Postpartum Hemorrhage and its Associated Factors Among Women who Gave Birth at Yirgalem General Hospital, Sidama Regional State, Ethiopia

Background Globally, postpartum hemorrhage (PPH) is one of the leading causes of maternal mortality. In developing countries, it accounts for more than 30% of all maternal deaths. So, understanding its burden in the health care setting is significant. Thus, this study aimed to assess the magnitude of PPH and its associated factors among women who gave birth at Yirgalem General Hospital, Sidama Region, Ethiopia. Methods A cross-sectional study was conducted from March 12 to 26, 2020 among randomly selected 298 women. Data were collected using an interviewer-administered, structured, and pretested questionnaire. EpiData version 3.1 and SPSS version 20 were used to enter and analyze the data, respectively. Descriptive statistics, bivariable, and multivariable logistic regression analysis were done. Adjusted odds ratio with 95% confidence interval (CI) was used to measure the presence and strength of association between the independent and the outcome variables. A P-value ≤.05 was considered to declare statistical significance. Result The magnitude of PPH was 9.4% [95% CI: 6.0, 12.8]. Prolonged labor (≥24 h) [AOR = 3.4, 95% CI: 1.1, 9.9], giving birth by cesarean section [AOR = 5.8, 95% CI: 1.1, 22.0], and instrumental vaginal delivery [AOR = 3.7, 95% CI: 1.1, 12.7], and having a history of the uterine atony [AOR = 4.8, 95% CI: 1.4, 16.6] during their last delivery were factors significantly associated with PPH. Conclusion The magnitude of PPH was high. Healthcare professionals should manage the progress of labor and take all necessary measures at right time. Also, giving attention to the safety of delivery-related procedures and early related potential risks is crucial.

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Distribution of risks and Factors Associated with Unscreened Hypertension among Adults Living in Rural of Dano District, West Shewa, Oromia, Ethiopia, 2020: Community-based cross-sectional study

10.21203/rs.3.rs-762687/v1 ◽

2021 ◽

Author(s):

Firaol Regea

Keyword(s):

Blood Pressure ◽

Associated Factors ◽

Statistical Significance ◽

Cross Sectional Study ◽

P Value ◽

Multivariable Logistic Regression Analysis ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Measuring Device

Abstract Background: Hypertension affects more than one quarter of adults worldwide and one in three peoples in developing countries. Although Hypertension is known to be a silent medical condition, there is limited information on the prevalence of unscreened hypertension and associated factors among rural dwellers in Ethiopia in general and Dano district in particular. Objective: To assess the prevalence of Unscreened hypertension and associated factors among adults living in the rural area of Dano district, West Shewa, Oromia, Ethiopia 2020.Methods and materials - A community-based cross-sectional study was employed. A multi-stage sampling technique was used to select 605 Adults from the rural community of Dano District from May 23 -July 5, 2020. Data were collected by trained BSc nurses and Public health officers. Standardized WHO STEPS survey tool was used to collect socio-demographic and behavioral characteristics of the participants. Standardized digital blood pressure device was used to measure Blood pressure. The mean score of three blood measurements was used to classify hypertension after intra-class correlation was tested. GmateTM blood glucose measuring device was used to measure blood sugar. Multivariable logistic regression analysis was done to identify factors independently associated with unscreened hypertension. Adjusted Odds Ratio with 95% CI was estimated to measure the strength of association. The level of statistical significance was declared at p-value < 0.05. The results presented by tables and figures. Result: The prevalence of Unscreened Hypertension was 14.6%, (95% CI: 11.95%, 17.4%). Being in age of 19-33 years[(AOR: 2.5,95%CI:( 1,6)], having family history of hypertension [AOR=3.1,95%CI:(1.23,7.77)],having other chronic disease [AOR=0.28,95%CI:(0.11, 0.72)], Participants’ health-seeking behaviour to hypertension[AOR=3.3,95%CI:(1.6,6.5)] and participants knowledge about hypertension[AOR=2.3,95%CI:(1.2,4.5)]were independently associated with unscreened Hypertension.Conclusion - The evidence from this study shows unscreened hypertension is prevalent among adults in the study area. Therefore, opportunistic screening of adults regardless of their age and health status is important.

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Infertility and associated factors in three hospitals in Douala, Cameroon: a cross-sectional study

African Health Sciences ◽

10.4314/ahs.v20i4.57 ◽

2020 ◽

Vol 20 (4) ◽

pp. 1985-95

Author(s):

Thomas Obinchemti Egbe ◽

Charmaine Ngo Mbaki ◽

Nicholas Tendongfor ◽

Elvis Temfack ◽

Eugene Belley-Priso

Keyword(s):

Associated Factors ◽

Statistical Significance ◽

Cross Sectional Study ◽

Public Hospitals ◽

Multivariate Logistic Regression Model ◽

Toxic Substances ◽

Sectional Study ◽

Cross Sectional ◽

Reproductive Tract Infection ◽

History Of

Aim: We determined the prevalence and factors associated with couple infertility in three hospitals in Douala, Cameroon. Methods: We conducted a cross-sectional study from December 18th 2015 to March 18th 2016 in three public hospitals in Douala. Three hundred and sixty participants were studied prospectively for associated fac- tors using a multivariate logistic regression model and 4732 files were studied retrospectively for the prevalence of infertility. Statistical significance was set at p < 0.05. Results: The prevalence of couple infertility was 19.2%. In logistic models, the factors which independently increased the risk of couple infertility were a history of reproductive tract infection/STI, a history of uterine fibroids, a history of dys- menorrhea and abortion for the females while for males it was a history of mumps, erectile dysfunction and exposure to chemicals/toxic substances/pesticides. Conclusion: One in every five couples in this study was infertile. Several factors affect the risks associated with couple in- fertility. The identification of these factors could help detect subgroups of couples at high risk of infertility. Reproductive health education, screening programmes for STI’s that may lead to infertility should be offered to couples. Keywords: Couple infertility; prevalence; associated factors; Douala; Cameroon.

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

Cardiology Open Access ◽

10.33140/coa.05.02.06 ◽

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.

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TB-diabetes comorbidity and associated factors in Maekel Zone, Eritrea: A cross sectional study.

10.21203/rs.2.18487/v2 ◽

2021 ◽

Author(s):

Zenawi Zeramariam Araia ◽

Araia Berhane Mesfin ◽

Amanuel Hadgu Mebrahtu ◽

Adiam Ghebreyohanns Tewelde ◽

Randa Osman ◽

...

Keyword(s):

Risk Factors ◽

Associated Factors ◽

Fasting Blood Glucose ◽

Scale Up ◽

Cross Sectional Study ◽

P Value ◽

Multivariable Logistic Regression Analysis ◽

Sectional Study ◽

Cross Sectional ◽

Independent Risk Factors

Abstract Background: Both diabetes mellitus (DM) and tuberculosis (TB) are among the leading causes of morbidity and mortality in Eritrea. TB-DM comorbidity is known to complicate TB care, control and prevention. However, systematically studied epidemiological data on TB-DM comorbidity and its associated risk factors is lacking in this country. Objective: This study aimed to assess the prevalence of DM and its associated factors among TB patients in Maekel region, Eritrea.Methods: Analytical cross-sectional study was conducted in eleven TB diagnostic and treatment sites. Pretested data extraction tool was used to collect data from medical records. Prevalence data was analysed using frequencies, proportions and median. To determine DM risk factors, univariable and multivariable logistic regression analysis was done with 95%CI and p value < 0.05 considered significant. Results: Out of total eligible (1,134) TB cases, DM prevalence was 9.88%. Age and BMI were identified as independent risk factors for DM among TB patients. Higher odds of DM was found among TB patients aged 45-54 (aOR: 4.85[1.39-16.94], p= 0.013) and those ≥ 55 (aOR: 6.99[2.12-23.04], p= 0.001). TB cases with normal BMI were two times more likely to have DM (aOR: 2.00[1.23-3.26], p= 0.005) compared to those underweight. Conclusion: The prevalence of DM among TB cases observed in this study is high, a clarion call to scale up current efforts to integrate TB-DM services within routine care. Furthermore, age and BMI were identified as independent risk factors for DM in TB cases, pointing to the need to pay attention to age and BMI status when managing this co-morbidityKey words: TB-DM prevalence, transient hyperglycaemia, fasting blood glucose, pre-diabetes, Eritrea.

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Prevalence and Associated Factors of Thyroid Incidentaloma among Adult People Attending Gondar University Hospital, Northwest Ethiopia Temesgen Tadesse1

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v30i1.4 ◽

1970 ◽

Vol 30 (1) ◽

Author(s):

Temesgen Tadesse ◽

Tigist Hailu ◽

Assefa Getachew ◽

Solomon M Abebe

Keyword(s):

Associated Factors ◽

Thyroid Nodules ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

University Hospital ◽

P Value ◽

Multivariable Logistic Regression Analysis ◽

Cross Sectional ◽

Thyroid Incidentaloma ◽

Logistic Analysis

BACKGROUND: Incidentally discovered thyroid lesions have become highly common in the development and more frequent utilization of highly sensitive imaging modalities, like ultrasound. However, little is known about its prevalence and associated factors in Ethiopia. The aim of this study was to determine the prevalence of thyroid incidentalomas and associated factors through ultrasound (US) among adults attending Gondar University Hospital.METHODS: A hospital-based cross-sectional study was carried out on 290 adults aged 15 years and above. Out of the adults who visited the hospital during the study, those who neither had history of thyroid disease, thyroid surgery, nor clinically palpable thyroid nodules were involved in the investigation. The participants were examined using a high frequency linear-array transducer (7MHz). For comparing men and women, the unpaired t-test wasused. Binary logistic analysis was used to identify the associated factors, and a P-value < 0.05 was considered statistically significant.RESULT: The frequency of thyroid incidentaloma was found to be 33.4% (95% CI: 27.9, 38.9). Thyroid incidentaloma was detected in 42.4% of the females and 22.7% of the males (P<0.001). About 63% had single and 37% multiple thyroid nodules. About 25.8% had thyroid nodules greater than 1cm. In the multivariable logistic regression analysis, increasing age (AOR=5.96; 2.34, 15.15) and female sex (AOR=3.01; 1.73, 5.26) were significantly associated with thyroid incidentalomas.CONCLUSION: The frequency of thyroid incidentaloma (TI) was found to be high in this study and much higher among older women. Solitary and small sized thyroid nodules were commonly seen in the study.

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Seizure following acute hemolysis caused by Glucose-6-phosphate dehydrogenase Deficiency

Iranian Journal of Pediatric Hematology & Oncology ◽

10.18502/ijpho.v9i3.1166 ◽

2019 ◽

Author(s):

Bahram Darbandi ◽

Simin Sajudi ◽

Vahid Aminzadeh ◽

Kioomars Golshekan ◽

Afagh Hassanzadeh Rad ◽

...

Keyword(s):

Drinking Water ◽

G6pd Deficiency ◽

Dehydrogenase Deficiency ◽

Statistical Significance ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Exact Test ◽

History Of ◽

Glucose 6 Phosphate Dehydrogenase

Background: Storage of platelet concentrates (PCs) at room temperature (20-24°C) limits its storage time to 5 Background: Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most common inherited enzyme deficiency of the human red blood cells . Most of G6PD deficient individuals are asymptomatic, but acute hemolytic anemia may be presented with nausea, vomiting, abdominal pain, headache, jaundice, pallor, discoloration of the urine, chills, and fever. Seizure is reported as a rare symptom, as well. The present study aimed to investigate seizure following acute hemolysis caused by Glucose-6-phosphate dehydrogenase deficiency. Material and Methods: This analytic cross-sectional study was conducted on all consecutive patients aged 1-12 years with G6PD deficiency hospitalized for hemolysis in 17 Shahrivar children hospital, Rasht, Iran, in 2016. Demographic characteristics and other variables such as place of inhabitants, type of drinking water, history of seizure in the patients and family, cause of hemolysis, hemoglobin level and hemoglobinuria on admission, and infection history prior to hemolysis were recorded. Data were analyzed by Mann-Whitney U test and Fischer Exact Test. P-value < 0.05 indicated statistical significance and data were assessed by SPSS (version 20). Results: The youngest patient was one year old and the oldest was 11 years old. Most of them were males (68.9%). Out of 244 patients, 8 ones (3.3%) experienced seizure. There was a significant correlation between seizure occurrence and family history of seizure (p=0.03) as well as fava bean consumption (p=0.019) as the causes of hemolysis; but not with infection as the cause of hemolysis, hemoglobin or hemoglobinuria level on admission, types of drinking water, place of living, and gender. Methemoglobinemia was considered as the main cause of the seizure. Conclusion: Although the rate of seizure was not so high (3.3%), it seems that seizure can be a critical and potentially life-threatening complication in these patients. Environmental factors may also play a role in the pathogenesis of the seizure in these patients.

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Complementary Feeding and Associated Factors Among Mothers Having Children 6-23 Months in Yaya Gulale District, Oromia, Ethiopia from June 15 to June 30/2019

10.21203/rs.3.rs-34113/v1 ◽

2020 ◽

Author(s):

Godana Arero ◽

Mesay Zewdie

Keyword(s):

Sample Size ◽

Associated Factors ◽

Complementary Feeding ◽

Statistical Significance ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

P Value ◽

Maternal Knowledge ◽

Health Extension Workers ◽

Cross Sectional

Abstract BackgroundComplementary feeding is the provision of nutrient containing foods or liquids other than breast milk that includes both solid foods and semisolid foods. There is limit study conducted in this area, so to know existing gap the topic was selected.ObjectiveTo study complementary feeding and associated factors among mothers who had children 6–23 months in Yaya Gulele district, Oromia, Ethiopia, 2019.MethodA cross-sectional study design was conducted among 558 mothers who had children with 6–23 months of age. Simple random sampling was used to select the required sample size. Pretest was conducted on 5% sample size. Data were cleared using Epi-Info version 7 & analyzed by SPSS version 20. Result was presented by using percent, frequency, tables and graphs. Crude & adjusted odds ratio were done along with 95% CI and level of statistical significance was declared at p-value < 0.05.ResultA total 558 individuals were participated in study with 98.2% response rate. Level of knowledge on complementary feeding was (79.57%). Maternal educations: primary, secondary and above (AOR = 3.59,95%CI:1.264–8.93, AOR = 3.109,95%CI:1.12–8.62), antennal care status: 1–2 visit,3 & above (AOR = 2.4,95%CI:1.13–5.3, AOR = 4.78,95%CI:2.197–10.42) respectively, place of delivery (AOR = 8.5,95%CI:4.41–16.50), post-natal care:1,2 and above visit (AOR = 2.6,95%CI:1.12–6.49,AOR = 3.6,95%CI:1.72–7.74); watching TV (AOR = 3.19, 95%CI:1.1–9.45) and listening radio (AOR = 2.32,95%CI:1.17–4.57) were independent predictor of level of good maternal knowledge on complementary feeding.Conclusion and recommendation:Educating the mothers through mass media and house to house by health extension workers is recommended to enhance knowledge of complementary feeding.

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Prevalence of Hypertension and Its Associated Factors among Adults in Selected Areas of Bangladesh: A Community Based Cross-sectional Study

Journal of Food Research ◽

10.5539/jfr.v10n6p56 ◽

2021 ◽

Vol 10 (6) ◽

pp. 56

Author(s):

Nahian Rahman ◽

Syeda Saima Alam ◽

Shaidaton Nisha ◽

Faroque Md Mohsin ◽

Mahmudul Mannan ◽

...

Keyword(s):

Associated Factors ◽

Statistical Significance ◽

Cross Sectional Study ◽

P Value ◽

Global Public Health ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Bivariate Logistic Regression ◽

Physiological Risk

Background: Hypertension is a silent killer and an overwhelming global public health challenge. This study aimed to determine the prevalence and associated factors of hypertension among adults in Bangladesh. Methods: A community-based cross-sectional study design was conducted among 400 adults who lived in Dhaka, Mymensing, Sylhet and Khulna District. Data were collected using a structured questionnaire that is adapted from the WHO Stepwise approach. Data was analyzed by SPSS version 25. Descriptive statistics and bivariate logistic regression analysis were conducted and statistical significance was declared at a p-value ≤0.05. Results: This study identified a high prevalence of hypertension in the study area and it was 39.75%. Among the male the prevalence was 23.5% and the prevalence was 16.5% among female. In this study hypertension was significantly associated with the age group 51-65 years (OR=1.02; CI 0.557-1.862) , ever smoking (OR= 2.59; CI 1.718-3.917) consume  less fruits (OR=3.125; CI 0.839-11.632) and vegetable (OR=2.25; CI 1.364-3.725), physically inactive (OR=1.48;CI 0.973-2.252) overweight (OR=7.98; CI 4.612-13.793) and had diabetes mellitus (0R=2.38; CI 1.213-4.659). Conclusion: The prevalence of hypertension was considerably higher in this study area. Hence, the health care system needs to establish strategies to improve the diagnostic and screening services. Community-level intervention and regular assessment, screening, and diagnosis of behavioral, socio-demographic, and physiological risk factors, screening, should be institutionalized to address the occult burden of hypertension.

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Knowledge, attitudes, and practices of face mask utilization and associated factors in COVID-19 pandemic among Wachemo University Students, Southern Ethiopia: A cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0257609 ◽

2021 ◽

Vol 16 (9) ◽

pp. e0257609

Author(s):

Yilma Markos Larebo ◽

Desta Erkalo Abame

Keyword(s):

Associated Factors ◽

Public Awareness ◽

Statistical Significance ◽

Face Mask ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Attitudes And Practices

Introduction The widespread use of face masks by the general public may help to prevent the spread of viruses. Face masks are thought to be a good strategy to protect against respiratory diseases such as the Coronavirus. Identifying student knowledge, attitude, and practice about the use of face masks is crucial to detect vulnerabilities and respond rapidly to avoid the spread of the infection. This study aimed to determine the knowledge, attitude, and practices of face mask utilization and associated factors in the COVID-19 pandemic among college students. Methods A cross-sectional study was performed from February to March 2021 among 764 students from Wachemo University, Southern Ethiopia. A multistage sampling technique was used in the study. The sample size for each department was allocated in proportion to the number of students in that department, and each respondent was chosen using a simple random sampling procedure. Data were collected using a pre-tested self-administered questionnaire and analyzed using SPSS version 26. To predict the relationship between the predictor and outcome variables, a logistic regression model was used. At a p-value of 0.05, statistical significance was declared. Results The study showed that the overall knowledge of the students was 223 (29.2%), their attitude was 673 (88.1%), and their practice was 684 (89.5%). The students from the college natural and computational sciences (AOR: 0.23; 95%CI: 0.13, 0.40) and students having good knowledge (AOR = 4.40; 95%CI; 2.13, 9.14) were found to be independently associated with face mask utilization. Conclusion When compared to other researches, the knowledge about the usage of face masks in this study was low, but the attitudes and practices were high. Authorities in areas that are in danger of a COVID-19 pandemic should plan and implement public awareness and education initiatives.

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