ABSTRACT
Intraventricular hemorrhage (IVH) is one of the medical issues that preterm infants are susceptible to as a result of their difficulty adjusting to life outside the womb. It is bleeding into the ventricular system from the germinal matrix, a highly cellular and vascular tissue that is only seen in preterm newborns and ruptures easily. The study aims to assess the magnitude and associated factors of IVH in preterm neonates. Methods: A hospital-based cross-sectional study was conducted at Tibebe Ghion Specialized Hospital (TGSH) from 14 March 2022 to 15 August 2022. The neonatal referral form, the mother's medical file, an in-person interview with the mother, and bedside cranial sonography were used to collect clinical data. After data were entered into Epi Info and exported to Scientific Program for Social Science (SPSS), analysis was carried out using binary and multivariable logistic regression. Results: The overall magnitude of IVH in preterm newborns among preterm neonates admitted to TGSH was 53 (27.04%) (95% CI: 20.9-32.2%). In the multivariable logistic regression analysis, a birth weight of between 1500 and 2000 g (OR: 0.38, 95% CI: 0.18-0.79) were negative, and those neonates with gestational age between 28 and 32 weeks (OR: 2.14, 95% CI: 1.04-4.41) were positively associated with the occurrence of IVH. Conclusion: The study discovered that the magnitude of IVH is slightly higher than that of prior studies done in different parts of the world, and those neonates delivered at early gestational ages and those with very low birth weight have a higher incidence of IVH. Both guardians and health providers should give more attention to those neonates born at an early gestational age and with small birth weight.
ABSTRACT
BACKGROUND: Sound and reliable health information is needed to promote culture of evidence based decision making. The aim of this study was to assess knowledge and attitudes of healthcare providers to use District health information system among public health facilities in South-West Ethiopia. METHOD: Cross sectional quantitative study was conducted. A total of 264 participants were approached. Descriptive and analytical statistics was done. RESULT: Overall 130 (49.2%) of respondents had good knowledge to use DHIS (95% CI: [43, 55.3]). 149 (56.4%) of respondents had favourable attitudes (95% CI: [53.2, 59.8]). Sufficient skills [AOR = 2.20, 95% CI: (1.16, 4.19)], older age [AOR = 1.92, 95% CI: (1.03, 3.59)] , resources [AOR = 2.56, 95% CI: (1.35, 4.86)], staffing [AOR = 2.85, 95% CI: (1.49, 5.48)] and high experiences [AOR = 4.66, 95% CI: (1.94, 5.78)] were variables associated with knowledge. Being trained [AOR = 3.59, 95% CI: (2.48, 5.42)], provision of feedback [AOR = 4.08, 95% CI: (1.87, 8.91)], motivation [AOR = 2.87, 95% CI: (1.36, 6.06)] and health need [AOR = 2.32, 95% CI: (1.10, 4.92)] were variables associated with attitudes. CONCLUSION: Thus, Knowledge and attitudes of healthcare providers to use DHIS working in public health facilities in this setting is relatively low. The results highlight the need to improve knowledge and attitudes to use DHIS among healthcare providers focusing on the identified gaps.
