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

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.