Satisfaction with Waiting Time and Associated Factors among Outpatients at Nekemte Referral Hospital, Western Ethiopia

Abstract Background Even if anemia is a worldwide public health problem affecting numerous people in all age groups, particularly the burden of the problem is higher among pregnant women. Anemia is estimated to contribute to more than 115,000 maternal deaths and 591,000 prenatal deaths globally per year. Maternal mortality is the prime health indicator in any society. Therefore, determining the prevalence of anemia and assessing its associated factors among pregnant women might help for the intervention of the problem. Objective The objective of this study was to determine the prevalence of anemia and its associated factors among pregnant women attending Antenatal Care (ANC) at Wollega University Referral Hospital, Western Ethiopia. Methods and materials Institution based cross-sectional study was conducted at antenatal care (ANC) departments of Gynecology and Obstetrics, and MCH at Wollega University Referral Hospital from July 15–22, 2019. A systematic random sampling technique was used to select the study unit. The data were collected using questionnaires, physical examination, and laboratory investigation. After collection, the data were entered using Epi Data version 3.1 and analyzed using SPSS version 20 statistical software. Bivariate and multivariate logistic regression analysis was performed to identify predictors of anemia. Finally, the result was presented using text, tables, and charts. Results The overall prevalence of anemia using a cut off level of hemoglobin < 11 g/dl (< 33% Haematocrit) was 51 (17.8%). Out of all anemic pregnant women, 19 (37.25%) were mildly anemic, 24 (47%) were moderately anemic and 8 (15.68%) were severely anemic. Multivariable logistic regression analysis revealed that Birth interval of less than 2 years (AOR = 2.56 CI [2.84–4.52]), history of malarial attack in the past 12 months (AOR = 2.585 CI [1.181–5.656]) and engaging into daily laborer occupation (AOR = 8.33 CI [2.724–25.497]) showed significant association with maternal anemia. Conclusions The prevalence of anemia among pregnant women in this study is high. Having a birth interval of < 2 years, having a history of malarial attack in the past 12 months, and being engaged in daily laborer occupation were factors associated with anemia among pregnant women. Thus, contraceptive methods and information to space children, information, and services to prevent malaria and economically empowering women is needed to prevent anemia among pregnant women in the study area.

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Magnitude of visual impairment and associated factors among patients attending ophthalmic clinics of Debre Markos referral hospital, north West Ethiopia

BMC Ophthalmology ◽

10.1186/s12886-021-01863-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Haimanot Abebe ◽

Fasil Wagnew ◽

Haymanot Zeleke ◽

Bitew Tefera ◽

Shegaw Tesfa ◽

...

Keyword(s):

Visual Impairment ◽

Associated Factors ◽

Care Service ◽

Referral Hospital ◽

Multivariable Logistic Regression Analysis ◽

North West ◽

Rural Residency ◽

North West Ethiopia ◽

Debre Markos ◽

Study Participants

Abstract Background Globally, visual impairment affects about 285 million (4.25%) people, of those, 266.4 million were adults aged 18 years and above. Ethiopia is one of developing countries estimated to have high prevalence of visual impairment which have an enormous socio-economic impact. Also there is limited available information regarding with the magnitude of visual impairment among adults in our country at large and east Gojjam zone in specific. Therefore the aim of this study was to assess the magnitude of visual impairment and its associated factors among patients attending Debre Markos Referral Hospital ophthalmic clinics in east Gojjam zone, North West Ethiopia. Methods An institutional-based cross-sectional study was conducted at Debre Markos Referral Hospital which is the only hospital in east gojjam zone with ophthalmic care service from March 1 to 30, 2020 by using systematic random sampling technique to select study participants after informed consent was obtained. Data were collected by interview with 5% pretested, structured questionnaire and ocular examinations. Data were cleaned, coded and entered to Epi-data version-3.1, and analyzed using Statistical Package for Social Science software version 26. The descriptive statistics was presented in tables, text and graphs. Bivariable and multivariable logistic regression analysis to identify factors associated with visual impairment was conducted. Covariates with P-value < 0.05 were considered statistically significant. Results A study was conducted among 312 study participants with 96% response rate. The magnitude of visual impairment was 114 (36.5%) [95% CI, (33.8, 39.2%)]. Age > 50 years [AOR = 3.82; 95% CI (1.56, 9.35)], rural residency [AOR = 4.33 95% CI (1.30, 14.44)], inability to read and write [AOR = 3.21; 95% CI (1.18, 8.73)] and Cataract [AOR = 4.48; 95% CI (1.91, 10.52)] were factors significantly associated with visual impairment. Conclusions The overall magnitude of visual impairment was found to be high. Older age, rural residency, inability to read and write and cataract were associated with visual impairment. Increasing literacy, expanded cataract surgery, as well as community based visual acuity screening especially for elders and rural residents is crucial. Zonal police makers should give emphasis on prevention of visual impairment to decrease economic, social and political burden of visual disability.

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