Improving Inventory management at SUR Construction Company By Beyene Gashu Advisor

85 Pages·2016·0.66 MB·English

ADDIS ABABA UNIVERSITY
COLLEGE OF HEALTH SINCE
SCHOOL OF PUBLIC HEALTH
ASSESSMENT OF FACTORS INFLUENCING MAGNITUDE AND UTILIZATION
OF INSTITUTIONAL DELIVERY SERVICE IN WOMEN OF REPRODUCTIVE
AGE IN NIFAS SILK LAFTO SUB-CITY, ADDIS ABABA, ETHIOPIA.
BY: ZUBEIDA ABDULKADIR (BSc)
A Thesis submitted to the School of Graduate Studies, Addis Ababa University
School of public health for the Partial fulfillment of the Requirements, for the
degree of master in general Public Health.
Advisor: Dr ASSEFA SEME (MD, MPH)
May, 2016
Addis Ababa, Ethiopia
Approval by the board of examiners
This thesis by Zubeida Abdulkadir Adem is accepted in its present form by the board of
examiners as satisfying thesis requirement for the degree of master in general public health.
Advisor:
Full Name_____________________________________Sign___________________________
Date________________
Examiner:
External
Full Name_____________________________________Sign_________________
Date_________________
Internal
Full Name_____________________________________Sign_________________
Date_________________
Acknowledgement
I extended my deepest gratitude and appreciation to my advisor Dr Assefa Seme for his un-
reserved all rounded support and enriching comments starting from the proposal up to the
development of this thesis.
My sincere thank goes to Addis Ababa health Bureau for their support in provision of necessary
information on institutional delivery service utilization in Addis Ababa.
I gratefully acknowledge the supports of Nifas Silk Lafto sub city health bureau representative
Ato Mulu W/Nigusse for his cooperation by providing necessary information regarding health
coverage of the sub city and thankful for all his team members and the woreda health staffs who
cooperated in facilitating the data collection process.
I thank all individuals, especially respondent mothers who have kindly cooperated in providing
the information required during the whole process and data collectors.
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Table of Contents
Acknowledgement.........................................................................................................................................i
Table of Contents..........................................................................................................................................ii
List of table.................................................................................................................................................iiv
List of Figure.................................................................................................................................................v
List of Abbreviations...................................................................................................................................vi
List of annexes............................................................................................................................................vii
Abstract......................................................................................................................................................viii
1.Introduction...............................................................................................................................................1
1.1Back ground.........................................................................................................................................1
1.2 Statement of the problem....................................................................................................................2
1.3 Rationale of the study.........................................................................................................................2
2. Literature review.......................................................................................................................................3
2.1 Demographic Characteristics..............................................................................................................3
3 .Objective of the study...............................................................................................................................9
3.1General Objective................................................................................................................................9
3.2 Specific Objective...............................................................................................................................9
4.Methods and material..............................................................................................................................10
4.1 Study Design.....................................................................................................................................10
4.2 Study area and period........................................................................................................................10
4.3 Source population.............................................................................................................................10
4.3.1 Study Participants..........................................................................................................................10
4.3.2 Sampling technique........................................................................................................................10
4.3.3 Sample size determination.............................................................................................................12
4.3.4 Data collection procedure..............................................................................................................13
4.4 Data entry, cleaning and analysis techniques....................................................................................13
4.5 Data collection instruments...............................................................................................................13
4.5.1 Data quality management...............................................................................................................13
4.6 Study variables..................................................................................................................................14
4.6.1 Independent variables................................................................................................................14
4.6.2 Dependent variables...................................................................................................................14
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4.7 Inclusion and exclusion criteria........................................................................................................14
4.7.1Inclusion criteria.........................................................................................................................14
4.7.2 Exclusion criteria.......................................................................................................................14
4.8 Operational definition.......................................................................................................................15
4.9 Ethical issue......................................................................................................................................15
4.10. Result distribution……………………………………………………………………………….15
5. Results.....................................................................................................................................................16
5.1 Socio Demographic Characteristics of the respondents....................................................................16
5.2 Obstetric characteristics of the respondents......................................................................................18
5.3 Association of socio demographic variable and place of delivery………………………...............20
5.4 Association of Obstetrics characteristics with place of delivery…………………………………..22
5.5 Socio demographic Variables, adjusted versus place of delivery……………………….................24
5.6 Obstetric variable adjusted for women place of delivery ……………………………….........26
5.7 Multivariate Analysis……………………………………………………………………................28
6 .Discussion...........................................................................................................................................30
7. Strength and limitation of the study....................................................................................................33
7.1 Strength of the study.....................................................................................................................33
7.2 Limitation of the study..................................................................................................................33
8 Conclusion and Recommendation...........................................................................................................34
8.1. Concussion.......................................................................................................................................34
8.2 Recommendation..............................................................................................................................34
9 References................................................................................................................................................35
Annexes:.....................................................................................................................................................38
Annex I:Englishversioninformation sheet andConsent Form.................................................................39
Annex II: Questionnaire (English Version)……………………………………………………................40
Annex III:Amharic version information sheet andConsent Form.............................................................46
Annex IV: Questionnaire (Amharic version)…………………………………………………………….47
Annex V:Declaration……………………………………………………………………………………..52
Annex VI:Assurance of principalinvestigator...........................................................................................53
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List of table Pages
Table.1: Socio-demographic characteristics of WRA (15-49) in Nifas Silk Lafto Sub- city, Addis
Ababa, 2015……………………………………………………………………………….................17
Table -2: Obstetric characteristics of WRA (15-49) in Nifas Silk Lafto Sub -city, Addis Ababa,
2015…………………………………………………………………………………………....19
Table-3: Association of socio demographic Variables and place of delivery of WRA (15-49) in
Nifas Silk Lafto Sub -city, Addis Ababa, 2015. ... …………………………………………...21
Table.4: Association of Obstetric variables and place of delivery of WRA (15-49) in Nifas Silk
Lafto Sub -city, Addis Ababa, 2015...………………………………………………………....23
Table-5 Socio demographic Variables, versus place of delivery adjusted of WRA (15-49) in Nifas
Silk Lafto Sub -city, Addis Ababa, 2015. ….............................................................................25
Table -6 Obstetric Variables, adjusted versus place of delivery of WRA (15-49) in Nifas Silk
Lafto Sub -city, Addis Ababa, 2015……………………………………………………………27
Table -7 Multivariate analysis of factors associated with utilization of institutional delivery
amongWRA (15-49)in Nifas Silk Lafto Sub -city, Addis Ababa, 2015……………………….29
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List of Figure
Figure1:Conceptual frame work on institutional delivery serviceutilization…………………..8
Figure 2:Schematicpresentation of sampling technique……...………………….....................11
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List of Abbreviations
ANC Antenatal Care
AOR Adjusted Odds Ratio
APH Ante Partum Hemorrhage
AVD Assisted Vaginal Delivery
CI Confidence Interval
COR Crud Odds Ratio
C/S Caesarean Section
EDHS Ethiopian Demographic and Health Survey
ETB Ethiopian Birr
EVB Excessive Vaginal Bleeding
ID Institutional Delivery
IUFD Intra Uterine Fetal Death
OR Odds Ratio
PNC Postnatal Care
PROM Premature Rupture of Membranes
PTL Pre-Term Labor
RP Retained Placenta
SVD Spontaneous Vaginal Delivery
TBA Traditional Birth Attendant
WRA Woman of Reproductive Age
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List of annexes Pages
Annex. I: English Version Information Sheet and Consent form..............................39
Annex II: Questionnaire (English Version)………………………………………….40
Annex III: Amharic version information sheet and Consent Form …………………46
Annex IV: Questionnaire (Amharic version)……………………...............................47
Annex V: Declaration………………………………………………………………..52
Annex V: Assurance of principal investigator.............................................................53
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Abstract
Back ground: -Every pregnancy is a risk which may end up with complication or death.
Institution delivery is a good means to undertake this risk in providing the delivery service by
skilled personnel and which will contribute to reduce maternal morbidity and mortality
especially for developing countries like Ethiopia.
Objective:-This study was designed and conducted with the aim of assessing factors influencing
magnitude and utilization of institutional delivery in Nifas Silk Lafto Sub-city in Addis Ababa,
2014.
Methods:-A community based cross sectional study using quantitative methods was conducted
in Nifas Silk Lafto Sub city, Addis Ababa. A study population was all six ketena’s in Woreda
two of the sub-city. The total sample size for the study was estimated by single proportion
population formula. Data was collected from 794 women of reproductive age using structured
questionnaire, EPI-info version 3.5.1 was used to enter the data and SPPS version 20.0 was
employed for analysis. Logistic regression and odds ratio was calculated to ascertain association
between dependent and independent variable. The result was present in tables and text.
Result
A total of 768 women of reproductive age participated in this study. Women who have higher
level of education were about 3.6 times more likely to deliver at health institution compared to
women with low level of education [AOR: 3.6, 95% CI: (1.1 , 11.8)].The study also showed that
92.9% of mothers gave birth in health institution.
Conclusion: - This study highlighted institutional delivery is most favorable so that promoting
institutional delivery and women education is crucial amongwomen of reproductive age group.
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