Knowledge, and practice of cervical cancer prevention and associated factors among commercial sex workers in Shashemene Town, West Arsi, Oromia Region, Ethiopia.

BACKGROUND: The distribution of deaths and morbidities related to cervical cancer is disproportionally higher in low- and middle-income countries. In Ethiopia, there is a limited study on cervical cancer prevalence on Sex Workers, but a study conducted in Central America risk of developing HPV infection in sex workers is 2.5 times more than the general population. But a study conducted in the general population in Ethiopia reports that the incidence and mortality due to cervical cancer in Ethiopia is 26.4 and 18.4/100,000 respectively. However, there is limited data on knowledge and practice of cervical cancer prevention among sexual sex workers in Ethiopia. METHODS: A health institution-based cross-sectional study design was used to investigate the knowledge and practice of cervical cancer prevention and its associated factors among 405 women of commercial sex workers with a systematic random sampling technique and with an interviewr administered. Multivariate logistic regression was used to identify associated factors of knowledge and practice towards cervical cancer prevention with a p value < 0.05. RESULT: In this study, three hundred eighty-five participants were included making a response rate of 95%. About half (50.1%) of respondents have knowledge regarding to cervical cancer, screening, and its prevention, and 20.3% of respondents were practiced cervical cancer screening. Having a history of use of combined oral contraceptives, AOR 2.190, (95% CI 1.374-3.492) and having a history of sexually transmitted infection, AOR 1.861, (95% CI 1.092-3.172). were significantly associated factors with knowledge of cervical cancer prevention. Regarding their uptake of cervical cancer screening, the level of knowledge was a significant factor, AOR 17.216 (95% CI 7.092-41.793). CONCLUSIONS: The study participants have an average knowledge of cervical cancer and its prevention and their practice was low as other women. Curtailing cervical cancer; through increasing their knowledge by integrating sexual and reproductive health services to cervical cancer screening clinics and equipping them with audiovisual materials that will increase their knowledge that end up with good uptake.

Fertility desire and associated factors among people on antiretroviral treatment at a public health facility in Hawassa city, Southern Ethiopia.

Background: Fertility desire is the plan of people to have a child or more children in the face of being diagnosed with HIV and plan to a commitment to implement the desire. Methods: An institutional-based cross-sectional study was conducted in Hawassa city public health facilities from May 09 -July 07/07/2019. Four hundred (400) study participants were selected using a simple random sampling technique. Data were collected by using interviewer-administered pre-tested structured questionnaires and chart review. The collected data were entered into EPI data version 3.1 software and then transported to SPSS version 20 for cleaning and data analysis. Bivariate and multivariate logistic regression was used to identify associated factors at p<0.05 was taken as a significant value with a 95% confidence level. Results: A total of 400 clients were included in the study giving a response rate of 97 %. The overall fertility desire was 53.6 %(95%CI: 48.7%, 58.2%). Age, sexual practice in the last six months and discussing reproductive health with ART providers were significantly associated with fertility desire. Younger age was positively associated with fertility desire, age group (18-29), [Adjust odds ratio = 5.75 95%CI (2.85, 11.57)] , age group(30-39), [Adjust odds ratio= 4.71 95%CI:(2.55, 8.71)] Sexual practice in the last six months [Adjust odds ratio = 3.00 95%CI(1.46 , 6.16)] and counseling reproductive health with ART provider[Adjust odds ratio = 3.10 95%CI:(1.86,5.15)]. Conclusion: The prevalence of fertility desire in this study was higher than previous studies while factors associated with fertility desire were age, sexual practice in the last six months, and discussing reproductive health with ART providers.

Fertility desire and associated factors among people on antiretroviral treatment at a public health facility in Hawassa city, Southern Ethiopia

Background: Fertility desire is the plan of people to have a child or more children in the face of being diagnosed with HIV and plan to a commitment to implement the desire. Methods: An institutional-based cross-sectional study was conducted in Hawassa city public health facilities from May 09 ­July 07/07/2019. Four hundred (400) study participants were selected using a simple random sampling technique. Data were collected by using interviewer-administered pre-tested structured questionnaires and chart review. The collected data were entered into EPI data version 3.1 software and then transported to SPSS version 20 for cleaning and data analysis. Bivariate and multivariate logistic regression was used to identify associated factors at p<0.05 was taken as a significant value with a 95% confidence level. Results: A total of 400 clients were included in the study giving a response rate of 97 %. The overall fertility desire was 53.6 % (95%CI: 48.7%, 58.2%). Age, sexual practice in the last six months and discussing reproductive health with ART providers were significantly associated with fertility desire. Younger age was positively associated with fertility desire, age group (18-29), [Adjust odds ratio = 5.75 95%CI (2.85, 11.57)], age group (30-39), [Adjust odds ratio= 4.71 95%CI:(2.55, 8.71)] Sexual practice in the last six months [Adjust odds ratio = 3.00 95%1.46, 6.16)] and counseling reproductive health with ART provider [Adjust odds ratio = 3.10 95%CI:(1.86,5.15)] Conclusion: The prevalence of fertility desire in this study was higher than previous studies while factors associated with fertility desire were age, sexual practice in the last six months, and discussing reproductive health with ART providers

Preterm Premature Ruptures of Membrane and Factors Associated among Pregnant Women Admitted in Wolkite Comprehensive Specialized Hospital, Gurage Zone, Southern Ethiopia.

INTRODUCTION: Preterm premature rupture of membrane is the rupture of membrane before 37 weeks of gestational age. It complicates approximately 3 percent of pregnancies and leads to one-third of preterm births. It increases the risk of prematurity and leads to several other perinatal and neonatal complications, including the risk of fetal death. Although the prevalence and associated factors of preterm premature rupture of the membrane were well studied in high-income countries, there is a scarcity of evidence in Ethiopia, particularly in the study area. METHOD: A hospital-based cross-sectional study design was conducted from 1st June to 30th June 2021 in Wolkite comprehensive specialized hospital. One hundred ninety nine (199) pregnant women were included as study subjects using a systematic random sampling technique. Data were collected using a structured interviewer-administered questionnaire. It carried out descriptive statistical analysis and statistical tests like the odds ratio. Both bivariate and multivariate logistic regression analyses were conducted. Statistically, significant tests were declared at a level of p value < 0.05. RESULT: The magnitude of preterm premature rupture membrane is 6.6%. Having gestational diabetes mellitus (AOR = 5.99 (95% CI: 1.01, 32.97) and previous history of abortion (AOR = 5.31 (95% CI: 1.06, 26.69) were found to be significantly associated with preterm premature rupture of membrane. CONCLUSION: Having gestational diabetes mellitus and having a previous history of abortion were significantly associated with preterm premature rupture of membrane.