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. 2023 Apr 27:11:1052885.
doi: 10.3389/fpubh.2023.1052885. eCollection 2023.

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

Birhan Tsegaw Taye  1 , Mulualem Silesh Zerihun  1 , Tebabere Moltot Kitaw  1 , Fetene Kasahun Amogne  1 , Geremew Kindie Behulu  1 , Tesfanesh Lemma Demisse  1 , Moges Sisay Chekole  1 , Girma Wogie Fitie  1 , Solomon Adanew Worku  1 , Desta Mekete Kibiret  2 , Addisu Andualem Ferede  3 , Kalkidan Bejtual  4 , Temesgen Desalegn  5 , Agumas Eskezia Tiguh  6 , Muhabaw Shumye Mihret  6 , Azmeraw Ambachew Kebede  6
Affiliations

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

Birhan Tsegaw Taye et al. Front Public Health. .

Abstract

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.

Keywords: Ethiopia; NASG; healthcare provider; obstetrics hemorrhage; women.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Utilization of non-pneumatic anti-shock garment for the management of obstetric hemorrhage among healthcare providers in north Shewa zone, Ethiopia.
Figure 2
Figure 2
Distribution of healthcare providers’ attitude toward non-pneumatic anti-shock garment utilization in north Shew zone health facilities, 2021.
See this image and copyright information in PMC

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