Abstract: Perinatal outcomes refer to life events that occur to the newborn baby from the age of viability (28 weeks) to the first week of life. The transition of fetus immersed in the amniotic fluid to life outside the womb is not always smooth and can result in adverse events to the mother or the baby. Adverse perinatal outcome is the major challenge both in low and middle-income countries. Globally, adverse birth outcomes commonly preterm birth, low birth weight, stillbirth and neonatal death are significant problems. Neonatal morbidities and mortalities are one of the most common contributing factorsfor11.8 million deaths. Despite ample strategies and interventions, prevention of adverse birth outcomes has remained largely unaddressed.

Objectives: the main objectives of this study is to assess the determinants of adverse preinatal outcome among mothers who gave birth at selected governmental hospital in southwest Ethiopia

Methods: This study was done using data from three selected governmental Hospital found in southwest Ethiopia. Facility based unmatched case control study design was carried out from May 5 to June15, 2021.The data was collected through interview by considering COVID-19 prevention protocol.Total of 310 study subject was included in the study. An individual was selected through consecutive sampling techniques. Data was entered using EpiData and analysed by using SPSS version 23. A threshold p value of less ≤ 0.05 was used to declare significance association between perinatal outcomes and its predictors in the chi-square test. Bivariate logistic regression was done. Variables which were significantly associated with perinatal outcomes in bivariate logistic regressions were included in the multiple logistic regressions.

Result: adverse perinatal outcome was 5.9 times higher in mother who had unplanned pregnancy (AOR: 5.9(2.16, 16.16),3.48 times higher among mother who did not received iron during pregnancy(AOR: 3.48( 1.24, 9.73) and, 5 times higher risk in mother with history of chronic hypertension (AOR: 5.11(1.98, 13.17) .In contrast, the risk was (AOR: 0.33(.17, .62) and (AOR: 0.43(.22, .87)lower among mother who were urban residence and who had term birth.

Conclusion: Special emphasis should be givento women whose residence is rural, who have unplanned pregnancy, preterm birth and women with history of chronic hypertension and iron supplement were identified as protective factor to adverse pregnancy outcomes.

Keywords: Preinatal out comes, Determinates, Southwest, Ethiopia.

Title: DETERMINANTS OF ADVERSE PREINATAL OUT COMES AMONG MOTHERS WHO GAVE BIRTH AT SELECTED GOVERNMENTAL HOSPITALS IN SOUTHWEST ETHIOPIA

Author: ISRAELDEREKIYAB, TEREFE KETO, MELESE TEBEKA

ISSN 2394-9716

International Journal of Novel Research in Interdisciplinary Studies

Novelty Journals

Abstract: The study is prepared to explore the status of rural women in access to farm land in the current land administration system in two rural Kebeles in Guji zone Wadera Woreda of Oromia region .The Oromia National Regional State Rural Land Administration and Use Proclamation and its implementation procedure are examined from a gender perspective in terms of ensuring rural women’s land holding rights. Historical overview on the land question in Ethiopia revealed that tenure systems evolved through historical periods. Land remained under men’s control throughout history and men’s control over land was strengthened by the rural land reform carried out by the Derg. This tenure reform applied rural land distribution using households as unit for rural land allocation and women were disadvantaged as most rural households were headed by men. The Oromia rural land proclamation is not discriminatory on basis of sex. However, policy gaps are evident in addressing women specific issues such as issues of divorced women FHHs and women under polygamous marriages. Gaps also exist between policy and implementation. Customary laws and practices have serious impacts on women’s land rights at the level of implementation. The research applied both quantitative and qualitative methods in view of feminist research methodology to properly address issues from a gender perspective. Survey of 283 households was conducted administering questionnaires in the quantitative method. The qualitative method applied was interviews with relevant Woreda office and Kebele LACs, focus group discussions with rural women, case stories and observation for data analysis. Study findings reveal that women’s access rights to land is less equal than legally provided. This study evidences gaps between policy and implementation. Customary laws and traditional practices generally have impacts on land access rights of single/unmarried, divorced, widowed women and on access rights of women in polygamous marriages. Women’s access to land is not efficiently addressed by the regional rural land policy. This is a significant policy drawback as women’s equal rights on land could not be achieved without gaining control over land. The land administration system in general and the land registration process in particular has not considered women’s participation in community activities and decision-making. Women are not highly represented in LACs and Sub-Committees in both Kebeles. The absence of land ownership certificate in the study area is another gaps that finding indicate. This study also revealed loose linkages between the rural land policy and other regional legislations like the regional family law which provides women’s equal rights on land in marriage and on its abandonment. This study forwards recommendation to address gender gaps identified to ensure women’s equal access to land in the study area. Land ownership certificate should be given for women in the study area. The Oromia rural land proclamation needs revision from a gender perspective to address women’s specific issues and the land administration system should consider women’s participation in the process, their contribution to the system as well as their equal benefits from policy outcomes.

Keywords: women, land right, ownership rights, feminism, Gender issue.

Title: Women’s access to farm land in current land administration system in two rural kebeles of Guji Zone Wadera Woreda, Oromia, Ethiopia

Author: Kedir Ismail, Aklilu Dalelo (Prof).

ISSN 2394-9716

International Journal of Novel Research in Interdisciplinary Studies

Novelty Journals