scholarly journals Level and predictors of dietary diversity among pregnant women in rural South-West Ethiopia: a community-based cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e055125
Author(s):  
Melesse Niguse Kuma ◽  
Dessalegn Tamiru ◽  
Tefera Belachew
Keyword(s):  
High School ◽  
Elementary Education ◽  
Pregnant Women ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
South West ◽  
South West Ethiopia

ObjectiveTo assess the magnitude of dietary diversity and associated factors among pregnant women in the rural communities of Jimma Zone, south-west Ethiopia.DesignA community-based cross-sectional study was conducted from 1 June to 30 June 2020.SettingsThe study was conducted in Seka Chekorsa and Mana districts. From a total of 63 listed kebeles, 21 were randomly selected.ParticipantsThree hundred sixty first-trimester pregnant women have participated in this study. We used a systematic random sampling method to select the participants after a home-to-home census.Primary and secondary outcomesDietary diversity was assessed using a 24 hours dietary recall method. Descriptive statistics were computed to describe the study subjects. Bivariate and multivariable logistic regression was run to control for all possible confounding effects and measure the strength of association between the outcome of interest and predictor.ResultsThe overall magnitude of adequate dietary diversity was found to be 186 (51.7%); 95% CI 46.1% to 56.4%). Having attended elementary education (adjusted OR (AOR)=2.45; 95% CI 1.33 to 4.51), completed grade 8 (AOR=6.05; 95% CI 2.65 to 13.80), attended high school (AOR=11.69; 95% CI 3.76 to 36.27), completed high school and above (AOR=2.92; 95% CI 1.16 to 7.32), husbands attended high school (AOR=2.92; 95% CI 1.15 to 7.47), family size of less than five (AOR=3.44; 95% CI to 1.77–6.66) were positively significantly associated with adequate dietary diversity. On the other hand, not had additional meal during pregnancy (AOR=0.42; 95% CI 0.21 to 0.83) was negatively associated with adequate dietary diversity.ConclusionsWe observed that the adequate dietary diversity score of pregnant women was low compared with the pooled proportion of dietary diversity conducted in Ethiopia. Therefore, strengthening and promoting female education through intersectoral collaborations and additional meal counselling during pregnancy is indispensable.

scholarly journals Assessment of self stigma and medication adherence among patients with mental illness who had been treated at Jimma University Specialized Hospital, South west Ethiopia: community based cross sectional study, 2017

2018 ◽  
Author(s):  
Eba Abdisa Golja ◽  
Shimelis Girma
Keyword(s):  
Mental Illness ◽  
Medication Adherence ◽  
Cross Sectional Study ◽  
Psychiatric Clinic ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
South West ◽  
South West Ethiopia ◽  
Jimma University

AbstractBackgroundself Stigma associated with psychiatric disorders and its treatment toward patients with mental illness is the main challengers for early and successful treatment outcome.ObjectiveTo assess the association between self stigma and level of medication adherence among patients with mental illness who have been treated at psychiatric clinic, JUSH, South West Ethiopia, 2017.MethodsThis study is a community based cross sectional study design using a case tracing method to identify patients in the community. To get the study subject, tracing method was carried to get the patients who had history of treatment at psychiatric clinic, Jimma University Teaching Hospital. Interview based Questionnaire was used to get information from the participants. The relationship was checked by doing both bivariate and multi variables linear regression.ResultOf the total respondents, males were185 (61.7%), females 115 (38.3%), and the mean age of the respondents was 34.99 (SD=11.51) years. From the total (n=300) respondents, more than half of them, 182 (60.7%) were adherent to their psychotropic medication. Among adherent respondents, of all types of stigma, minimal stigma was 63.2% whereas moderate to high stigma was 22.4%.ConclusionIt was identified that there was high self stigma related to medication non adherent among patients with mental illness. Therefore, mental health professionals and the health care policy shall work to increase the level of psychotropic medication adherence so as to decrease self stigma associated with mental illness.

scholarly journals Healthcare utilisation, cancer screening and potential barriers to accessing cancer care in rural South West Nigeria: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e040352
Author(s):  
Avinash Sharma ◽  
Olusegun Isaac Alatise ◽  
Kelli O'Connell ◽  
Samson Gbenga Ogunleye ◽  
Adewale Abdulwasiu Aderounmu ◽  
...  
Keyword(s):  
Cancer Screening ◽  
Cancer Care ◽  
Healthcare Utilisation ◽  
Cross Sectional Study ◽  
Personal Income ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Potential Barriers ◽  
South West

Background/aimsCancer burden is predicted to double by 2030 in sub-Saharan Africa; access to healthcare services for cancer management is a priority in the region. In Nigeria, National Cancer Control Plan aims to ensure >50% cancer screening of eligible populations by 2022 for all Nigerians. We describe healthcare utilisation, cancer screening activities and potential barriers to accessing cancer care within an understudied rural community-based adult population in South West Nigeria.MethodsIn April 2018, we conducted a cross-sectional study of community-based adults (>18 years) ~130 km east of Ibadan, 250 km from Lagos in Osun State, South West Nigeria. Participants completed a face-to-face survey in local dialect. We used a questionnaire to assess demographics, health status, income, medical expenditures, doctor visits and cancer screening history.ResultsWe enrolled 346 individuals: with median age of 52 years and 75% women. Of the entire cohort, 4% had medical insurance. 46% reported a major medical cost in the last year. Cancer screening activities were infrequent in eligible participants: 1.5% reported having had cervical cancer screening, 3.3% mammogram and 5% colonoscopy screening. Cancer screening assessment was less frequent in those with less income and lower education levels. Using a multivariable logistic regression model including personal income, insurance status and education, higher personal income was associated with more cancer screening activity (OR 2.7, 95% CI 1.3 to 5.7, p<0.01). Despite this, most individuals had contact with a primary healthcare doctor (52% in the last year), and over 70% access to radio and TV suggesting the opportunity to expand community-based screening interventions and awareness exists.ConclusionsDespite national increases in cancer cases, we highlight a deficiency in cancer screening and universal healthcare coverage within a community-based adult Nigerian population. Subject to availability of governmental resources, increasing financial risk protection, awareness and targeted resource allocation may help expand access in Nigeria.

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