scholarly journals Assessment of Prevalence of Malnutrition and Its Associated Factors among AIDS Patients from Asella, Oromia, Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Teferi Teklu ◽  
Nitin Mahendra Chauhan ◽  
Firaol Lemessa ◽  
Getu Teshome
Keyword(s):  
Associated Factors ◽  
Opportunistic Infections ◽  
Nutritional Assessment ◽  
Clinical Stage ◽  
Cross Sectional Study ◽  
Hiv Treatment ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Sub Saharan ◽  
The Impact

Sub-Saharan Africa remains to be the most heavily affected region by malnutrition, accounting for 23.8% share of the global burden. Undernutrition weakens the immune system, increases the susceptibility to infections, and may worsen the impact on various kinds of diseases. Our aim was to assess undernutrition and its associated factors among AIDS-infected adult patients from Asella, Oromia Region, Ethiopia. An institutional-based cross-sectional study design was employed from June to July 2018. A total number of 519 patients were selected for the proposed work. Data was entered into EpiData, checked, coded, and analyzed using SPSS version 21 software. Descriptive statistics were used to assess the prevalence of undernutrition among patients. Bivariate and multivariate regressions were used to determine the relationship between undernutrition and its associated factors among the study participants. The results of our study showed that the overall prevalence of undernutrition was 18.3%; out of which 12.7% were mildly and 5.6% were moderately to severely undernourished, respectively. Monthly income (AOR: 3.589, 95% CI (1.469-8.768)), whole grain feeding (AOR: 2.979, 95% CI (1.252-7.088)), opportunistic infections in the last six months (AOR: 3.683, 95% CI (3.075-4.411)), clinical stage (AOR: 2.998, 95% CI (1.269-7.083)), and insufficient quality of food (AOR: 3.149, 95% CI (1.339-7.406)) were found to be significantly associated with undernutrition in this study. Therefore, HIV treatment facility should be supported with nutritional assessment, supplementation, counseling, care, and support to patients that may possibly alleviate this predicament.

Factors Affecting Adherence to Pediatrics Antiretroviral Therapy in Mekelle Hospital, Tigray Ethiopia

2015 ◽  
Vol 4 (1) ◽  
pp. 1 ◽  
Author(s):  
Teklemariam Gultie ◽  
Tesfay G/Amlak ◽  
Girum Sebsibie
Keyword(s):  
Antiretroviral Therapy ◽  
Cross Sectional Study ◽  
Hiv Treatment ◽  
Sub Saharan Africa ◽  
Hospital Data ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Care Givers ◽  
Male Care ◽  
Sub Saharan

The most important factor in the success of HIV treatment is adherence to antiretroviral therapy (ART).The challenge to adherence to ART is particularly serious in Sub-Saharan Africa as the high rates of HIV/AIDS lead to greater numbers of affected individuals. Although long-term good ART adherence has been observed in certain settings of public sectors the magnitude of this challenge in Sub-Saharan Africa remains large and there is evidence for high rates of patient’s poor adherence. Study aimed to assess the factors affecting adherence to pediatrics antiretroviral therapy (ART) among children in Mekelle hospital, Tigray, Ethiopia. A Hospital based cross-sectional study was conducted on 226 children on antiretroviral therapy from May 01 to 30/2014 at Mekelle hospital. Data was collected from care givers of children under 15 years old who are on ART. Of the 226 children under 15 years, 90.3 % reported complete adherence to antiretroviral therapy medications at the regular schedule over the past 7 days. Factors associated with adherence were having male care giver (AOR=2.10[1.01, 7.22]), age of the child (AOR=1.43[1.16, 3.98]) below 5 years and use of first line ART drugs (AOR=2.86[1.54, 3.67]). Over all the adherence of children on ART to their medication in this study is relatively higher as compared to others. However, complete adherence is expected in order to make the drugs effective. Different strategies have to be designed to improve the adherence level.

scholarly journals Prevalence and Associated Factors of Hypertension among Assosa town, WesternEthiopia, 2018

2020 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Health Center ◽  
General Hospital ◽  
Associated Factors ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Chi Square ◽  
Cross Sectional ◽  
History Of ◽  
Sub Saharan

Background: Hypertension, the global first and third risk for mortality and disease burden respectively, is recording an increment in Sub-Saharan Africa countries. This study aimed to identify prevalence and its associated risk factor of Hypertension in the Assosa town. Objective: To identify prevalence and factors associated with hypertension in the study area to increase it’s prevention and control methods. Methods & materials: Institutional based cross sectional study design with quota non-probability sampling technique was conducted among patients visited OPD units ofAssosa General Hospital (AGH) andAssosa Health Center(AHC) fromMarch to June 2018. All outpatients were included. To collect data, pre-tested structured questionnaire and face to face interviews were used. Components ofstatisticalresearch software SPSS version-21 like frequency table, chi-square test of independence & logistic regression was used to enter, analyze, summarize and characterize disease and associated factors data. Result: The study was conducted among 194 participants(152 from AGH and 42 from AHC) with 102 males and 92 females. Prevalence of hypertension among patients visited outpatient units of Assosa General Hospital and Assosa Health Center was 17.5%, and was slightly highest in male than female. Associated factors for hypertension among patients visited OPD units of AGH & AHC were history of hypertension in the family (CI=95% and COR=4.497(1.133-17.844) and being private employee (CI=95% and COR=0.0017(0.001-0.407). Conclusion & recommendation: Prevalence of HTN in the Assosa town, was low and influenced by some risk factors like work status and previousfamily history of hypertension. Even if usual usage ofsalt and using vegetable oil was not associated factor, being private employee were independent factor of HTN. In-depth study is recommended for further investigation. To increase preventative methods of HTN, health education supported by mass media, illustrative posters and anotherstrategies at every government & non government work sector are recommended.

Preterm birth and associated factors among mothers who gave birth in Dire Dawa, Ethiopia

2021 ◽  
Vol 29 (6) ◽  
pp. 338-345
Author(s):  
Alekaw Sema ◽  
Nigus Kassie ◽  
Bezabih Amsalu ◽  
Yalelet Belay ◽  
Alemu Guta ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Associated Factors ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Eastern Ethiopia ◽  
Dire Dawa ◽  
Sub Saharan

Background The highest rate of preterm birth in the world is in Sub-Saharan Africa and Asia. However, there is limited data in this study area. Therefore, this study aims to assess the prevalence and associated factors of preterm birth in Dire Dawa City, Eastern Ethiopia. Method An institutional-based, cross-sectional study was conducted with 420 respondents. Conclusion Preterm birth is still a major public health problem in Dire Dawa City.

scholarly journals Knowledge about Neonatal Danger Signs and Associated Factors among Mothers Attending Immunization Clinic at Arba Minch General Hospital, Southern Ethiopia: A Cross-Sectional Study

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Nega Degefa ◽  
Ketema Diriba ◽  
Tekeste Girma ◽  
Amelework Kebede ◽  
Ayano Senbeto ◽  
...  
Keyword(s):  
General Hospital ◽  
Neonatal Mortality ◽  
Associated Factors ◽  
Multivariable Analysis ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Sectional Study ◽  
Cross Sectional ◽  
Danger Signs ◽  
Sub Saharan

Background. The first 28 days of life (the neonatal period) constitute the most vulnerable time for a child’s survival. Overall 2.7 million neonatal deaths were stated by the 2015 global report of neonatal mortality and they account for 45% of under-five deaths. Sub-Saharan Africa remains the region with the highest risk of death in the first month of life and is among the regions showing the least progress in reducing neonatal mortality in the world. Ethiopia, as part of sub-Saharan Africa, also shares the greatest risk of neonatal death. A recent report in Ethiopia showed that neonatal mortality was 29 deaths per 1,000 live births. Therefore, the signs that suggest the onset of severe illness which leads to death and their contributing factors should be identified. The aim of the study was to assess knowledge about neonatal danger signs and associated factors among mothers attending immunization clinic at Arba Minch General Hospital. Method. Institution-based cross-sectional study design was employed from Feb to April 2018. Systematic sampling technique was used to select a total of 345 mother-child pairs. A pretested, structured, and interviewer-administered questionnaire was used to collect data. Data were entered using Epidata version 3.1 and analyzed using SPSS version 20. Bivariate and multivariable analysis were carried out using binary logistic regression to check and test the association between dependent and explanatory variables. Model fitness was checked by Hosmer-Lemeshow goodness of fit test. Result. Nearly two-fifths (40.9%) of all mothers had good knowledge about neonatal danger signs (95% CI; 35.7, 46.4). Close to thirty-three percent of mothers identified child’s body hotness (fever) as a neonatal danger sign. Maternal educational status (AOR: 5.64; 95% CI: 1.68, 18.95) and attendance of postnatal care (AOR: 2.64; 95% CI: 1.36, 5.15) were significantly associated with maternal knowledge about neonatal danger signs in multivariable analysis. Conclusion. Even though considerable improvement has been achieved over the past decades as a result of expanded coverage of maternal and childcare services, still there are a significant number of mothers who have limited knowledge about neonatal danger signs. Therefore, interventional strategies that stress strengthening maternal education and ANC follow-up should be extended.

scholarly journals Insulin resistance and associated factors among HIV-infected patients in sub-Saharan Africa: a cross sectional study from Cameroon

2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Steve Raoul Ngongang Noumegni ◽  
Jobert Richie Nansseu ◽  
Vicky Jocelyne Moor Ama ◽  
Jean Joel Bigna ◽  
Felix Kembe Assah ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sub Saharan

scholarly journals Factors Affecting Adherence to Pediatrics Antiretroviral Therapy in Mekelle Hospital, Tigray Ethiopia

2015 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Teklemariam Gultie ◽  
Tesfay G/Amlak ◽  
Girum Sebsibie
Keyword(s):  
Antiretroviral Therapy ◽  
Cross Sectional Study ◽  
Hiv Treatment ◽  
Sub Saharan Africa ◽  
Hospital Data ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Care Givers ◽  
Male Care ◽  
Sub Saharan

The most important factor in the success of HIV treatment is adherence to antiretroviral therapy (ART).The challenge to adherence to ART is particularly serious in Sub-Saharan Africa as the high rates of HIV/AIDS lead to greater numbers of affected individuals. Although long-term good ART adherence has been observed in certain settings of public sectors the magnitude of this challenge in Sub-Saharan Africa remains large and there is evidence for high rates of patient’s poor adherence. Study aimed to assess the factors affecting adherence to pediatrics antiretroviral therapy (ART) among children in Mekelle hospital, Tigray, Ethiopia. A Hospital based cross-sectional study was conducted on 226 children on antiretroviral therapy from May 01 to 30/2014 at Mekelle hospital. Data was collected from care givers of children under 15 years old who are on ART. Of the 226 children under 15 years, 90.3 % reported complete adherence to antiretroviral therapy medications at the regular schedule over the past 7 days. Factors associated with adherence were having male care giver (AOR=2.10[1.01, 7.22]), age of the child (AOR=1.43[1.16, 3.98]) below 5 years and use of first line ART drugs (AOR=2.86[1.54, 3.67]). Over all the adherence of children on ART to their medication in this study is relatively higher as compared to others. However, complete adherence is expected in order to make the drugs effective. Different strategies have to be designed to improve the adherence level.

scholarly journals External Cephalic Version Success Rate and Associated Factors: Experience from a Tertiary Center in Sub-Saharan Africa: A Cross-sectional Study

2021 ◽  
Author(s):  
Abraham Fessehaye ◽  
Wondimu Gudu ◽  
Tadesse Urgie ◽  
Gebeyehu Masresha
Keyword(s):  
Success Rate ◽  
Abdominal Wall ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
External Cephalic Version ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tertiary Center ◽  
Sub Saharan

Abstract Background: External cephalic version (ECV), which is now routinely offered in developed countries, is not a popular procedure in the developing regions, such as Sub-Saharan Africa (9). There is also scarce data on success rate of ECV from this developing region of Africa. The aim of this study was to determine the success rate of ECV and it’s associated factors in an Ethiopian setting.Methods: A total of 152 ECVs performed at the St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia from June 1, 2018 up to March 30, 2019 were analyzed, using a cross-sectional study design. Patients with breech presentation were recruited at 36 weeks of gestation or more during antenatal consultations and ECV procedures were provided by Maternal-Fetal-Medicine (MFM) specialist or MFM fellow at Ultrasound room. Data was analyzed using SPSS version 21. Chi-square test of association was done for categorical data analysis. Multivariate logistic regression analysis was used to determine predictors of success of ECV. Odds ratio, 95% CI, and P-value were used to describe findings’ significanceResults: The success rate of ECV was 71.7%. Multiparous women had a 1.4-times higher probability of success than nulliparous women (95% CI, 0.07-2.35); thin abdominal wall had 3.5 fold increased success rate ( 95% CI, 0.29-42.40) ; unengaged breech had a 1.1 higher probably of success than engaged(95% CI, 0.26-4.74); a posterior placental location increased the success rate by 1.14 times compared with an anterior placenta (95% CI, 1.03–2.60); the odds of successful ECV was 14.68((95% CI, 1.65–34.97) when cases experienced no pain during the procedure ; and tense uterine tone was associated a lower success rate as compared to soft tone (AOR= 0.08 ,95% CI, 0.016—0.39). Eighty-four percent of those mothers who had successful ECV had spontaneous vertex vaginal delivery.Conclusion: The success rate of ECV in this study is found to be 71.7%, which is higher than reports from previous studies. Multiparty, absence of pain during procedure, posterior placenta, unengaged breech, soft uterine tone, and thin abdominal wall were significantly associated with ECV success.Précis: The success rate of ECV in this study is found to be 71.7%, which is higher than reports from previous studies.

Under-nutrition and associated factors among human immunodeficiency virus-infected children in sub-Saharan Africa: A systematic review and meta-analysis.

2020 ◽  
Author(s):  
Jemberu Nigussie ◽  
Bekahegn Girma: ◽  
Alemayehu Molla ◽  
Moges Mareg
Keyword(s):  
Systematic Review ◽  
Associated Factors ◽  
Nutritional Assessment ◽  
Meta Analysis ◽  
Sub Saharan Africa ◽  
Care Plan ◽  
Under Nutrition ◽  
Pooled Prevalence ◽  
Sub Saharan ◽  
The Impact

Abstract Background: In developing world including sub-Saharan Africa, HIV/AIDS has worsened the impact of under-nutrition in children. HIV infected children are highly vulnerable to malnutrition. Even though under-nutrition screening and intervention are incorporated into the care plan of HIV infected children, it is continued as a major problem for HIV infected children in Africa. Hence, the main aim of this systematic review and meta-analysis was to estimate the pooled prevalence of under-nutrition and associated factors among children infected with HIV.Methods: Primary studies were retrieved from PubMed/ MEDLINE online, Science direct, and Hinari databases. We found a total of 1847 records from these databases. After removing papers my using different exclusion criteria, 26 studies that report the prevalence of under-nutrition were included. We used a standardized data extraction format prepared in Microsoft Excel. STATA- version 14 statistical software was used for analysis. Heterogeneity was evaluated through I2 test. A random-effects meta-analysis model was used to estimate the pooled prevalence of under-nutrition and its associated factors. The summary estimates were also presented using Forest plots and tables.Results: The pooled prevalence of stunting, underweight, and wasting in HIV infected children were 51.4% (95% CI: 46.3, 56.4), 39.0% (95% CI: 33.7, 44.3), and 24.5% (95% CI: 19.2, 29.8) respectively. Household insecurity was associated with stunting [OR= 5.50 (95% CI 3.36, 8.98]. Low family economic status [OR= 5.25 (95% CI: 2.52, 10.92)])], feeding frequency [OR= 0.32 (95% CI 0.172, 0.605)] and caretakers attending dietary counseling [OR= 0.367 (95% CI: 0.182, 0.739)] were significantly associated with under-weight among HIV infected children. Conclusions: The pooled prevalence of under-nutrition among HIV infected children was high. Routine nutritional assessment and nutritional support shall be strengthened, monitored, and evaluated in HIV infected children. Implementation of policies and strategy sated by a national and international stakeholder in ART care centers should get maximum emphasis to reduce undernutrition in HIV infected children.

scholarly journals Insulin resistance and associated factors among HIV-infected patients in sub-Saharan Africa: a cross sectional study from Cameroon

2018 ◽  
Vol 1 ◽  
Author(s):  
Steve Raoul Ngongang Noumegni ◽  
Jobert Richie Nansseu ◽  
Vicky Jocelyne Ama Moor ◽  
Jean Joel Bigna ◽  
Felix Kembe Assah ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sub Saharan
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