scholarly journals Magnitude of optimal adherence and predictors for a low level of adherence among HIV/AIDS-infected adults in South Gondar zone, Northwest Ethiopia: a multifacility cross-sectional study

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e056009
Author(s):  
Shimeles Biru Zewude ◽  
Tewodros Magegnet Ajebe
Keyword(s):  
Associated Factors ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Low Level ◽  
South Gondar ◽  
Hiv Aids

ObjectivesThis study aims to identify levels of adherence to antiretroviral therapy (ART) drugs and factors associated with them in Northwest Ethiopia. We hypothesise that in the era of COVID-19, there would be suboptimal adherence to ART drugs.DesignAn observational cross-sectional study was conducted. Factors associated with the level of adherence were selected for multiple logistic regressions at a p value of less than 0.2 in the analysis. Statistically significant associated factors were identified at a p value less than 0.05 and adjusted OR with a 95% CI.SettingThe study was conducted in one specialised hospital and three district hospitals found in the South Gondar zone, Northwest Ethiopia.ParticipantsAbout 432 people living with HIV/AIDS receiving highly active ART in South Gondar zone public hospitals and who have been on treatment for more than a 3-month period participated in the study.Primary and secondary outcome measuresLevels of adherence to ART drugs and their associated factors.ResultsAmong 432 study participants, 81.5% (95% CI: 78% to 85.2%) of participants were optimally adherent to ART drugs. Determinants of a low level of adherence: stigma or discrimination (OR=0.4, p=0.016), missed scheduled clinical visit (OR=0.45, p=0.034), being on tuberculosis treatment (OR=0.45, p=0.01), recent CD4 cell count less than 500 cells/mm3 (OR=0.3, p=0.023) and patients who had been on WHO clinical stage III at the time of ART initiation (OR=0.24, p=0.027) were factors significantly associated with adherence to ART drugs.ConclusionsLevel of adherence was relatively low compared with some local studies. The intervention targeted to reduce discrimination, counselling before initiation of treatment and awareness regarding compliance is advised to improve adherence to antiretroviral regimens.

scholarly journals Level of Preparedness for COVID-19 and Its Associated Factors among Frontline Healthcare Providers in South Gondar Public Hospitals, Northwest Ethiopia, 2020: A Multicenter Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Ermias Sisay Chanie ◽  
Dejen Getaneh Feleke ◽  
Sheganew Fetene ◽  
Agimasie Tigabu ◽  
Sintayehu Asnakew ◽  
...  
Keyword(s):  
Associated Factors ◽  
Healthcare Providers ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Public Hospitals ◽  
Sectional Study ◽  
Cross Sectional ◽  
Low Level ◽  
South Gondar

Introduction. Although the efforts at global and national levels have attempted to decrease the COVID-19 pandemic, the low level of preparedness among healthcare providers is a challenge mainly in developing countries. Hence, this study is aimed at assessing the level of preparedness for COVID-19 and its associated factors among frontline healthcare providers in South Gondar public hospitals, northwest Ethiopia. Methods and Materials. A hospital-based cross-sectional study was conducted among 207 selected healthcare providers who were working in South Gondar public hospital from July 08 to August 29, 2020. A pretested structured questionnaire was used to collect data. The healthcare providers were selected through simple random sampling techniques. Both bivariable and multivariable logistic regressions with a 95% confidence interval were fitted with 95% CI to establish the associated factors with a low level of preparedness. A p value < 0.05 was considered statistically significant. Results. The overall level of preparedness among healthcare providers for COVID-19 was found to be 41.3% (95% CI: 37.4, 44.7). Only 81 (40.1%) healthcare providers had prepared for telling their family and friends if they are infected with COVID-19. Besides, only 23.8% of healthcare providers obtained alcohol-based hand sanitizer in every patient room. Factors associated with a low level of preparedness include being male ( AOR = 2.5 , 95% CI: 1.22–4.94), unmarried ( AOR = 3.4 , 95% CI: 1.44–8.00), and working experience less than five years ( AOR = 3.4 , 95% CI: 1.29-9.09). Conclusion. The level of preparedness among frontline healthcare providers towards COVID-19 was found to be very low. In the future, more emphasis should be placed on healthcare providers who are male, unmarried, and had working experience of lower than five years to decrease the burden of the COVID-19 pandemic.

scholarly journals Knowledge and attitude of pregnant women towards preeclampsia and its associated factors in South Gondar Zone, Northwest Ethiopia: a multi‐center facility‐based cross‐sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maru Mekie ◽  
Dagne Addisu ◽  
Minale Bezie ◽  
Abenezer Melkie ◽  
Dejen Getaneh ◽  
...  
Keyword(s):  
Associated Factors ◽  
First Trimester ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sectional Study ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
Knowledge And Attitude ◽  
Study Participants ◽  
South Gondar

Abstract Background Preeclampsia has the greatest impact on maternal mortality which complicates nearly a tenth of pregnancies worldwide. It is one of the top five maternal mortality causes and responsible for 16 % of direct maternal death in Ethiopia. Little is known about the level of knowledge and attitude towards preeclampsia in Ethiopia. This study was designed to assess the knowledge and attitude towards preeclampsia and its associated factors in South Gondar, Northwest Ethiopia. Methods A multicenter facility-based cross-sectional study was implemented in four selected hospitals of South Gondar Zone among 423 pregnant women. Multistage random sampling and systematic random sampling techniques were used to select the study sites and the study participants respectively. Data were entered in EpiData version 3.1 while cleaned and analyzed by Statistical Package for Social Sciences (SPSS) version 23. Descriptive and inferential statistics were performed. Adjusted odds ratio with 95 % confidence interval were used to identify the significance of the association between the level of knowledge on preeclampsia and its predictors. Results In this study, 118 (28.8 %), 120 (29.3 %) of the study participants had good knowledge and a positive attitude towards preeclampsia respectively. The likelihood of having good knowledge on preeclampsia was found to be low among women with no education (AOR = 0.22, 95 % CI (0.06, 0.85)), one antenatal care visit (ANC) (AOR = 0.13, 95 % CI (0.03, 0.59)). Whereas, those who booked for ANC in the first trimester (AOR = 6.59, 95 % CI (1.43, 30.33)), gave the last birth at a health facility (AOR = 2.61, 955 CI (1.03, 6.61)), and experienced a complication during previous births (AOR = 3.67, 95 % CI (1.78, 7.57)) were more likely to be knowledgeable on preeclampsia. Conclusions No formal education and not attending four ANC visits were associated with poor knowledge of preeclampsia. While participants who visited health facilities during the first trimester, who gave birth at health facilities, and those who experienced a complication in previous births were more likely to be knowledgeable on preeclampsia. Improving the numbers of ANC visits and encouraging facility delivery are important measures to improve women’s knowledge on preeclampsia. Health education regarding preeclampsia risk factors, symptoms, and complications shall be emphasized.

scholarly journals Prevalence and Intensity of Soil-Transmitted Helminths and Associated Factors among Adolescents and Adults in Bibugn Woreda, Northwest Ethiopia: A Community-Based Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Abrham Goshu ◽  
Getaneh Alemu ◽  
Animen Ayehu
Keyword(s):  
Associated Factors ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Soil Transmitted Helminths ◽  
Factors Associated ◽  
Parasite Intensity ◽  
Adolescents And Adults

Background. Soil-transmitted helminths are a common public health problem in Ethiopia, affecting all age groups. However, epidemiological studies and interventions primarily target school-age children, despite the fact that 44.6 million adults live in endemic areas. Hence, data on the prevalence and intensity of soil-transmitted helminths infections and associated factors among adolescents and adults helps to expand interventions. Objective. The aim of the study was to assess the prevalence and intensity of soil-transmitted helminths and associated factors among adolescents and adults in Bibugn Woreda, East Gojjam, Northwest Ethiopia. Methods. A community-based cross-sectional study was conducted in Bibugn Woreda from February to September 2021. Using multistage proportionate sampling technique, 641 adolescents and adults were enrolled in this study. Data on sociodemographic characteristics and factors associated with helminthic infections was collected using structured questionnaire prepared in Amharic and administered through face-to-face interview. Parasite detection in stool samples was performed using modified formol-ether concentration and Kato-Katz techniques following standard protocols. Data was entered and analyzed using Statistical Package for the Social Sciences software version 25. Multivariable logistic regression was used to assess factors associated with soil-transmitted helminths infections. P value <0.05 was considered as statistically significant. Results. The overall prevalence of soil-transmitted helminths infection was 20.9% (134/641). The most detected parasite was Ascaris lumbricoides (12.5%), followed by hookworm species (7.5%) and Trichuris trichiura (1.1%). Fecal egg counts revealed that 96.5% (112/116) of the infections were with light parasite intensity, while 3.5% (4/116) were with moderate parasite intensity. Family size >5 (AOR = 1.866; 95% CI: 1.221–2.853; P = 0.004 ), absence of latrine (AOR = 3.675; 95% CI: 1.599–8.449; P = 0.002 ), and no habit of hand washing before meal (AOR = 2.622; 95% CI: 1.073–6.405; P = 0.034 ) were significantly associated with soil-transmitted helminths infections. Conclusion. There was moderate prevalence of soil-transmitted helminths among adolescents and adults with predominance of A. lumbricoides. Family size greater than five, absence of latrine, and no hand washing habit before meal predisposed adolescents and adults for soil-transmitted helminths. The existing school-based interventions should expand to address adolescents and adults.

scholarly journals Assessment of Knowledge, Attitude and Associated Factors toward COVID-19 among Nurses Who Work in South Gondar Zone, Hospitals, Northwest Ethiopia 2020, Institution-based cross-sectional Study

2020 ◽  
Author(s):  
Dejen Getaneh Feleke ◽  
Sheganew Fetene Tassew ◽  
Ermiase Sisay Chanie
Keyword(s):  
Associated Factors ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sub Saharan Africa ◽  
Favorable Attitude ◽  
Good Knowledge ◽  
Sectional Study ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
South Gondar

Abstract BackgroundCoronavirus disease 2019 is an emerging respiratory disease that is caused by a novel coronavirus and was first detected in December 2019 in Wuhan, China. The world is affected by the Corona Virus Disease in 2019. In sub-Saharan Africa Including Ethiopia there is no study conducted on level of Knowledge, Attitude and Associated Factors toward Coronavirus disease in 2019 among Health care workers Specifically Nurses.ObjectiveThis study aims to assess the level of Knowledge, Attitude and Associated Factors toward Coronavirus disease in 2019 among Nurses Who Work in South Gondar Zone, Hospitals, Northwest Ethiopia, 2020.MethodsAn Institution-based cross-sectional study was conducted among 166 Nurses in South Gondar Zone, Ethiopia, From June 1st -30/2020. To select study participants after proportional allocation of study subjects to each Hospital, simple random sampling technique were to be used. The Data was entered into Epi info version 7.2.0.1, and exported to Statistical Package for Social Sciences window version 24 for analysis. Binary and Multivariable logistic regression wasl used to see the association between dependent and independent variables. Adjusted odds ratio with 95% confidence interval was computed. P-value < 0.05 was used to declare association. Finally; the result is presented in the form of texts, tables, and graphs.ResultsOf 166 Nurses, 166 (100% response rate) responded to the online interview questionnaire. From 166 nurses, 57.2% of the participants were Females and 42.8% were males, 41.6 % of the respondents were between the ages of 20 and 29 years. About 84.9 % had good knowledge and 63.3% favorable attitude of COVID-19. Wearing general medical masks can prevent one from acquiring infection by the co vid-19 virus (AOR = 0.44, 95% CI =0.005-0.362 were factors of knowledge about COVID-19. Whereas, strongly agree Medical staffs are ready to participate in antiepidemic in the community (AOR =0.08, 95% CI = (0.003-1.76 Were factors of attitude about COVID-19.ConclusionIn this study, most of the nurses had good knowledge and favorable attitude regarding COVID-19. Wearing general medical masks can prevent one from acquiring infection by the covid-19 virus were the factors in association with knowledge OF nurses on COVID-19. Similarly, Medical staffs are ready to participate in antiepidemic in the community factors association with attitudes of nurses on COVID-19.

scholarly journals Initiation of Complementary Feeding Practice And Associated Factors Among Mothers Having Children 6-23 Month of Age, In Meket Woreda, North Wollo Ethiopia, 2020: A Multicenter Community -Based Cross-Sectional Study.

2021 ◽  
Author(s):  
Dejen Feleke ◽  
Abebu Yasin Tadesse ◽  
Ermias Sisay Chanie ◽  
Amare Kassaw Wolie ◽  
Sheganew Fetene Tassew ◽  
...  
Keyword(s):  
Young Child ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Feeding Practice ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Infant And Young Child

Abstract Introduction: improving the infant and young child feeding practices in children aged 0-23months is critical. It is necessary to improved infant and young child health, nutrition, and development. Infant and under five mortality rate in Ethiopia are 43/1,000 and 55/1,000 live births respectively. Objective: To assess Initiation of CF practice and associated factors among mothers with children aged 6−23months.Methods: a multicenter Community based cross sectional study was conducted among 416 mother-infant pairs of 6-23 months in Meket Woreda, Northwest Ethiopia from March 20-June 30, 2020. Bivariate and multivariable logistic regeration model was fitted to identify factors associated CF Practice. P-value less than 0.05 considered as significance.Result: Among 416 mothers with children aged 6–23 months, 76.4% mothers started giving CF timely at recommended age of 6 month of child age. Advised About CF during ANC follow up [AOR=0.03; 95%CI: 0.003-0.356], Child delivered place at a health facility [AOR=0.07; 95%CI: 0.0-0.619], mothers take family planning [AOR= 0.049; 95%CI: 0.011-0.23], give additional diet the 1st 6month [AOR = 0.035; 95% CI: 0.009-0.137] and BF makes appearance [AOR = 0.064; 95% CI: 0.003-0.687] were found to be independent predictors of CF practice.Conclusion and Recommendation: About 23.6% of mothers were not initiated CF practice their children at recommended age of 6month. This would have negative implication on the health of infants and young children. Health professionals should focus on advising and counseling mothers on appropriate CF during prenatal, delivery, post natal, and immunization services.

scholarly journals Women’s satisfaction with their urban health extension programme and associated factors in Gondar administrative city, northwest Ethiopia: a community-based cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e039390
Author(s):  
Sisay Molla ◽  
Amsalu Feleke ◽  
Chalie Tadie Tsehay
Keyword(s):  
Urban Health ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Health Coverage ◽  
Sectional Study ◽  
Health Extension Workers ◽  
Cross Sectional ◽  
Factors Associated ◽  
Health Extension Programme

ObjectivesEthiopia is a developing country striving to achieve universal health coverage using the health extension programme. There is limited evidence about Ethiopian women’s satisfaction with their urban health extension programme. Thus, this study was aimed at assessing the level of women’s satisfaction with their urban health extension services and associated factors in Gondar administrative city of northwest Ethiopia and elucidate factors associated with its access and use.DesignCross-sectional study.SettingCommunity.ParticipantsRandomly selected 744 women were interviewed using a structured interviewer-administered questionnaire.OutcomeSatisfaction of women over 17 years of age with their urban health extension programme (use and services).ResultsSome 29.4% (95% CI 26.2 to 32.5) of women were satisfied with their urban health extension programme. Divorced women (adjusted OR (AOR): 0.35, 95% CI 0.14 to 0.85), women in the age group of 45–53 years (AOR: 0.35, 95% CI 0.14 to 0.85), private employees (AOR: 0.35, 95% CI 0.14 to 0.85), unsatisfactory knowledge (AOR: 0.13, 95% CI 0.07 to 0.25) and perceived accessibility of health extension workers (AOR: 0.99, 95% CI 0.06 to 0.17) were factors associated with women’s satisfaction with their urban health extension programme.ConclusionsWomen’s satisfaction with their urban health extension programme was low. This finding was associated with age, marital status, occupation, knowledge of participants and women’s perceived accessibility of services. Therefore, increasing awareness about the programme, promoting and improving accessibility of services, particularly by mothers, may augment the utilisation of the programme ultimately leads to efficient use of scarce healthcare resources in Ethiopia.

scholarly journals Complementary feeding hygiene practice and associated factors among mothers with children aged 6–24 months in tegedie district, Northwest Ethiopia: Community-based cross-sectional study

2021 ◽  
Author(s):  
Habtam ayenew Teshome ◽  
Walelegn Worku Yallew ◽  
Jember Azanaw ◽  
Gardew ayanew Tadege ◽  
Agerie Mengistie zeleke
Keyword(s):  
Logistic Regression ◽  
Associated Factors ◽  
Complementary Feeding ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Hygiene Practice ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional

Abstract IntroductionThe hygienic practices of mothers during complementary feeding are crucial in the protection of vulnerable infants and children aged 6–24 months from childhood communicable diseases like diarrhea and malnutrition. However, sufficient evidence on the hygienic practices of mothers during complementary feeding and their associated factors is limited.ObjectiveTo determine the levels of complementary feeding hygiene practice and its associated factors among mothers of children aged 6–24 months in the Tegedie district, northwest Ethiopia.MethodsA community-based cross-sectional study was conducted from March 17 to April 17, 2021, among 576 mothers with children aged 6–24 months in the Tegedie district, northwest Ethiopia. A multistage sampling technique was used to select the study participants. Data were collected using a structured questionnaire administered by an interviewer and entered into Epi-data version 4.6 before being exported to SPSS version 20.0 for data cleaning and further analysis. Bivariate and multivariable binary logistic regression analyses were employed to identify predictors of complementary feeding hygiene practice with p-value < 0.25 that entered into the multivariable logistic regression model. Then variables with a p-value of 0.05 in multivariable logistic regressions were considered statistically significant.ResultsThe prevalence of hygienic practice during complementary feeding of their children aged 6–24 months was 33.6%, with 95% CI 29.7–37.6%) of them had good practice. Living in an urban area [AOR=7.02, 95% CI: (4.14, 11.88)], the presence of a handwashing facility near the latrine [AOR = 3.02, 95% CI: (1.18, 7.70)], the presence of a separate area to store raw and cooked foods [AOR = 5.87, 95% CI: (2.84, 12.13)], and the presence of a three-compartment dish washing system [AOR = 5.70,Conclusion and recommendationThe prevalence of good hygienic practices during complementary feeding among mothers is still low; the district health office and health extension workers should work to improve maternal hygienic practices during complementary feeding.

scholarly journals Prevalence of Anogenital Warts in Men with HIV/AIDS and Associated Factors

2014 ◽  
Vol 8 (1) ◽  
pp. 25-30 ◽  
Author(s):  
Caio Cavassan de Camargo ◽  
Karen Ingrid Tasca ◽  
Monica Banwart Mendes ◽  
Hélio Amante Miot ◽  
Lenice do Rosário de Souza
Keyword(s):  
Associated Factors ◽  
Transmitted Disease ◽  
Cross Sectional Study ◽  
Multivariate Logistic Regression Model ◽  
P Value ◽  
Anogenital Warts ◽  
Male Population ◽  
Cross Sectional ◽  
Factors Associated ◽  
Hiv Aids

Abstract: Background: Infection with human papilloma virus (HPV) is the most common sexually transmitted disease in the world. Among the 630 million new cases of HPV that occur each year, 30 million develop anogenital warts. Although subclinical infection with HPV is the most common cause, genital warts are also associated with immunosuppression caused by HIV. In view of the high prevalence of HPV/HIV co-infection particularly among men who have sex with men, the objectives of this study were to determine the prevalence of anogenital warts in men with HIV/AIDS and to identify associated factors. Methods: A cross-sectional study was conducted on 159 men with HIV/AIDS consecutively selected at a referral service in Botucatu, São Paulo, Brazil, in which the association between sociodemographic, behavioral and clinical variables and the presence of anogenital warts was evaluated. After hierarchical analysis of the data, variables presenting a p value ≤ 0.2 were entered into an unconditional multivariate logistic regression model. Results: Forty-nine (31%) of the HIV-positive patients had anogenital warts. The mean age was 44.6 ± 9.6 years. The main factors associated with the presence of anogenital warts were irregular antiretroviral treatment and genital herpes(HSV). Conclusion: The present study demonstrate that anogenital warts occur in almost one-third of the male population infected with HIV and factors associated with a higher risk of being diagnosed with anogenital warts were irregular cART use and co-infection with HSV, other variables could not be associated.

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