Assessment Of Health Promotion Practices Among Pregnant Women Attending Anc Services In Public Health Institutions Of Shashemene Town Oromiya Ethiopia2012.

Background:-A number of potentially modifiable risk factors are known to be associated rnwith poor pregnancy outcomes. Health promotion generates living and working conditions rnthat are safe, stimulating, satisfying and enjoyable. Systematic assessment of health impact of rna rapidly changing environment – particularly in areas of technology: These include maternal rnlifestyle and behavioral factors such as nutrition, physical exercise, family planning, rnsubstance use, mental health promotion and domestic violence. rnObjective:-To assess health promotion practices among pregnant women attending ANC rnservices in public health institutions of Shashemene town, Oromiya, Ethiopia, 2012. rnMethod: An institution based descriptive cross-sectional study design was carried out, and rndata was collected from systematically selected 295 pregnant women, who are attending rnANC service from governmental health institutions of Shashemene town. rnResult- Almost half (49.8%) of total respondents have encountered deliberate food rnrestrictions; to avoid one or more food items during pregnancy. Age of the women rneducational status shown significant associations with belief of balanced diet: 0.175 (0.001-rn3.812) and 57 (1.212-2.682) respectively. (37.8%) of mothers have experienced home rndelivery and this is significantly associated with delivery place preference of health rninstitution. Surprisingly, mothers with previous institutional deliver were less likely to use rnhealth institutions again for current delivery, i.e those mothers with previous institutional rndelivery were preferred to have home delivery, AOR of 16.971(5.311-54.234) at 95% CI. rnKnowledge of mothers about PMTCT is relatively high (35.6%). About 88.1% of the studyrnparticipants drink coffee with the majority (70%) within range of 2-3 cups/day. Substancernuses during pregnancy were found to be significantly associated with still birth, having a crudrnratio of 3.243 (1.147-9.170) at 95% CI. 7.5% of the respondents reported to have violencernduring pregnancy times; this Violence was strongly associated with ethnicity, religion, andrnmental status. rnConclusion-Although majority of pregnant women in the study, were practicing different rnhealth promotion practices, this study identified a number of individual, demographic, rnsocioeconomic and health promotion related behavioral factors that influence the use of rneffective health promotion practices for better outcome of pregnancy and child birth. rnRecommendation- The general recommendation of the study concerned on strengthening rnactions towards improving health promotion practices. MCH clinics to play a leading role in rncoordinating this effort and to put in place mechanisms. Other governmental and non-rngovernmental organizations and various public associations, such as Farmers Associations rnand Women's Associations should also be actively involved in eliminating these nonscientific rnharmful beliefs towards pregnant women in terms of nutrition and safe delivery practice. rnFurther studies to explore why some groups to differ in healthy behaviors, should be rninvestigated,

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