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Utilization of Non-pneumatic Anti-shock Garment and Associated Factors among Health Care Professionals at Public Hospitals of Addis Ababa, Ethiopia, 2021

Received: 7 September 2021    Accepted: 1 November 2021    Published: 24 December 2021
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Abstract

Background: Non-pneumatic anti-shock garments (NASGs) are simple systems that use lower body counter pressure to reverse hypovolemic shock and reduce blood loss caused by obstetric hemorrhage. Each year, obstetric hemorrhage (OH) causes more than a quarter of all maternal deaths worldwide. One of these promising advances is the use of non-pneumatic anti-shock garments (NASGs). Despite this, NASG treatment is only used in a few cases to prevent postpartum hemorrhage, save the mother’s life, and studies on its utilization and associated factors are not widely available. Objective: To assess the utilization of non-pneumatic anti-shock garments and associated factors among health care professionals at public hospitals in Addis Ababa, Ethiopia 2021. Method: An institution-based cross-sectional study design and quantitative data collection methods were conducted from March 31 to April 15/2021. A total of 388 randomly selected healthcare professionals working in the maternity health care unit at a public hospital in Addis Ababa were included. The data were cleaned and coded then entered into EPI data version 3 and exported to SPSS version 25 for further analysis. Logistic regression was used to identify factors associated with NASG utilization. Variables were first analyzed with Bivariate (p<0.2) and then multivariate logic regression model and considered statistically significant at a P-value of <0.05. The adjusted odds ratio with a 95% CI interval was used to determine the degree and direction of the association between covariates and the outcome variable. Results: A total of 377 (97.1%) health professionals participated in this study. In this study, the prevalence of NASG Utilization was 39.3% which was low. The study indicated that the female participant were 3 times more likely to use NASG 2.568 (1.198-5.502), being (General Practitioner) 88% less likely than midwives AOR=.95% CI. 122 (.025-.705), being not trained on non-pneumatic anti-shock garments, Not aware of the existence of the NASG in the facility, and the lack of non-pneumatic anti-shock garments have a positive association. Conclusion and Recommendation: There was a lower rate of NASG utilization (39.3%) among healthcare professionals for the management of obstetric hemorrhage. Training and increasing the availability of NASG are important.

Published in Central African Journal of Public Health (Volume 7, Issue 6)
DOI 10.11648/j.cajph.20210706.14
Page(s) 269-278
Creative Commons

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

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Utilization, Non-pneumatic Anti-shock Garment, Obstetric Hemorrhage, Maternal Morbidity

References
[1] Ohaeri BM, Ogbeye GB. Assessment of Utilisation of Non-Pneumatic Anti Shock Garment (NASG) in the Control of Post-Partum Haemorrhage among Midwives in Selected Hospitals in Ondo-State, Nigeria. Int J Caring Sci [Internet]. 2017; 10 (1): 327–34.
[2] Miller S, Fathalla MMF, Ojengbede OA, Camlin C, Mourad-Youssif M, Morhason-Bello IO, et al. Obstetric hemorrhage and shock management: Using the low technology Non-pneumatic Anti-Shock Garment in Nigerian and Egyptian tertiary care facilities. BMC Pregnancy Childbirth.
[3] Snow J. The Non-Pneumatic Anti-Shock Garment (NASG): Saving Mothers’ Lives Through Innovation in Timor-Leste. 2015; (November).
[4] Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: A systematic analysis by the un Maternal Mortality Estimation Inter-Agency Group. Lancet [Internet]. 2016; 387 (10017): 462–74. Available from: http://dx.doi.org/10.1016/S0140-6736(15)00838-7.
[5] Bulndi LB, Seljul RM-C, Ogundeko OT, Pual BA, Godwin AO, Godwin BI, et al. Knowledge and Management of Post Partum Haemorrhage Among Skilled Birth Attendants in Primary Health Centres of Jos North LGA, Plateau State.
[6] Miller S, Francisco S. ANTI-SHOCK GARMENTS: NON-PNEUMATIC ANTI-SHOCK GARMENT (NASG) AND PNEUMATIC ANTI-SHOCK GARMENT (PASG).: 144–51.
[7] WHO. Maternal mortality: level and trends 2000 to 2017 [Internet]. Sexual and Reproductive Health. 2019.
[8] Bixby Center for Global Reproductive Health UD of O and G. A unique first-aid device for obstetric hemorrhage and hypovolemic shock: Policy implications for implementing the non-pneumatic anti-shock garment. Safe Mother Progr NASG Policy Br [Internet]. 2013; May: 1–8. Available from: www.safemotherhood.ucsf.edu.
[9] Miller S, Martin HB, Morris JL. Anti-shock garment in postpartum hemorrhage.
[10] Bekele G, Terefe G, Sinaga M, Belina S. Utilization of non-pneumatic anti-shock garment and associated factors for postpartum hemorrhage management among health care professionals in public hospitals of Jimma zone, south-West Ethiopia, 2019. Reprod Health. 2020; 17 (1): 1–10.
[11] Miller S, Belizán JM. A promising device to save maternal lives associated with obstetric hemorrhage: The non-pneumatic anti-shock garment (NASG). Reprod Health. 2015; 12 (1): 19–21.
[12] Miller S, Bergel EF, El Ayadi AM, Gibbons L, Butrick EA, Magwali T, et al. Non-Pneumatic Anti-Shock Garment (NASG), a First-Aid Device to Decrease Maternal Mortality from Obstetric Hemorrhage: A Cluster Randomized Trial. PLoS One. 2013; 8 (10).
[13] Vogel JP, Williams M, Gallos I, Althabe F, Oladapo OT. WHO recommendations on uterotonics for postpartum hemorrhage prevention: What works, and which one? BMJ Glob Heal. 2019; 4 (2): 1–5.
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    Zerihun Ababo, Fikirte Woldesselese. (2021). Utilization of Non-pneumatic Anti-shock Garment and Associated Factors among Health Care Professionals at Public Hospitals of Addis Ababa, Ethiopia, 2021. Central African Journal of Public Health, 7(6), 269-278. https://doi.org/10.11648/j.cajph.20210706.14

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    ACS Style

    Zerihun Ababo; Fikirte Woldesselese. Utilization of Non-pneumatic Anti-shock Garment and Associated Factors among Health Care Professionals at Public Hospitals of Addis Ababa, Ethiopia, 2021. Cent. Afr. J. Public Health 2021, 7(6), 269-278. doi: 10.11648/j.cajph.20210706.14

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    AMA Style

    Zerihun Ababo, Fikirte Woldesselese. Utilization of Non-pneumatic Anti-shock Garment and Associated Factors among Health Care Professionals at Public Hospitals of Addis Ababa, Ethiopia, 2021. Cent Afr J Public Health. 2021;7(6):269-278. doi: 10.11648/j.cajph.20210706.14

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  • @article{10.11648/j.cajph.20210706.14,
      author = {Zerihun Ababo and Fikirte Woldesselese},
      title = {Utilization of Non-pneumatic Anti-shock Garment and Associated Factors among Health Care Professionals at Public Hospitals of Addis Ababa, Ethiopia, 2021},
      journal = {Central African Journal of Public Health},
      volume = {7},
      number = {6},
      pages = {269-278},
      doi = {10.11648/j.cajph.20210706.14},
      url = {https://doi.org/10.11648/j.cajph.20210706.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20210706.14},
      abstract = {Background: Non-pneumatic anti-shock garments (NASGs) are simple systems that use lower body counter pressure to reverse hypovolemic shock and reduce blood loss caused by obstetric hemorrhage. Each year, obstetric hemorrhage (OH) causes more than a quarter of all maternal deaths worldwide. One of these promising advances is the use of non-pneumatic anti-shock garments (NASGs). Despite this, NASG treatment is only used in a few cases to prevent postpartum hemorrhage, save the mother’s life, and studies on its utilization and associated factors are not widely available. Objective: To assess the utilization of non-pneumatic anti-shock garments and associated factors among health care professionals at public hospitals in Addis Ababa, Ethiopia 2021. Method: An institution-based cross-sectional study design and quantitative data collection methods were conducted from March 31 to April 15/2021. A total of 388 randomly selected healthcare professionals working in the maternity health care unit at a public hospital in Addis Ababa were included. The data were cleaned and coded then entered into EPI data version 3 and exported to SPSS version 25 for further analysis. Logistic regression was used to identify factors associated with NASG utilization. Variables were first analyzed with Bivariate (p<0.2) and then multivariate logic regression model and considered statistically significant at a P-value of <0.05. The adjusted odds ratio with a 95% CI interval was used to determine the degree and direction of the association between covariates and the outcome variable. Results: A total of 377 (97.1%) health professionals participated in this study. In this study, the prevalence of NASG Utilization was 39.3% which was low. The study indicated that the female participant were 3 times more likely to use NASG 2.568 (1.198-5.502), being (General Practitioner) 88% less likely than midwives AOR=.95% CI. 122 (.025-.705), being not trained on non-pneumatic anti-shock garments, Not aware of the existence of the NASG in the facility, and the lack of non-pneumatic anti-shock garments have a positive association. Conclusion and Recommendation: There was a lower rate of NASG utilization (39.3%) among healthcare professionals for the management of obstetric hemorrhage. Training and increasing the availability of NASG are important.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Utilization of Non-pneumatic Anti-shock Garment and Associated Factors among Health Care Professionals at Public Hospitals of Addis Ababa, Ethiopia, 2021
    AU  - Zerihun Ababo
    AU  - Fikirte Woldesselese
    Y1  - 2021/12/24
    PY  - 2021
    N1  - https://doi.org/10.11648/j.cajph.20210706.14
    DO  - 10.11648/j.cajph.20210706.14
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 269
    EP  - 278
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20210706.14
    AB  - Background: Non-pneumatic anti-shock garments (NASGs) are simple systems that use lower body counter pressure to reverse hypovolemic shock and reduce blood loss caused by obstetric hemorrhage. Each year, obstetric hemorrhage (OH) causes more than a quarter of all maternal deaths worldwide. One of these promising advances is the use of non-pneumatic anti-shock garments (NASGs). Despite this, NASG treatment is only used in a few cases to prevent postpartum hemorrhage, save the mother’s life, and studies on its utilization and associated factors are not widely available. Objective: To assess the utilization of non-pneumatic anti-shock garments and associated factors among health care professionals at public hospitals in Addis Ababa, Ethiopia 2021. Method: An institution-based cross-sectional study design and quantitative data collection methods were conducted from March 31 to April 15/2021. A total of 388 randomly selected healthcare professionals working in the maternity health care unit at a public hospital in Addis Ababa were included. The data were cleaned and coded then entered into EPI data version 3 and exported to SPSS version 25 for further analysis. Logistic regression was used to identify factors associated with NASG utilization. Variables were first analyzed with Bivariate (p<0.2) and then multivariate logic regression model and considered statistically significant at a P-value of <0.05. The adjusted odds ratio with a 95% CI interval was used to determine the degree and direction of the association between covariates and the outcome variable. Results: A total of 377 (97.1%) health professionals participated in this study. In this study, the prevalence of NASG Utilization was 39.3% which was low. The study indicated that the female participant were 3 times more likely to use NASG 2.568 (1.198-5.502), being (General Practitioner) 88% less likely than midwives AOR=.95% CI. 122 (.025-.705), being not trained on non-pneumatic anti-shock garments, Not aware of the existence of the NASG in the facility, and the lack of non-pneumatic anti-shock garments have a positive association. Conclusion and Recommendation: There was a lower rate of NASG utilization (39.3%) among healthcare professionals for the management of obstetric hemorrhage. Training and increasing the availability of NASG are important.
    VL  - 7
    IS  - 6
    ER  - 

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Author Information
  • Public Health Specialty with Health Service Management, Kotebe Metropolitan University, Addis Ababa, Ethiopia

  • Public Health Departments, Kotebe Metropolitan University, Addis Ababa, Ethiopia

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