Pelvic Floor Disorders and Pelvic Floor Muscle Exercise: A Survey on Knowledge, Attitude, and Practice among Pregnant Women in Northwest Ethiopia.

The purpose of the study was to investigate 1: overall knowledge of pelvic organ prolapse (POP) and urinary incontinence (UI) as well as knowledge, attitudes, and practice of pelvic floor muscle exercise (PFME); and 2: the association of these factors with parity in pregnant women in Gondar, Ethiopia. A facility-based cross-sectional study was performed in the Central Gondar zone, northwest Ethiopia between February and April 2021. The associations between parity and knowledge of POP and UI, and knowledge, attitude, and practice towards PFME were estimated using logistics regression models and presented as crude and adjusted odds ratios with 95% confidence intervals. Nulliparous women were used as the reference. Adjustments were made for maternal age, antenatal care visits, and level of education. The study sample comprised 502 pregnant women: 133 nulliparous, and 369 multiparous. We found no association between parity and knowledge of POP, UI, or knowledge, attitude, and practice toward PFME. The sum score indicated poor knowledge about both POP, UI, and PFME in the study population, and poor attitude and practice of PFME. Despite a high attendance in antenatal care services, knowledge, attitude, and practice were poor, indicating a need for quality improvement of the services.

Magnitude of Satisfaction and Associated Factors Among Caregivers of Children with Disabilities Towards Community-Based Rehabilitation Service in Central and North Gondar Zone, Northwest Ethiopia: A Community-Based Cross-Sectional Study.

INTRODUCTION: Community-based rehabilitation service (CBR) is a community development strategy set for persons with disabilities and their families. Measuring caregivers' satisfaction is a recommended approach to know the overall satisfaction of rehabilitation service. Therefore, this study aimed to assess the magnitude of satisfaction and associated factors among caregivers of children with disabilities towards community-based rehabilitation in Central and North Gondar zone, North West Ethiopia. METHODS: A community-based cross-sectional study was conducted from March to September 2020. The data were collected by socio-demographic variables, types of services, types of disabilities, and Client Satisfaction Questionnaire (CSQ-8). Data analysis was done by SPSS Version-20 statistical software. Descriptive statistics, bi-variable, and multivariable logistic regression analysis were computed. The multivariable logistic regression analysis model a P-value <0.05 was used to identify the associated factors with caregivers' satisfaction. RESULTS: The study showed that the overall caregivers' satisfaction with community-based rehabilitation service among caregivers of children with disabilities was 60.9% (95% CI; 55-66%). Female gender (AOR: 0.19, 95% CI: 0.05-0.68), older age (AOR: 0.160, 95% CI: 0.03-0.85), being farmer (AOR: 0.14, 95% CI: 0.05-0.42), North Gondar zone residence (AOR: 7.02, 95% CI: 6.78-8.59), high monthly income (AOR: 2.48, 95% CI: 1.09-5.61), got two or more type of service (AOR: 3.65, 95% CI: 2.64-12.39), service duration 8-14 years (AOR: 4.36, 95% CI: 1.44-7.04) and service frequency 5-8 times per month (AOR: 3.91, 95% CI 2.18-7.01) were factors associated with the caregivers' satisfaction on community based-rehabilitation service. CONCLUSION AND RECOMMENDATION: The magnitude of caregivers' satisfaction with community-based rehabilitation services in the study area was more than half. Female gender, older age, being farmer, high monthly income, North Gondar zone residence, the high number of services, duration of services started and frequency of follow-up were factors significantly associated with caregiver's satisfaction.