Utilization of non-pneumatic anti-shock garment for the management of obstetric hemorrhage among healthcare providers in north Shewa zone, Ethiopia.

Background: Global maternal deaths have either increased or stagnated tragically. Obstetric hemorrhage (OH) remains the major cause of maternal deaths. Non-Pneumatic Anti-Shock Garment (NASG) has several positive results in the management of obstetric hemorrhage in resource-limited settings where getting definitive treatments are difficult and limited. Therefore, this study aimed to assess the proportion and factors associated with the utilization of NASG for the management of obstetric hemorrhage among healthcare providers in the North Shewa zone, Ethiopia. Methods: A cross-sectional study was conducted at health facilities of the north Shewa zone, Ethiopia from June 10th-30th/2021. A simple random sampling (SRS) technique was employed among 360 healthcare providers. Data were collected using a pretested self-administered questionnaire. EpiData version 4.6 and SPSS 25 were used for data entry and analysis, respectively. Binary logistic regression analyses were undertaken to identify associated factors with the outcome variable. The level of significance was decided at a value of p of <0.05. Results: The utilization of NASG for the management of obstetric hemorrhage among healthcare providers was 39% (95%CI: 34-45). Healthcare providers who received training on NASG (AOR = 3.3; 95%CI: 1.46-7.48), availability of NASG in the health facility (AOR = 9.17; 95%CI: 5.10-16.46), diploma (AOR = 2.63; 95%CI: 1.39-3.68), bachelor degree (AOR = 7.89; 95%CI: 3.1-16.29) and those healthcare providers who have a positive attitude toward utilization of NASG (AOR = 1.63; 95%CI: 1.14-2.82) were variables positively associated with the utilization of NASG. Conclusion: In this study, almost two-fifths of healthcare providers used NASG for the management of obstetrics hemorrhage. Arranging educational opportunities and continuous professional development training for healthcare providers, providing in-service and refresher training, and making it available at health facilities may help healthcare providers to effectively use the device, thereby reducing maternal morbidity and mortality.

Elevational changes in vascular plants richness, diversity, and distribution pattern in Abune Yosef mountain range, Northern Ethiopia.

The aim of this research is to investigate the patterns of vascular plant species richness, diversity, and distribution along an elevation gradient in the Abune Yosef mountain range, Ethiopia. Preferential systematic sampling was employed to collect vegetation and environmental data along the elevation gradient. We found that plant species richness declines monotonically from low to high elevations. Specifically, vascular plant species richness and diversity were lower in the Afroalpine grassland (high elevation) than in the Dry evergreen Afromontane forest and Ericaceous forest (low elevations). In contrast, endemic vascular plant richness was significantly higher in the Afroalpine grassland than in the Dry evergreen Afromontane forest and Ericaceous forest. Elevation showed a significant impact on the richness, diversity, and endemism of vascular plants. According to Sørensen's coefficient, the similarity between Dry evergreen Afromontane forest and Ericaceous forest vegetation types is higher (32%) than the similarity between Ericaceous forest and Afroalpine grassland (18%). Only 5% similarity was recorded between the Dry evergreen Afromontane forest and Afroalpine grassland. Growth forms showed different elevational richness patterns. Trees and liana increased monotonically up to 3300 m. Shrub and herb richness patterns followed a hump-shaped and inverted hump-shaped pattern along the elevation gradient. The elevation patterns of vascular plant species richness, diversity, and growth form in the present study may be attributed to differences in management intensity, spatial heterogeneity, microclimatic variations, and anthropogenic disturbances.