Magnitude of Stunting and Associated Factors among Adolescent Students in Legehida District, Northeast Ethiopia

Background. Undernutrition including stunting particularly at an adolescent stage was not emphasized by various intervention strategies in the Ethiopian context. Assessing the magnitude and potential risk factors of undernutrition is thus helpful for policymakers to design appropriate intervention strategies. Hence, this study was aimed at assessing the magnitude of stunting and associated factors among adolescent students in Legehida district, Northeast Ethiopia. Methods. A school-based cross-sectional study was conducted among 424 adolescent students from February 15th to March 15th, 2018. A stratified sampling followed by a simple random sampling technique was used to select the study participants. A pretested, structured, and self-administered questionnaire was used to collect the required data. Height was measured by using a portable stadiometer and the height-for-age (HFA) z-score was calculated as an indicator of stunting. SPSS version 25 and WHO AnthroPlus software were applied to analyze the data. A multivariable logistic regression analysis was performed to identify factors associated with adolescent stunting. Statistical significance was determined at a p value of <0.05 and association was described by using an odds ratio at a 95% confidence interval. Results. A total of 406 adolescent students (with a response rate of 95.7%) participated in the study. The magnitude of stunting among adolescent students in this study was 24.9% (95% CI: 24.6%–35.3%). Conclusions. Stunting among adolescent students was significantly associated with being male [AOR = 2.1; 95% CI: 1.73–5.90], meal frequency (<3/day) [AOR = 4.6; 95% CI: 2.61–8.24], infrequent handwashing practice [AOR = 3.6; 95% CI: 1.30–9.40], absence of latrine facility (AOR = 5.51; 95% CI: 3.03–9.9), and consumption of unsafe water [AOR = 2.8; 95% CI: 1.35–6.19]. Hence, conducting routine nutrition screenings and assessments, promotion of proper food intake, and emphasis on nutrition education and counseling are needed to be strengthened.

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Prevalence and Associated Factors of Thinness among Adolescent Students in Finoteselam Town, Amhara Region, Ethiopia

10.21203/rs.2.19239/v1 ◽

2019 ◽

Author(s):

Damitie Kebede Mengesha ◽

Reddy P. C. J. Prasad ◽

Degnet Teferi Asres

Keyword(s):

Associated Factors ◽

Statistical Significance ◽

Multivariate Logistic Regression Analysis ◽

Simple Random Sampling ◽

Physical Growth ◽

P Value ◽

Amhara Region ◽

Cross Sectional ◽

Factors Associated ◽

Adolescent Students

Abstract Background Adolescence is the period of intense physical, psychosocial and cognitive development and the second to infancy at which highest rate of physical growth occur. So, adolescents need to have good quantity and quality nutrient to cope with this rapid growth and other health risk which increase nutritional demand. This study aimed to assess the prevalence and associated factors of thinness among school adolescents in Finoteselam town, Amhara region, Ethiopia.Methods A school-based cross-sectional study among adolescent students aged 10-19 in public primary and secondary schools was carried out in Finoteselam town from February 05 to March 27, 2018. A total of 397 adolescent students were included in the study. Stratified and simple random sampling techniques were employed to select study subjects. Pre tested structured questionnaires were used to collect the data. Data was entered using Epi info version 7 and analyzed using SPSS version 20 and WHO Anthro Plus soft ware. A multivariate logistic regression analysis was employed to identify factors associated with stunting. Crude and adjusted odds ratios with 95% level significance were used to measure the strength of association and statistical significance was declared at p-value less than 0.05.Results The prevalence of thinness among adolescents was 14.9%. Early Adolescent stage (AOR= 4.81; 95% CI: 1.23, 18.51), being Male adolescent students (AOR = 2.33; 95% CI: 1.60, 3.40), and using well water (AOR= 3.82; 95% CI: 1.46, 10.04) were significantly associated with thinness at P-value <0.05.Conclusion The study revealed that prevalence of thinness was high in the study area. Age, Sex and sources of drinking water were found to be important factors associated with thinness among the respondents.

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Utilization of partograph and its associated factors among obstetric caregivers in public health institutions of Southwest Ethiopia

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03822-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Abel Girma Tilahun ◽

Dawit Getachew Gebeyehu ◽

Yayehyirad Yemaneh Adinew ◽

Fekede Woldekidan Mengstu

Keyword(s):

Public Health ◽

Associated Factors ◽

Statistical Significance ◽

Multivariate Logistic Regression Analysis ◽

Sampling Technique ◽

Simple Random Sampling ◽

Cross Sectional ◽

Southwest Ethiopia ◽

Public Health Institutions ◽

Health Institutions

Abstract Background Partographs should be used universally to monitor the mother and fetus’s conditions during delivery. However, its application in different parts of the world, including Ethiopia, is inconsistent. Moreover, its magnitude has not been determined in study area. As a result, the aim of this study was to investigate the utilization of partograph and associated factors among obstetric caregivers in public health institutions of Southwest Ethiopian. Methods An institutional-based cross-sectional study was conducted in Southwest Ethiopia from March 1st to June 30th, 2018. A simple random sampling technique was used to select study participants. A self-administered questionnaire was used to gather data on background characteristics, knowledge of partograph, and partograph utilization. The collected data were entered into an EPI Info and analysed using SPSS Version 22. We used bivariate and multivariate logistic regression analysis. Frequencies, tables, and graphs were used to present the final results. To determine statistical significance, a P-value of less than 0.05 was used. Result The response rate of this study was 393(92.2 %). The magnitude of utilization of partograph was 43 % with (95 % CI: 38.4, 48.1). According to the multivariate analysis being nurse or health officer [AOR = 0.37(0.21, 0.66)], degree level educational qualification [AOR = 0.32 (0.17, 0.60)], being trainined on partograph [Adjusted OR = 7.83 (95 % CI: (4.54, 13.50)], good knowledge about partograph [AOR = 5.84 (95 % CI: (3.27, 10.44)] and working at health center [AOR = 1.99 (95 % CI: (1.12, 3.52)] were found as determinants of partograph utilization. Conclusions The magnitude of partograph utilization among obstetric caregivers was found to be low in this study. Partograph utilization was determined by the type of profession, qualification level, knowledge of partograph, in-service training, and type of institution. To ensure its regular, obstetric caregivers must receive training and gain knowledge about it.

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Utilization and associated factors of sexual and reproductive health services among adolescents of Kathmandu district, Nepal

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20205143 ◽

2020 ◽

Vol 7 (12) ◽

pp. 4737

Author(s):

Sushma Pokhrel ◽

Susmita Nepal ◽

Prajita Mali ◽

Swechhya Baskota ◽

Richa Aryal ◽

...

Keyword(s):

Reproductive Health ◽

Associated Factors ◽

Sexual And Reproductive Health ◽

Sampling Technique ◽

Simple Random Sampling ◽

Walking Distance ◽

P Value ◽

Reproductive Health Services ◽

Cross Sectional ◽

Adolescent Students

Background: There seems to be huge differences in availability and utilization of Sexual and Reproductive Health information and services despite of taking decisive step by Government of Nepal. The main aim of the study is to access the utilization and factors associated with SRH services among adolescents. Methods: This cross-sectional descriptive study was carried out among 406 adolescent students of grade 11 and 12 which were taken as census in selected higher secondary schools of Kathmandu District through simple random sampling technique. The utilization of SRH services was assessed by semi-structured validated and pretested questionnaire which includes socio-demographic, utilization of sexual health and reproductive health (SRH) services and sexual behaviours. Data were entered and analyzed in SPSS version 20 where Chi-square tests is done to identify the associated factors with utilization SRH services utilization.Results: Overall utilization in last 12 months was 17.2% and was found to be strongly associated with availability of services within 30 minutes of walking distance (p value=0.001), interaction with parents (p-value: 0.02) and with sexually being active within 12 months (p value=0.001). Utilization of SRH services was slightly higher among females (19.8%) compared to males (15.3%). Most utilized services were services related to menstrual problems and family planning including ECP. This study concludes that fear of family and society hinders the utilization of SRH services.Conclusions: As adolescent fear to talk and seek for the services, due to the social cultural norms and stigma attached to SRH services, utilization among adolescent of selected colleges in Kathmandu is low.

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Prevalence of underweight and it’s associated factors among children aged 6-59 months in Angolalla Tera district, Northeast Ethiopia

10.1101/2020.07.23.217349 ◽

2020 ◽

Author(s):

Leweyehu Alemaw Mengiste ◽

Yoseph worku ◽

Endeshaw Degie Abebe ◽

Wondimeneh Shibabaw shiferaw

Keyword(s):

Public Health ◽

Associated Factors ◽

Family Income ◽

Public Health Problem ◽

Sampling Technique ◽

Multivariable Logistic Regression Analysis ◽

Major Public Health Problem ◽

Cross Sectional ◽

Northeast Ethiopia ◽

The World

AbstractIntroductionUndernutrition is a major public health problem all over the world. In Ethiopia, the child malnutrition rate is one of the most serious public health problems and the highest in the world. High malnutrition rates in the country pose a significant obstacle to achieving better child health outcomes.ObjectivesThis study was aimed to assess the prevalence of underweight and its associated factors among 6-59months of age children in Angolela Tera district, northeast Ethiopia.MethodsA community based cross-sectional study was conducted by a simple random sampling technique with a sample size of 414 enrolled mothers with 6-59months of children. Semi-structured questionnaires were used to collect data. The data was entered using EPI DATA version 3.1and analysis was done by SPSS version 24 and WHO Anthro software was used for anthropometry calculation. Bivariable and multivariable logistic regression analysis was used.ResultAmong 414 mothers with child pairs the result of the current study indicated that 15.9% (95% CI: 12.6-19.6)were underweight. Being male (AOR=1.8;95%CI;1.04-3.16), birth interval below 24 months (AOR3.2=95%CI;1.59-6.71), average monthly family income less than 1596ETB (AOR4.9=95%: CI;2.53-9.76), Children having diarrhea in the past two weeks before the data collection (AOR =9.06; 95% CI: 3.14-26.12), and children having diarrhea within two weeks (AOR=2.06;95%: CI;1.07-3.96) were significantly associated with underweight.ConclusionThis study revealed a high prevalence of underweight among children aged 6-59 months in the study area. All the concerned bodies should be strengthening the health extension program to improve and provide the necessary education for the community on nutritional programs, environmental sanitation, and diarrhea prevention.

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Compliance with Standard Precautions and Associated Factors among Healthcare Workers in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia

Journal of Environmental and Public Health ◽

10.1155/2017/2050635 ◽

2017 ◽

Vol 2017 ◽

pp. 1-8 ◽

Cited By ~ 15

Author(s):

Tariku Gebre Haile ◽

Eshetu Haileselassie Engeda ◽

Abdella Amano Abdo

Keyword(s):

Healthcare Workers ◽

Associated Factors ◽

Sampling Technique ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Management Support ◽

Standard Precautions ◽

Cross Sectional ◽

Specialized Hospital

Background. In many studies, compliance with standard precautions among healthcare workers was reported to be inadequate.Objective.The aim of this study was to assess compliance with standard precautions and associated factors among healthcare workers in northwest Ethiopia.Methods.An institution-based cross-sectional study was conducted from March 01 to April 30, 2014. Simple random sampling technique was used to select participants. Data were entered into Epi info 3.5.1 and were exported to SPSS version 20.0 for statistical analysis. Multivariate logistic regression analyses were computed and adjusted odds ratio with 95% confidence interval was calculated to identify associated factors.Results.The proportion of healthcare workers who always comply with standard precautions was found to be 12%. Being a female healthcare worker (AOR [95% CI] 2.18 [1.12–4.23]), higher infection risk perception (AOR [95% CI] 3.46 [1.67–7.18]), training on standard precautions (AOR [95% CI] 2.90 [1.20–7.02]), accessibility of personal protective equipment (AOR [95% CI] 2.87 [1.41–5.86]), and management support (AOR [95% CI] 2.23 [1.11–4.53]) were found to be statistically significant.Conclusion and Recommendation.Compliance with standard precautions among the healthcare workers is very low. Interventions which include training of healthcare workers on standard precautions and consistent management support are recommended.

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Study on Seroprevalence and Associated Factors of Bovine Brucellosis in Selected Districts of Afar National Regional State, Afar, Ethiopia

Veterinary Medicine International ◽

10.1155/2021/8829860 ◽

2021 ◽

Vol 2021 ◽

pp. 1-8

Author(s):

Wossene Negash ◽

Teshager Dubie

Keyword(s):

Associated Factors ◽

Jugular Vein ◽

Sampling Technique ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Bovine Brucellosis ◽

Sample Collection ◽

Cross Sectional ◽

Afar Region ◽

Sterile Needle

Bovine brucellosis is among the top five diseases primarily threatening both public health and livestock economy. Available data are limited to central and highland areas of the country leaving documented literature on the disease in cattle to be found hardly in pastoral and agropastoral regions of the country. As a result, the magnitude and extent of the disease remained to be investigated. A cross-sectional study design was conducted on local Afar cattle aged six months and above from February 2017 to January 2019 in selected districts of Afar region. Technically, study districts and kebeles were selected purposively whereas simple random sampling technique was applied to select cattle owners and individual animals for sample collection. An average of 8 ml whole blood was drawn of jugular vein into plain vacutainer tube using sterile needle. Using Thrusfield formula, a total of 420 blood samples were collected. The sera were tested by RBPT and CFT tests for detection of Brucella antibodies. Data were analyzed using Stata v14.0. Of the 420 sera tested by RBPT, 50 were positive for Brucella antibodies providing an overall animal level prevalence of 11.9% and those RBPT positive sera were further retested by specific and sensitive confirmatory CFT test and 24 of the retested samples had come positive for the disease providing an overall individual animal seroprevalence of 5.7% over the three districts. Of the 3 associated factors (sex, age, and district) considered, only sex had significantly associated ( P < 0.05 : 0.036 ) with the disease. To estimate the strength of sex impact, odds ratio was generated using bivariate and multivariate logistic regression analyses with 95% CI and P < 0.05 providing OR of 2.484 (1.061–5.815) and 2.514 (1.041–6.07), respectively. Hence, the computations revealed that male cattle were 2.484 and 2.514 times more likely at higher risk for the disease as compared to their female counterparts.

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Effect of attending pregnant women’s conference on institutional delivery, Northwest Ethiopia: comparative cross-sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-019-2537-7 ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Melash Belachew Asresie ◽

Gizachew Worku Dagnew

Keyword(s):

Institutional Delivery ◽

Statistical Significance ◽

Sampling Technique ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Danger Signs

Abstract Background Institutional delivery is the cornerstone reducing maternal mortality. Community-based behavioral change interventions are increasing institutional delivery in developing countries. Yet, there is a dearth of information on the effect of attending pregnant women’s conferences in improving institutional delivery in Ethiopian. Therefore, this study was aimed to assess the effect of attending pregnant women’s conference on institutional delivery, Northwest Ethiopia. Methods Community-based comparative cross-sectional study was conducted in 2017 among 871 women who gave birth within the last 12 months (435: pregnant women’s conference attendants and 436: pregnant women’s conference non-attendants). Participants were selected by using a multistage-simple random sampling technique and a structured interviewer-administered questionnaire was used for data collection. Both descriptive and logistic regression analyses were performed using SPSS V.23. A P-value less than or equal to 0.05 at 95% confidence interval was set to test statistical significance. Results Institutional delivery among women who attended pregnant women’s conferences was 54.3%, higher compared with 39.9% of women who didn’t attend the conference. Likewise, the level of well-preparedness for birth was higher among women who attended the conference (38.9%) compared with their counterparts (25.7%). Being knowledgeable on childbirth (AOR = 1.7, 95%CI: 1.2, 2.8) and postpartum danger signs (AOR = 14.0, 95%CI: 4.6, 40.0), and discussed with partners/families about the place of birth (AOR = 7.7, 95%CI: 3.6, 16.4) were more likely to institutional delivery among women who attended pregnant women’s conference. Whereas, among women who didn’t attend the pregnant women’s conference, being knowledgeable about pregnancy danger signs (AOR = 3.6, 95%CI: 1.6, 8.1) were more likely to institutional delivery. In addition, the nearest health facility within 1 h of walking and well-preparedness for birth and its complication were found positively associated with institutional delivery in both groups. Conclusion Institutional delivery was low in both groups compared to the national plan, but was higher among women who attended the conference. Similarly, women’s knowledge of obstetric danger signs and preparation for birth and its complication was higher among women who attended the conference. Therefore, encouraging women to attend the pregnant women’s conference and discuss with their families about the place of delivery should be strengthened.

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Incident Reporting Behaviours and Associated Factors among Nurses Working in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia

Scientifica ◽

10.1155/2016/6748301 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

Eshetu Haileselassie Engeda

Keyword(s):

Odds Ratio ◽

Associated Factors ◽

Adjusted Odds Ratio ◽

Sampling Technique ◽

Simple Random Sampling ◽

Healthcare Facility ◽

Northwest Ethiopia ◽

Incident Reporting ◽

Multivariate Logistic Regression Model ◽

Cross Sectional

Background. A comprehensive and systematic approach to incident reporting would help learn from errors and adverse events within a healthcare facility.Objective. The aim of the study was to assess incident reporting behaviours and associated factors among nurses.Methods. An institution-based cross-sectional study was conducted from April 14 to 29, 2015. Simple random sampling technique was used to select the study participants. Data were coded, entered into Epi Info 7, and exported to SPSS version 20 software for analysis. A multivariate logistic regression model was fitted and adjusted odds ratio with 95% confidence interval was used to determine the strength of association.Results. The proportion of nurses who reported incidents was 25.4%. Training on incident reporting (Adjusted Odds Ratio (AOR) [95% CI] 2.96 [1.34–6.26]), reason to report (to help patient) (AOR [95% CI] 3.08 [1.70–5.59]), fear of administrative sanctions (AOR [95% CI] 0.27 [0.12–0.58]), fear of legal penalty (AOR [95% CI] 0.09 [0.03–0.21]), and fear of loss of prestige among colleagues (AOR [95% CI] 0.25 [0.12–0.53]) were significantly associated factors with the incident reporting behaviour of nurses.Conclusion and Recommendation. The proportion of nurses who reported incidents was very low. Establishing a system which promotes incident reporting is vital.

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Early implanon discontinuation and associated factors among women ever used implanon in Mettu district, Oromia regional state, southwest Ethiopia, 2021

Reproductive Health ◽

10.1186/s12978-021-01222-8 ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Hana Tesfaye ◽

Ebissa Negara ◽

Kenbon Bayisa

Keyword(s):

Side Effects ◽

Associated Factors ◽

Statistical Significance ◽

Descriptive Analysis ◽

Sampling Technique ◽

Cross Sectional Study ◽

Relative Effect ◽

Outcome Variable ◽

P Value ◽

Cross Sectional

Abstract Background Implanon is an effective form of long-acting reversible contraceptive used to prevent conception with a clinical failure rate of less than one per 100 users. However, in sub-Saharan countries the utilization of implanon was very low. Regardless of low utilization; its early discontinuation is very common in most developing countries including Ethiopia. Objectives To assess the prevalence of early implanon discontinuation and associated factors among women ever used implanon in Mettu district. Methods A community based cross-sectional study design was conducted from October 11 to December 4, 2020 G C. A total of 430 women were included in the study by systematic random sampling technique. Data were entered into epi data version 3.1 and analyzed by SPSS version 25.0. Descriptive analysis was computed to describe descriptive results. Logistics regression was computed to see the relative effect of factors on the outcome variable. Adjusted odds ratio was calculated with 95% confidence intervals to show strength of association and p-value < 0.05 was used to declare statistical significance. The finding of the study was presented using narrations, tables and chart. Result The total proportion of early implanon discontinuation among 430 mothers was 19.3%. Women who did not counseled about the presence of alternatives methods [AOR = 2.28: 95% CI (1.22–4.26)], women who experienced dizziness after insertion of implanon [AOR = 1.90: 95% CI (1.06–3.43)] and being having menstrual disturbance after insertion of implanon [AOR = 2.17: 95% CI (1.16–4.08)] were significantly associated with early implanon discontinuation. Women who were counseled about the advantage of implanon [AOR: 0.49: 95% CI (0.28–0.87)] were protective from early implanon discontinuation. Conclusion and recommendation Early implanon discontinuation among mothers was found to be high. Hence, effective counseling on advantages and side effects of implanon and proper management of the side effects should be made to increase implanon retention.

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Pattern of knowledge and consumption of iron among teachers of reproductive age group in Jammu region: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20202462 ◽

2020 ◽

Vol 7 (6) ◽

pp. 2150

Author(s):

Neha Choudhary ◽

Preeti Manhas ◽

Akash Narangyal ◽

Rohan Singh Manhas

Keyword(s):

Associated Factors ◽

Family Income ◽

Sampling Technique ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Reproductive Age ◽

Age Group ◽

Cross Sectional ◽

Intergenerational Cycle ◽

Teacher's Knowledge

Background: Iron deficiency is caused by a persisting imbalance between a person’s dietary intake and body’s physiological demand of iron. A catch hold of these causes needs to be undertaken to break the intergenerational cycle of anaemia as well as recurrent infections associated with it. Objectives was to assess knowledge and consumption of iron among teachers in the reproductive age group.Methods: 110 school teachers were selected from selected government and private schools (primary/middle/ secondary/higher secondary) by simple random sampling technique. Teacher’s knowledge and consumption of iron consumption and associated factors was studied using a pre- tested; self- administered questionnaire.Results: 58.3% teachers were in the 30-39 year age group. Maximum were married 85.45%, 61.81% were post- graduates and 42.72% were in higher-secondary schools. 60.90% had a family income of >Rs 30000. 70.90% believed foods are the best source of iron. 57.27%, 53.63% believed menstruation effects body source of iron. 80.90% and 85.45% believed that iron has a role in pregnancy and iron rich foods and tablets are sufficient to maintain its body stores.Conclusions: IEC activities needs to be conducted among different strata of population so that the intake of iron could be increased and associated factors effecting its intake and absorption could be taken care of.

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