Utilization of immediate postpartum intrauterine device and its associated factors among women who gave birth in public hospitals in West Wollega Zone, Oromia, Ethiopia

BackgroundThe utilization of an immediate postpartum intrauterine device (IPPIUD) during the postpartum period helps women to realize their desire for birth spacing and prevent unplanned pregnancies. However, many postpartum mothers do not undergo immediate postpartum family planning in developing countries, including Ethiopia, which consequently increases the risk of unplanned pregnancies and pregnancy-related complications.ObjectiveTo assess the utilization of an IPPIUD and its associated factors among women who gave birth in public hospitals in the West Wollega Zone in 2022.MethodsAn institutional-based cross-sectional study was conducted among 605 postpartum mothers who delivered their baby between 15 April and 15 May 2022 at public hospitals in the West Wollega Zone, Ethiopia. A systematic random sampling technique was used to select study subjects, and the data were collected using an interviewer-administered structured questionnaire, which was then entered into EpiData Entry version 4.6 and exported to the Statistical Package for Social Science version 26 for analysis. The variable with a p-value of ≤ 0.05 with an adjusted odds ratio and 95% confidence intervals was used to declare statistically significant association.ResultThe prevalence of the utilization of the IPPIUD among respondents who gave birth in West Wollega public hospitals within 48 h was 27.2% (95% CI, 23.7–30.9). Age ranging between 25 and 34 years (AOR = 4.27, 95%CI:1.68–10.85), early initiation of antenatal care (ANC; AOR = 1.91, 95%CI: 2.8–10.01), adequate knowledge of IPPIUD (AOR = 4.71, 95%CI: 2.63–6.63), favorable attitude toward family planning (AOR = 3.35, 95%CI: 2.07–5.44), planning of pregnancy (AOR = 2.21, 95%CI: 1.37–4.11), and counseling (AOR = 4.14, 95%CI: 2.60–6.68) were factors that were significantly associated with the utilization of IPPIUD.ConclusionAccording to the 2019 Ethiopia Mini Demographic and Health Survey (mini EDHS 2019), the utilization of an immediate postpartum intrauterine device was low, that is, 35%. Age of respondents, early initiation of antenatal care, favorable attitude toward, planning of pregnancy, adequate knowledge of, and counseling on IPPIUD utilization were significantly associated with the mother’s utilization of immediate postpartum intrauterine device. Thus, the zonal health office and health professionals should work toward encouraging all the women who gave birth at public hospitals to the utilization of immediate postpartum intrauterine devices by improving awareness among the women in that specific zone through counseling to increase the uptake of IPPIUD

Developing standards for reporting implementation studies of complex interventions (StaRI): a systematic review and e-Delphi

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited

Level walking in adults with and without Developmental Coordination Disorder: An analysis of movement variability

Several studies have shown that Developmental Coordination Disorder (DCD) is a condition that continues beyond childhood. Although adults with DCD report difficulties with dynamic balance, as well as frequent tripping and bumping into objects, there have been no specific studies on walking in this population. Some previous work has focused on walking in children with DCD but variation in the tasks and measures used has led to inconsistent findings. The aim of the current study therefore was to examine the characteristics of level walking in adults with and without DCD. Fifteen adults with DCD and 15 typically developing (TD) controls walked barefoot at a natural pace up and down an 11 m walkway for one minute. Foot placement measures and velocity and acceleration of the body were recorded, as well as measures of movement variability. The adults with DCD showed similar gait patterns to the TD group in terms of step length, step width, double support time and stride time. The DCD group also showed similar velocity and acceleration to the TD group in the medio-lateral, anterior-posterior and vertical direction. However, the DCD group exhibited greater variability in all foot placement and some body movement measures. The finding that adults with DCD have a reduced ability to produce consistent movement patterns is discussed in relation to postural control limitations and compared to variability of walking measures found in elderly populations

Diagnóstico serológico en caninos de algunas zoonosis endémicas de la Provincia de Salta

p. 135-142La enfermedad de Chagas es una infección causada por el protozoario Trypanosoma cruzi, transmitido por el Triatoma in/estans(Vinchuca). La provincia de Salta, se encuentra con transmisión vectorial interrumpida pendiente de demostración o con transmisión vectorial focal. En las zonas rurales los caninos constituyen uno de los principales reservorios de la enfermedad, agravado por la estrecha convivencia entre esta especie animal y el hombre. Esta enfermedad no es de diagnostico frecuente en los caninos, si bien es de reconocimiento mundial su importancia en la cadena epidemiológica. El objetivo fue aplicar métodos serológicos que resulten suficientemente sensibles, específicos, y de fácil realización, para poder diagnosticar anticuerpos anti-T.cruzi en un elevado número de muestras. En muestras de caninos se realizaron análisis serológicos de «screening», por el método Hemaglutinación Indirecta (Chagatest-HAI- Wiener). Confirmatorios por Ezimoinmunoanálisis, usando 6 antígenos recombinantes: SAPA, 1, 2, 30, 13 y 30 (Wiener- Chagatest ELISA recombinante), las muestras de suero se diluyeron 1/30. Se usó como anticuerpo secundario anti-inmunoglobulina canis conjugada con peroxidasa (Sigma-Aldrich), y tetrametilbencidina como revelador. Se consideró una muestra positiva para Chagas si ambas pruebas resultaron positivas. Tambien se realizó una técina similar para la detección de anticuerpos contra el Toxoplasma gondii (Toxotest-HAI- Wiener), a fin de evaluar la presencia de reacción cruzada. Los resultados obtenidos fueron el 3.1% (4/127) fueron positivos para Chagas (Ch) y Toxoplamosis (T) 5.51% (7/127), resultaron positivas para Ch. y negativos para T. 75.6% (96/127), negativas para ambas; 13.4% (17/127) solo positivas para T., Indeterminadas para Ch. 2.4% (3/127). Como conclusión podemos decir que el método aplicado resultó óptimo.Fil: Monje Rumi, Jimena. Universidad Católica de Salta; Argentina.Fil: Gallo, Kanea. Universidad Católica de Salta; Argentina.Fil: García, Ana Inés. Universidad Católica de Salta; Argentina.Fil: Sánchez Negrette, Olga. Universidad Católica de Salta; Argentina.Fil: Mazzuca Pizzeti, Analía Josefina. Universidad Católica de Salta; Argentina.Fil: Binda, Javier Alejandro. Universidad Católica de Salta. Facultad de Ciencias Agrarias y Veterinarias; Argentina