میز اداری صندلی مدیریتی صندلی اداری تبلیغات کلیکی میز تلویزیون پاراگلایدر آگهی رایگان محسن چاوشی مسیح و آرش آهنگ جدید لباس زیر شورت زنانه خرید اینترنتی وبلاگدهی گن لاغری

Do community members are aware of obstetric fistula? A community based cross sectional study, Dabat district, Northwest Ethiopia.

Debrework Bashah, Abebaw Gebeyehu, Mezgebu Yitayal

Abstract


Background: Obstetric fistula results from complex interactions of social, biological, and economic influences. Community-awareness can affect hopes and the attitude of fistula patients and could influence the decision of women to seek medical care. This study was aimed at determining community awareness towards obstetric fistula and its associated factors among Dabat district residents, Amhara National Regional State, Ethiopia.
Methods: Community-based cross sectional study was conducted using a semi-structured pretested questionnaire. The survey was followed by focus group discussions. Data were coded, and entered to Epi data version 2.0.11.61 and exported to SPSS version 20. Descriptive statistics were presented in triangulation with qualitative findings and Logistic regression models were fitted to identify factors associated to awareness. Odds Ratios with 95% CI, p ≤ 0.05 were considered to confirm significance.
Results: Seven hundred ninety nine respondents participated in the study with 99.1% response rate. Participants mean age was 38.5±11.3 and 48.2% were females. Among them 36.7% attended formal education, 73.4% heard about obstetric fistula and 54.7% were deemed to have awareness. Reported perceived causes include prolonged labor 39.6%, injury during surgery 9.6% and ‘God’s curse’ 6.7%. The odds of having awareness was 1.87 times higher among females than males (AOR=1.87; 95% CI, 1.64-4.83). Individuals who attended formal education had 3.48 times (AOR= 3.48; 95% CI, 2.4-7.67) and those government employees have 1.6 times (AOR=1.60; 95% CI, 1.10-7.19) higher odds of awareness compared to those who did not attend formal education, and farmer participants respectively. The odds of awareness was 8.2 times higher among individuals who had prior information about obstetric fistula (AOR=8.215; 95% CI, 7.16-11.98) compared to those who did not have prior information.
Conclusions: More than half of the participants had awareness towards obstetric fistula but there were few mis perceptions and misconceptions on its nature. Being female, attending formal education, being a government employee, having prior information were factors associated to awareness. Hence, further community awareness creation actions are required in offering accurate information on the causes, nature, and management of obstetric fistula.
Key Words: Awareness, Obstetric fistula, Dabat district, Ethiopia

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ISSN : 2251-1571