scholarly journals Prevalence of Erectile Dysfunction and Associated Factors among Hypertensive Patients Attending Governmental Health Institutions in Gondar City, Northwest Ethiopia: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Deribew Abebaw Abuhay ◽  
Yibeltal Yismaw Gela ◽  
Ayechew Adera Getu

Introduction. Erectile dysfunction is a common sexual problem affecting men with hypertension. It may result in withdrawal from sexual engagement, decreased work productivity, psychosocial problems including poor self-esteem and depression, and reduction in quality of life for both the affected men and their female partners. Objective. This study was aimed to determine the prevalence of erectile dysfunction and associated factors among hypertensive patients attending governmental health institutions in Gondar city, Northwest Ethiopia. Materials and Methods. An institutional-based cross-sectional study was conducted on 423 hypertensive men randomly selected using a systematic random sampling technique. Erectile dysfunction was assessed using the International Index of Erectile Function-5 tool. Sociodemographic, clinical, and behavioral factors were also collected using pretested interviewer-administered questionnaires. Data were entered into EpiData version 4.6 and analyzed using Stata-14. Binary logistic regression was performed to identify factors associated with erectile dysfunction. The level of significance was computed at a p value ≤ 0.05. Results. The mean age of the study participants was 58.84 ± 13.52 years. The prevalence of erectile dysfunction among hypertensive men was 46.34% (95% CI: 41.61, 51.12). About 28% of them had a mild form of erectile dysfunction while nearly 6% had severe forms. Age above 60 years (AOR = 3.8, 95% CI: 1.62, 6.55), stage II hypertension (AOR = 3.5, 95% CI: 1.63, 5.74), hypertension duration >10 years (AOR = 2.5, 95% CI:1.12, 4.19), comorbidity (AOR = 1.7, 95% CI: 1.04, 3.15), depression (AOR = 2.35, 95% CI: 1.31, 4.21), and being physically active (AOR = 0.48, 95% CI: 0.28, 0.83) were factors significantly associated with erectile dysfunction. Conclusion. Nearly half of the study participants had some form of erectile dysfunction, indicating the presence of a high burden of the problem. Assessment of hypertensive men for erectile dysfunction should be part of routine medical care.

Anemia ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Asenake Abebaw ◽  
Temesgen Worku Gudayu ◽  
Bayew Kelkay

Background. Anaemia is a major global health problem, especially in developing countries. Postpartum anaemia hurts both maternal and newborn baby health. Anaemia in pregnancy is sufficiently emphasized; however, very little attention has been paid to postpartum anaemia in Ethiopia. Therefore, this study aimed to investigate the proportion of immediate postpartum anaemia and associated factors among postpartum mothers in Debre Markos Referral Hospital. Methods. Institutional-based cross-sectional study was conducted among 424 study participants from August 1st to October 30th, 2019. A systematic random sampling technique was employed to select the study participants. Data were collected through both face-to-face interview and maternal chart review by using a pretested questionnaire. Data were cleaned, coded, and entered using Epi Data version 4.6.0.0 and then exported to SPSS version 24 for analysis. First, binary logistic regression was applied to identify candidate variables for multivariable regression. Then, variables at p value <0.2 were entered into a multivariable logistic regression to control possible confounders. Finally, variables at p value <0.05 were considered as statistically significant. Results. The proportion of immediate postpartum anaemia was 24.3%. Frequency of antenatal care (ANC) visits <4 times [AOR = 2.40; 95% CI (1.29, 4.43)], antepartum haemorrhage (APH) [AOR = 5.08; 95% CI (1.91, 13.55)], postpartum haemorrhage (PPH) [AOR = 4.47; 95% CI (2.25, 8.88)], giving birth assisted by instruments (vacuum or forceps) [AOR = 3.99; 95% CI (1.42, 11.23)], poor adherence to iron and folic acid (IFA) [AOR = 2.52; 95% CI (1.06, 6.04)], and midupper arm circumference (MUAC) <23 cm [AOR = 3.25; 95% CI (1.87, 5.65)] were the predictors. Conclusion. The proportion of immediate postpartum anaemia was a moderate public health concern. ANC, APH, PPH, mode of delivery, adherence to IFA supplementation, and MUAC measurement were the factors affecting the magnitude of anaemia. Therefore, interventions that would address the above mentioned factors need to be implemented.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maru Mekie ◽  
Dagne Addisu ◽  
Minale Bezie ◽  
Abenezer Melkie ◽  
Dejen Getaneh ◽  
...  

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.


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 ◽  
Author(s):  
Teferi Gebru Gebremeskel ◽  
Adino Tesfahun Tsegaye ◽  
Alehegn Bishaw Geremew ◽  
Teklit Grum

Abstract Background: Danger signs in the neonatal period are non-specific and could be a manifestation of almost any newborn disease. Early recognition of these signs by mothers is a pre-request for increasing neonatal care-seeking behavior. There four this study aimed to assess knowledge of neonatal danger signs and associated factors among mothers who gave birth at home and health institutions in Meicha District, Northwest Ethiopia. Methods: A community based comparative cross-sectional study was conducted among Home and Health institutions delivered mothers two months before the survey. A simple random sampling method was used to select the participants. Data was collected by face to face interviews of mothers. Binary logistic regression analysis was used to identify associated factors. The odds ratio with 95% CI was computed to assess the strength of the associations. Result: A total of 650 (325 health institution delivered and 325 home delivered) mothers were interviewed. Among this, 50.7% (AOR=2.19, 95%, CI (1.594-3.003)) of the mother were knowledge of neonatal danger sign in the district. Mother knowledge of neonatal danger sign was higher among mothers who give birth health institution (60.1%) than home (41.1%). Age of the mother (AOR:3.99, 95% CI:(1.45-11.03)), age of new born (AOR:0.53, 95% CI:(0.36-0.78)), parity (AOR:1.27, 95% CI:(1.37-5.31)), postnatal care attendance (AOR=2.42,95% CI: (1.47, 3.96)), distance of health center (AOR:0.46,95% CI:(0.27,0.78)) were significantly associated with overall mother’s knowledge of neonatal danger sign. Whereas, residence (AOR: 3.09, 95% CI:(1.44, 6.64)) and occupational status of husband (AOR:0.23, 95% CI:(0.201,0.67)) were significantly associated with health institution delivered mother. Age of new born (AOR: 0.50, 95% CI:(0.28,0.896)), parity(AOR: 0.29, 95% CI:(0.113,0.74)), antenatal care (AOR: 12.04, 95% CI: (5.9,24.65)) and postnatal care attendance (AOR:0.27,95% CI:(0.138,0.51)) was significantly associated with home delivered mother. Conclusion: The overall mother’s knowledge of neonatal danger signs was low. However, health institutions delivered mother more knowledge about danger signs than home-delivered mothers. Therefore, it is better if the district Health Office should investigate the implementation of educational programs in the community and strengthen the health extension program.


2021 ◽  
Author(s):  
Jemal Suleyman ◽  
Asmare Yitayeh Gelaw

AbstractBackgroundMusculoskeletal disorders are growing public health problems both in developed and developing countries including Ethiopia. However, its prevention and control has not yet received due attention. This study aimed to determine.the prevalence and associated factors of musculoskeletal disorders musculoskeletal disorders among cleaners of health institutions in Gondar town, Northwest EthiopiaMethodAn institutional based cross-sectional study was conducted, from April to May 2016 in all health institutions of Gondar town. All the available cleaners of health institutions were taken as study participants. Data were collected by face-to-face interview technique after verbal informed consent. Additionally, weight and height of participants were measured following standard procedures. Data were collected by trained physiotherapists and then entered into a computer using Epi Info version 3.5.3 and exported to SPSS version 20 for analysis. Descriptive statistics was performed to describe the data in percentage and mean. Multiple logistic regressions were fitted and Odds ratios with 95% confidence intervals were calculated to identify associated factors.ResultsA total of 242 participants were included in this study. The majority of the study participants were females (79.3%) and between 25-44 age group (65.3%). Two hundred 0ne (83.1%) of the respondents reported that they had pain in at least one of the body parts in the previous 12 months. Of the nine body parts examined, neck (76%), upper back (40.5%) and lower back (45%) were the most frequently body parts reported to exhibit pain. Job status (AOR = 2.71, 95%CI; 1.37-5.36), and static work habit (AOR = 2.71, 95%CI; 1.37-5.36), were factors associated with musculoskeletal disorders.ConclusionThere is a high prevalence of musculoskeletal disorders among cleaners in the health institutions of Gondar Town. Job status and static work habit were the significant associated factors. Hence, we recommend the design and implementation of institution based screening programs for musculoskeletal disorders


PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262300
Author(s):  
Mulugeta Molla ◽  
Woretaw Sisay ◽  
Yared Andargie ◽  
Belayneh Kefale ◽  
Pradeep Singh

Introduction By measuring patients’ satisfaction, providers can gain insight into several elements of health care services, including the effectiveness of their care and the level of empathy they exhibit. The aim of this study was to assess patient satisfaction with pharmaceutical services and associated factors in public hospitals located in Northwestern Ethiopia. Methods An institution-based quantitative cross-sectional study was used. The study was carried out in an outpatient pharmacy from January 1–June 30, 2021. Participants were selected by a systematic sampling technique. The IBM SPSS statistical package (version 23) was used to enter and analyze the collected data. The findings were presented using descriptive statistical methods. To find factors linked to satisfaction, binary logistic regression was used. Results The final analysis included a total of 401 samples. More than half of the participants (229, or 55.1%) were female. The overall mean score of satisfaction was 30.6 out of a maximum of 100 scores. By taking this mean score as a cut-off point, 204 (50.9%) of the study participants had satisfaction with the outpatient pharmacists’ service. Participants’ responses scored on the uncomfortable and inconvenient waiting areas [AOR = 0.31; 95%CI, (0.13, 0.49)] were found to be negatively associated with the level of patients’ satisfaction. Also, the unavailability of medications [AOR = 0.12; 95%CI, (0.02, 0.37)] was negatively associated with the respondent satisfaction. Uncomfortable and inconvenient private counseling areas [AOR = 1.37; 95%CI, (0.79, 4.42)] showed a negative association with their satisfaction. Conclusion Patients’ satisfaction levels with pharmacy service were found to be greater than 50%. The socio-demographic characteristics of patients have no association with their level of satisfaction, but their perception of uncomfortable private counseling areas and waiting areas was negatively associated with their satisfaction.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Alelign Alemu Demmelash ◽  
Biruk Demissie Melese ◽  
Fitalew Tadele Admasu ◽  
Eniyew Tegegne Bayih ◽  
Getachew Yideg Yitbarek

Introduction. Breast milk alone is no longer sufficient to meet the nutritional requirements of infants, and therefore food is needed. Microbiologically contaminated food is particularly harmful for children <2 years of age. There is scanty of information on hygienic practice and associated factors during complementary feeding among mothers of children aged 6 to 24 months in the country, particularly in the study setting. Objective. The study was aimed to assess hygienic practices and associated factors during complementary feeding among children aged 6 to 24 months in Bahir Dar Zuria District, Northwest Ethiopia. Methods. A community-based cross sectional study was conducted from March 20 to April 20, 2019. A multistage sampling technique was used to select the study participants. Data were collected using the structured interviewer administered questionnaire. Bivariable and multivariable logistic regression analyses were used to identify the factors associated with hygienic practice during complementary feeding. Data were entered by using Epi Data version 3.1, and then it was exported to SPSS version 21 for analysis, and at 95% CI, p value <0.05 was considered statistically significant. Result. Among 604 respondents, 235 (38.9%) of study participants had good hygienic practice during complementary feeding. Access to media (AOR: 8.8, 95% confidence interval (CI): 3.8–20.3), private latrine ownership (AOR: 4.11, 95% CI: 1.90–8.49), presence of hand washing facility at doorstep (AOR: 6.75 95% CI: 3.16–14.41), and residence of the study participants (AOR: 85.42, 95% CI: 1.94–15.2) were significantly associated with good hygienic practice of mothers during complementary feeding. Conclusion. Majority of mothers had poor hygienic practice during complementary feeding. Attitude of mothers, access to media, household private latrine ownership, presence of handwashing facility, and residence of the study participants were significantly associated with hygiene practice of mothers during complementary feeding. The health sector should train mothers on good hygiene practices during complementary feeding.


2021 ◽  
Vol Volume 17 ◽  
pp. 721-728
Author(s):  
Adane Birhanu Nigat ◽  
Moges Abate ◽  
Agimasie Tigabu Demelash ◽  
Nigusie Selomon Tibebu ◽  
Chalie Marew Tiruneh ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Getachew Arage ◽  
Haileyesus Gedamu

Background. Exclusive breastfeeding for the first six months of life is recommended by the World Health Organization and United Nations Children’s Fund. However, the prevalence of exclusive breastfeeding is very low in many developing countries including Ethiopia.Objectives. The study was aimed at assessing the prevalence of exclusive breastfeeding practice and its associated factors among infants aged six months in Debre Tabor town.Methods. Community based cross-sectional study was conducted. Simple random sampling technique was employed in the selection of participants. Data were collected using pretested and structured questionnaire through face-to-face interview. Odds ratios with their 95% CI were computed and variables havingpvalue less than 0.05 in the multivariable logistic regression were considered as significantly associated with the dependent variable.Result. Of 470 mother-infant pair’s samples, 453 were included in the final analysis. The overall age appropriate rate of EBF practice was found to be 70.8%. Having an infant aged 2-3 months [AOR = 2.3 (95% CI: 1.12, 6.42)], giving birth in the health facility [AOR = 3.8 (95% CI: 2.18, 7.32)], being a house wife in occupation [AOR = 2.4 (95% CI (1.22, 6.92)], receiving counseling/advice on infant feeding [AOR = 2.1 (95% CI: 1.61, 5.41)], and colostrums feeding [AOR = 1.5 (95% CI: 1.28, 7.98)] were found to be significantly associated with EBF practice.Conclusion and Recommendations. A small proportion of infants are exclusively breastfed during the first 6 months. Promoting institutional delivery, revising the leave after birth, advice and counseling pregnant mothers about EBF, and enabling every mother to encourage colostrum feeding were recommended in order to increase the proportion of women practicing exclusive breastfeeding.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Kassahun Fikadu ◽  
Negussie Boti ◽  
Birtukan Tadesse ◽  
Dureti Mesele ◽  
Emenet Aschenaki ◽  
...  

Background. Episiotomy is the most common obstetric procedure, performed when the clinical circumstances place the patient at a high risk of high-degree laceration. However, episiotomy should be done with judicious indication to lower perineal laceration with fewer complications. Despite its adverse effects, the magnitude of episiotomy is increasing due to different factors. Therefore, this study is aimed at determining the recent magnitude of episiotomy and at identifying associated factors among women who gave delivery in Arba Minch General Hospital, Southern Ethiopia. Methods. An institution-based cross-sectional study was conducted from December 15, 2018, to January 30, 2019. A systematic random sampling technique was used to select study participants. A semistructured questionnaire was used to collect data. This was supplemented with a review of the labor and delivery records. Binary and multivariable logistic regression analyses were performed to identify factors associated with the magnitude of episiotomy. P value ≤ 0.05 was used to determine the level of statistically significant variables. Results. The magnitude of episiotomy was found to be 272 (68.0%) with 95%CI=64.0‐72.5. Women who attended secondary education [AOR=10.24, 95%CI=2.81‐37.34], women who attended college and above [AOR=4.61, 95%CI=1.27‐16.71], birth weight≥3000 g [AOR=4.84, 95%CI=2.66‐8.82], primipara [AOR=4.13, 95%CI=2.40‐7.12], being housewife occupants [AOR=3.43, 95%CI=1.20‐9.98], married women [AOR=2.86, 95%CI=1.40‐5.84], and body mass index<25 kg/m2 [AOR=2.85, 95%CI=1.50‐5.44] were independent variables found to have significant association with episiotomy. Conclusion. The magnitude of episiotomy was 68.0% which is higher than the recommended practice by WHO (10%). The study participants’ occupational status, marital status, educational status, parity, birth weight, and BMI were significantly associated with the magnitude of episiotomy in the study area. Therefore, to reduce the rate of episiotomy, it is better to have periodic training for birth attendants regarding the indication of episiotomy.


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