Maternal knowledge, health care seeking behaviour and associated factors for neonatal danger signs among postpartum mothers in Shashamane Town, Ethiopia: Cross sectional study

Background: Knowledge of neonatal danger signs is an entry point for healthcare-seeking at health institutions. Thus, this study aimed to assess maternal knowledge, healthcare-seeking behavior, and associated factors about neonatal danger signs. Methods: A community-based cross-sectional study was conducted from June 1 to 22, 2020 among postpartum mothers in Shashamane town. Systematic random sampling was employed then data was analyzed using SPSS version 26. Variables at p < 0.05 were considered statistically significant. Results: 135 (33.2%, 95% CI: 28.8, 37.9) of the respondents had good knowledge of neonatal danger signs. Of 276 respondents who have recognized at least one neonatal danger sign on their neonate, 159 (57.6%, 95% CI; 51.74, 63.47) of them had good healthcare-seeking behavior. Marital status AOR (adjusted odds ratio) = 4.96, 95% CI: (1.99, 12.36), having less than five family members AOR = 2.09, 95% CI, (1.27, 3.44) receiving counseling during antenatal care follow-up AOR = 2.04, 95% CI, (1.17, 3.57), having postnatal care follow-up AOR = 2.37, 95% CI (1.35, 4.17), practiced feeding colostrum AOR = 3.01 (1.39, 6.50) were predictors of good knowledge of neonatal danger signs. Conclusions: Maternal knowledge of neonatal danger signs was poor. Receiving counseling during antenatal care follow-up, less than five family members and having postnatal care follow-up, marital status, feeding colostrum, and giving pre-lacteal fluid for their baby were factors significantly associated with having good knowledge of neonatal danger signs. Giving health education about neonatal danger signs and early care seeking at health institutions is recommended

Diabetes-related distress and its associated factors among people with type 2 diabetes in Southeast Ethiopia: a cross-sectional study

Background Diabetes-related distress lowers the motivation for self-care, often leading to lowered physical and emotional well-being, poor diabetes control, poor medication adherence and increased mortality among individuals with diabetes.Objective To assess factors associated with diabetes-related distress among people living with type 2 diabetes in Southeast Ethiopia.Design Institution-based cross-sectional study was conducted.Setting Six diabetic follow-up care units at public hospitals in Southeast Ethiopia.Participants All adult people living with type 2 diabetes from the diabetic follow-up clinic.The main outcome measures Diabetes Distress Scale-17 questionnaire was used to assess diabetes-related distress.Results Out of the total 871 study participants intended, 856 participated in the study with a response rate of 98.3%. The findings showed that about 53.9% (95% CI 50.4% to 57.2%) of the patients have diabetes-related distress. Physical activity (adjusted OR, AOR 2.22; 95% CI 1.36 to 3.63), social support (AOR 4.41; 95% CI 1.62 to 12.03), glycaemic control (AOR 2.36; 95% CI 1.35 to 4.12) and other comorbidities (AOR 3.94; 95% CI 2.01 to 7.73) were factors that significantly associated with diabetes-related distress at p&lt;0.05.Conclusion This study demonstrated that more than half of the participants had diabetes-related distress. Therefore, the identified factors of diabetes-related distress need to be a concern for health institutions and clinicians in the management of people living with type 2 diabetes

English version information sheet and consent form.

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Sociodemographic characteristics among postpartum mothers in Shashamane town, Oromia, Ethiopia, 2021.

(N = 410).</p

Maternal decision-making autonomy among postpartum mothers in Shashamate town, Oromia, Ethiopia, 2021 (N = 410).

Maternal decision-making autonomy among postpartum mothers in Shashamate town, Oromia, Ethiopia, 2021 (N = 410).</p

Neonatal danger signs mentioned and practices done by postpartum mothers in Shashamane town, Oromia, Ethiopia, 2021.

Neonatal danger signs mentioned and practices done by postpartum mothers in Shashamane town, Oromia, Ethiopia, 2021.</p

Proportionally allocated sample of postpartum mothers in Shashamane town, Oomia, Ethiopia, 2021.

Proportionally allocated sample of postpartum mothers in Shashamane town, Oomia, Ethiopia, 2021.</p

Health service utilization and proportion of decision making autonomy among postpartum mothers in Shashamane town, Oromia, Ethiopia, 2021 (N = 410).

Health service utilization and proportion of decision making autonomy among postpartum mothers in Shashamane town, Oromia, Ethiopia, 2021 (N = 410).</p

Factors associated with decision-making autonomy among postpartum mothers in Shashamane town, Oromia, Ethiopia, 2021.

Factors associated with decision-making autonomy among postpartum mothers in Shashamane town, Oromia, Ethiopia, 2021.</p

English version questionnaires for maternal autonomy.

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