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Debre Markos University
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Debre Markos University Institutional Research Repository allows users to browse by department to access and explore a wide range of academic outputs, including theses, dissertations, research papers, and other scholarly works. This system not only preserves the university's academic contributions but also enhances knowledge sharing by making research outputs readily available to students, researchers, and the wider community, fostering academic growth and innovation.

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Research Papers by Department Sorted by newest first
Health-promoting lifestyle behaviors and their associated factors among pregnant women in Debre Markos, Northwest Ethiopia: A cross-sectional study
Journal Article
Getachew Tilaye Mihiret 1 , Belsity Temesgen Meselu 1 , Kumlachew Solomon Wondmu 1 , Temesgen Getaneh 1 , Nurilign Abebe Moges 2 Submitted: Oct 30, 2025
College of Health Science Midwifery
Abstract Preview:
Introduction: Promoting healthy lifestyle behaviors during pregnancy is a crucial health promotion strategy that could reduce pregnancy-related complications that may harm women and their fetuses. However, very few studies have assessed the prevalence of health-promoting lifestyle behaviors among pregnant women in Ethiopia. This study aimed to evaluate the extent and associated factors of health-promoting lifestyle behaviors among pregnant women in public health institutions in Debre Markos, northwest Ethiopia.
Methods: An institutional-based cross-sectional study was conducted among 275 pregnant women who were recruited using a systematic random sampling technique from 19 April to 19 May 2021. A face-to-face interview-administered questionnaire was used to collect the data. The data were analyzed using SPSS version 25. Multivariable binary logistic regression was used to identify the factors associated with the outcome variable. adjusted odds ratio (AOR), with a 95% confidence interval (CI) were used to measure the strength of the associations at a p-value
Full Abstract:
Introduction: Promoting healthy lifestyle behaviors during pregnancy is a crucial health promotion strategy that could reduce pregnancy-related complications that may harm women and their fetuses. However, very few studies have assessed the prevalence of health-promoting lifestyle behaviors among pregnant women in Ethiopia. This study aimed to evaluate the extent and associated factors of health-promoting lifestyle behaviors among pregnant women in public health institutions in Debre Markos, northwest Ethiopia.
Methods: An institutional-based cross-sectional study was conducted among 275 pregnant women who were recruited using a systematic random sampling technique from 19 April to 19 May 2021. A face-to-face interview-administered questionnaire was used to collect the data. The data were analyzed using SPSS version 25. Multivariable binary logistic regression was used to identify the factors associated with the outcome variable. adjusted odds ratio (AOR), with a 95% confidence interval (CI) were used to measure the strength of the associations at a p-value
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Knowledge and associated factors of patients towards informed consent in obstetric and gynecologic surgical procedures at Debre Markos Comprehensive Specialized Hospital, Ethiopia
Journal Article
Addisu Andualem Ferede 1 , Mamaru Getie Fetene 1 , Endinew Beka Mehiretie 1 , Worku Taye Getahun 2 , Aysheshim Asnake Abneh 3 Submitted: Jun 05, 2025
College of Health Science Midwifery
Abstract Preview:
Background: Informed consent (IC) is a principle in medical ethics and medical law that a patient must have adequate information and understanding before making decisions about their medical care. It is very essential for both clinician and patient in surgery and should be seen as a usual activity. Knowledge is one of the main intervention tools to improve patient comprehension in informed consent for surgical patients. In Ethiopia, little is known about the knowledge level and its determinant factors toward obstetric and gynecologic surgical informed consent. Due to this reason, this study aimed to assess the level of knowledge and associated factors of surgical informed consent among patients who underwent obstetric and gynecologic surgery at Debre Markos Comprehensive Specialized Hospital.
Methods: An institutional-based cross-sectional study was conducted from 28 November to 30 December 2023, among 298 postoperative women admitted to Debre Markos Comprehensive Specialized Hospital. Data were collected using a pretested, structured interviewer-administered questionnaire by using a systematic random sampling technique. The collected data were entered into EpiData version 4.6 and then exported to SPSS statistical software version 25 for analysis. A multivariable logistic regression analysis was employed to estimate the effect of independent variables on the outcome variable. An adjusted odds ratio [adjusted odds ratio (AOR)] with a 95% confidence interval (CI) was computed to report the presence of association between the dependent and independent variables. Statistical significance was determined at a P-value of
Full Abstract:
Background: Informed consent (IC) is a principle in medical ethics and medical law that a patient must have adequate information and understanding before making decisions about their medical care. It is very essential for both clinician and patient in surgery and should be seen as a usual activity. Knowledge is one of the main intervention tools to improve patient comprehension in informed consent for surgical patients. In Ethiopia, little is known about the knowledge level and its determinant factors toward obstetric and gynecologic surgical informed consent. Due to this reason, this study aimed to assess the level of knowledge and associated factors of surgical informed consent among patients who underwent obstetric and gynecologic surgery at Debre Markos Comprehensive Specialized Hospital.
Methods: An institutional-based cross-sectional study was conducted from 28 November to 30 December 2023, among 298 postoperative women admitted to Debre Markos Comprehensive Specialized Hospital. Data were collected using a pretested, structured interviewer-administered questionnaire by using a systematic random sampling technique. The collected data were entered into EpiData version 4.6 and then exported to SPSS statistical software version 25 for analysis. A multivariable logistic regression analysis was employed to estimate the effect of independent variables on the outcome variable. An adjusted odds ratio [adjusted odds ratio (AOR)] with a 95% confidence interval (CI) was computed to report the presence of association between the dependent and independent variables. Statistical significance was determined at a P-value of
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Vaginal delivery following induction and associated factors among laboring women at South Wollo Zone Public Hospitals of Ethiopia, 2023
Journal Article
Selam Alayu 1 , Asmare Talie 2 , Keralem Anteneh Bishaw 3 Submitted: Oct 24, 2024
College of Health Science Midwifery
Abstract Preview:
Improving maternal and perinatal outcomes can be achieved by identifying factors affecting successful vaginal delivery following induction of labor, particularly in developing countries with low rates of induction. Besides this, evidence regarding the magnitude of successful vaginal delivery following induction and associated factors is limited in Ethiopia. Therefore, this study aimed to assess the magnitude of vaginal delivery following induction and associated factors among laboring women at South Wollo Zone Public Hospitals of Ethiopia, 2023. An institutional-based cross-sectional study was conducted among 385 from April 1 to June 15, 2023. A systematic random sampling method was used to select each participant. A pretested structured interviewer-administered questionnaire and checklist were used to collect data. Epi-Data version 4.6 and SPSS version 26 software were used for data entry and analysis, respectively. Multivariable binary logistic regression was used to identify associated factors and an adjusted odds ratio with a 95% confidence interval was used to identify significant variables. Model fitness was checked using the Hosmer-Lemeshow goodness of fit test. The study reported that 75.6% of participants gave vaginal delivery following induction with a 95% CI (71.00-79.80). Mid-upper arm circumstance 23-28 cm (AOR = 2.55, 95% CI: 1.19-5.47), multiparty (AOR = 3.01, 95% CI: 1.430-6.33), favorable bishop (AOR = 3.79, 95% CI: 1.74-8.26), oxytocin with cervical ripening method (AOR = 3.74, 95% CI: 1.99-7.04), and birth weight less than 4000gram (AOR = 5.40, 95% CI: 1.54-18.91) were factors significantly associated with successful vaginal delivery following induction. Therefore, obstetric caregivers should consider pre-induction assessments such as bishop score of the cervix and fetal weight estimation and improving the nutritional status of pregnant women.
Full Abstract:
Improving maternal and perinatal outcomes can be achieved by identifying factors affecting successful vaginal delivery following induction of labor, particularly in developing countries with low rates of induction. Besides this, evidence regarding the magnitude of successful vaginal delivery following induction and associated factors is limited in Ethiopia. Therefore, this study aimed to assess the magnitude of vaginal delivery following induction and associated factors among laboring women at South Wollo Zone Public Hospitals of Ethiopia, 2023. An institutional-based cross-sectional study was conducted among 385 from April 1 to June 15, 2023. A systematic random sampling method was used to select each participant. A pretested structured interviewer-administered questionnaire and checklist were used to collect data. Epi-Data version 4.6 and SPSS version 26 software were used for data entry and analysis, respectively. Multivariable binary logistic regression was used to identify associated factors and an adjusted odds ratio with a 95% confidence interval was used to identify significant variables. Model fitness was checked using the Hosmer-Lemeshow goodness of fit test. The study reported that 75.6% of participants gave vaginal delivery following induction with a 95% CI (71.00-79.80). Mid-upper arm circumstance 23-28 cm (AOR = 2.55, 95% CI: 1.19-5.47), multiparty (AOR = 3.01, 95% CI: 1.430-6.33), favorable bishop (AOR = 3.79, 95% CI: 1.74-8.26), oxytocin with cervical ripening method (AOR = 3.74, 95% CI: 1.99-7.04), and birth weight less than 4000gram (AOR = 5.40, 95% CI: 1.54-18.91) were factors significantly associated with successful vaginal delivery following induction. Therefore, obstetric caregivers should consider pre-induction assessments such as bishop score of the cervix and fetal weight estimation and improving the nutritional status of pregnant women.

Keywords: Associated factors; Ethiopia; Induction of labor; Vaginal delivery.
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Male involvement in infant care and associated factors among infants less than one year in Bibugn district of Ethiopia
Journal Article
Tadege Bishaw 1 , Genet Degu 2 , Keralem Anteneh Bishaw 3 Submitted: Oct 22, 2024
College of Health Science Midwifery
Abstract Preview:
Male involvement in infant care is an effective intervention to improve infant health outcomes. However, evidence regarding male involvement in infant care and its associated factors is limited in Ethiopia. To assess the male involvement in infant care and associated factors among infants less than one year in Bibugn district of Ethiopia. A community-based cross-sectional study was conducted among 606 participants from April 1-30/2023. A systematic sampling technique was used to select each study participant. Data was collected using interviewer-administered questionnaires. Data were entered into Epi data 4.6 and analyzed using statistical Product Service and Solution (SPSS) version 2 5. Both descriptives, mean, frequency and analytical statistics were employed. Variables with a p-value of less than 0.25 in bivariate logistic regression were entered into a multivariate logistic regression to identify associated factors. Statistical significance was declared at p < 0.05. The prevalence of male involvement in infant care was 42.2% with a 95% CI (38.26-46.12). Male who did not attend formal education (AOR = 0.24, 95% CI = 0.14-0.43), having one child (AOR = 5.66, 95%CI = 2.94-10.88), having male infants (AOR = 2.51, 95% CI = 1.60-3.95), first infant order (AOR = 2.70, 95% CI = 1.36-5.39), having adequate knowledge towards infant care (AOR = 5.56,95% CI = 0.12-0.28), and having favorable attitude towards infant care (AOR = 1.70,95% CI = 0.34-0.99) were factors associated with male involvement in infant care. Less than 50% ( 50%) of males are involved in their infant care. Educational status of males, number of infants, male infants, male knowledge, and attitude towards infant care were significantly associated with involvement in infant care. Therefore, efforts should be directed at improving males' educational status, knowledge, and attitude to improve their engagement in caring for their infants.
Full Abstract:
Male involvement in infant care is an effective intervention to improve infant health outcomes. However, evidence regarding male involvement in infant care and its associated factors is limited in Ethiopia. To assess the male involvement in infant care and associated factors among infants less than one year in Bibugn district of Ethiopia. A community-based cross-sectional study was conducted among 606 participants from April 1-30/2023. A systematic sampling technique was used to select each study participant. Data was collected using interviewer-administered questionnaires. Data were entered into Epi data 4.6 and analyzed using statistical Product Service and Solution (SPSS) version 2 5. Both descriptives, mean, frequency and analytical statistics were employed. Variables with a p-value of less than 0.25 in bivariate logistic regression were entered into a multivariate logistic regression to identify associated factors. Statistical significance was declared at p < 0.05. The prevalence of male involvement in infant care was 42.2% with a 95% CI (38.26-46.12). Male who did not attend formal education (AOR = 0.24, 95% CI = 0.14-0.43), having one child (AOR = 5.66, 95%CI = 2.94-10.88), having male infants (AOR = 2.51, 95% CI = 1.60-3.95), first infant order (AOR = 2.70, 95% CI = 1.36-5.39), having adequate knowledge towards infant care (AOR = 5.56,95% CI = 0.12-0.28), and having favorable attitude towards infant care (AOR = 1.70,95% CI = 0.34-0.99) were factors associated with male involvement in infant care. Less than 50% ( 50%) of males are involved in their infant care. Educational status of males, number of infants, male infants, male knowledge, and attitude towards infant care were significantly associated with involvement in infant care. Therefore, efforts should be directed at improving males' educational status, knowledge, and attitude to improve their engagement in caring for their infants.

Keywords: Bibugn district; Ethiopia; Infant care; Male involvement.
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