Child wasting is a severe public health problem in the predominantly rural population of Ethiopia: A community based cross–sectional study

Introduction. Child stunting, which is a chronic length or height growth deficit, has been a devastating public health problem in developing countries. In Ethiopia, stunting remains severe public health problem. The aim of the study was to assess the prevalence of stunting and its associated factors among children of 6–59 months. Methods. The community-based cross sectional study was conducted in the Arba Minch Health and Demographic Surveillance Site, Southern Ethiopia. The simple random sampling method was used to recruit 656 mother-child pairs. Height for age Z score was computed using WHO Anthro version 3.2.2 software. Multivariable logistic regression model was fitted, and adjusted odds ratio (AOR) at p value <0.05 was used to determine statistically significant association between predictors and outcome variable. Result. The prevalence of stunting among children of 6–59 months in the study area was 47.9% (95% CI; 44.0–51.7). The likelihood of stunting was significantly higher among children who live in households with medium (AOR 2.20, 95% CI: 1.43–3.37) and poor (AOR 2.87, 95% CI: 1.72–4.81) wealth status. In addition, children who were not exclusively breast fed (AOR 1.55, 95% CI: 1.07–2.24), whose mothers had not participated in decision of major household purchases (AOR 2.27, 95% CI: 1.21–4.26), and whose mothers lacked decision on freedom of mobility (AOR 1.96, 95% CI: 1.05–3.66) were significantly stunted compared with counterparts. Conclusion. Stunting is a severe public health problem in the area. Therefore, efforts should be taken to enhance maternal empowerment, household wealth, and infant and young child feeding practice for reducing stunting among children.

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Anemia among HIV Infected Children on Highly Active Anti Retroviral Therapy in Wolaita Zone, South Ethiopia: a facility based cross sectional study

10.21203/rs.2.15468/v1 ◽

2019 ◽

Author(s):

Mesay Lema Geleta ◽

Fithamlak Bisetegn Solomon ◽

Efrata Girma Tufa ◽

Fekadu Elias Sadamo ◽

Samson Kastro

Keyword(s):

Public Health ◽

Health Problem ◽

Intestinal Parasites ◽

Public Health Problem ◽

Cross Sectional Study ◽

Outcome Variable ◽

Sectional Study ◽

Cross Sectional ◽

South Ethiopia ◽

Highly Active

Abstract Background Anemia is a global public health problem and most of the HIV positive people become anemic at some point in the course of the disease. We lack adequate evidence on the magnitude of anemia among children on highly active anti retroviral therapy in Ethiopia and particularly in South Ethiopia. Thus, this study aimed at determining the proportion and associated factors of anemia among children on highly active anti retroviral therapy in Wolaita zone, South Ethiopia.Method a facility based cross-sectional study has been conducted from November to December 2018 on 256 children 6 months to 14 years of age who were on Anti retroviral therapy. Data were collected through an interview with caregivers and review of medical records. CD4+ cell count was analyzed using FACS caliber and Hemoglobin level was measured with Hem cue 301 analyzer. Stool sample was examined for presence of intestinal parasites by direct wet mount technique. Data analyzed with Stata version 14.0 were conveyed in mean and standard deviation of the mean, median and inter-quartile range. Multivariate analysis was carried out to identify independent predictors of the outcome variable. Adjusted Odds Ratio with 95% confidence interval was reported.Results The magnitude of anemia was found to be 38.8%. Taking Co-trimoxazole antibiotic prophylaxis (AOR=.45; 95% CI: .21, .95), caregivers’ not receiving nutritional counseling (AOR=09; 95% CI: .01, .98) and presence of intestinal parasites (AOR=3.10; 95% CI: 1.39, 6.88) were associated with anemia.Conclusion The magnitude of anemia obtained in this study is a moderate public health problem. Health education programs in Anti Retroviral Therapy clinics should be targeted at appropriate dietary practice, and appropriate hand washing and other hygienic practices to prevent intestinal parasitic infections. Co-trimoxazole prophylaxis should give given to all eligible children based on the recommendation.

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The prevalence of retinopathy in diabetes mellitus and associated risk factors: a community-based cross sectional study in peri urban area

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20181991 ◽

2018 ◽

Vol 5 (6) ◽

pp. 2226

Author(s):

Sanjeev K. Gupta ◽

Anshuman Sharma ◽

Sanjay Agarwal ◽

Sanjay Gupta ◽

Shalini Sarouthia

Keyword(s):

Public Health ◽

Diabetes Mellitus ◽

Diabetic Retinopathy ◽

Visual Impairment ◽

Health Problem ◽

Low Vision ◽

Public Health Problem ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

Background: Visual impairment i.e. diabetic retinopathy is the one of most common manifestation of diabetes mellitus. Globally it is becoming an increasing public health problem especially in the developing countries because of increase in number of diabetic patients.Methods: A cross sectional study was conducted in the vicinity of Urban Heath and Training Centre (UHTC), Peoples University, Bhopal over a period of 6 months through screening in camps held, which included a total of 840 participants (aged ≥25 years) by following simple random procedure and in those who had newly diagnosed or long standing diabetes were referred to ophthalmologist for further evaluation. Retinopathy was determined by ophthalmoscopy and fundus photography. Anthropometric measurements (BMI), glycosylated haemoglobin were also evaluated among the confirmed diabetic patients in the study.Results: An increased prevalence of diabetes (5.95%) and retinopathy (28%) (95% CI 11.2-32.0) was found. In all age groups prevalence of bilateral blindness, bilateral low vision, unilateral blindness and unilateral low vision were respectively 2%, 28%, 0%, 70%. Independent risk indicators for the occurrence of diabetes such as age, BMI, HbA1c, were found significant for the occurrence of retinopathy in the study population.Conclusions: Visual impairment due to diabetic retinopathy remains an important public health problem in people with diabetes so timely interventions are required to resolve this major issue.

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Water, sanitation, and hygiene as a priority intervention for stunting in under-five children in northwest Ethiopia: a community-based cross-sectional study

Italian Journal of Pediatrics ◽

10.1186/s13052-021-01128-y ◽

2021 ◽

Vol 47 (1) ◽

Author(s):

Ayechew Ademas ◽

Metadel Adane ◽

Awoke Keleb ◽

Gete Berihun ◽

Getu Tesfaw

Keyword(s):

Public Health ◽

Public Health Problem ◽

Sampling Technique ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Under Five ◽

Under Five Children ◽

Sanitation And Hygiene

Abstract Background Stunting was a significant public health problem for under-five in developing countries including Ethiopia. Globally, it was estimated 21.9% or 149 million (81.7 million in Asia and 58.8 million in Africa) under-five children stunted in 2018. In East Africa, 24 million are stunted which is the highest-burden from African regions. Hence, this study aimed to assess the prevalence of stunting and its association with Water Sanitation and Hygiene (WASH) in northwestern Ethiopia. Method A community-based cross-sectional study design was conducted among 630 participants from December to mid-January 2019. From five kebeles, two were selected by a simple random sampling technique for the study. To reach study participants a systematic sampling technique was used. Data were collected by using an observational checklist, pretested questionnaire, and anthropometric measurement. Anthropometric indicator, height-for-age was determined using the current World Health Organization (WHO) growth standards. Multivariable logistic regression analysis was computed to analyze the data. From the multivariable analysis the Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) and P-value < 0.05 were used to declare statistical significance. Result The prevalence of stunting among under-five children was 35.6% (95%CI; 31.9–39.5%). The result from this study showed that having illiterate father and mother, give birth before marriage (single), large family size, short maternal height, unimproved drinking water source, unimproved sanitation, poor hygienic practice, having diarrhea in the previous 2 weeks before the data collection, method of child feeding, age at which complementary feeding started, frequency of feeding, not deworming and mothers who had antenatal care visit of fewer than three times were statistically associated with stunting. Conclusion In this study, stunting was an important public health problem among under-five children. It remains the same as the national average prevalence of Ethiopia. To alleviate this problem proper family planning utilization, good dietary intake, maternal and paternal education, and WASH interventions are critical.

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Magnitude of iodine deficiency disorder and associated factors in Dawro zone, southwest Ethiopia; the hidden hunger: a cross-sectional study

10.21203/rs.2.13721/v3 ◽

2020 ◽

Author(s):

Agize Asfaw ◽

Tefera Belachew

Keyword(s):

Public Health ◽

Iodine Deficiency ◽

Health Problem ◽

Associated Factors ◽

Public Health Problem ◽

Cross Sectional Study ◽

Iodine Deficiency Disorder ◽

Sectional Study ◽

Cross Sectional ◽

Southwest Ethiopia

Abstract Background: Iodine deficiency disorder (IDD) is continued to be a major public health problem in Ethiopia. The problem is worse but the data is scarce in some pocket areas of the country. This study was aimed to assess the magnitude of IDD and associated factors in southwest Ethiopia by using different biochemical and clinical indicators. Methods: Both community and school based cross- sectional study was conducted on school age children (6-12 years) from March 1 to 24, 2017. Simple random and systematic sampling techniques were applied to select districts and eligible children respectively. Household data was collected from children’s primary care takers by using structured questionnaire. A trained surgeon examined all children (n=652) for goiter. Urine sample was collected from 20% of children (n=130). Results: A total of 652 school children were participated in the study. Total goiter rate and median urinary iodine concentration (UIC) was 54.8 % and 96.12μg/l respectively. In multivariable logistic regression analyses student’s age was significantly (P<0 05) associated with both goiter and median UIC. However; sex of students and family income were significantly (P<0.001) associated with goiter and cassava consumption was significantly (P<0.001) associated with UIC. Conclusion: As indicated by the median UIC, there was mild iodine deficiency in this study community. However; chronic iodine deficiency was still a severe public health problem (high goiter prevalence). In addition, there was low concentration of iodine in the salt and increased cassava cultivation and consumption indicating the potential risk in the area. Therefore, it is necessary to intensify IDD elimination activities along with teaching communities on techniques of cassava processing for household consumption. Trial registration: PACTR201809544276357. Retrospectively registered on 14, Sept 2018.

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Emerging Nutritional Problem of Adult Population: Overweight/Obesity and Associated Factors in Addis Ababa City Communities, Ethiopia—A Community-Based Cross-Sectional Study

Journal of Obesity ◽

10.1155/2020/6928452 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Tsedeke Wolde Hailemariam ◽

Samrawit Solomon Ethiopia ◽

Andamlak Gizaw Alamdo ◽

Haimanot Ewnetu Hailu

Keyword(s):

Public Health ◽

Associated Factors ◽

Addis Ababa ◽

Adult Population ◽

Public Health Problem ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Sectional Study ◽

Community Based ◽

Cross Sectional

Background. Obesity is an emerging public health problem in developing countries. There is limited study conducted in Ethiopia to determine the prevalence of obesity and its associated factors among adult population. Therefore, this study aimed at determining the prevalence of overweight/obesity and the associated factors among adults aged 25–64 years in Addis Ababa city community residents, Ethiopia. Methods. A community-based cross-sectional study was conducted from April 10, 2017, to May 20, 2017, in Addis Ababa. A total of 512 adults were recruited. A two-stage cluster followed by a systematic random sampling technique was used for sample selection. Data were collected using questionnaires and anthropometric measurements. The adjusted odds ratio (AOR) with a 95% CI was reported to show the strength of association. A P value < 0.05 was considered statistically significant. Results. A total of 484 adults participated in the study with a response rate of 94.5%. The prevalence of overweight and obesity among study participants was found to be 99 (21.5%) and 14 (2.9%), respectively. Males were 90% less likely to be obese when compared to females (AOR = 0.10 (95% CI: 0.01–0.84)). Illiterate people were 94% less likely to be obese compared to those who were literate people (AOR = 0.06 (95% CI: 0.01–0.44)). Nonhypertensive individuals were 86% less likely to be obese when compared to hypertensive (AOR = 0.14 (95% CI: 0.03–0.69)). Conclusion. The combined prevalence of overweight and obesity was found to be considerably high in Addis Ababa city residents compared to the national figure. Being female, literate, and presence of hypertension are independent predictors of overweight/obesity in the study population. Thus, the concerned bodies should initiate efforts to tackle the newly emerging public health problem of the country and promote healthy lifestyle behaviors in the inhabitants of city settings.

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Magnitude of iodine deficiency disorder and associated factors in Dawro zone, southwest Ethiopia; the hidden hunger: a cross-sectional study

10.21203/rs.2.13721/v4 ◽

2020 ◽

Author(s):

Agize Asfaw ◽

Tefera Belachew

Keyword(s):

Public Health ◽

Iodine Deficiency ◽

Health Problem ◽

Associated Factors ◽

Public Health Problem ◽

Cross Sectional Study ◽

Iodine Deficiency Disorder ◽

Sectional Study ◽

Cross Sectional ◽

Southwest Ethiopia

Abstract Background: Iodine deficiency disorder (IDD) is continued to be a major public health problem in Ethiopia. The problem is worse but the data is scarce in some pocket areas of the country. This study was aimed to assess the magnitude of IDD and associated factors in southwest Ethiopia by using different biochemical and clinical indicators. Methods: Both community and school based cross- sectional study was conducted on school age children (6-12 years) from March 1 to 24, 2017. Simple random and systematic sampling techniques were applied to select districts and eligible children respectively. Household data was collected from children’s primary care takers by using structured questionnaire. A trained surgeon examined all children (n=652) for goiter. Urine sample was collected from 20% of children (n=130). Results: A total of 652 school children were participated in the study. Total goiter rate and median urinary iodine concentration (UIC) was 54.8 % and 96.12μg/l respectively. In multivariable logistic regression analyses student’s age was significantly (P<0 05) associated with both goiter and median UIC. However; sex of students and family income were significantly (P<0.001) associated with goiter and cassava consumption was significantly (P<0.001) associated with UIC. Conclusion: As indicated by the median UIC, there was mild iodine deficiency in this study community. However; chronic iodine deficiency was still a severe public health problem (high goiter prevalence). In addition, there was low concentration of iodine in the salt and increased cassava cultivation and consumption indicating the potential risk in the area. Therefore, it is necessary to intensify IDD elimination activities along with teaching communities on techniques of cassava processing for household consumption. Trial registration: PACTR201809544276357. Retrospectively registered on 14, Sept 2018.

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Prevalence of Malaria and Its Associated Factors Among Malaria Suspected Patients Attending at Hamusite Health Center, Northwest Ethiopia, a Cross Sectional Study, 2020

10.21203/rs.3.rs-146195/v1 ◽

2021 ◽

Author(s):

Getu Abeje Negatu ◽

Getaneh Alemu Abebe ◽

Woyneshet Gelaye Yalew

Keyword(s):

Public Health ◽

Health Center ◽

Health Problem ◽

Associated Factors ◽

Public Health Problem ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Major Public Health Problem ◽

Sectional Study ◽

Cross Sectional

Abstract BackgroundMalaria is a major public health problem which still results in illness and death. Despite efforts to reduce the mortality and morbidity of malaria, the disease is still a prominent health problem in Ethiopia. This study, therefore, was undertaken to assess the prevalence of malaria and associated factors among symptomatic patients in northwest Ethiopia.MethodA facility based cross-sectional study was conducted from February to March 2020 among 210 febrile patients attending at Hamusite health center, northwest Ethiopia. Thin and thick blood films were prepared from blood collected by finger puncture and from capillary blood buffy coat. Data were analyzed using SPSS version 20.ResultsOut of 210 malaria suspected participants, 61 (29.0%) were confirmed to be infected by Plasmodium species. Plasmodium falciparum mono-infection was detected in 41 (19.5%) participants while P.vivax mono-infection and mixed infections were detected in 10 (4.3%) participants each. Female participant and those having family members with history of malaria were at higher risk of acquiring Plasmodium infectionConclusionThe present study revealed that malaria continued to be the major public health problem in the study area. Therefore, community mobilization should be strengthening in order to improve implementation of malaria control activities.

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Child Night Blindness and Bitot’s Spots Are Public Health Problems in Lay Armachiho District, Central Gondar Zone, Northwest Ethiopia, 2019: A Community-Based Cross-Sectional Study

International Journal of Pediatrics ◽

10.1155/2020/5095620 ◽

2020 ◽

Vol 2020 ◽

pp. 1-11

Author(s):

Ajebew Bantihun ◽

Kedir Abdela Gonete ◽

Azeb Atnafu Getie ◽

Asmamaw Atnafu

Keyword(s):

Public Health ◽

Associated Factors ◽

Night Blindness ◽

Vitamin A Deficiency ◽

Public Health Problem ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Bitot’S Spot

Background. Night blindness (XN) is a condition in which a person cannot see in dim light and is the earliest clinical manifestation of vitamin A deficiency. Globally, vitamin A deficiency is a public health problem in 122 countries, of which 45 countries have moderate to severe child night blindness. Therefore, this study is aimed at assessing the prevalence and associated factors of night blindness and Bitot’s spot among children aged 24-59 months. Methods. A community-based cross-sectional study was employed from February to March 2019 among children aged 24-59 months in the Lay Armachiho District, Amhara region. A structured and pretested questionnaire was used for data collection. Descriptive summary statistics were used to describe the study population. Bivariate and multivariable logistic regression models were used to identify associated factors. Results. Out of 1007 children, 1.9% and 2.2% had night blindness and Bitot’s spot, respectively. Illiterate mothers ( AOR = 2.94 ; 95 % CI = 1.12 , 6.72 ), age of 48 to 59 months ( AOR = 9.81 ; 95 % CI = 1.24 , 77.36 ), ≥4 family sizes ( AOR = 4.52 ; 95 % CI = 1.02 , 19.90 ), had diarrhea ( AOR = 5.00 ; 95 % CI = 1.73 , 14.54 ), and had a respiratory tract infection ( AOR = 3.14 ; 95 % CI = 1.02 , 9.70 ) were significantly associated with night blindness. Age of 48-59 months ( AOR = 4.23 ; 95 % CI = 1.13 , 14.86 ) and mothers who did not wash their hands after using the toilet ( AOR = 3.02 ; 95 % CI = 1.01 , 9.13 ) were predictor variables for Bitot’s spots. Conclusion. The prevalence of night blindness and Bitot’s spots was high. Child’s age, mother’s educational status, family size, diarrhea in the last 2 weeks, and respiratory tract infection in the last 2 weeks were predictive variables for night blindness. Besides, handwashing practice after using the toilet and child’s age were significantly associated with Bitot’s spot among children. Therefore, both night blindness and Bitot’s spots are a public health problem and call for the attention of health professionals in primary health care facilities.

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Misuse of drugs in the District of Bamako, Mali

E3S Web of Conferences ◽

10.1051/e3sconf/202131902019 ◽

2021 ◽

Vol 319 ◽

pp. 02019

Author(s):

Tidiane Diallo ◽

Abdourahamane Diara ◽

Sanou Khô Coulibaly ◽

Youssoul Konaté ◽

Hinde Hami ◽

...

Keyword(s):

Public Health ◽

Health Problem ◽

Health Professionals ◽

Health Workers ◽

Public Health Problem ◽

Cross Sectional Study ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Analgesic Drugs

Introduction: In Mali, the irrational use of drugs constitutes a public health problem through the misuse of certain psychotropic and / or analgesic drugs for drug addiction purposes. The aim of this study was to measure the consumption of drugs diverted from their therapeutic use in Bamako. Methods: This was a cross-sectional study carried out in Bamako with a sample of 260 respondents: 98 health workers and 162 clients (pharmacies) / patients (hospitals). Results: Men were more affected than women, with 62% of cases. The 15-45 age group accounted for 55% of cases. According to the results, workers and students respectively represented 19% and 17% of cases. Promethazine (20%), the combination Paracetamol / codeine / caffeine (13%) and Tramadol (11%) were the drugs most commonly used and diverted from their medical use among clients of pharmacies. According to pharmacists, the drugs affected by misuse were Misoprostol (10%), Clonazepam (9%) and Promethazine (9%). According to doctors and nurses, Misoprostol, Promethazine and diazepam were used for other purposes with 23%, 16% and 13%, respectively. Conclusion: In order to reduce this practice, a synergy of action by health professionals is essential for the rational use of drugs.

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