http://ir.haramaya.edu.et//hru/handle/123456789/206 2026-06-22T20:46:27Z http://ir.haramaya.edu.et//hru/handle/123456789/8559 PRETERM BIRTH AND ASSOCIATED FACTORS AMONG WOMEN WHO GAVE BIRTH IN JIGJIGA TOWN GOVERNMENTAL HOSPITALS, JIGJIGA, EASTERN ETHIOPIA : A HOSPITAL BASED CROSS-SECTIONAL STUDY IBRAHIM ISMAIL; Dr Gudina Egata(PhD); Prof. Myrla Obejero Mabalhin Background: Globally, 15 million newborns are delivered being prematurely every year and >1 in 10 are premature, affecting families worldwide. Over 1 million babies die each year due to complications of premature delivery and survivors face a lifetime of disability, including learning disabilities, visual and hearing problems. Preterm birth is the leading cause of neonatal mortality mostly in the first 4 weeks of life and currently the second leading cause of death in children under the age of 5 after pneumonia. However, limited data about the magnitude of premature birth and associated factors in low income countries like Ethiopia. Up to the knowledge of principal investigator no study is done in Jigjiga Town Governmental Hospitals. Objectives: To assess the magnitude of preterm birth and associated factors among women who gave birth in Jigjiga Town Governmental Hospitals. Methods: Institutional based cross-sectional study design was used among 600 women who gave birth in Jigjiga Town Governmental Hospitals, March 1 to April 1, 2019.Study participants were selected using Sequential sampling technique. Data were collected using a pre-tested structured questionnaire Collected data were checked and entered into Epi data version 3.1. and exported to Statistical Package for Social Science window version 20 for analysis. Descriptive statistics was done by computing proportions and frequencies. Bivariable logistic regression analyses were done to see the association between the outcome variable and each independent variable. All variables with P<0.25 in the bivariable analyses were included in the final model of multivariable in order to control for all possible confounders and to identify the predictors of the outcome variable. Odds ratio along with 95% Confidence Interval were estimated to measure the strength of the association. Level of statistical significance was declared at P-value < 0.05. Result: The magnitude of preterm birth was 12.3%,95%CI (9.7%,14.9%). History of abortion [AOR=5.01;95%CI:(1.86,13.45)], Hypertension disorder of pregnancy [AOR=3.32;95%CI:(1.08,10.20)], sex [AOR=8.32;95%CI:(4.56,17.05)], low birth weight [AOR=3.80;95%CI:(1.55,9.84)] and residence [AOR=4.48;95%CI:(1.39,14.44)] were statistical significantly associated with preterm birth. Conclusion: In this study magnitude of preterm birth in Jigjiga Town Governmental Hospitals is low. History of abortion, hypertension disorder of pregnancy, sex, low birth weight and residence were significantly associated with preterm birth. Recommendation: Enhance prompt recognition of obstetric complications particularly hypertension disorder of pregnancy. To reduce risks of recurrent abortion health education should be emphasized to women of reproductive age and family planning should be promoted. Screening for gestational development during the antenatal period should be done regularly to reduce low birth weight. 68 2019-09-01T00:00:00Z http://ir.haramaya.edu.et//hru/handle/123456789/8558 PREVALENCE OF PRETERM BIRTH AND ASSOCIATED FACTORS AMONG WOMEN WHO GAVE BIRTH IN HEALTH FACILITIES IN GAROWE, PUNTLAND, SOMALIA HIBAQ AWIL ELMI (BSC); Abera Kenay (PhD, Associate Professor); Kedir Teji (PhD, Associate Professor) Background: Preterm birth is a major cause of death and a significant cause of long-term loss of human potential amongst survivors all around the world. Approximately 15 million babies are born preterm annually worldwide, indicating a global preterm birth rate of about 11%. Almost 50% (~7.4 million) of the total preterm births worldwide occur in the following countries: The United States, India, China, Pakistan, Indonesia, and Nigeria (Walani, 2020). there are limited studies on the magnitude and factors associated with preterm births in Puntland, Somalia. Objective: To assess the prevalence of preterm births and associated factors in healthy facilities in Garowe, Puntland, Somalia, from April 1 to May 1, 2022. Methods: An institution-based cross-sectional study was conducted selected healthy facilities in Garowe City. Study participants were enrolled through a convenience sampling technique until the total sample size was reached. Data were gathered by using structured questionnaires. Data was entered in EpiData 4.6 and analyzed using STATA 14.1. Bivariable and multivariable analyses were used to identify factors associated with preterm birth. A p-value of < 0.05 in the multivariable logistic regression analysis was considered a cut-off for significant association. Results: Of a total of 422 women who participated in the study, 419(99%) participated in the study. 46 (11 %) (95% 7-13) were preterm births. Number of fetuses (AOR=5.79; 95 CI: 1.71, 19.5), history of preterm birth (AOR = 6.37; 95% CI: 2.64–15.36), Premature rupture of membrane ( AOR = 10.76; 95% CI: 3.97–29.15), and low birth weight (AOR=7.78; 95 CI: 3.33, 18.17) were significantly associated with preterm births. Conclusion: The prevalence of preterm birth in this study was high, and associated factors, including the number of fetuses, the history of preterm birth, premature rupture of membranes, and birth weight (grams) of the mothers and fetus, were significantly and positively associated with the mothers and their fetus for selected healthy facilities at Garowe. Based on the findings of this study, the following recommendations are forwarded. Early screening and counseling programs should be developed for the early prevention of preterm birth. Such as recognize signs of premature rupture of the membrane: be aware of the signs of preterm labor. Treating infections promptly and practicing good hygiene can help prevent infections that might lead to premature rupture of the membrane. 66 2025-12-01T00:00:00Z http://ir.haramaya.edu.et//hru/handle/123456789/8557 MATERNAL AND NEONATAL NEAR MISS AND ASSOCIATED FACTORS AMONG MOTHER WHO GAVE BIRTH AT PUBLIC HOSPITALS IN HARAR, EASTERN ETHIOPIA NATNAEL KASSA; Agumasie Semahegn (PhD, Assistant Professor); Bikila Balis (MSc, Assistant Professor) Background: Maternal and neonatal mortality is a major public health challenge in low-income countries. Yet for every death, there are many more mothers and new-born who suffer a life-threatening complication but survive. Maternal and neonatal near miss has been proposed as a tool for assessment of quality of maternal and neonatal care. Although many countries have made substantial progress on maternal and neonatal health condition, Ethiopia ranks among the top ten countries in terms of neonatal morbidity and mortality, and there is also limited research evidence on magnitude of maternal and neonatal near miss and associated factors in Harar, eastern Ethiopia. Objective: To assess maternal and neonatal near miss and associated factors among women who gave birth at public hospitals in Harar, eastern Ethiopia from August 1- 30,-2023. Methods: Institutional-based cross sectional study was conducted among randomly selected 423 mothers with their neonates in public Hospitals in Harari regional state. Data were collected using structured questionnaire for mothers and standard checklist for new-born. Collected data were entered into Epi-Data version 3.1 and exported into SPSS version 20 for cleaning and analysis. Binary and multiple logistic regressions was applied to compute the adjusted odds ratio (AOR) with 95 % confidence interval to examine association between explanatory and outcome variables. Significant association was declared using AOR at P-value less than or equal to 0.05. Results: Proportion of maternal and neonatal near miss was found to be 9.2% and 22% respectively. The factors associated with maternal near miss were; obstetric hemorrhage [AOR:3.69,95%CI:1.09-2.46], preeclampsia/eclampsia [AOR:3.68;95%CI:1.55-8.74], maternal anemia[AOR:4.98,95%CI:1.245-19.91], maternal sepsis [AOR:3.17;95%CI:1.125-18.57], obstructed labor/Cephalo pelvic disproportion [AOR:3.319;95%CI:1.48-12.519], post-partum hemorrhage [AOR:3.55;95%CI:1.41-8.93] and referral linkage [AOR:2.78, 95%CI:1.29-5.96]. Similarly, obstetric hemorrhage[AOR:5.55,95%CI:1.99-15.47], preeclampsia/eclampsia [AOR:3.05;95%CI:1.432-6.294], premature rapture of membrane [AOR:2.85;95%CI:1.31-6.22], obstructed labor/Cephalo pelvic disproportion [AOR:5.58;95%CI:1.92 16.19], prolonged labor[AOR:4.7,95%CI:1.91-7.12], meconium stained amniotic fluid [AOR: 5.76, 95%CI: 1.71-19.44] NRFHRP [AOR: 3.60, 95%CI: 1.46-8.90], and referral linkage [AOR: 1.512, 95%CI: 1.928-6.464] were associated with neonatal near miss. Conclusion: Maternal and neonatal near miss was found to be a significant public health challenge in eastern Ethiopia. Obstetric complication during current pregnancy, labor-delivery and postpartum period, referral cases and mode of delivery were associated with maternal and neonatal near miss which are preventable. Continue compressive maternal and neonatal care to avoid preventable causes of morbidity and organizing effective referral system in collaborating with various relevant stakeholders. 100 2025-12-01T00:00:00Z http://ir.haramaya.edu.et//hru/handle/123456789/8554 OBSTETRIC DANGER SIGNS EXPERIENCE AND ASSOCIATED FACTORS AMONG WOMEN WHO GAVE BIRTH IN HARAR TOWN, EASTERN ETHIOPIA ENDASHAW ALMAW (BSC); Dawit Tamiru (MSc. Assistant Professor); Merga Dheresa (PhD. Associate Professor) Background: Obstetric danger signs are early indicators of complications during pregnancy, childbirth, and in the postpartum period. Prior studies were limited to women's awareness on obstetric danger signs, but not on their prevalence. Therefore there is a need for evidences to assess its prevalence and identify associated factors to improve the provision of care. Objective: This study aimed to assess the prevalence of obstetric danger signs and associated factors among women who gave birth in the past twelve months in Harar town, Eastern Ethiopia, from June 1 to 30, 2024. Method: A community-based cross-sectional study was conducted among 582 women. Data were collected through face-to-face interviews. The data were entered into Epi Data version 4.6 and then exported to SPSS version 26 for analysis. Descriptive statistics were used to summarize the participants' characteristics through frequency tables and figures. Binary logistic regression was employed to identify factors associated with experiencing obstetric danger signs. Associations were expressed using adjusted odds ratios (AOR) along with 95% confidence intervals (CI). A p value < 0.05 was considered statistically significant. Result: Out of 588 women, 582 (98.9%) participated in the study. Among them, 178 women (30.6%, 95% CI: 26.9–34.5) experienced at least one obstetric danger sign during pregnancy, childbirth, or the postpartum. Factors significantly associated with experiencing at least one danger sign included being under the age of 20 [AOR = 4.84; 95% CI (1.60, 14.67)], preconception care utilization[ (AOR = 0.43; 95% CI (0.24, 0.77)], unplanned pregnancy [AOR = 2.69; 95% CI (1.51, 4.80)], late initiation of antenatal care [AOR = 2.37; 95% CI (1.48, 3.78)], good knowledge about obstetric danger signs [AOR = 3.60; 95% CI (2.27, 5.72)], and having a preexisting medical illness [AOR = 4.93; 95% CI (2.54, 9.56)]. Conclusion: One third of women were experienced at least one obstetric danger signs. Promoting early antenatal and preconception care are essential for preventing obstetric complications. 75 2025-12-01T00:00:00Z