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

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.