scholarly journals High burden of undernutrition among primary school-aged children and its determinant factors in Ethiopia; a systematic review and meta-analysis

2020 ◽  
Vol 46 (1) ◽  
Author(s):  
Moges Agazhe Assemie ◽  
Alehegn Aderaw Alamneh ◽  
Daniel Bekele Ketema ◽  
Ali Mekonen Adem ◽  
Melaku Desta ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary School ◽  
Meta Analysis ◽  
Parasitic Infection ◽  
Educational Status ◽  
School Aged Child ◽  
Determinant Factors ◽  
School Aged Children ◽  
Aged Child ◽  
Maternal Educational Status

Abstract Background Undernutrition remains a major public health concern affecting both children and adolescents in Ethiopia. However, little attention has been given to the undernutrition of primary school-aged children, with their exclusion within national surveys. Therefore, this systematic review and meta-analysis was conducted to determine pooled estimate and determinant factors of undernutrition among primary school-aged children (6 to 15 years of age) in Ethiopia. Method We systematically retrieved available articles on the prevalence of undernutrition in primary school-aged children in Ethiopia by using a number of computerized databases, including PubMed, Scopus, Cochrane Library, Google Scholar, and Science Direct between September 1 and November 25, 2019. Two authors independently extracted relevant data using a standardized data extraction form. Heterogeneity among included studies was assessed with the Cochrane Q test statistics and Higgins I2 tests. The pooled estimates and determinant factors of school-aged undernutrition were assessed with random-effects model using Stata/se Version 14. Result We have retrieved 30 eligible articles with pooled sample size of 16,642 primary school- aged children to determine the prevalence of undernutrition in Ethiopia. Hence, the pooled prevalence of stunting, underweight, and wasting were found to be 21.3% (95% CI: 17.0, 25.5), 18.2% (95% CI: 14.4, 22.0) and 17.7% (95% CI, 13.5, 21.8) respectively. Heterogeneity was assessed by doing subgroup analysis for study province/region. Thus, the highest prevalence of stunting was 27.6% (95% CI, 20.7, 34.5) and underweight 22.7% (95% CI, 19.2, 26.3) in Amhara Region while, in the instance of wasting, it was 19.3%(95% CI: 5.1, 33.4) in Southern Nations, Nationalities and People’s Region. Maternal educational status (OR = 1.91, 95% CI: 1.33, 2.73), age of school-aged child (OR = 0.56, 95% CI: 0.44, 0.72) and sex of school-aged child (OR = 0.73, 95% CI: 0.62, 0.85) were found to be significantly associated with stunting. Maternal educational status (OR = 0.6, 95% CI: 0.36, 0.9) and age of school-aged child (OR = 2.74, 95% CI: 1.81, 4.14) were associated with thinness/wasting. Parasitic infection (OR = 2.02, 95% CI: 1.10, 3.73) were associated with underweight of school age children. Conclusion The prevalence of stunting and underweight among primary school-aged children are moderately high while acute undernutrition (wasting) is more critical than under-five national average as reported in the 2016 Ethiopian Demography and Health Survey. Therefore, this finding warrants the need to design a school-aged children nutrition survey and expand school feeding programs to improve the nutritional status of primary school-aged children in the country. In addition, emphasis should be given to female school-aged children in the early school years, creating awareness for those mothers who lack formal education, and preventing and treating/deworming parasitic infection. Moreover, researchers must conduct research in province/regions which have not yet studied school aged children’s nutritional status to date.

scholarly journals Correction to: High burden of undernutrition among primary school-aged children and its determinant factors in Ethiopia; a systematic review and meta-analysis

2020 ◽  
Vol 46 (1) ◽  
Author(s):  
Moges Agazhe Assemie ◽  
Alehegn Aderaw Alamneh ◽  
Daniel Bekele Ketema ◽  
Ali Mekonen Adem ◽  
Melaku Desta ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary School ◽  
Meta Analysis ◽  
High Burden ◽  
Determinant Factors ◽  
School Aged Children

An amendment to this paper has been published and can be accessed via the original article.

scholarly journals Essential Newborn Care Utilization and Associated Factors in Ethiopia: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Yoseph Merkeb Alamneh ◽  
Fentahun Adane ◽  
Tadesse Yirga ◽  
Melaku Desta
Keyword(s):  
Systematic Review ◽  
Postnatal Care ◽  
Associated Factors ◽  
Meta Analysis ◽  
Newborn Care ◽  
Educational Status ◽  
Care Utilization ◽  
Essential Newborn Care ◽  
Pregnancy And Delivery ◽  
Maternal Educational Status

Abstract Background: Globally, newborn death accounted for 46% of under-five deaths and more than 80% of newborn deaths are the result of preventable and treatable conditions. Reports on the prevalence and associated factors of essential newborn care utilization are highly variable and inconsistent across Ethiopia. Therefore, this systematic review and meta-analysis aimed to estimate the pooled prevalence of essential newborn care utilization and associated factors in Ethiopia. Methods : The international databases include: MEDLINE/PubMed, EMBASE, Web of Sciences, Scopus, Google Scholar, Science Direct, Cochrane library and others were scientifically explored. We considered all primary studies reporting the prevalence of essential newborn care utilization and associated factors in Ethiopia. We retrieved all necessary data by using a standardized data extraction format spreadsheet. STATA 14 statistical software was used to analyze the data and Cochrane Q test statistics and I 2 test was used to assess the heterogeneity between the studies.Random effect model was employed. Results: The pooled estimate of essential newborn care utilization from 11 studies in Ethiopia was 48.768% (95% CI: 27.891, 69.645). Residence [ OR = 2.50 (95% CI: 1.64, 3.88)], Postnatal care [OR=5.53, 95% CI = (3.02, 10.13], counseling during pregnancy and delivery [OR=4.39, 95% CI = (2.99, 6.45], antenatal care follows up (OR=6.84; 95% CI: 1.15, 4.70) and maternal educational status [OR = 1.63 (95% CI: 1.12, 2.37)] were identified as the associated factors of essential newborn care utilization. Conclusion: Based on the current study essential newborn care utilization in Ethiopia was significantly low as compared to the current global recommendation on essential newborn care utilization. Place of residence, Postnatal care, counseling during pregnancy and delivery, antenatal care follows up and maternal educational status were associated risk factors variables. Therefore, on the basis of the results, it is suggested that special attention should be given to attempts to ensure that education should focus on women during ante and postnatal follow-up, counseling during pregnancy and delivery, as well as rural and illiterate mothers. Finally, appropriate newborn services utilization at health facilities and raising mother’s level of awareness about newborn care practices should be recommended.

scholarly journals Essential Newborn Care Utilization and Associated Factors in Ethiopia: A Systematic Review and Meta-Analysis

2019 ◽  
Author(s):  
Yoseph Merkeb Alamneh ◽  
Fentahun Adane Nigat ◽  
Tadesse Yirga Yirga ◽  
Melaku Desta Desta
Keyword(s):  
Systematic Review ◽  
Postnatal Care ◽  
Associated Factors ◽  
Meta Analysis ◽  
Newborn Care ◽  
Educational Status ◽  
Care Utilization ◽  
Essential Newborn Care ◽  
Pregnancy And Delivery ◽  
Maternal Educational Status

Abstract Background: Globally, neonatal death accounted for 46% of under-five deaths and more than 80% of newborn deaths are the result of preventable and treatable conditions. In Ethiopia, contradict and inconsistent studies have been conducted to assess the prevalence of essential newborn care utilization and associated factors. Therefore, this systematic review and meta-analysis aimed to estimate the pooled prevalence of essential newborn care utilization and associated factors in Ethiopia. Methods: The international databases include MEDLINE/PubMed, EMBASE, Web of Sciences, Scopus, and Grey literature databases, Google Scholar, Science Direct and Cochrane library were scientifically explored. All primary studies reporting the prevalence of essential neonatal care utilization and associated factors in Ethiopia were considered. All necessary data were retrieved by using a standardized data extraction format, spreadsheet. STATA 14 statistical software was used to analyze the data and Cochrane Q test statistics and I2 test was used to assess the heterogeneity between the studies. There was significant heterogeneity between the studies so that a random effect model was computed. Results: The pooled estimate for utilization essential newborn care utilization from 11 studies in Ethiopia was 48.768% (95% CI: 27.891, 69.645). Residence [ OR = 2.50 (95% CI: 1.64, 3.88)], Postnatal care [OR=5.53, 95% CI = (3.02, 10.13], counseling during pregnancy and delivery [OR=4.39, 95% CI = (2.99, 6.45], antenatal care follows up (OR=6.84; 95% CI: 1.15, 4.70) and maternal educational status [OR = 1.63 (95% CI: 1.12, 2.37)] were identified as the associated factors of essential newborn care utilization. Conclusion: Based on the current study essential newborn care utilization in Ethiopia was significantly low as compared to the current global recommendation on essential neonatal care utilization. Place of residence, Postnatal care, counseling during pregnancy and delivery, antenatal care follows up and maternal educational status were associated risk factors variables. Hence, appropriate newborn services utilization at health facilities and raising mother’s level of awareness about newborn care practices should be recommended.

scholarly journals Essential Newborn Care Utilization and Associated Factors in Ethiopia: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Yoseph Merkeb ◽  
Fentahun Adane ◽  
Tadesse Yirga ◽  
Melaku Desta
Keyword(s):  
Systematic Review ◽  
Postnatal Care ◽  
Associated Factors ◽  
Meta Analysis ◽  
Newborn Care ◽  
Educational Status ◽  
Care Utilization ◽  
Essential Newborn Care ◽  
Pregnancy And Delivery ◽  
Maternal Educational Status

Abstract Background: Globally, newborn death accounted for 46% of under-five deaths and more than 80% of newborn deaths are the result of preventable and treatable conditions. Reports on the prevalence and associated factors of essential newborn care utilization are highly variable and inconsistent across Ethiopia. Therefore, this systematic review and meta-analysis aimed to estimate the pooled prevalence of essential newborn care utilization and associated factors in Ethiopia. Methods : The international databases include: MEDLINE/PubMed, EMBASE, Web of Sciences, Scopus, Google Scholar, Science Direct, Cochrane library and others were scientifically explored. We considered all primary studies reporting the prevalence of essential newborn care utilization and associated factors in Ethiopia. We retrieved all necessary data by using a standardized data extraction format spreadsheet. STATA 14 statistical software was used to analyze the data and Cochrane Q test statistics and I 2 test was used to assess the heterogeneity between the studies.Random effect model was employed. Results: The pooled estimate of essential newborn care utilization from 11 studies in Ethiopia was 48.768% (95% CI: 27.891, 69.645). Residence [ OR = 2.50 (95% CI: 1.64, 3.88)], Postnatal care [OR=5.53, 95% CI = (3.02, 10.13], counseling during pregnancy and delivery [OR=4.39, 95% CI = (2.99, 6.45], antenatal care follows up (OR=6.84; 95% CI: 1.15, 4.70) and maternal educational status [OR = 1.63 (95% CI: 1.12, 2.37)] were identified as the associated factors of essential newborn care utilization. Conclusion: Based on the current study essential newborn care utilization in Ethiopia was significantly low as compared to the current global recommendation on essential newborn care utilization. Place of residence, Postnatal care, counseling during pregnancy and delivery, antenatal care follows up and maternal educational status were associated risk factors variables. Therefore, on the basis of the results, it is suggested that special attention should be given to attempts to ensure that education should focus on women during ante and postnatal follow-up, counseling during pregnancy and delivery, as well as rural and illiterate mothers. Finally, appropriate newborn services utilization at health facilities and raising mother’s level of awareness about newborn care practices should be recommended.

scholarly journals Intestinal Parasitic Infection and Its Associated Factors Among Primary School Students in Ethiopia; a Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Moges Agazhe Assemie ◽  
Pammla Petrucka ◽  
Daniel Shitu ◽  
Yidersail Hune ◽  
Ayele Mamo Abebe ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary School ◽  
School Children ◽  
Associated Factors ◽  
Meta Analysis ◽  
Parasitic Infection ◽  
Primary School Children ◽  
Health Concern ◽  
Intestinal Parasitic Infection ◽  
Pooled Prevalence

Abstract Background: Intestinal parasitic infection (IPI) remains a major public health concern affecting both children and adolescents in Ethiopia. However, little attention has been given to intestinal parasitic infection within primary school children. Therefore, this systematic review and meta-analysis was done to determine pooled prevalence and associated factors of intestinal parasitic infection in this target group.Method: We systematically retrieved available articles on the prevalence of intestinal parasitic infection in primary school children in Ethiopia. PubMed, Scopus, Cochrane Library, Google Scholar, and Science Direct between September 1 and December 27, 2019. Two authors independently extracted all relevant data using a standardized Microsoft™ Excel data extraction form. Heterogeneity among included studies was assessed with the Higgins I2 tests. The pooled estimates and associated factors of primary school children’s intestinal parasitic infection were assessed with a random-effects model using Stata/se Version 14.Result: We have retrieved 30 eligible articles with pooled sample size of 14,445 primary school children with response rate of 97.8%. Entamoeba spp (16.11%), Ascaris lumbricoides (13.98%), Hookworm (12.51%) and Giardia lamblia (9.98%) were among the top four causes of intestinal parasitic infection among primary school children. The pooled prevalence of intestinal parasitic infection was found to be 46.09 (95% CI: 38.50, 53.68). Heterogeneity was assessed by doing subgroup analysis by study province/region, with the highest prevalence of intestinal parasitic infection being 66.6 % (95% CI: 55.5, 77.7) in Tigray region, followed by Southern Nations, Nationalities, and Peoples’ Region at 50.8% (95% CI: 33.1, 68.5). Latrine availability (OR=4.39: 2.50,7.73), fingernail hygiene (OR= 2.37: 1.67, 3.35), place of defecation (OR=1.67:1.64,4.36), maternal education (OR=2.02: 1.18,3.47), residence (OR= 1.88: 1.46, 2.41), habit of wearing shoes (OR= 2.66: 1.79, 3.96), source of drinking water (OR=1.99: 1.42,2.76), hands washing practices (OR= 3.45:1.85,6.47), and habit of washing fruits and vegetables (OR=1.59:1.01,2.49) were found to be significantly associated with intestinal parasitic infection. Conclusions: The prevalence of intestinal parasitic infection was high (46%) in the study population. Therefore, this finding warrants the need to design school children hygiene and sanitation service and expand school children deworming programs to decrease intestinal parasitic infections and improve academic performance in the country. In addition, attention should be given to promoting personal hygiene, latrine utilization, wearing shoes, avoiding eating raw food, and creating awareness for those mothers who lack formal education. Moreover, the researchers try to conduct research on province/regions which have no prior research.

scholarly journals Prevalence of intestinal parasitic infection and its associated factors among primary school students in Ethiopia: A systematic review and meta-analysis

2021 ◽  
Vol 15 (4) ◽  
pp. e0009379
Author(s):  
Moges Agazhe Assemie ◽  
Daniel Shitu ◽  
Yidersail Hune ◽  
Pammla Petrucka ◽  
Ayele Mamo Abebe ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary School ◽  
School Children ◽  
Associated Factors ◽  
Meta Analysis ◽  
Parasitic Infection ◽  
Primary School Children ◽  
Health Concern ◽  
Intestinal Parasitic Infection ◽  
Pooled Prevalence

Introduction Intestinal parasitic infection are a major public health concern affecting both children and adolescents in Ethiopia. The aim of this systematic review and meta-analysis was to determine pooled prevalence and associated factors of intestinal parasitic infection in this target group. Method We systematically retrieved available articles on the prevalence of intestinal parasitic infection following database searches using PubMed, Scopus, Cochrane Library, and Science Direct between March 1 and May 27, 2020. Two authors independently extracted all relevant data using a standardized Microsoft Excel data extraction form. Heterogeneity among included studies was assessed with the Higgins I2 tests. The pooled estimates and associated factors were assessed with a random-effects model using Stata/se Version 14. Result We retrieved 30 eligible articles with a pooled sample size of 14,445 primary school children with response rate of 97.8%. Entamoeba spp (16.11%), Ascaris lumbricoides (13.98%), hookworm (12.51%) and Giardia lamblia (9.98%) are the top causes of intestinal parasitic infection among primary school children in Ethiopia. The pooled prevalence for at least one intestinal parasitic infection was 46.09 (95% CI: 38.50, 53.68). Heterogeneity was assessed by doing subgroup analysis by study province/region. Thus, the highest prevalence of 66.6% (95% CI: 55.5, 77.7) occurred in Tigray region, which was followed by Southern Nations, Nationalities, and Peoples’ Region at 50.8% (95% CI: 33.1, 68.5). No latrine availability (OR = 4.39: 2.50,7.73), no fingernail hygiene (OR = 2.37: 1.67, 3.35), open defecation (OR = 1.67:1.64,4.36), no formal maternal education (OR = 2.02: 1.18,3.47), rural residence (OR = 1.88: 1.46, 2.41), no habit of wearing shoes (OR = 2.66: 1.79, 3.96), non-pipe source of drinking water (OR = 1.99: 1.42,2.76), no regular hand washing practices (OR = 3.45:1.85,6.47), and no habit of washing fruits and vegetables (OR = 1.59:1.01,2.49) were associated with parasitic infection. Conclusions The prevalence of intestinal parasitic infection was high (46%). Attention should be given to promoting personal hygiene, latrine utilization, wearing shoes, avoiding eating raw food, creating awareness for those mothers who lack formal education. Moreover, future research ideally will expand on the topic by conducting research in regions which have no prior research.

scholarly journals Knowledge of blood donation and associated factors in Ethiopia: a systematic review and meta-analysis

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e044343
Author(s):  
Addisu Getie ◽  
Adam Wondmieneh ◽  
Melaku Bimerew ◽  
Getnet Gedefaw ◽  
Asmamaw Demis
Keyword(s):  
Systematic Review ◽  
Associated Factors ◽  
Blood Donation ◽  
Meta Analysis ◽  
Educational Status ◽  
Sensitivity Analyses ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
Cross Sectional Studies ◽  
Study Participants

ObjectiveTo assess the level of knowledge about blood donation and associated factors in Ethiopia.DesignSystematic review and meta-analysis.MethodsBoth published and unpublished cross-sectional studies on the level of knowledge about blood donation in Ethiopia were included. Articles from different databases such as PubMed/MEDLINE, HINARI, EMBASE, Scopus, Google Scholar and African Journals Online were searched. Cochrane I2 statistics were used to check for heterogeneity. Subgroup and sensitivity analyses of evidence of heterogeneity were carried out. Egger’s test with funnel plot was conducted to investigate publication bias.ResultTwenty cross-sectional studies with a total of 8338 study participants (4712 men and 3626 women) were included. The overall nationwide level of knowledge about blood donation was 56.57% (95% CI 50.30 to 62.84). Being in secondary school and above (adjusted OR=3.12; 95% CI 2.34 to 4.16) and being male (adjusted OR=1.81; 95% CI 1.44 to 2.28) were the factors associated with level of knowledge about blood donation.ConclusionMore than half of the study participants were knowledgeable about blood donation. Sex and educational status were the factors significantly associated with level of knowledge about blood donation in Ethiopia. Therefore, there is a need for education and dissemination of information about blood donation among the general population to build adequate knowledge and maintain regular blood supply.

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