ACCEPTABILITY AND FACTORS ASSOCIATED WITH UNDERGOING TRANSVAGINAL ULTRASOUND EXAMINATION AMONG WOMEN ATTENDING PUBLIC HOSPITALS IN ADDIS

Abstract

Background: A transvaginal sonography (TVS) is an ultrasound procedure that uses a probe inserted into the vagina to examine the female pelvic cavity and organs. It is essential for diagnosing early gynecological issues and monitoring early-stage pregnancies that are challenging to assess with transabdominal ultrasound. However, there is a challenge in usage of TVS due to lack of acceptance and awareness. This might cause delays in gynecological problem diagnosis and treatment. Therefore, this study aims to assess acceptability and associated factors to undergo transvaginal examination among women attending public hospitals in Addis Ababa, Ethiopia 2024. Methods and materials: Facility based cross sectional study was conducted. A systematic random sampling technique was applied for selecting study participants. Accordingly, 382 women were included in the study. After the data collected by kobo toolbox, it was downloaded as excel file and exported to SPSS version 26. Bivariate and multivariable logistic regression was used to identify statically significant association between dependent and independent variables. The odds ratio at 95% confidence interval with p value of 0.05% was considered statically significant. Result: Acceptability of women to undergo transvaginal ultrasound examination was 35.1% (95%CI: 30.3%-40.1%). For acceptability in age above 50 years AOR= (0.23,95%CI: 0.05 0.95), primary education AOR= (5.03, 95%CI: 1.70-14.90), secondary education AOR= (4.38, 95%CI: 1.52-12.58), previous TVS experience AOR= (10.35, 95%CI:3.03-35.28), pelvic organ injury AOR= (2.34, 95%CI:1.18-4.62), positive attitude AOR=(2.80,95%CI:1.59 4.92)and awareness on TVS AOR (3.92, 95%CI: 1.97-7.82) was Significantly associated factors of acceptability to have TVS. Conclusion and Recommendation: In this study acceptability of the women to undergo TVS were low. awareness, attitude, pelvic organ injury, previous experience, education and age of the women was strongly determined the acceptability. Therefore, Addis Ababa Health Bureau and health professionals should disseminate and aware women on transvaginal examination.