigravidae means a woman who is going to pregnancy and bring birth for the first times at the age of 35 or older years. In the world, every day around 830 women die due to adverse pregnancy and perinatal outcomesObjective: The aim of this study is to assess adverse pregnancy outcomes and associated factors among advanced age primigravidae in gurage zone public hospitals, southern Ethiopia: a comparative cross-sectional study 2022.Methods: Institutional based comparative cross-sectional study design was conducted among 122 studygroupand 122 comparison groups in gurage zone public hospitals. Data was collected using pre-tested and structured questionnaires by reviewing charts and it was coded, checked and entered into SPSS version 25 for analysis. Chi-square test and independent t-test was done to compare categorical and continuous variables accordingly. Bivariabl analysis was done to see the crude significant relation of each independent variables with dependent variable individually. Then Variables with P value ≤ 0.25 during the Bivariabl analysis was entered to multivariable analysis to see the neat effect of each independent variable on the outcome variable. Finally variables with P value less than 0.05 was considered as statistically significant. Result:This study was conducted among a total of 244 women who participated in the study classified into a study group and a comparison group of 122 participants for each with a response rate of 100%. The overall prevalence of adverse pregnancy outcomes results was 74.5% (95%; CI: 66.5%-83.7%) of study group and 42.6% of comparison group. The factors significantly associated with adverse pregnancy outcomes were rural resident [AOR: 4.76 95%; CI: 1.073 –65.00], Spontaneous vaginal delivery (AOR: 0.007, 95%; CI: 0.001-0.057) and unplanned pregnancy (AOR: 0.023, 95%; CI: 0.003-0.175).Conclusion: The prevalence of adverse pregnancy outcomes in this study is higher as compared to other literatures. Rural resident were positively significantly associated with adverse pregnancy outcomes, while planned pregnancy and spontaneous vagina mode of delivery were protective factors that significantly associated with adverse pregnancy outcomes.
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    PREVALENCE OF MALARIA AMONG PATIENTS ATTENDED AT WOLKITE HEALTH CENTER, SOUTH CENTRAL ETHIOPIA
    (WOLKITE UNIVERSITY, 2020-12) TEREFE ADELLO,; BEHRU MOHAMMED,; TADELELECH ABEBE,; MOHAMMEDNUR GEBI,
    Malaria is caused by protozoan parasites that belong to the Genus Plasmodium, which are transmitted to humans via the bite of an infected female anopheles’ mosquito. Malaria is usually restricted to tropical and subtropical areas with climatic conditions suitable for the development of the vector and parasite. Ethiopia is one of the malaria-endemic countries with an average of 60% and 40% due to Plasmodium falciparum and Plasmodium vivax, respectively during peak malaria transmission time. Objective: This study aims to determine the prevalence of malaria among patients attending Wolkite health center, South Central Ethiopia. Method: A cross-sectional study was carried from November to December 2020G.C. in Wolkite health center. A total of 260 study participants, selected by the consecutive sampling technique were included in this study. The study participants were interviewed using a semi-structured questionnaire to collect socio-demographic characters. Tables and figures were used to summarize descriptive data. The frequency and proportions of malaria-infected study participants were also calculated. Result: From the total of enrolled study participants 96 (36.92%) were male and 164 (63.08%) were female. The total prevalence of malaria infection registered in the present study was 13.85% with 10.77% and 3.08% due to falciparum and vivax malaria, respectively. Malaria infection registered in this study were less in female (13.41%) than males (14.58%). Conclusion and Recommendation: The prevalence of malaria in this study was 13.84%. From this, 22(13.41%) were female and 14(14.58%) were male. The most predominant species was p.falciparum 28(10.77%). Providing health education campaign for community and health interventions should be implemented to prevent and control the disease. Insecticide-treated bed-nets and indoor residual spraying should be provided to reduce disease transmission. Focusing about Environmental sanitation by eliminating the spreading site of mosquitoes and avoiding stagnant water in the community area