scholarly journals Delay for Tuberculosis Treatment and Its Predictors among Adult Tuberculosis Patients at Debremarkos Town Public Health Facilities, North West Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Yibeltal Estemech Ayalew ◽  
Fikadu Ambaw Yehualashet ◽  
Worknesh Akanaw Bogale ◽  
Mengistu Berhanu Gobeza
Keyword(s):  
Public Health ◽  
Rural Area ◽  
Traditional Healers ◽  
Health Facilities ◽  
Tuberculosis Treatment ◽  
Monthly Income ◽  
Tuberculosis Patients ◽  
North West ◽  
Tb Treatment ◽  
North West Ethiopia

Background. Delay in the diagnosis and treatment of tuberculosis exacerbates the disease and clinical outcomes. It further enhances transmission of the infection in the society as well as increased the severity of the illness and raised rate of mortality. Objectives. The major goal of this study is to determine the magnitude of delays in tuberculosis treatment and factors affecting tuberculosis treatment among adult tuberculosis patients at Debremarkos town, North West Ethiopia, 2018. Methods. Institution-based cross-sectional study design was employed. Systematically selected 300 adult TB patients were recruited to the study. The study was conducted at Debremarkos town public health facilities from March 1 to April 30, 2018. Logistic regression models were fitted to identify the predicting variables and control confounder’s of the outcome variables. P value ≤ 0.05 with 95% CI was considered as an indicator for the presence of statistically significant association. The result revealed that the median total delay was 23 days (IQR: 19-28 days). The median patient and health system delays were 20 days (IQR: 15-20 days) and 4 days (IQR: 3-5 days), respectively. Tuberculosis patients living in a rural area were 1.14 times more likely to delay for the TB treatment (AOR: 1.141, 95% CI (1.106, 2.608)). Patients who were unable to read and write have almost two times a chance of being delayed (AOR: 2.350, 95% CI (1.630, 2.608)). Monthly income of patients has found another predictor for delay; patients with low monthly income were about six times more likely to delay for TB treatment (AOR: 6.375, 95% CI: (1.733, 23.440)). Those TB patients who had visiting traditional healers before arrival to health facilities were about 2.7 times more likely to delay for TB treatment(AOR: 2.795, 95% CI (1.898, 8.693)). Conclusion and Recommendation. The significant proportion of delays in tuberculosis treatment was found in this study. Living in the rural area, unable to read and write, lower monthly income, and visiting traditional healers were found independent predictors of TB treatment delay. The regional and zonal health administrator shall design various awareness creation mechanisms to educate the public about timely initiation of tuberculosis treatment.

scholarly journals Level and timing of Implanon discontinuation and associated factors among women who used Implanon in Andabet District, public health facilities, North-West Ethiopia, 2017

2019 ◽  
Author(s):  
Gizachew Worku Dagnew ◽  
Yared Mulu Gelaw ◽  
Melash Belachew Asresie ◽  
Zelalem Alamrew Anteneh
Keyword(s):  
Public Health ◽  
Side Effects ◽  
Health Facilities ◽  
Outcome Variable ◽  
P Value ◽  
Cross Sectional ◽  
North West ◽  
Public Health Facilities ◽  
North West Ethiopia

Abstract Abstract Background: Implanon discontinuation is unacceptably high in developing countries, including Ethiopia; furthermore there is an observed problem of high unintended pregnancy rate after method discontinuation this might stride to program failure. Therefore, the purpose of this study was to assess the level and determinants of Implanon discontinuation among women who used Implanon in Adabet district, public health facilities, North-West Ethiopia, 2017. Methods: Facility-based cross-sectional study was conducted among 537 women, from Feb.03 to April 28, 2017, by face to face interview. Systematic random sampling technique was used to select the study subjects. The collected data were entered into Epi Info- version 7 then exported to SPSS version 20 for analysis. Both descriptive and analytical statistical analysis was computed. On multi-variable binary logistics regression, p-value and odds ratio (AOR) with 95%Ci was used to showing statistical association with the outcome variable. Results: In this study, 36.9% of Implanon users were discontinued the method before the intended time period. Among those women who discontinue the method 85.9% of them were discontinued before two years of Implanon insertion. Women who had no live child at the time of Implanon insertion[AOR=2.17,95%CI:1.25-3.77], didn’t received pre-insertion counseling on potential side effects [AOR=1.85,95%CI: 1.15-2.97], developed side effect secondary to Implanon insertion [AOR=5.17,95%CI:3.18-8.40], received appointment follow-up [AOR=0.23,95%CI:0.13-0.41], and not satisfied by the service provided [AOR=5.40,95%CI:3.04-9.57] were statistically associated with Implanon discontinuation. Conclusions: level of Implanon discontinuation before its intended period was high. Hence, to increase Implanon continuation rate; provide pre-insertion counseling including its possible side effects, improve client’s service satisfaction and strength appointment follow-up for Implanon users should be made.

scholarly journals Visible Goiter among Pregnant Women Attending Antenatal Clinic in Public Health Facilities of Debre Markos Town, East Gojjam, North West Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Yihun Endalamaw ◽  
Haji Kedir ◽  
Tadesse Alemayehu
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Public Health Problem ◽  
Antenatal Clinic ◽  
Health Facilities ◽  
Iodized Salt ◽  
North West ◽  
Public Health Facilities ◽  
North West Ethiopia ◽  
Debre Markos

Background. Goiter is an abnormal enlargement of the thyroid gland due to inadequate intake of iodine and goitrogenic food. It is the most important public health problem in developing countries like Ethiopia and specifically in East Gojjam. Though there are studies on goiter in Ethiopia, the magnitude is not well known and documented in Debre Markos town on pregnant women. Therefore, this study was carried out to assess the magnitude of visible goiter and associated factors among pregnant women visiting antenatal clinic in three public health facilities of Debre Markos town, North West Ethiopia. Methods. Facility-based cross-sectional study was conducted on 401 pregnant women visiting antenatal clinics at three public health facilities using the systematic sampling technique. Data were collected using pretested structured questionnaire by an interview method. All pregnant women were examined for the presence of goiter using World Health Organization (WHO) criteria. Both bivariate and multivariable binary logistic regression analyses were used to see the association between dependent and each independent variable. Result. The prevalence of visible goiter was found to be 10.5% (95% CI: 7.5–13.5). Visible goiter was more common in the age category between 15 and 19 years. Low household income (AOR = 4.5, 95% CI: 1.1–18.7), cabbage intake (AOR = 5.2, 95% CI: 1.2–22.3), and poor knowledge about the benefits of iodized salt (AOR = 2.4, 95% CI: 1.1, 5.2) were factors associated with visible goiter. Conclusion and Recommendation. Visible goiter is a major public health problem in this study area. Low socioeconomic status, low knowledge of pregnant women about the merits of iodized salt, and frequent intake of goitrogenic foods such as cabbage increase the risk of developing visible goiter. Therefore, due emphasis on goiter prevention and control strategies, increasing knowledge of women on the benefit of iodized salt, including low-income households in safety net programs, and nutritional education on iodine-rich diets (such as tuna, dairy products, and egg) should be emphasized to alleviate the problem.

scholarly journals Level and Timing of Implanon Discontinuation and Associated Factors among Women Who Used Implanon in Andabet District, Public Health Facilities, North-West Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Gizachew Worku Dagnew ◽  
Yared Mulu Gelaw ◽  
Melash Belachew Asresie ◽  
Zelalem Alamrew Anteneh
Keyword(s):  
Public Health ◽  
Statistical Significance ◽  
Data Entry ◽  
Sampling Technique ◽  
Health Facilities ◽  
Cross Sectional ◽  
North West ◽  
Public Health Facilities ◽  
North West Ethiopia

Background. Implanon discontinuation is unacceptably high in developing countries, including Ethiopia. Furthermore, there is an observed problem of high unintended pregnancy after method discontinuation that strides to program failure. Therefore, the purpose of this study was to assess the level and determinants of Implanon discontinuation among women who used Implanon in Andabet district, public health facilities, North-West Ethiopia, 2017. Methods. Facility-based cross-sectional study design was employed among 537 women from Feb. 03 to April 28, 2017. Study participants were selected using a systematic random sampling technique. A face-to-face interview was employed to collect data. Epi-Info version 7 was used for data entry and SPSS version 20 for analysis. Both descriptive and analytical statistical analysis was computed. On multivariable binary logistic regression, a p value of less than 0.05 was used to declare statistical significance. Results. About 37% of Implanon users have discontinued the method before the intended time. About 86% of them discontinued Implanon before two years of insertion. Women who had no live child ( AOR = 2.17 , 95% CI: 1.25-3.77), women who did not receive preinsertion counseling ( AOR = 1.85 , 95% CI: 1.15-2.97), women who developed Implanon-related side effect ( AOR = 5.17 , 95% CI: 3.18-8.40), and women who did not satisfy by the service provided ( AOR = 5.40 , 95% CI: 3.04-9.57) had higher odds of Implanon discontinuation. On the other hand, women who received appointment follow-up ( AOR = 0.23 , 95% CI: 0.13-0.41) had lower odds of Implanon discontinuation. Conclusions. The level of Implanon discontinuation before its intended time was high in the district. Hence, strengthening preinsertion counseling and appointment follow-up as well as improving the clients’ level of service satisfaction could increase Implanon’s continuation.

scholarly journals Level and timing of Implanon discontinuation and associated factors among women who used Implanon in Andabet District, public health facilities, North-West Ethiopia

2020 ◽  
Author(s):  
Gizachew Worku Dagnew ◽  
Melash Belachew Asresie
Keyword(s):  
Public Health ◽  
Statistical Significance ◽  
Sampling Technique ◽  
Health Facilities ◽  
P Value ◽  
Cross Sectional ◽  
North West ◽  
Public Health Facilities ◽  
North West Ethiopia

Abstract Background: Implanon discontinuation is unacceptably high in developing countries, including Ethiopia. Furthermore, there is an observed problem of high unintended pregnancy after method discontinuation that stride to program failure. Therefore, the purpose of this study was to assess the level and determinants of Implanon discontinuation among women who used Implanon in Andabet district, public health facilities, North-West Ethiopia, 2017.Methods: Facility-based cross-sectional study design was employed among 537 women from Feb.03 to April 28, 2017. Study participants were selected using a systematic random sampling technique. A face-to-face interview was employed to collect data. Epi Info- version-7 was used for data entry and SPSS version 20 for analysis. Both descriptive and analytical statistical analysis was computed. On multi-variable binary logistics regression, a p-value of less than 0.05 was used to declare statistical significance.Results: About 37% of Implanon users have discontinued the method before the intended time. Of about 86% of them were discontinued Implanon before two years of insertion. Women who had no live child [AOR=2.17,95%CI:1.25-3.77], women who didn’t receive pre-insertion counseling [AOR=1.85,95%CI:1.15-2.97], women who developed Implanon related side effect [AOR=5.17,95%CI:3.18-8.40], and women who did not satisfy by the service provided [AOR=5.40,95%CI:3.04-9.57] had higher odds of Implanon discontinuation. On the other hand, women who received appointment follow-up [AOR=0.23,95%CI:0.13-0.41] had lower odds of Implanon discontinuation.Conclusions: The level of Implanon discontinuation before its intended time was high in the district. Hence, strengthening pre-insertion counseling and appointment follow-up as well as improving the client’s level of service satisfaction may increase Implanon continuation.

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