School of Nursing and Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Birhan, Ethiopia.
Department of Midwifery, Faculty of Public Health and Medical Science, Mettu University, Metu, Ethiopia.
Front Public Health. 2023 Apr 27;11:1052885. doi: 10.3389/fpubh.2023.1052885. eCollection 2023.
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.
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 of <0.05.
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.
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.
全球产妇死亡人数可悲地要么增加，要么停滞不前。产科出血（OH）仍然是产妇死亡的主要原因。在资源有限的环境中，获得明确治疗既困难又有限的情况下，非充气式抗休克服（NASG）在产科出血管理方面有几个积极的结果。因此，本研究旨在评估北谢瓦地区医疗保健提供者使用 NASG 治疗产科出血的比例和相关因素。
2021 年 6 月 10 日至 30 日在埃塞俄比亚北谢瓦地区的卫生机构进行了一项横断面研究。采用简单随机抽样（SRS）技术对 360 名医疗保健提供者进行抽样。数据采用经过预测试的自我管理问卷收集。EpiData 版本 4.6 和 SPSS 25 分别用于数据录入和分析。采用二元逻辑回归分析确定与结局变量相关的因素。显著性水平定为 <0.05。
医疗保健提供者使用 NASG 治疗产科出血的比例为 39%（95%CI：34-45）。接受过 NASG 培训的医疗保健提供者（AOR=3.3；95%CI：1.46-7.48）、卫生机构中备有 NASG（AOR=9.17；95%CI：5.10-16.46）、有文凭（AOR=2.63；95%CI：1.39-3.68）、学士学位（AOR=7.89；95%CI：3.1-16.29）和对使用 NASG 持积极态度的医疗保健提供者（AOR=1.63；95%CI：1.14-2.82）是与使用 NASG 相关的积极变量。
在这项研究中，近五分之二的医疗保健提供者使用 NASG 治疗产科出血。为医疗保健提供者安排教育机会和持续的专业发展培训，提供在职和进修培训，并在卫生机构提供该设备，可能有助于医疗保健提供者有效使用该设备，从而降低产妇发病率和死亡率。
