Reproductive and Obstetric Factors Are Key Predictors of Maternal Anemia during Pregnancy in Ethiopia: Evidence from Demographic and Health Survey (2011)

Anemia is a major public health problem worldwide. In Ethiopia, a nationally representative and consistent evidence is lacking on the prevalence and determinants during pregnancy. We conducted an in-depth analysis of demographic and health survey for the year 2011 which is a representative data collected from all regions in Ethiopia. Considering maternal anemia as an outcome variable, predicting variables from sociodemographic, household, and reproductive/obstetric characteristics were identified for analyses. Logistic regression model was applied to identify predictors atP<0.05. The prevalence of anemia among pregnant women was 23%. Maternal age, region, pregnancy trimester, number of under five children, previous history of abortion (termination of pregnancy), breastfeeding practices, and number of antenatal care visits were key independent predictors of anemia during pregnancy. In conclusion, the level of anemia during pregnancy is a moderate public health problem in Ethiopia. Yet, special preventive measures should be undertaken for pregnant women who are older in age and having too many under five children and previous history of abortion. Further evidence is expected to be generated concerning why pregnant mothers from the eastern part of the country and those with better access to radio disproportionately develop anemia more than their counterparts.

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Prevalence of some hepatitis B virus markers among pregnant women attending antenatal clinic in Specialist Hospital Sokoto Nigeria

Human Antibodies ◽

10.3233/hab-200412 ◽

2020 ◽

Vol 28 (3) ◽

pp. 233-243

Author(s):

O. Erhabor ◽

S.Y. Mohammad ◽

L. Bello ◽

F.U. Onuigwe ◽

Y. Abdulrahman ◽

...

Keyword(s):

Public Health ◽

Hepatitis B Virus ◽

Hepatitis B ◽

Pregnant Women ◽

Previous History ◽

Public Health Problem ◽

Antenatal Clinic ◽

B Virus ◽

History Of ◽

Hepatitis B Virus Markers

BACKGROUND: Hepatitis B virus infection is a global public health problem. The virus has infected more than one-third of the global population. It has been estimated that 360 million chronic carriers are living around the world with a high risk for developing cirrhosis, hepatic carcinoma and hepatic failure. OBJECTIVE: The aim of this study was to determine the prevalence of some hepatitis B markers among pregnant women attending antenatal clinic in Sokoto Specialist Hospital, Nigeria. METHODS: The hepatitis testing was carried out using the Skytec-Rapid Diagnostic HBV-5 rapid kit (Skytec-Rapid Diagnostic, USA). The kit is based on lateral flow chromatographic immunoassay for the qualitative detection of HBsAg, HBsAb, HBeAg, HBeAb, and HBcAb in human serum or plasma. Panel format can conveniently test for five targets at once and utilizes all markers to help distinguish between acute and chronic infections. RESULTS: Out of 117 pregnant women tested, 15 were positive for HBsAg (12.8%), 6 positive for HBsAb (5.1%), 1 for HBeAg (0.9%), 14 tested positive for HBeAb (12.0%), and 14 tested for HBcAb (12.0%). The prevalence of HBsAg, HBsAb, HBeAg, HBcAb and HBcAb was compared based on ethnicity. HBsAb was significantly higher among the Hausa ethnic group (p= 0.001). The prevalence of HBsAb, HBeAg, HBcAb and HBcAb was not affected by ethnicity (p> 0.05). The prevalence of HBsAg, HBsAb, HBeAg, HBcAb and HBcAb was compared based on age. Infection by the hepatitis B virus markers was higher among young adult and middle age groups. The difference was however not statistically significant (p> 0.05). The prevalence of HBsAg, HBsAb, HBeAg, HBcAb and HBcAb was compared based on the educational status, previous history of blood transfusion, jaundice, employment status and previous history of still births among the pregnant subjects. There were no statistically significant differences in the prevalence of Hepatitis B virus markers (p> 0.05). CONCLUSION: The study observed a high prevalence of various hepatitis B viral markers among pregnant women attending antenatal care in Specialist Hospital Sokoto. There is need for routine screening of all pregnant women and infants born to hepatitis B positive mothers. Government and non-governmental organizations should intensify efforts to enlighten the general population on the public health importance of the disease and the importance of hepatitis screening. There is also need for the development of a treatment protocol for the management of pregnant women positive for hepatitis B to prevent mother to child transmission. There is an urgent need for the implementation of evidenced-based best practice of providing universal vaccination against hepatitis B for all hepatitis B negative women of child bearing age in particular and all Nigerians in general.

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Factors associated with anemia among children 6-59 months in Ethiopia, using Ethiopia Demographic and Health Survey data, 2016

10.21203/rs.3.rs-30843/v1 ◽

2020 ◽

Author(s):

Ataklity Gebretsadik Woldegebreal ◽

Gebremedhin Gebregziabiher Gebrehiwot ◽

Abraham Aregay Desta ◽

Kiros Fenta Ajemu ◽

Asfawosen Aregay Berhe ◽

...

Keyword(s):

Public Health ◽

Health Survey ◽

Health Problem ◽

National Level ◽

Public Health Problem ◽

Demographic And Health Survey ◽

Multivariable Logistic Regression Analysis ◽

Cluster Sampling ◽

Cross Sectional ◽

Prevalence Of Anemia

Abstract BackgroundAnemia is the most common nutritional problem and a wide spread micronutrient deficiency disorder even at global scale. In Ethiopia, child hood anemia is the most prevalent and a serious public health problem. The aim of this study is to assess determinants of anemia among children 6–59 months in Ethiopia, Ethiopia Demographic and Health Survey, 2016.MethodThis study was based on the 2016 Ethiopian Demographic Health Survey (EDHS).A community-based cross-sectional with a two-stage stratified cluster sampling technique was implemented at national level. Total of 7689 children were included in the analysis. Descriptive, bivariate and multivariable logistic regression analysis was employed.ResultThe prevalence of anemia among 6–59 months old children was 56.6% and highest among 6–11 months age groups. Child age 6–23 months, maternal age 20–29 and 30–39 years, poorest wealth index, mothers not currently living with husband, Birth order of the child eighth and, birth interval, one times, stunted children and underweight were significantly associated with anemiaConclusionsThe prevalence of anemia in this study was the highest from all EDHS reports. Itwas skyrocketed from the preceding report (EDHS 2011) and remains the main public health problem in Ethiopia. Comprehensive intervention strategies should be in place tailored to different government hierarchies (national, regional and district level) including household and individual level interventions for combating child hood anemia by giving an emphasis on the identified variables.

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PUBLIC HEALTH PROBLEM IN THE HISTORY OF RUSSIAN SOCIOLOGY

The Journal of scientific articles Health and Education millennium ◽

10.26787/nydha-2226-7425-2017-19-3-155-159 ◽

2017 ◽

Vol 19 (3) ◽

pp. 155-159

Author(s):

I.E. Levchenko ◽

◽

A.Y. Kuznetsov ◽

E.G. Korniltseva ◽

◽

...

Keyword(s):

Public Health ◽

Health Problem ◽

Public Health Problem ◽

History Of

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Magnitude, Severity, and Associated Factors of Anemia among Under-Five Children Attending Hawassa University Teaching and Referral Hospital, Hawassa, Southern Ethiopia, 2016

Anemia ◽

10.1155/2020/7580104 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6

Author(s):

Yeshimebet Gebereselassie ◽

Mesganaw BirhanSelassie ◽

Tadesse Menjetta ◽

Jemal Alemu ◽

Aster Tsegaye

Keyword(s):

Public Health ◽

Health Problem ◽

Associated Factors ◽

Public Health Problem ◽

Referral Hospital ◽

University Teaching ◽

Southern Ethiopia ◽

Under Five ◽

Hawassa University ◽

Prevalence Of Anemia

Background. Anemia is a widespread public health problem associated with increased risk of morbidity and mortality. Infants, under-5-year-old children, and pregnant women have greater susceptibility to anemia. The magnitude and associated risk factors for anemia vary in different settings. The study aimed to assess the magnitude, severity, and associated factors of anemia at Hawassa University Teaching and Referral hospital, Hawassa, southern Ethiopia. Methods. In a hospital-based cross-sectional study, a total of 422 under-five children were included. Sociodemographic data and other predisposing factors were collected by structured questionnaire. Venous blood samples were collected and analyzed for hemoglobin determination using a Cell-Dyn 1800 automated analyzer. Stool samples were collected and processed using direct wet mount and formol-ether concentration method to detect intestinal parasites. Data were entered and analyzed using SPSS version 20 statistical packages. Binary and multiple logistic regressions were computed to assess factors associated with anemia. p value less than 0.05 was taken as statistically significant. Result. The overall prevalence of anemia was found to be 41.7%. The mean hemoglobin level was 10.59 g/dl. Anemia was of mild, moderate, and severe type in 6.6%, 19%, and 16.1% of the children, respectively. Children in the age group 6–23 months (AOR = 2.04 (95% CI: 1.13, 3.69)), and mothers having no formal education (AOR = 1.73 (95% CI: 0.99, 3.02)) were identified as associated factors for anemia. Conclusion. The prevalence of anemia among the study subjects was 41.7% indicative of the fact that anemia is an important public health problem. It was associated with the child’s age, residence, mother’s education level, and intestinal parasite (Ascaris lumbricoides). It clearly indicates that there should be well integrated public health interventions to improve the health status that needs to be prioritized to prevent anemia among children under five years of age.

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Serious non-fatal unintentional injuries among in-school adolescents in Sri Lanka: results from the 2016 Sri Lankan Global School-Based Health Survey

10.21203/rs.3.rs-27879/v3 ◽

2020 ◽

Author(s):

Sashimali Wickramasinghe ◽

Nalika Gunawardena ◽

Dhanusha Punyadasa ◽

Shanthi Gunawardena ◽

Champika Wickramasinghe ◽

...

Keyword(s):

Public Health ◽

Sri Lanka ◽

Health Survey ◽

Health Problem ◽

Public Health Problem ◽

Major Public Health Problem ◽

Age Group ◽

Unintentional Injuries ◽

School Based ◽

The World

Abstract Background Unintentional injuries among adolescents is a major public health problem the world over. A great majority of the annual deaths among adolescents is due to unintentional injuries; it is also the leading cause of death among adolescents in the world. The aim of this study was to estimate the incidence of injuries and their associated factors among school going adolescents aged 13-17 years using data from the most recent Global School-Based Health Survey (GSHS) conducted in Sri Lanka. Methods A cross-sectional survey was conducted using a self-administered questionnaire, among 3,262 adolescents attending government schools. The sample was selected through a two-staged cluster sampling technique. In the first stage, 40 schools were selected using probabilities proportional to school enrollment size, from all schools in the country that have classes in grades 8-12 . Then, from the selected schools, classes were selected using systematic equal probability sampling with a random start. The weighted prevalence was calculated, and logistic regression analysis was conducted in order to determine the correlates. Results During the 12 months before the survey, 35.8% (95% CI-30.7 - 41.1) of the students reported being seriously injured one or more times. The injuries were more common among males, but were equally common among the two different age groups (13-15 age group vs 16-17 age group). The most common type of injury was cut or stab wounds (5.5%), followed by broken bones/dislocated joints (5.3%). Multivariable analysis revealed that only a few factors were associated with injury, such as being of the male sex, being bullied, being physically attacked, and/or being in a physical fight. Conclusion This study demonstrated that the prevalence of serious unintentional injuries among school going adolescents is a major public health problem in Sri Lanka. This timely and comprehensive survey would help policy makers and researchers identify the unmet needs related to adolescent injuries. Furthermore, evidence generated form the study should be given due consideration when designing school-based interventions to prevent adolescent injuries.

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CORRELATION BETWEEN HISTORY OF MATERNAL ANEMIA AND PREVALENCE OF 0-5 YEARS OLD STUNTING CHILDREN IN CILEMBU VILLAGE, SUMEDANG REGENCY, 2019

International Journal of Research -GRANTHAALAYAH ◽

10.29121/granthaalayah.v9.i4.2021.3867 ◽

2021 ◽

Vol 9 (4) ◽

pp. 256-262

Author(s):

Batara Imanuel Sirait ◽

Wiradi Suryanegara

Keyword(s):

Pregnant Women ◽

Health Problem ◽

Pearson Correlation ◽

Demographic Data ◽

Public Health Problem ◽

Intellectual Ability ◽

West Java ◽

Cross Sectional ◽

Maternal Anemia ◽

History Of

Stunting is a health problem among children in Indonesia, reaching 30,8% and 29,9% on infants less than five years old and two years old. West Java prevalence of stunting is higher than 38,8% of the entire stunting population in Indonesia in 2018. ranks second in districts with the highest prevalence of stunting in West Java, which is 19,4%, according to in 2013. Stunting caused major problems are delayed mental development, lack of intellectual ability and long-term consequences of degenerative diseases. is a public health problem that burdens developed and developing countries, especially adolescents and pregnant women. Risked data reaches 48.9% of incidence on pregnant women. Maternal can increase the prevalence of stunting. The purpose of this study to determine the Correlation between the History of Maternal Anemia and Prevalence of 0-5 Years Old Stunting Children in Cilembu Village, Sumedang Regency, January 2019 Period. This study used a cross-sectional analysis method, a sample of 61 consisted of stunting children aged 0-5 years in Columbus Village. Statistics is tested by Pearson correlation and also analysis of demographic data. The prevalence of maternal 50,8%, and the highest category of stunting is very short (46%). The results of Pearson's analysis found (p= 0.717 > 0.05) that do not have an association between the History of Maternal Anemia and the incidence of stunting aged 0-5 years old. There is no correlation between the History of Maternal Anemia and the incidence of stunting aged 0-5 years old in Cilembu Village, Sumedang Regency, January 2019 Period.

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Is anemia a public health problem among children under five years ago in Peru? Findings from a national healthcare administrative database (2012 and 2016) using Geographic Information Systems

Revista chilena de nutrición ◽

10.4067/s0717-75182019000600718 ◽

2019 ◽

Vol 46 (6) ◽

pp. 718-726

Author(s):

Akram Hernández-Vásquez ◽

Margot Peñares-Peñaloza ◽

Alexis Rebatta-Acuña ◽

Carlos Carrasco-Farfan ◽

Camila Bordón-Luján ◽

...

Keyword(s):

Public Health ◽

Information Systems ◽

Geographic Information Systems ◽

Health Problem ◽

Public Health Problem ◽

Geographic Information ◽

Administrative Database ◽

Children Under Five ◽

Under Five ◽

National Healthcare

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The effect of productive SafetyNet program on wasting among under-five children in the rural community of South Gondar Zone, Northwest Ethiopia

Archives of Public Health ◽

10.1186/s13690-020-00481-4 ◽

2020 ◽

Vol 78 (1) ◽

Author(s):

Melaku Tadege Engidaw ◽

Alemayehu Digssie Gebremariam

Keyword(s):

Public Health ◽

Marital Status ◽

Family Size ◽

Rural Community ◽

Health Problem ◽

Dietary Diversity ◽

Public Health Problem ◽

Educational Status ◽

Under Five ◽

South Gondar

Abstract Background Undernutrition is a significant public health problem in a developing country like Ethiopia. Even if the cause of malnutrition is multifactorial, it is mainly related to socioeconomical, political, and health-related problems. All these problems will lead to more severe nutrient deficiencies among households without assets. The Productive SafetyNet program is implemented for beneficiaries in the rural community to prevent household assets depletion. So, this study aimed to assess the effect of a Productive SafetyNet program on wasting among under-five children in the rural community of South Gondar Zone. Methods A community-based cross-sectional study was done among 803 children paired with their mother/caregivers. Particepnts were selected by a simple random sampling technique. The data were collected by using a structured and pre-tested questionnaire. AnthroPlus software was used to analyse anthropometric data. The data entry employed by EpiInfo version 7.0 software for Windows. Then, the data exported to SPSS version 20.0 to carryout further statistical analysis. The anthropometric index (weight for height) was constructed to determine wasting. Both binary and multivariable logistic regression models were used to identify associated factors. Finally, P-Value ≤0.05 was used to declare statistical significance. Results In this study, the response rate was 95.76%. Of the total participants, 195(25.36%) children were from SafetyNet program beneficiaries. The overall prevalence of wasting was 29.9% (95% CI: 26.6, 33.2%). More than One-fourth of the children from SafetyNet beneficiary households were wasted. While considering all other variables constant, Productive SafetyNet Program reduce wasting by 46% (COR = 0.54. 95% CI (0.37, 0.79)). Wasting were significantly associated with marital status (divorced and/or separated: AOR = 3.33, 95% CI (1.71, 6.45)), being on the SafetyNet program (AOR: 0.63, 95% CI (0.40, 0.99)), family size (AOR = 0.13, 95% CI (0.09, 0.21)), father educational status (AOR: 0.25, 95% CI (0.09, 0.66)), age of the child (AOR = 0.51, 95% CI (0.33, 0.77)), and child dietary diversity score (AOR = 2.99, 95% CI (1.67, 5.35)). Conclusion Wasting was a severe public health problem. In this study, the Productive SafetyNet Program reduce wasting significantly. Marital status, SafetyNet program status, family size, father educational status, age of the child, and dietary diversity were factors associated with wasting among children. Early detection of household asset depletion and SafetyNet program implementation is vital with the usual nutritional assessment and counseling.

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