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Self-medication practice and associated factors among pregnant women in Addis Ababa, Ethiopia

BACKGROUND: Self-medication which is the act of obtaining and using one or more medicines without medical supervision is a common practice among pregnant women. Unless proper caution is taken, it may result in maternal and fetal adverse outcomes. In Ethiopia, information on self-medication practice...

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Autores principales: Beyene, Kidanemariam G/Michael, Beza, Solomon Worku
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5928590/
https://www.ncbi.nlm.nih.gov/pubmed/29743807
http://dx.doi.org/10.1186/s41182-018-0091-z
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author Beyene, Kidanemariam G/Michael
Beza, Solomon Worku
author_facet Beyene, Kidanemariam G/Michael
Beza, Solomon Worku
author_sort Beyene, Kidanemariam G/Michael
collection PubMed
description BACKGROUND: Self-medication which is the act of obtaining and using one or more medicines without medical supervision is a common practice among pregnant women. Unless proper caution is taken, it may result in maternal and fetal adverse outcomes. In Ethiopia, information on self-medication practice during pregnancy is scanty. Hence, this study aimed to assess self-medication practice and associated factors among pregnant women in government health centers in Addis Ababa. METHODS: An institution-based mixed study design using a sequential explanatory approach was employed among 617 pregnant women and nine key informants in Addis Ababa from May 8, 2017, to June 30, 2017. Multi-stage sampling technique was used to select study participants, and purposive sampling technique was used to select the key informants. The quantitative data were collected using a structured interview questionnaire and analyzed using Statistical Product and Service Solutions (SPSS) version 23.0 whereas semi-structured questionnaire was used for in-depth interviews. Binary logistic regression was used for quantitative data analysis, and thematic analysis method was used for qualitative data. RESULTS: The prevalence of self-medication practice was 26.6%. Previous medication use (Adjusted odds ratio (AOR) = 4.20, 95% CI 2.70–6.53), gestational period (AOR = 0.63, 95% CI 0.41–0.98), education on self-medication (AOR = 0.36, 95% CI 0.21–0.62), previous pregnancy and delivery related problems (AOR = 1.71, 95% CI 1.06–2.76), and knowledge about risk of self-medication (AOR = 0.64, 95% CI 0.42–0.97) were significantly associated with self-medication practice. Lack of attention and priority of program designers, absence of strategies and guidelines; weak screening mechanisms, and regulatory enforcement were cited by the key informants as contributing factors for self-medication practices. CONCLUSIONS: Considerable proportion of pregnant women practiced self-medication, including medicines categorized to have high risks. Gestational period, previous medication use, education on self-medication, previous pregnancy- and delivery-related problems, and knowledge were significantly associated with self-medication practice. In addition, there are correctable gaps in program designing, screening of pregnant women, regulatory enforcement, and strategies and guidelines. Hence, necessary measures at all levels must be taken to reduce risks of self-medication during pregnancy.
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spelling pubmed-59285902018-05-09 Self-medication practice and associated factors among pregnant women in Addis Ababa, Ethiopia Beyene, Kidanemariam G/Michael Beza, Solomon Worku Trop Med Health Research BACKGROUND: Self-medication which is the act of obtaining and using one or more medicines without medical supervision is a common practice among pregnant women. Unless proper caution is taken, it may result in maternal and fetal adverse outcomes. In Ethiopia, information on self-medication practice during pregnancy is scanty. Hence, this study aimed to assess self-medication practice and associated factors among pregnant women in government health centers in Addis Ababa. METHODS: An institution-based mixed study design using a sequential explanatory approach was employed among 617 pregnant women and nine key informants in Addis Ababa from May 8, 2017, to June 30, 2017. Multi-stage sampling technique was used to select study participants, and purposive sampling technique was used to select the key informants. The quantitative data were collected using a structured interview questionnaire and analyzed using Statistical Product and Service Solutions (SPSS) version 23.0 whereas semi-structured questionnaire was used for in-depth interviews. Binary logistic regression was used for quantitative data analysis, and thematic analysis method was used for qualitative data. RESULTS: The prevalence of self-medication practice was 26.6%. Previous medication use (Adjusted odds ratio (AOR) = 4.20, 95% CI 2.70–6.53), gestational period (AOR = 0.63, 95% CI 0.41–0.98), education on self-medication (AOR = 0.36, 95% CI 0.21–0.62), previous pregnancy and delivery related problems (AOR = 1.71, 95% CI 1.06–2.76), and knowledge about risk of self-medication (AOR = 0.64, 95% CI 0.42–0.97) were significantly associated with self-medication practice. Lack of attention and priority of program designers, absence of strategies and guidelines; weak screening mechanisms, and regulatory enforcement were cited by the key informants as contributing factors for self-medication practices. CONCLUSIONS: Considerable proportion of pregnant women practiced self-medication, including medicines categorized to have high risks. Gestational period, previous medication use, education on self-medication, previous pregnancy- and delivery-related problems, and knowledge were significantly associated with self-medication practice. In addition, there are correctable gaps in program designing, screening of pregnant women, regulatory enforcement, and strategies and guidelines. Hence, necessary measures at all levels must be taken to reduce risks of self-medication during pregnancy. BioMed Central 2018-05-01 /pmc/articles/PMC5928590/ /pubmed/29743807 http://dx.doi.org/10.1186/s41182-018-0091-z Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Beyene, Kidanemariam G/Michael
Beza, Solomon Worku
Self-medication practice and associated factors among pregnant women in Addis Ababa, Ethiopia
title Self-medication practice and associated factors among pregnant women in Addis Ababa, Ethiopia
title_full Self-medication practice and associated factors among pregnant women in Addis Ababa, Ethiopia
title_fullStr Self-medication practice and associated factors among pregnant women in Addis Ababa, Ethiopia
title_full_unstemmed Self-medication practice and associated factors among pregnant women in Addis Ababa, Ethiopia
title_short Self-medication practice and associated factors among pregnant women in Addis Ababa, Ethiopia
title_sort self-medication practice and associated factors among pregnant women in addis ababa, ethiopia
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5928590/
https://www.ncbi.nlm.nih.gov/pubmed/29743807
http://dx.doi.org/10.1186/s41182-018-0091-z
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