Abstract:
Background: Non- pneumatic Anti-Shock Garment is a unique, life -saving first -aid device
made of neoprene and velcro, which is used for treatment of women with postpartum
hemorrhage. It can be applied by anyone, even those without medical training. Maternal
mortality in the world still very high and postpartum hemorrhage is the leading cause of
maternal mortality worldwide.
Objective: To assess utilization of non-pneumatic anti-shock garment and associated factors for
postpartum hemorrhage management among health care professionals working in public
hospitals of Jimma zone, South-West Ethiopia, 2019.
Methods: Facility based cross-sectional studies design both quantitative and qualitative data
collection methods were employed among 210 health care professionals and 10 key informants
respectively. Data was collected by pretested semi-structured self-administered questionnaire
and qualitative data was addressed by in-depth interview. The collected data were checked,
coded and entered into Epi-data version 3.1 and exported to SPSS version 23 for analysis.
Bivariable and multivariable logistic regression was done to identify factors associated with
non-pneumatic anti-shock garment utilization. Qualitative data was transcribed, translated and
triangulated with quantitative findings.
Results: Seventy six (36.2%) of the respondents used non-pneumatic anti-shock garment in their
hospitals for management of post-partum hemorrhage. Having good knowledge (AOR= 3.96,
95% CI:(1.67, 9.407)]. , having positive attitude [(AOR= 3.54, 95% CI:(1.37, 9.13)]. , attending
training [AOR=13.156, 95% CI :( 4.81, 36.00], having two and above non-pneumatic anti-shock
garment at their hospitals [AOR=8.7, 95% CI :(2.89, 26.20)] were significantly associated with
utilization of non-pneumatic anti-shock garment.
Conclusion and Recommendation: The utilization of non-pneumatic anti-shock garment for the
management of postpartum hemorrhage was 36.2%. The identified factors that significantly
associated with utilization of Non-pneumatic anti-shock garment were good knowledge, positive
attitude, attend training and more number of non-pneumatic anti-shock garments. The health
care professionals that involved in the maternity service should be trained on how to use this
important garment in the management of postpartum hemorrhage.
