scholarly journals Does antenatal care service quality influence essential newborn care (ENC) practices? In Bahir Dar City Administration, North West Ethiopia: a prospective follow up study

2018 ◽  
Vol 44 (1) ◽  
Author(s):  
Tadese Ejigu Tafere ◽  
Mesganaw Fanthahun Afework ◽  
Alemayehu Worku Yalew
Keyword(s):  
Service Quality ◽  
Antenatal Care ◽  
Care Service ◽  
Newborn Care ◽  
Bahir Dar ◽  
Essential Newborn Care ◽  
North West ◽  
Follow Up Study ◽  
North West Ethiopia

scholarly journals The effects of ANC follow up on essential newborn care practices in east Africa: a systematic review and meta-analysis

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Erkihun Tadesse Amsalu ◽  
Bereket Kefale ◽  
Amare Muche ◽  
Zinabu Fentaw ◽  
Reta Dewau ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
East Africa ◽  
Meta Analysis ◽  
Newborn Care ◽  
Cochrane Library ◽  
Care Practice ◽  
Essential Newborn Care ◽  
Newborn Care Practice

AbstractIn the situation of high maternal morbidity and mortality in Sub-Saharan Africa, less than 80% of pregnant women receive antenatal care services. To date, the overall effect of antenatal care (ANC) follow up on essential newborn practice have not been estimated in East Africa. Therefore, this study aims to identify the effect of ANC follow up on essential newborn care practice in East Africa. We reported this review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). We searched articles using PubMed, Cochrane library, African journal online (AJOL), and HINARI electronic databases as well as Google/Google scholar search engines. Heterogeneity and publication bias between studies were assessed using I2 test statistics and Egger’s significance test. Forest plots were used to present the findings. In this review, 27 studies containing 34,440 study participants were included. The pooled estimate of essential newborn care practice was 38% (95% CI 30.10–45.89) in the study area. Women who had one or more antenatal care follow up were about 3.71 times more likely practiced essential newborn care compared to women who had no ANC follow up [OR 3.71, 95% CI 2.35, 5.88]. Similarly, women who had four or more ANC follow up were 2.11 times more likely practiced essential newborn care compared to women who had less than four ANC follow up (OR 2.11, 95% CI 1.33, 3.35). Our study showed that the practice of ENBC was low in East Africa. Accordingly, those women who had more antenatal follow up were more likely practiced Essential newborn care. Thus, to improve the practice of essential newborn care more emphasis should be given on increasing antenatal care follow up of pregnant women in East Africa.

scholarly journals Body mass index variation over time and associated factors among HIV-positive adults on second-line ART in north-west Ethiopia: a retrospective follow-up study

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e033393
Author(s):  
Adhanom Gebreegziabher Baraki ◽  
Lemma Derseh Gezie ◽  
Ejigu Gebeye Zeleke ◽  
Tadesse Awoke ◽  
Adino Tesfahun Tsegaye
Keyword(s):  
Functional Status ◽  
Hiv Positive ◽  
Second Line ◽  
Factors Affecting ◽  
North West ◽  
Follow Up Study ◽  
Hiv Positive Adults ◽  
North West Ethiopia ◽  
Over Time

ObjectivesThis study aimed to assess the evolution of body mass index (BMI) of HIV-positive adults on second-line antiretroviral therapy (ART) over time and factors affecting it in north-west Ethiopia.DesignAn institution-based retrospective follow-up study was conducted using data extracted from 1016 patient cards from February 2008 to February 2016.SettingEight referral hospitals from Amhara region, Ethiopia were included.ParticipantsHIV patients who started second-line ART.Outcome measuresChange in BMI since starting second-line ART.ResultsFive hundred and thirty-eight (52.95%) participants were males and the median age of the participants was 33 years (IQR: 28; 39). The median follow-up time was 18 months (IQR: 5.2; 32.2). The average change of BMI showed linear increase over time. The amount of BMI increment or decrement according to each variable was shown as β coefficients. Treatment duration (β=0.013, 95% CI 0.004 to 0.022), isoniazid prophylaxis (β=0.87, 95% CI 0.32 to 1.42), cotrimoxazole prophylaxis (β=0.63, 95% CI 0.08 to 1.19), ambulatory functional status (β=−1.16, 95% CI −1.95 to 1.31), bedridden functional status (β=−1.83, 95% CI −2.47 to 1.21), WHO stage III (β=−0.42, 95% CI −0.65 to 0.20), WHO stage IV (β=−0.62, 95% CI −1.02 to 0.22), CD4 count (β=0.001, 95% CI 0.0008 to 0.0015), and time interaction of variables like tertiary educational status (β=0.02, 95% CI 0.01 to 0.04), ambulatory functional status (β=0.03, 95% CI 0.01 to 0.05) and WHO stages III (β=0.01, 95% CI 0.007 to 0.02) were found to be significant predictors.ConclusionThe BMI of patients has shown linear increment over the treatment time. Factors affecting it have been identified but its effect on cardiovascular disease needs further study.

scholarly journals Time To Recovery And Its Predictors Among Severe Community Acquired Pneumonia Patients Admitted To Pediatric Ward, Debre-markos Referral Hospital, North West Ethiopia, Retrospective Follow-up Study, 2019

2019 ◽  
Author(s):  
Belayneh Mengist Mitiku
Keyword(s):  
Recovery Time ◽  
Community Acquired Pneumonia ◽  
Referral Hospital ◽  
Pediatric Ward ◽  
North West ◽  
Follow Up Study ◽  
North West Ethiopia ◽  
Debre Markos ◽  
Severe Community Acquired Pneumonia

Abstract Background - Globally, pneumonia is a major cause of morbidity and mortality among children which affects 151.8 million each year. It leads over 156 million episodes and 14.9 million hospitalizations per year. Besides this fact, the recovery time and predictors of children’s hospitalization related to severe community acquired pneumonia is not well known. Objective -The aim of this study was to estimate the median time to recovery and its predictors among severe community acquired pneumonia patients admitted to pediatric ward, Debre Markos Referral Hospital, North West Ethiopia. Methods - An institution based retrospective follow up study was employed among 352 records of children who were admitted starting from January 2016 to December, 2018. Patients chart were retrieved using a structured data extraction tool. Data was entered using Epi-Data version 3.02 and analyzed using STATA version 14 statistical software. The Kaplan Meier survival curve and log rank tests were used. Cox proportional hazard model assumption and model fitness were checked. Stratified Cox regression was fitted as a final model. Hazard ratio with its 95% confidence interval was used and P-value < 0.05 was considered as statistically significant association. Result- The overall median recovery time was 4 days IQR (3-7). Recovery rate from severe community acquired pneumonia was 16.25 (95% CI: 14.54–18.15) per 100 person day observation. Age (AHR; 0.94 95% CI (0.90-0.98)), being stunted (AHR; 0.62 95% CI (0.43-0.91)), presence of danger sign at admission (AHR; 0.61 95% CI ((0.40-0.94)), late presentation to seek care (AHR; 0.64 95% CI (0.47-0.88)) and co-morbidity (AHR; 0.45 95% CI ((0.45(0.35-0.58)) were significant predictors of recovery time. Conclusion: The median recovery time from severe community acquired pneumonia was long. Measures to reduce recovery time should be strengthened. Key words:-pediatrics, predictors, severe community acquired pneumonia and time to recovery.

scholarly journals Determinants of antenatal care dropout among mothers who gave birth in the last six months in BAHIR Dar ZURIA WOREDA community; mixed designs

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yibeltal Alemu Bekele ◽  
Tadesse Ejigu Tafere ◽  
Amanu Aragaw Emiru ◽  
Henok Biresaw Netsere
Keyword(s):  
Antenatal Care ◽  
Wealth Index ◽  
Drop Out ◽  
Bahir Dar ◽  
Cultural Economic ◽  
North West ◽  
Face To Face ◽  
North West Ethiopia ◽  
Mixed Designs ◽  
Level Of Significance

Abstract Background Antenatal care is the care provides for a pregnant mother to improve the health of the mother and her baby. But in the World including Ethiopia still, mothers do not receive the required number of antenatal care visits. Therefore, the main aim of this study was to identify determinants of Antenatal care visit dropout in Bahir Dar Zuria Woreda North West Ethiopia. Methods The study was community-based unmatched case-control study that employed both quantitative and qualitative data. For the quantitative part, 134 cases and 266 controls (total 400) women who gave births in the last six months prior to the study in Bahir Dar Zuria Woreda were enrolled. Data were collected through face to face interviews from March 1 to 30, 2018 using a structured questionnaire. Bivariate and multivariate analysis was used. 95% confidence interval and P-value was used to measure the level of significance. For the qualitative part, six FGDs were conducted and open code software was used for the analysis of the data. The finding was narrated by triangulating with the quantitative findings. Result Being far distance (AOR 7.26; 95% CI 4.23, 23.01), not having a companion (AOR 3.49; 95% CI; 2.39, 8.44), lack of knowledge (AOR 2.57; 95% CI; 1.25, 5.28), poor wealth index (AOR; 3.36, 95% CI 1.71, 6.62) and not developing a danger sign (AOR 2.18; 95% CI 2.28, 7.64) were predictors of ANC dropout. In addition to this, in the qualitative finding, the socio-culture of the community, attitudes, experience, and perception of the existing services and service provisions were also determinants of ANC drop out. Conclusion Socio-cultural, economic, accessibility, and individual factors were determinants of ANC visit drop out. In addition, the behavior of the professional, the mother understands of the existing services, and their perception about ANC influenced ANC dropout.

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