scholarly journals Prevalence of Active Trachoma and Associated Factors in Areka Town, South Ethiopia, 2018

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Melese Menta Alambo ◽  
Eyasu Alam Lake ◽  
Shimelash Bitew Workie ◽  
Addisu Yeshambel Wassie

Background. Globally, 1.2 billion people live in trachoma endemic areas, 40.6 million people are suffering from active trachoma, and 48.5% of the global burden of active trachoma is distributed in five countries including Ethiopia. However, there is no evidence or no conducted survey/research data or document regarding trachoma prevalence in Areka Town. We, therefore, did a study to assess the prevalence of active trachoma and associated factors in Areka Town in South Ethiopia. Methods. A community-based cross-sectional study was employed. A total of 586 children aged 1–9 years were involved. We compiled a structured questionnaire from the relevant literature and pretested before use. A range of data was collected on the sociodemographic, facility, and service-related, and environmental factors. The outcome variable was measured by using frequencies, cross-tabulation, and percent. Multivariate logistic regression was applied to control potential confounders and to identify the predictors. Results. This study revealed that 37.9% of children aged 1–9 years have active trachoma (95% CI: 34%–42%). Households without latrine (AOR = 6.88; 95% CI: 2.13–22.18), openly disposing domestically produced waste (AOR = 4.62; 95% CI: 2.41–8.83), cooking in the same room (AOR = 5.13; 95% CI: 2.21–11.88), and using the cooking room without a window (AOR = 2.28; 95% CI: 1.11–4.69) were more likely to have their children develop active trachoma. Similarly, children with caretakers having inadequate knowledge about trachoma (AOR = 8.10; 95% CI: 2.04–32.17) were more likely to develop active trachoma. However, households consuming more than 20 liters of water per day were 82% (AOR = 0.18; 95% CI: 0.07–0.44) less likely to have their children develop active trachoma while compared to those consuming less than the figure. Conclusions. The prevalence of active trachoma in the children aged 1–9 years in the study area was found to be high, and it is much higher than the WHO elimination threshold.

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Kessete Ayelgn ◽  
Tadesse Guadu ◽  
Atalay Getachew

Abstract Background Trachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited. Objective To determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia. Method A community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance. Results A total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95% CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3–6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma. Conclusion The current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Endale WoldeKidan ◽  
Deresse Daka ◽  
Deresse Legesse ◽  
Tariku Laelago ◽  
Bealu Betebo

Abstract Background Trachoma, caused by Chlamydia trachomatis is the leading infectious cause of blindness. It is transmitted via personal contact with infected ocular and nasal secretions by hands, fomites and eye- seeking flies. Active trachoma is more common among children aged 1 to 9 years. The objective of this study was determining the prevalence of active trachoma and associated factors among children aged 1 to 9 years in rural community of Lemo district. Methods Community-based cross-sectional study was conducted from March to April, 2018 in rural community of Lemo district. Multistage sampling technique was used to select 589 study participants. Data were collected by using structured pre-tested questionnaire, physical examination and observation. Binocular loupe was used to identify active trachoma cases. The data were entered by using EPi-data version 3.1 and analyzed by SPSS. Binary logistic regression was used to assess factors associated with active trachoma. Variables with p-value < 0.05 in the multivariable analysis were used to declare significance of association. Result Eighty seven (15.2%) children were positive for active trachoma. Absence of solid waste disposal pit (AOR = 2.20, 95% CI (1.12-4.37), do not use latrine as reported by respondent (AOR = 7.53, 95% CI (2.86-19.84), do not use soap for face washing as reported by respondent (AOR =2.3, 95% CI (1.32–4.12), washing face frequency as reported by respondent (AOR = 1.86, 95% CI (1.06–3.26), and family size greater than five (AOR = 1.96, 95% CI (1.06–3.67) were significantly associated with active trachoma. Conclusion Active trachoma among children aged 1 to 9 years is high. Do not use latrine, do not use soap for face washing, and face washing frequency in a day as reported by respondents and family size were associated with active trachoma. Access to adequate water and sanitation can be important components in working towards eliminating trachoma as a public health problem. Therefore, prompt measures must be taken by concerned bodies to increase access to adequate water and sanitation facilities.


2021 ◽  
Author(s):  
Kessete Ayelgn ◽  
Tadesse Guadu ◽  
Atalay Getachew

Abstract BackgroundTrachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited.ObjectiveTo determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia.MethodA community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance.ResultsA total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95 % CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3-6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma.ConclusionThe current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.


2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Abinet Arega Sadore ◽  
Lakew Abebe Gebretsadik ◽  
Mamusha Aman Hussen

Background.In Ethiopia, higher proportions of pregnant women are anemic. Despite the efforts to reduce iron deficiency anemia during pregnancy, only few women took an iron supplement as recommended. Thus, this study aimed to assess compliance with iron-folate supplement and associated factors among antenatal care attendant mothers in Misha district, South Ethiopia.Method. Community based cross-sectional study supported with in-depth interview was conducted from March 1 to March 30, 2015. The sample size was determined using single population proportion to 303. Simple random sampling technique was used to select the study participants. Bivariate and multivariable logistic regression analyses were employed to identify factors associated with compliance to iron-folate supplement.Results. The compliance rate was found to be 39.2%. Mothers knowledge of anemia (AOR = 4.451, 95% CI = (2.027,9.777)), knowledge of iron-folate supplement (AOR = 3.509, 95% CI = (1.442,8.537)), and counseling on iron-folate supplement (AOR = 4.093, 95% CI = (2.002,8.368)) were significantly associated with compliance to iron-folate supplement.Conclusions.Compliance rate of iron-folate supplementation during pregnancy remains very low. This study showed that providing women with clear instructions about iron-folate tablet intake and educating them on the health benefits of the iron-folate tablets can increase compliance with iron-folate supplementation.


2019 ◽  
Author(s):  
Sisay Shewasinad Yehualashet ◽  
Yalew Dessie Nigussie ◽  
Tirsit Dereje Yilema ◽  
Semu Tegene Mengiste ◽  
Yoseph Terefe Alemu

Abstract Background: Immunization against disease is one of the most important public health interventions with cost effective means of preventing childhood morbidity, mortality, and disability. However, children in Africa was not fully immunized with in the recommended vaccines thus, many children are still susceptible to the expanded program on immunization target disease. The objective of this study was to assess the magnitude of vaccine dropout rate and associated factors among children age 12-23 month in Shewa Robit town in 2019.Methods: Community based cross sectional study was conducted from April 5 to April 10, 2019 with a total of 432 mothers/caregivers who have children 12-23 month of age were include in the study. Template was prepared and the data was entered, categorized, coded, and summarized using Epi data version 3.1 and analysis by using SSPSS version 21 for further analysis. Bivariate and multivariate logistic regression analysis was done to see the association of each categories of variable with the outcome variable. Significance was checked at 95% CI with p-value <0.05.Result: From the total 432 children 392(90.7%) were fully vaccinated and the BCG- Measle dropout rate were 9.3%. Occupation of mothers/caregiver’s being student (AOR: 0.075(0.006,0.971)), distance of time to reach health facility <15 minute (OR:15.617(2.06, 118.4) and ANC follow-up of mothers/caregivers(AOR:4.87(1.39,16.98)) were significantly associated to vaccine dropout rate.Conclusion: The overall immunization dropout rate in Shewa Robit town was 9.3% in 2019. Time to reach health facility, ANC follow-up of mothers and occupation of mother were statistically significant predictors of vaccine dropout rate of children.


Author(s):  
Shambel Alemu ◽  
Berihun Megabiaw ◽  
Abate Lette ◽  
Tilahun Ermeko

Background: According to Ethiopian demographic and health survey 2011, contraceptive acceptance was 29%. But no evidence that shows how much it is in absolutely poorest people and what factors affect their utilization. Objectives: This study aimed to assess prevalence of contraceptive acceptance, and associated factors among street beggar women in Hawassa town, southern Ethiopia. Methods: A community based cross- sectional study was carried out among street beggar women from February to March 2013. An interview based pre-tested and structured questionnaire was used to collect data. Data collection sites were demarcated into churches, mosques, market areas and women begging on roads. EPI info 3.5.3, and SPSS version 20 were used to enter and analyze the data respectively and descriptive statistic and odds ratio were used to present the data. Binary and multivariate logistic regulations were performed. Results: Three hundred forty five women participated in the study yielding response rate of 91%. The contraceptive acceptance rate prevalence was 37.4% (95% CI: 20.5, 27.3). Nearly 60% were used injectable contraceptive. Religion (AOR = 11.6, 95%CI: 2.12, 63.62), husband approved utilization (AOR = 7.68, 95%CI: 1.37, 43.15), women who have children after joining street begging (AOR = 10.18, 95%CI: 3.84, 17.26) were significantly associated with contraceptive utilization; but those who sleep at the night on the street use contraceptive less likely (AOR = 0.21, 95%CI: 0.05, 0.92). Conclusion: This study found high prevalence of the contraceptive acceptance among beggar women in south Ethiopia. Furthermore, the study revealed that the contraceptive acceptance among beggar women is strongly associated with husband approved utilization, women who have children after joining street begging, and women who sleep the night on the street. Therefore, concerned bodies should intervene on these factors.


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