scholarly journals Determinants of stillbirth in Felege-Hiwot comprehensive specialized referral hospital, North-west, Ethiopia, 2019

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Daniel Tarekegn Worede ◽  
Gizachew Worku Dagnew
Keyword(s):  
Tetanus Toxoid ◽  
Sexually Transmitted Infection ◽  
Perinatal Death ◽  
Referral Hospital ◽  
P Value ◽  
Transmitted Infection ◽  
North West ◽  
Sexually Transmitted ◽  
Increase Risk ◽  
North West Ethiopia

Abstract Objective The objective of this study was to identify determinants of stillbirth in Felege Hiwot comprehensive specialized referral hospital, North-west, Ethiopia: 2019. To conduct this study an institutional-based unmatched case–control study was used among 84 cases and 336 controls. Pretested, structured questioner with face to face interview was conducted and some data were also extracted from medical records using a checklist. The data were analyzed by using binary logistics regression. A p-value of < 0.05 was considered as significant at 95% confidence level and the strength of association was measured using odds ratio. Results Illiteracy (AOR 3.8, 95% CI 1.4–10.2), sexually transmitted infection (AOR 5.7, 95% CI 1.1–29.7), Premature rupture of membrane (AOR 4.0, 95% CI 1.4–11.3), congenital anomaly (AOR 10.4, 95% CI 2.0–11.2) and history of perinatal death (AOR 10.4, 95% CI 3.7–29.2) were the determinants of stillbirth that increase risk of fetal death. Whereas taking at least two doses of tetanus toxoid vaccine (AOR 0.5, 95% CI 0.2–0.9) and partograph use (AOR 0.2, 95% CI 0.1–0.4) were found to be protective factors for stillbirth. To overcome this problem; empowering female education, facilitating women in taking tetanus toxoid vaccine, sexually transmitted infection prevention, and encourage health professionals to use partograph during labour follow up highly strongly recommended.

scholarly journals Structural and environmental influences increase risk of sexually transmitted infection in a sample of female sex workers

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Susan G. Sherman ◽  
Catherine Tomko ◽  
Rebecca Hamilton White ◽  
Danielle Friedman Nestadt ◽  
Bradley E. Silberzahn ◽  
...  
Keyword(s):  
Sexually Transmitted Infection ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Environmental Influences ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Increase Risk

scholarly journals Prevalence of Diabetic Retinopathy and Its Associated Factors Among Diabetic Patients at Debre Markos Referral Hospital, North-west Ethiopia, 2019.

2020 ◽  
Author(s):  
Melkamu Tilahun ◽  
Teshome Gobena ◽  
Diriba Dereje ◽  
Mengistu Wolde ◽  
Getachew Yideg
Keyword(s):  
Body Mass Index ◽  
Logistic Regression ◽  
Diabetic Retinopathy ◽  
Associated Factors ◽  
Referral Hospital ◽  
P Value ◽  
Diabetic Patients ◽  
North West ◽  
North West Ethiopia ◽  
Debre Markos

Abstract Background Diabetic retinopathy is a well-known sight–threatening microvascular complication of diabetes mellitus. Currently 93 million people live with diabetic retinopathy worldwide. There are insufficient studies addressing on the prevalence of diabetic retinopathy and underlying risk factors in Ethiopia. Objective To assess prevalence of diabetic retinopathy and its associated factors among diabetic patients on follow up at Debre Markos Referral Hospital, North-West Ethiopia, 2019. Methods Institutional based cross-sectional study was conducted among 302 participants at Debre Markos Referral Hospital. They were selected through systematic sampling technique and those with mature cataract and critically ill were excluded. The necessary data were extracted from medical records by using pre-tested checklist. Blood pressure, weight, height and visual acuity tests were assessed. Retinal examination was performed through slit lamp biomicroscope and binocular indirect ophthalmoscope. Data were entered to epi-data 3.1 version. The data were exported into Statistical Package for Social Science (SPSS version 20) program for analyses. Binary logistic regression with 95%CI was used for analyses. A variable had p-value < 0.25 in the bivariable logistic regression was entered to multivariate logistic regression. Finally, variables with p-value < 0.05 in the multivariable logistic regression were considered as statistically significant. Result There were 302 participants included in this study, out of which 57(18.9%) had diabetic retinopathy. Among DR patients, three-fourth (75.4%) had pre-proliferative type of diabetic retinopathy. Four in ten (37.7%) of diabetic patients had visual acuity problem. Poor glycaemic control (AOR(95% CI: 4.58(1.86,11.31), having more than 10 years diabetic duration (AOR(95% CI: 3.91(1.86,8.23), body mass index > 25 kg/m2(AOR(95% CI: 3.74(1.83,7.66), and hypertension (AOR(95% CI: 3.39(1.64,7.02) were significantly associated factors with diabetic retinopathy. Conclusion About one fifth of DM patients had diabetic retinopathy. Diabetic retinopathy was significantly associated with glycaemic control, hypertension, body mass index and duration of illness. Routine assessment and early control of those associated factors may be important to reduce both the prevalence and impact of diabetic retinopathy as evidenced in the current study.

scholarly journals Determinants of vaccination dropout among children 12-23 months age in north Gondar zone, northwest Ethiopia, 2019

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246018
Author(s):  
Muluken Genetu Chanie ◽  
Gojjam Eshetie Ewunetie ◽  
Asnakew Molla ◽  
Amare Muche
Keyword(s):  
Risk Factors ◽  
Side Effects ◽  
Tetanus Toxoid ◽  
Health Workers ◽  
Immunization Coverage ◽  
Northwest Ethiopia ◽  
P Value ◽  
North West ◽  
Vaccine Preventable Diseases ◽  
North West Ethiopia

Background Vaccination is a proven tool in preventing and eradicating childhood infectious diseases. Each year, vaccination averts an estimated 2–3 million deaths from vaccine preventable diseases. Even though immunization coverage is increasing globally, many children in developing countries still dropout vaccination. The objective of this study was to identify determinants of vaccination dropout among children age 12–23 months in North Gondar, North west Ethiopia. Methods Community based unmatched case-control study was conducted in north Gondar from March 1–27, 2019 among 366 children age 12–23 months (92 cases and 274 controls). Multistage sampling was used for reaching to the community. Data were collected from mothers who had 12–23 months age children using a pretested structured face to face interview. Data were entered using Epi info v. 7 and exported to SPSS v. 20 for analysis. On multivariable logistic regression variables with P-value <0.05 at 95% CI were considered statistically significant. Result Counseling for mothers about vaccination (AOR = 7.2, 95% CI: (2.93–17.5)); fear of vaccine side effects (AOR = 3.5, 95% CI: (1.56–8.12)); PNC attended (AOR = 3.6, 95% CI: (1.52–8.39)) and mothers not received tetanus toxoid vaccination (AOR = 2.4, 95% CI: (1.03–5.35)) were found risk factors of vaccination dropout. Conclusion Counseling on vaccination, fear of vaccine side effects, PNC attended and mothers’ tetanus toxoid vaccination status during ANC visit were found risk factors. Management bodies and health workers need to consider “reaching every community” approach, Counsel every mother at any opportunity, and provide TT vaccination for all pregnant mothers helps to reduce vaccination dropout among children.

Prevalence of bacterial sexually transmitted infections and coinfection with HIV among men who have sex with men and transgender women in Tijuana, Mexico

2021 ◽  
pp. 095646242098775
Author(s):  
Claire C Bristow ◽  
Cristina Espinosa da Silva ◽  
Alicia H Vera ◽  
Jesus E Gonzalez-Fagoaga ◽  
Gudelia Rangel ◽  
...  
Keyword(s):  
Sexually Transmitted Infection ◽  
Transgender Women ◽  
Nucleic Acid Amplification ◽  
Hiv Positive ◽  
P Value ◽  
Infection Prevalence ◽  
Newly Diagnosed ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Hiv Negative

We estimated the prevalence of syphilis and Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infections, as well as human immunodeficiency virus (HIV) coinfection among cisgender men who have sex with cisgender men (MSM) and transgender women (TW) in Tijuana, Mexico. MSM and TW ( N = 212) recruited via respondent-driven and venue-based sampling for HIV testing underwent sexually transmitted infection (STI) testing and completed interviewer-administered surveys in this study (2017–2018). Treponemal rapid tests were used at the point-of-care with positives undergoing confirmatory testing following the reverse syphilis-testing algorithm. Nucleic acid amplification testing of urine and swabs (rectal and pharyngeal) was used to detect CT/NG at three anatomic sites. Chi-squared tests were used to compare STI prevalence by HIV status. Sexually transmitted infection prevalence was 39.6% overall but higher for newly diagnosed HIV-positive (55.7%; N = 88) than HIV-negative (28.2%; N = 124) participants ( p-value < 0.0001). Among newly diagnosed HIV-positive participants, the prevalence of syphilis was 35.2% (31/88), CT infection was 27.3% (24/88; nine urethral; 16 rectal; four pharyngeal), and NG infection was 26.1% (23/88; six urethral; 19 rectal; nine pharyngeal). Among HIV-negative participants, the prevalence of syphilis was 12.1% (15/124), CT infection was 13.7% (17/124; seven urethral; nine rectal; two pharyngeal), and NG infection was 9.7% (12/124; three urethral; seven rectal; seven pharyngeal). Over 60% of all CT (25/41) and NG (26/35) infections in the full sample occurred extragenitally in the absence of urethral infections, and over 80% of rectal (30/37) and pharyngeal (16/18) infections were asymptomatic. The high prevalence of syphilis, CT, and NG infections among MSM and TW in Tijuana suggests STI screening that includes extragenital tests, particularly at HIV diagnosis, may help curb HIV/STI transmission.

Sign in / Sign up

Export Citation Format

Share Document