Reproductive Health

INTENTION TO DO PHYSICAL EXERCISE AND ITS ASSOCIATED FACTORS AMONG PREGNANT WOMEN ATTENDING ANC IN PUBLIC HOSPITALS OF HARAR TOWN, EASTERN ETHIOPIA USING THEORY OF PLANNED BEHAVIOR

2026-06-10T13:30:31Z

INTENTION TO DO PHYSICAL EXERCISE AND ITS ASSOCIATED FACTORS AMONG PREGNANT WOMEN ATTENDING ANC IN PUBLIC HOSPITALS OF HARAR TOWN, EASTERN ETHIOPIA USING THEORY OF PLANNED BEHAVIOR TARIKU GIRMAY (BSc); MR.ASSEFA TOLA (MPH, ASSISTANT PROFESSOR); MR.ADERA, DEBELLA (MSC, ASSISTANT PROFESSOR) Background: Physical exercise is a key preventive measure for chronic diseases across the lifespan, including during pregnancy, where it promotes maternal and fetal health. Despite its benefits, evidence on the intention to perform physical exercise during pregnancy and its predictors remains limited in low-income settings, particularly in Sub-Saharan Africa and Ethiopia. Objective: This study aimed to assess the intention to do physical exercise and its associated factors among pregnant women attending antenatal care services in public hospitals of Harari Regional State, Eastern Ethiopia, from February 1 to March 30, 2024. Methods: An Institution-based cross-sectional study among 405 pregnant women attending Antenatal Care follow-up at Hiwot Fana Specialized University Hospital and Jugel General Hospital. Participants were selected using systematic random sampling technique. Data were collected through interviewer-administered structured questionnaires, entered using Epi Data version 4.6, and analyzed with STATA version 17. The results of the descriptive statistics were summarized using mean, standard deviation, percentages, frequency tables and graphs. Standardized β and R2 values were used to interpret outcome variable.Simple and multiple linear regression analysis were performed. In multiple linear regression analysis, Statistical significance was declared at a p-value of <0.05 with 95% confidence interval. Results: Of the 411 women approached, 405 completed the study (98.5% response rate). The mean intention score was 16.15 (SD ± 5.82), with 58.3% (n = 236) scoring above the mean. The TPB model explained 36% of the variance in exercise intention. Significant predictors included: direct attitude [β = 0.230, p < 0.001, 95% CI (0.187, 0.458)], direct perceived behavioral control [β = 0.259, p < 0.001, 95% CI (1.920, 5.855)], knowledge of exercise benefits [β = 0.248, p = 0.001, 95% CI (0.194, 0.786)], high school education [β = 0.169, p = 0.005, 95% CI (0.297, 1.621)], college or university education [β = 0.192, p = 0.004, 95% CI (0.413, 2.135)], and being in the second trimester of pregnancy [β = 0.190, p = 0.017, 95% CI (0.247, 2.504)] Conclusion: More than half of the pregnant women reported a high intention to engage in physical exercise. Intention was significantly influenced by perceived behavioral control, positive direct attitude, higher educational attainment, knowledge of exercise benefits, and second-trimester pregnancy, were significant associated factors.Therefore, study aimed at promoting physical exercise during pregnancy should strengthen perceived control and positive attitudes, particularly among less-educated women and those in earlier stages of pregnancy. 94

PHYSICAL ACTIVITY AND ASSOCIATED FACTORS AMONG ADULT HYPERTENSIVE PATIENTS ATTENDING PUBLIC AND PRIVATE HOSPITALS IN HARARI REGIONAL STATE, ETHIOPIA

2026-06-04T12:55:14Z

PHYSICAL ACTIVITY AND ASSOCIATED FACTORS AMONG ADULT HYPERTENSIVE PATIENTS ATTENDING PUBLIC AND PRIVATE HOSPITALS IN HARARI REGIONAL STATE, ETHIOPIA HANNA TARIKU; ABOMA MOTUMA (PHD, ASSISTANT PROFESSOR); ASSEFA TOLA (MPH, ASSISTANT PROFESSOR) Background: physical activity is very important for hypertensive people to determine patients’ health outcomes. Physical activity is a cost-effective way of reducing, controlling and preventing hypertension. Unhealthy dietary practices, and physical inactivity have been identified to be the main hindrances in hypertension management. Information about physical activity among patients with hypertension in public and private hospitals in Harari region is not well-known. There is a shortage of studies done in physical activity and associated factors of hypertension to show the gap and magnitude of the problem in this study area. Objective: To assess the level of physical activity and its association among hypertensive patients attending public and private hospitals in Harari regional state, Eastern Ethiopia, January 25 to February 15, 2025. Method: An institutional-based cross-sectional study among 418 hypertensive patients using systematic sampling technique was conducted at the follow-up clinic in public and private hospitals in the Harari region. Data was collected by face-to-face interviews using a kobo tool by trained data collectors. Data was, checked, cleaned and then exported to SPSS version 26.0 software for analysis. Data was checked for incomplete and inconsistent before analysis. Data was analyzed using descriptive statistics and binary logistic regression analysis method was used. Crude and adjusted odd ratio were calculated using binary logistic regression and all statistical tests was two-tailed using a critical value of ��=0.05. Result: A total 418 hypertensive patients were included in the study with response rate of 100%. The study showed that 23.7% (95% CI: 19.6 – 28.0) of study participants had adequate physical activity. Marital status (AOR: 3.07; 95% CI: 1.04-9.03), educational status (AOR: 0.37; 95% CI: 0.21- 0.65), salt intake (AOR: 1.66; 95% CI:1.05-2.73) and eat meat (AOR: 0.56; 95% CI: 0.32 - 0.99) were significantly associated with adequate physical activity. Conclusion: This study revealed that a low level of adequate physical activity among adult hypertensive patients in the study areas. Educational status, marital status, salt intake, and eat meat were significantly associated with adequate physical activity among adult hypertensive patients in this study. These findings should alert healthcare providers to find innovative means of physical activity promotion to improve health outcomes among hypertensive patients. 73

COMMUNITY SATISFACTION FROM HEALTH EXTENSION PROGRAM IMPLEMENTATION AND ASSOCIATED FACTORS IN JIGJIGA RURAL KEBELES, SOMALI REGION, EASTERN ETHIOPIA

2025-03-25T07:19:48Z

COMMUNITY SATISFACTION FROM HEALTH EXTENSION PROGRAM IMPLEMENTATION AND ASSOCIATED FACTORS IN JIGJIGA RURAL KEBELES, SOMALI REGION, EASTERN ETHIOPIA Mahamud Aden; (PhD) Agumasie Semahegn; (PhD) Merhawi Gebremedin The Ethiopian government's health extension program is a creative strategy to guarantee health equity by generating demand for basic healthcare services by delivering relevant health information to households in both rural and urban areas of the country. However, the degree of community satisfaction with the program has not yet been thoroughly examined in Ethiopia's Somali Region. The purpose of this study is to evaluate the degree of community satisfaction with HEP and the elements that are related to it. Objectives: To assess community satisfaction and associated factors towards health extension program in Rural Kebeles of Jigjiga city, Somali Region, Eastern Ethiopia from March 20 to Semtember 10, 2024. Methods: A community - based cross-sectional study was conducted among 506 households which were seleted Systematic random sampling. Each chosen kebeles received a proportionate share of the samples. A systematic questionnaire was used to gather data. After being imported into EpiData version 3.1, the data was exported to Stata version 17 for analysis and cleaning. To ascertain the proportions and associations of the variables, descriptive statistics and linear regression analysis were used. and variables with a P-value less than 0.05 with a 95% confidence interval were deemed statistically significant. Results: A total of 463 heads of household were responded correctly - with the response rate of 92%. The mean score of the respondents was 14.81 with SD of (±3.12). Over all 23.7% of the households were satisfied and community satisfaction with Health extension program was mostly explianed by Eductional status (ß=2.99 95%CI: 2.22, 3.76),selected model households(ß=1.18 95%CI: 0.57, 1.79),knowledge about maternal and child health (ß=2.88 95%CI:2.23, 3.54) and Perceived accessibility to health service (ß =2.67 95%CIs:-0.06, 5.58) were independent predictors of community satisfaction towards HEP. Conclusions: community satisfaction towards health extension program implementation was found to be low. Community satisfaction is highly influenced by a number of factors, including Educational status,selected model households,knowledge about maternal and child health and perceived accessibility. 88p.

ANEMIA AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN LIVING IN KOLOJI CAMPS OF FAFAN ZONE OF SOMALI REGION, ETHIOPIA

2025-03-14T06:52:42Z

ANEMIA AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN LIVING IN KOLOJI CAMPS OF FAFAN ZONE OF SOMALI REGION, ETHIOPIA NIMO AHMED ISMAEL (BSC); MERGA DHERESA (PhD, Ass. Prof); WENDIMIYE ASHENAFI (PhD, Ass. Prof). Background: Anemia during pregnancy is a major cause of morbidity and mortality of pregnant women in developing countries and has both maternal and fetal consequences. The regional estimates of anemia among pregnant women living in refugee settings are limited. Therefore, this study is aimed to assess the prevalence and factors associated with anemia among the pregnant women living in internally displaced camp of Qoloji in Somali, Ethiopia. Objective: To assess prevalence of anemia and associated factor among pregnant women living in internally displaced camp of Qoloji in Somali Regional State, Ethiopia from February 1-29, 2024. Methods: Acommunity based cross-sectional study design was employed from February 1-29, 2024 among 390pregnant women living in internally displaced camp of Qoloji. Data was collected by local enumerators through an interview in the local language of the pregnant women. Data was entered to EpiData version 3.1 and exported to STATA 17for analysis. Using both bivariate and multivariable logistic regression analysis, the associations of anemia among pregnant women were assessed. Both crude and adjusted odds ratios together with their corresponding 95% confidence intervals were computed to see the strength of association between the outcome and independent variables. A p value of < 0.05 was considered to declare the result as statistically significancy in multivariable logistic regression model. The multicolinearity was checked with VIF and Hosmer–Lemeshow test was performed for model fitness in the final model. Result: A total of 380 pregnant women were included in this study making a response rate of 97.5%. The overall prevalence of anemia in this study was 42.11% (95% CI = 37.2%–47.1%). Among the anemic pregnant women, 52 (32.5%), 83 (51.88%), and 25 (15.63%) had mild anemia (Hgb ranges 10.0–10.9 g/dL), moderate anemia (Hgb ranges 7.0–9.9 g/dL), and severe anemia (Hgb < 7.0 g/dL), respectively. Educational status of pregnant women (AOR=3.94, 95%CI: 2.10- 7.37), gestational age(AOR=4.55, 95%CI: 1.46- 14.23), history of blood loose( AOR=7.84, 95%CI: 3.90-15.74), meal frequency perday(AOR=2.03, 95%CI:1.16- 3.56), frequently taking coffee or tea immediately after meal (AOR=8.02, 95%CI: 3.75- 17.16) and iron and folic acid supplementation (AOR=5.14, 95%CI:2.78- 9.50) were significantly associated with anemia at p value <0.05. Conclussion: The prevalence of anemia from this study was a regarded as severe public health problem based on WHO cut off values. Educational status of pregnant women, gestational age, history of blood loose, meal frequency perday , frequently taking coffee or tea immediately after meal and iron and folic acid supplementation were significantly associated with anemia among pregnant women. 69