scholarly journals Insecticide-treated net utilization and associated factors among pregnant women and under-five children in East Belessa District, Northwest Ethiopia: using the Health Belief model

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Amlaku Nigusie Yirsaw ◽  
Resom Berhe Gebremariam ◽  
Wallelign Alemnew Getnet ◽  
Muhabaw Shumye Mihret

Abstract Background Malaria during pregnancy and childhood is one of the major public health challenges globally. Its prevalence is huge in Africa, especially in sub-Saharan countries and Ethiopia. Insecticide-treated mosquito net (ITN) use is one of the primary malaria preventive strategies. Previous studies did not adequately address the health belief and behaviour-related correlates of ITN using health belief model (HBM), although a number of studies were conducted in this theme. Therefore, this study was aimed at assessing the prevalence and associated factors of ITN utilization among pregnant women and under five children in east Belessa district, northwest Ethiopia, 2020. Methods A community-based cross-sectional mixed study was conducted in east Belessa district from February 01–30/2020. A total of 724 eligible participants were included in the quantitative study. A multistage cluster sampling technique was used. The quantitative data were collected using an interviewer-administered structured questionnaire. Data were entered into Epi data version 4.6.0.2 and then exported to SPSS version 16 for analysis. The binary logistic regression model was fitted and the level of significance was declared based on AOR with its 95% CI and p-value ≤ 0.05. Meanwhile, the qualitative data were collected using focus group discussions and key informant interviews, and analysed using a thematic analysis approach. Results The prevalence of ITN utilization was 56.5% (95% CI 53.0, 60.2) and independently predicted by a corrugated iron roof of the house (AOR = 1.53; 95% CI 1.15, 2.22), rural residence (AOR = 1.59; 95% CI 1.11,2.28), ≥ 2 number of rooms in the house (AOR = 1.56; 95% CI 1.06, 2.30) and high level of perceived barrier (AOR = 0.53; 95% CI 0.38,0.74). In the qualitative findings, the main barrier was connected to misconceptions and misperception towards malaria and ITN. Conclusion The prevalence of ITN utilization in the study area was lower than the national target (100%). It was significantly associated with household characteristics, residence, and level of a perceived barrier. Reversing the community’s misconceptions through information, education and communication (IEC), and behavioural change communication (BCC) would enhance ITN utilization.

2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Resom Berhe Gebremariam ◽  
Maereg Wolde ◽  
Aykerem Beyene

Abstract Background Adherence is crucial in treating Tuberculosis to achieve the required treatment success rate. However, due to the longer treatment duration, adherence to Tuberculosis treatment is the most challenging factor affecting Tuberculosis control. Furthermore, although several studies have reported the determinants of Tuberculosis treatment adherence, few of them have used Health Belief Model (HBM) as the guiding principle to determine the individual perception of health-related decisions as much or more than medical concerns with Tuberculosis treatment adherence. Therefore, this study aims to assess adherence to anti-Tuberculosis treatment and associated factors among adult Tuberculosis patients in Gondar city, Northwest Ethiopia, in 2020. Methods Institution-based cross-sectional study was conducted among Tuberculosis patients following anti-Tuberculosis treatment in Gondar city health facilities from February 20 to March 26, 2020. A total of 265 Tuberculosis patients were selected by systematic random sampling techniques that include patients who were on treatment follow up for ≥ 1 month and whose age is ≥ 18 years. Data were collected by trained data collectors using interviewer administer and structured questionnaires. EPI DATA version 4.2 was used for data entry and SPSS version 24 for analysis. The logistic regression model was used to indicate the association between independent variables with adherence to anti Tuberculosis treatment. Results The overall rate of adherence to anti-Tuberculosis treatment was 90.6% within the last 4 weeks and 96.6% within the last 4 days. Multivariable analysis revealed that having treatment supporter [AOR = 3.51, 95% CI (1.15, 10.75)], difficulties in taking TB drugs regularly [AOR = 0.07, 95% CI (0.01, 0.31)], perceived benefit [AOR = 3.45, 95% CI (1.07, 11.08)] and perceived self-efficacy [AOR = 0.22, 95% CI (0.07, 0.63)] were independently associated with adherence to anti-Tuberculosis treatment. Conclusion The treatment adherence rate of the patients was low in the last month before the data survey. Treatment supporters, difficulties in taking anti Tuberculosis drugs regularly, perceived benefit, and perceived self-efficacy were identified as affecting adherence to anti-TB treatment.


Jurnal NERS ◽  
2015 ◽  
Vol 10 (2) ◽  
pp. 195
Author(s):  
Ika Nur Fauziah ◽  
Lilik Djuari ◽  
Yuni Sufyanti Arief

Introduction: Child malnutrition still a major health problem in the world, including in Indonesia. According to World Health Organization (WHO) African Region and South-East Asia Region data, malnutrition affects nearly 20 million under five children and the main factors that affects about a third of child mortality worldwide. The aims of this study was to analyze and develop mother’s behavior model in severe malnutrition prevention for under five children based on Integration Health Belief Model and Health Promotion Model. Method: Type of this research was an explanatory observational with cross sectional design. Affordable population namely children under five’s years and cadres who visited Posyandu in April 2015 as many as 136 and 20 peoples. This study used proportional random sampling, with sample size 65 mothers; 10 children under five’s mothers and 10 Posyandu Balita’s cadres for FGD. Variables were personal factors, behavioral specific cognitions and affect, individual perceptions, commitment, cues to action and mother's behavior in severe malnutrition prevention. Data were collected by using questionnaires and food recall 24 hours, analyzed by Smart PLS. Result: Mother’s behavior model in severe malnutrition prevention for under five children can be formed by mother's commitment, behavioral specific cognition and affect and personal factors (income and motivation). Discussion: Nurse as a community health care providers have a role in improving community health status through health promotion. High commitment to behave in certain ways according to plan, improving the ability of individuals to maintain health promotion behavior all the timeKeywords: models, mother’s behavior, severe malnutrition prevention, Health Belief Model, Health Promotion Model


2020 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Luqman Effendi ◽  
Nurul Khotimah

Keluhan pada organ reproduksi yang sering terjadi adalah Pruritus vulvae yaitu ditandai dengan adanya sensasi gatal parah dari alat kelamin perempuan. Pruritus vulvae disebabkan oleh jamur, bakteri dan virus yang muncul 44% karena buruknya Personal Hygiene dan Hygiene Menstruasi. Penelitian Tahun 2015 di 4 wilayah di Indonesia yaitu di Nusa Tenggara Timur (NTT), Jawa Timur, Papua, dan Sulawesi Selatan terkait kebersihan saat menstruasi menemukan 67% remaja di kota dan 41% remaja di desa masih adanya perilaku negatif. Tujuan penelitian untuk mengetahui beberapa faktor yang berhubungan dengan perilaku hygiene menstruasi melalui Health Belief Model (HBM). Penelitian ini adalah penelitian kuantitatif  dengan menggunakan pendekatan cross sectional dengan sampel sebanyak 101 siswi SMPN 244 di Jakarta Utara, dianalisis secara univariat dan bivariat menggunakan chi square. Perilaku Hygiene Menstruasi baik baru dilakukan 55,4% responden. Perilaku Hygiene Menstruasi berhubungan secara signifikan dengan pengetahuan (OR=5,1), perceived threat (OR=3,9) dan perceived benefit (OR=3,3) dengan P Value < 0.005. Health Belief Model (HBM) bisa dipertimbangkan sebagai suatu pendekatan dalam upaya memperbaiki perilaku hygiene menstruasi pada remaja. Peningkatan pengetahuan direkomendasikan dengan menekankan pada ancaman penyakit yang berkaitan dengan perilaku hygiene menstruasi dan manfaat-manfaat yang langsung dirasakan oleh remaja berkenaan dengan perilaku higiene menstruasi.


Author(s):  
Wida Rahma Arwiyantasari ◽  
◽  
Budi Laksana ◽  

Background: HIV is a virus that attacks the white blood cells (lymphocytes). HIV causing Acquired Immunodeficiency Syndrome (AIDS). HIV/ AIDS has become a global emergency problem. East Java Province is in the top five of the population infected with HIV (8,204) and AIDS (741) and the most dominant are men. This will worsen the situation of women if they are infected pregnant women. This study aimed to analyze the effect of the Health Belief Model approach on the prevention of HIV/ AIDS among pregnant women in Madiun City, East Java. Subjects and Method: This was a cross sectional study conducted in Madiun City, East Java. A total of 80 pregnant women who conducted HIV/ AIDS check was enrolled in this study. The dependent variable was HIV prevention. The independent variables were perceived seriousness, perceived vulnerability, perceived benefit, and perceived barrier. The data were collected using questionnaire and analyzed using multiple logistic regression analysis. Results: There was a positive effect on perceived seriousness (OR = 8.43; 95% CI=1.38 to 51.4; p = 0.021), perceived vulnerability (OR = 8.36; 95% CI=1.06 to 65.9; p = 0.044), perceived benefit (OR = 12.6; 95% CI=1.37 to 115.5; p = 0.025) on the prevention of HIV/ AIDS among pregnant women and it was statistically significant. There was a negative effect on perceived barrier (OR = 0.13; 95% CI=0.02 to 0.86; p = 0.034) and it was statistically significant. Conclusion: Perceived seriousness, perceived vulnerability, perceived benefit, and perceived barrier influence pregnant women in taking HIV/ AIDS prevention. Keywords: health belief model, HIV / AIDS, pregnant women Correspondence: Wida Rahma Arwiyantasari. Academy of Midwifery, Muhammadiyah Madiun. Jl. Lumbung Life No. 2A Ex. Ngegong Kec. Manguharjo, Madiun City. Email: [email protected]. Mobile: 085736709597.


1970 ◽  
Vol 3 (1) ◽  
Author(s):  
Dian Palupi Kusuma ◽  
Sheizi Prista Sari ◽  
Ikeu Nurhidayah

Posyandu merupakan pusat pemantauan tumbuh kembang balita berbasis masyarakat, namun masih banyak ibu yang tidak membawa anak berkunjung teratur ke posyandu. Di Kabupaten Bandung, Posyandu Desa Cimekar memiliki angka kunjungan balita yang terendah yaitu 70,3% pada Bulan Oktober– Desember 2013. Tujuan penelitian ini untuk mengetahui hubungan antara persepsi ibu dengan perilaku membawa balita ke posyandu dengan pendekatan teori Health Belief Model. Penelitian ini menggunakan metode deskriptif kuantitatif dengan pendekatan cross sectional. Sampel penelitian berjumlah 94 ibu balita yang diambil dengan menggunakan teknik simple random sampling di 10 Posyandu Desa Cimekar. Analisis menggunakan chi-square. Hasil penelitian menunjukkan bahwa 52,12% memiliki persepsi positif tentang posyandu dan 59,57% responden memiliki perilaku rutin membawa balita ke posyandu. Hasil analisis bivariat menunjukkan terdapat hubungan antara persepsi dengan perilaku ibu membawa balita ke posyandu (nilai p=0,000; α=0,05). Simpulan dari penelitian ini menunjukkan bahwa persepsi ibu tentang posyandu belum merata dengan baik. Hasil penelitian ini merekomendasikan agar puskesmas memberikan pembinaan terhadap para ibu balita bukan hanya penyuluhan, namun diberikan pengarahan dan bimbingan tentang pentingnya membawa balita ke posyandu. Kata kunci: Balita, Health Belief Model, perilaku, persepsi, posyandu The Relationship between Mother’s Perception and Behavior on Attending Posyandu Abstract Community health post as well known as posyandu provide as center to monitor growth in children under five years old. Data showed that the number of mother’s attendance behavior to Posyandu in Cimekar’s Village was very low, only 70.5% from October to December 2013. The aimed of this study was to identify the relationship between mother’s perception and parents behavior on taking their children to posyandu based on Health Belief Model Theory. The method of this study was descriptive with cross sectional study. Simple random sampling was used as sampling technique with 97 mothers who has child under five years old among 10 Posyandu in Cimekar was taken in this study. Data was analyzed by chi-square. The result of this study showed that there was significant relationship between mother’s perception and mother’s behavior to attend Posyandu (p=0.000; α=0.05). Data showed that 52.25% respondents had a positive perception about posyandu and 59.5% respondents had positive behavior to take their child to posyandu. The recommendation for Puskesmas is to give further information and motivation to mother to attend posyandu frequently.Key words: Behavior, child under five years old, Health Belief Model, perception, posyandu.


2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Melese Dubie Agegnehu ◽  
Liknaw Bewket Zeleke ◽  
Yitayal Ayalew Goshu ◽  
Yonas Lamore Ortibo ◽  
Yohannes Mehretie Adinew

Background. Diarrhea is the leading cause of mortality among infants and children younger than 5 years of age in both underdeveloped and developing countries. Factors determining the occurrence of diarrhea in children are complex, and the relative contribution of each factor varies as a function of interaction between socioeconomic, environmental, and behavioral variables. Objectives. To assess diarrhea prevention practice and associated factors of diarrheal disease among caregivers who have under-five children in Enemay district, Ethiopia, 2018. Methods. Community-based cross-sectional study was done from June 1–30, 2018, among 398 caregivers who have under-five children, in the Enemay district that were selected by using the simple random sampling technique. A structured and pretested data collection tool was used to collect the data. Data were entered using EPI DATA version 4.2, and analysis was done using SPSS version 20 statistical package to be cleaned and analyzed. Descriptive analysis was done to describe study participants, and logistic regression (bivariable and multivariable) analysis was done to identify factors that have association with the dependent variable. The P value was less than 0.05. Results. A total of 398 with a response rate of 97% under-five caregivers were participated in this study. Nearly, half (48.7%) of the participants were in the age group 25–34. The study revealed that good practice of diarrhea prevention was 52.8%. This study was also identified that occupation (AOR: 3.922, 95% CI: 1.593, 9.657), family size (AOR: 0.088, 95% CI: 0.009, 0.916), and understanding on diarrhea (AOR: 0.237, 95% CI: 0.091, 0.613) were associated factors of diarrhea prevention practice of under-five children caregivers. Conclusion. This finding showed that diarrhea prevention practice among under-five children caregivers was low and prevention practice was significantly associated with caregivers’ awareness on frequency of diarrhea in a day, occupation, and family size in a house.


2018 ◽  
Vol 1 (2) ◽  
pp. 9-26 ◽  
Author(s):  
Solomon Getahun Beyene ◽  
Abulie Takele Melku

Background: Acute diarrheal diseases are the leading cause of preventable childhood death, especially in developing countries. It is the second leading cause of death in under-five year children nest to pneumonia. Objectives: The aim of this study was to determine the magnitude and associated factors of diarrhea in under-five in Harena Buluk district. Methods: A community based Cross sectional study was conducted in February, 2018. A two stage stratified sampling method was done to select the eligible households. Data was collected by trained data collectors using pretested questionnaire list which was prepared based on EDHS and WHO core questionnaires related to diarrhea. Data was entered in to a computer using Epi data 3.1 and exported to SPSS V.20 for further analysis. Logistic regression was used to determine level of association with 95% CI. A p-value <0.05 in the final model were considered as significant. Result: The two weeks period magnitude of diarrhea among under-five children was 28.4% with 95% CI (14.5-20.8) which was associated with households with one under five children (AOR: 0.268, 95% CI(.08,0.90)), living in the home with single room ((AOR = 6.01, 95% CI(1.01,36.01)), clean latrine/faces not seen around the pit or on the floor of latrine(AOR: 0.298, 95% CI(0.097,0.92)), long time take to fetch water from source (AOR: 0.046,95%CI(0.01,0.22)), home based water treatment ((AOR = 0.15, 95% CI: (0.04, 0.62)), living with animal in the same house(AOR: 8.31, 95% CI(2.46,28.06)), children who took gruel type of food(AOR: 0.24, 95% CI(0.07,0.81)), hand washing practice before cooking food (AOR: 0.195(0.066, 0.574)). Conclusion: The two weeks period magnitude of acute under-five diarrhea was relatively high and number of under five children in the household, cleanness latrine, time taking from the source of water, home based water treatment, number of rooms in the home, live with animal in the same house, type of food child take, hand washing before food preparation had significant association with the occurrence of under-five diarrhea. Improve community about home and environmental sanitation and hand practices were recommended.


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