scholarly journals Dietary diversity practice and associated factors among adolescent girls in Dembia district, northwest Ethiopia, 2017

2020 ◽  
Vol 41 (1) ◽  
Author(s):  
Kedir Abdela Gonete ◽  
Amare Tariku ◽  
Sintayehu Daba Wami ◽  
Temesgen Yihunie Akalu
Keyword(s):  
Adolescent Girls ◽  
Technical Assistance ◽  
Dietary Diversity ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Northwest Ethiopia ◽  
Major Public Health Problem ◽  
Food Groups ◽  
Binary Logistic Regression Model ◽  
Cross Sectional

Abstract Background Dietary diversity is defined as the number of food groups or items consumed over a reference period, and usually, it is a problem in developing countries including Ethiopia. Inadequate dietary diversity is one of a major public health problem and can result in physical, emotional, and psychological changes among adolescents. However, studies on dietary diversity among school children were very limited. Hence, this study aimed at determining dietary diversity practices and factors among adolescents in Dembia district. Methods A school-based cross-sectional study was conducted from March 1 to April 15, 2017, at Dembia district, northwest Ethiopia. A total of 474 study subjects were selected using the multi-stage sampling technique. A structured and pre-tested questionnaire was used to collect the data. Dietary diversity was measured through standard tool adopted from Food and Nutrition Technical Assistance (FANTA) 2016 using the 24-h recall method. A multivariable binary logistic regression model was employed to identify factors associated with a diversified diet. Result This study illustrated that 32.3% (95% CI 27.9–36.8) of the adolescents had adequate dietary diversity. Inadequate dietary diversity was significantly associated with being Muslim (AOR = 0.3; 95% CI 0.1–0.7), self-employment (AOR = 0.3; 95% CI 0.1–0.9), middle (AOR = 0.5; 95% CI 0.3–0.8) and high wealth category (AOR = 0.3; 95% CI 0.2–0.6), and underweight (AOR = 3.5; 95% CI 1.3–9.5). Conclusion The findings of this study showed that only one-third of adolescent girls have adequate dietary diversity. Low level of dietary diversification suggested points to the need for strengthening efforts targeting to improve the healthy dietary practice of adolescents by giving due attention to poor households and undernourished adolescents.

scholarly journals Determine Dietary Diversity and Its Relationship with Nutritional Status of Adolescents Studying in High Schools of Bagalkot

2022 ◽  
Vol 7 (1) ◽  
pp. 23-28
Author(s):  
Lakshmavva Gondi ◽  
Utalbasha Dhandargi ◽  
Deelip S Natekar
Keyword(s):  
High School ◽  
Nutritional Status ◽  
Technical Assistance ◽  
Dietary Diversity ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Food Groups ◽  
Z Score ◽  
Binary Logistic Regression Model ◽  
The Mean

Introduction: Dietary diversity is defined as the number of food groups or items consumed over a reference period. A good diverse diet is necessary to furnish the daily nutritional requirements of body. Inadequate dietary diversity is one of major public health problem and can result in unhealthy physical, emotional and psychological changes among adolescents. Objective of the study was to determine dietary diversity and its relationship with nutritional status of adolescents studying in high school. Methods: A school-based cross-sectional study was conducted from March 12 to April 03, 2021, among a total of 120 adolescents, selected using the stratified random sampling technique. The study was conducted in Kalidas high school, Bagalkot. A structured and prepared questionnaire was used to collect baseline data. Dietary diversity was measured by Food and Nutrition Technical Assistance (FANTA) 2020 using the food items method. A multivariable binary logistic regression model was employed to identify the association of nutritional status and dietary diversity among adolescents. Result: Mean age of sample was 15.14 ± 0.81 years. The mean height for age was 1.63 S.D± .880 S.D. The mean BMI for age Z score was 1.73 SD ± .579 SD. The mean BMI for thinness Z score was 2.35 SD ± 1.301SD.Logistic regression analysis revealed that there was no significant association (P< 0.202) found between dietary diversity and nutritional status of adolescents. Conclusion: The findings of this study showed that only one-third of both (boys and girls) have adequate dietary diversity. Low level of dietary diversification suggested points to the need for strengthening efforts targeting to improve the healthy dietary practice of adolescents by giving due attention to poor households and undernourished adolescents. Keywords: dietary diversity, nutritional status, adolescents, High school, unhealthy dietary pattern.

scholarly journals The prevalence and predictors of Stroke among atrial fibrillation patients attending at Gondar University Referral Hospital, Northwest Ethiopia

2021 ◽  
Vol 9 ◽  
pp. 205031212198950
Author(s):  
Yonas Gedamu ◽  
Asefa Adimasu Taddese ◽  
Mohamed Abdulkadir ◽  
Workagegnehu Hailu ◽  
Oumer Abdu
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Public Health Problem ◽  
Northwest Ethiopia ◽  
Referral Hospital ◽  
Major Public Health Problem ◽  
Thyroid Disorder ◽  
Binary Logistic Regression Model ◽  
Cross Sectional ◽  
Patients With Heart Failure

Introduction: Recently, stroke is becoming the major public health problem in developing countries including Ethiopia. Atrial fibrillation patients are the most vulnerable group for the occurrence of stroke. Knowing the predictors and being aware for it is important for preventing severe complications and death. Therefore, the aim of this study is to assess the prevalence of stroke and identifying significant predictors. Methods: A hospital-based cross-sectional study was performed from 1 December 2018 to 30 September 2019 at University of Gondar Referral Hospital. A total of 242 patients with atrial fibrillation were included in the study. Atrial fibrillation patients were diagnosed by using 12 lead electrocardiographic tracing, in addition to thorough medical history and physical examination and analyzed by the Modular ECG Analysis System (MEANS). We used Epi info 7 and SPSS version 22 software for data entry and analysis purpose, respectively. Both bivariable and multivariable binary logistic regression model were computed to show the relationship of dependent and independent variables. Result: The prevalence of stroke among atrial fibrillation patients was 19.4% (95% confidence interval (CI): 14.9–25.2). Patients with heart failure (adjusted odds ratio (AOR): 5.70, 95% CI: 2.50–13.24) and thyroid disorder (AOR: 4.98, 95% CI: 1.47–16.85) are at risk of developing stroke. Conclusion: The prevalence of stroke was higher compared with others studies. Patients with heart failure and thyroid disorders were the risk factor for the development of stroke; therefore, physicians and cardiologists may better to consider all these two disorders when they diagnose stroke in patients with atrial fibrillation.

scholarly journals Prevalence of Undernutrition and Its Associated Factors among Children below Five Years of Age in Bure Town, West Gojjam Zone, Amhara National Regional State, Northwest Ethiopia

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Desalegne Amare ◽  
Ayenew Negesse ◽  
Baye Tsegaye ◽  
Birtukan Assefa ◽  
Birehanu Ayenie
Keyword(s):  
Associated Factors ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Northwest Ethiopia ◽  
World Health ◽  
Major Public Health Problem ◽  
African Countries ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Severe Stunting

Background. Malnutrition is the major public health problem over the world. Developing countries are highly affected. Asian and Sub-Saharan African countries, including Ethiopia, contribute the highest of all. The main aim of this study was to assess the prevalence of undernutrition and its associated factors among children below five years of age.Methods. Community-based cross-sectional survey was conducted on 342 study participants. Simple random sampling technique was used to select sampling kebeles and study units. Weight and height were measured using calibrated instruments. The data were entered into EpiData version 3.1 software and calculated using SPSS version 20.0 statistical software and/or World Health Organization Anthro software with aid of Stat/Transfer.Results. Overall prevalence of undernutrition was 35.5%, of which 85 (24.9%), 38 (11.1%), and 49 (14.3%) were stunting, wasting, and underweight, respectively. Male children were more affected in both severe and moderate nutritional problems compared to female children. The finding showed that 27 (7.9%) had severe stunting, 15 (4.4%) had severe wasting, and 11 (3.2%) had severe underweight, respectively.Conclusion. Undernutrition was high in Bure town among children below five years of age. Male sex, maternal educational status, low household income, preterm babies, absence of antenatal follow-up, diarrhea, and respiratory infections within one-month duration were factors affecting undernutrition.

scholarly journals Pattern and Extent of Street Food Consumption in Hohoe, Volta Region, Ghana: A Community-Based Cross-Sectional Survey

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Winnifred Ekua Baidoe ◽  
Mark Kwame Ananga ◽  
Elorm Kwame Nyinaku
Keyword(s):  
Food Consumption ◽  
Dietary Diversity ◽  
Sampling Technique ◽  
Food Group ◽  
Daily Basis ◽  
Food Groups ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Street Food

Background. For most people in developing countries, street food is a major source of sustenance, and Ghana is no exception. Street food vending has seen tremendous growth in Ghana as a result of the insurgence of urbanisation. Despite being one of the largest sectors of national economy in terms of employment and sales of food, very little is known about street food consumption patterns in Ghana. The current study explored the patterns and extent of street food consumption in the Hohoe township. Methods. A cross-sectional design which recruited 403 subjects through a multistage sampling technique. A semistructured questionnaire was used to gather information on demographics, types of street foods, extent of street food consumption, safety concerns, and diversity of street foods patronised. Means, standard deviations, and Chi-square tests were used to determine the association between selected variables at <0.05 level of significance. Results. The top 5 foods mostly patronised by respondents are porridge foods-Koko (17.9%), rice and stew (17.4%), banku (12.6%), waakye (11.5%), and kenkey (8.7%) with porridge foods consumed almost on a daily basis. Convenience (37.2%) and affordability (17.1%) greatly influenced the choice of street foods among consumers. Occupation and the level of education are strongly correlated with the concern for safety of street foods {(X2 = 17.3094, P<0.008); (X2 = 17.1731, P<0.002)}. The dietary diversity score of most respondents was in the high tercile (77.7%) (≥6 food groups), whilst the cereals dominate the food group mostly consumed by respondents. Conclusion. The study suggests that patronising street food is very high in Hohoe municipality, irrespective of the gender, occupation, or educational level. As an “informal” sector of food business, street foods often escape formal inspection and control. They can, therefore, both be the source of food safety problems and contribute to the deterioration of environmental hygiene. This is a call on policy makers and regulators to take a critical look at the sector.

scholarly journals Prevalence and Associated Factors of Tuberculosis in Prisons Settings of East Gojjam Zone, Northwest Ethiopia

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Mucheye Gizachew Beza ◽  
Emirie Hunegnaw ◽  
Moges Tiruneh
Keyword(s):  
Associated Factors ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Hiv Positive ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Hiv Coinfection ◽  
Rural Dwellers ◽  
Prison Admission

Background. Tuberculosis, mainly in prisoners, is a major public health problem in Ethiopia where there is no medical screening during prison admission. This creates scarcity of TB data in such settings. Objective. To determine prevalence and associated factors of TB in prisons in East Gojjam Zone, Northwest Ethiopia. Methods. A cross-sectional study was conducted from February to May 2016 among 265 prisoners in three prison sites. Sputum was processed using GeneXpert MTB/RIF. Data were analyzed using SPSS version 20.0. Multivariable logistic regression was used; p values = 0.05 were considered statistically significant. Results. Of 265 prisoners, 9 (3.4%) were TB positive (males); 77.8%, 55.6%, and 55.6% of cases were rural dwellers, married, and farmers, respectively. Seven (2.6%) prisoners were HIV positive, and 3 (1.13%) had TB/HIV coinfection. One (0.4%) TB case was rifampicin resistant. Marriage (AOR = 1.5; 95% CI: 1.7, 13.03), HIV (AOR = 0.14; 95% CI: 0.001, 0.17), and sharing of rooms (AOR = 1.62; 95% CI: 2.6, 10.20) were predictors for TB. Conclusion. Nine prisoners were TB positive. One case showed rifampicin resistance and three had TB/HIV coinfection. Marriage, HIV, and sharing of rooms were predictors for TB. Prevention/control and monitoring are mandatory in such settings.

scholarly journals Individual dietary diversity is strongly associated with stunting in infants and young children

2017 ◽  
Vol 14 (1) ◽  
pp. 19 ◽  
Author(s):  
Bunga Astria Paramashanti ◽  
Yhona Paratmanitya ◽  
Marsiswati Marsiswati
Keyword(s):  
Young Children ◽  
Protective Factor ◽  
Dietary Diversity ◽  
Economic Status ◽  
Sampling Technique ◽  
Optimal Growth ◽  
Feeding Practice ◽  
Food Groups ◽  
Cross Sectional ◽  
Infants And Young Children

Background: The increased nutrient fulfillment is required for optimal growth and development during the first two years of life. Based on WHO, dietary diversity is one of core indicators for assessing diet quality and adequacy.Objective: This study aimed to understand the association between individual dietary diversity and stunting in infants and young children in Sedayu Subdistrict, Bantul District, Yogyakarta, Indonesia.Method: This study used cross-sectional design. It was conducted from February to March 2016 in Sedayu Subdistrict. Subjects were 189 infants and young children aged 6-23 months selected by probability proportional to size sampling technique. Individual dietary diversity was assessed by minimum dietary diversity with the consumption of 4 or more food groups of the total 7 food goups. Data were analyzed by using statistics descriptive, Chi-Square test, and multiple logistic regression.Results: Poor dietary diversity (OR=16,76; 95%CI: 6,77-41,51) was significantly related with stunting. Other factor associated with stunting was low birth weight (OR=5,12; 95%CI: 2,11-12,43). In addition, appropiate time of introducing complementary food (OR=0,32; 95%CI: 0,13-0,75) was a protective factor against stunting. Household economic status acted as an effect modifier and confounding factor between dietary diversity and stunting.Conclusion: Consumption of diverse diet at least 4 food groups reduced the risk of stunting in infants and young children. Efforts should be made to improve dietary diversity in complementary feeding practice.

scholarly journals Magnitude of Home Delivery and Associated Factors Among Child Bearing Age Mothers in Sherkole District, Benishangul Gumuz Regional State-Western-Ethiopia

2020 ◽  
Author(s):  
Resom Berhe Gebremariam ◽  
Adane Nigusie
Keyword(s):  
Decision Making ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Home Delivery ◽  
Multivariate Logistic Regression Model ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Traditional Remedies ◽  
Child Bearing

Abstract Background Globally, more than 536,000 maternal and 8 million perinatal deaths occur every year. Ethiopian Demographic and Health Survey stated that maternal death was 412 per 100,000 in 2016.This still indicate that maternal health remains a major public health problem in Ethiopia irrespective of the government’s measure to institutional delivery.MethodsCommunity based cross sectional study was conducted among women aged 15-49 years in Sherkole district, Benishangul Gumuz region from January to Jun 2018. A total of 451 randomly selected women were included in the study. Stratified sampling followed by simple random sampling technique was used to select the study participants. Data were collected using pretested and structured questionnaire. Bivariate and multivariate logistic regression model was fitted to identify factors associated with home delivery among women’s in the child bearing age. An adjusted odds ratio with 95% confidence interval was computed to determine the level of significance.Results The magnitude of home delivery was 353 (80%) and were assisted by non-skilled birth attendants. Mothers whose husband choose the place of delivery [AOR: 5.6, 95% CI (2.1-15.2), Mothers’ occupation ([AOR: 0.21 95% C I (0.08-0.57), ANC visit [AOR: 95 CI: 5.1(1.6-15.8), decision making [AOR: 95 CI: 0.3(0.01-0.7)] and traditional remedies [AOR: 95%CI: 0.03(0.01-0.09)] were significantly associated with home delivery.Conclusions Based on the findings of the survey, it was concluded that the overall magnitude of home delivery was found to be high. ANC visit, mother’s occupation, traditional remedies and decision making were significantly associated with home delivery.

scholarly journals Maternal Dietary Intakes, Red Blood Cell Indices and Risk for Anemia in the First, Second and Third Trimesters of Pregnancy and at Predelivery

Nutrients ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 777
Author(s):  
Faith Agbozo ◽  
Abdulai Abubakari ◽  
Joyce Der ◽  
Albrecht Jahn
Keyword(s):  
Dietary Diversity ◽  
Positive Impact ◽  
Public Health Problem ◽  
Folic Acid Supplementation ◽  
Nutritional Deficiencies ◽  
Major Public Health Problem ◽  
Dietary Intakes ◽  
Food Groups ◽  
Dietary History ◽  
Red Cell Indices

As anemia remains a major public health problem in Ghana, we examined the effect of dietary intakes, and antenatal care (ANC) practices on red cell indices and anemia prevalence during the pregnancy continuum for 415 women. Dietary history was taken using the Food and Agriculture Organization minimum dietary diversity indicator for women (MDD-W). Intake of ≥5 food groups was a proxy for micronutrient adequacy. Odds for anemia and meeting the MDD-W were estimated using ordinal and binary logistic regressions respectively. Intakes of 41.4% were micronutrient inadequate. At any time point in pregnancy, 54.4% were anemic (mild = 31.1%; moderate = 23.1%; severe = 0.2%) with 10%-point variation across the first (57.3%), second (56.4%) and third (53.3%) trimesters and pre-delivery (47.7%); 27.8% were anemic throughout pregnancy while 17.1% were never anemic. Morphologically, microcytic (79.4%) and hypochromic (29.3%) anemia were most prevalent, indicating nutritional deficiencies. Planning the pregnancy was a significant determinant for meeting the MDD-W. Overall, adolescence, poor diet, suboptimum ANC and underweight were associated with moderate and severe anemia. In specific time-points, dietary counselling, malaria, iron-folic acid supplementation, sickle cell disease and preeclampsia were observed. Decline of anemia during pregnancy suggests the positive impact of ANC services and supports strengthening education on dietary diversification during ANC.

scholarly journals Magnitude of Home Delivery and Associated Factors Among Child Bearing Age Mothers in Sherkole District, Benishangul Gumuz Regional State-Western-Ethiopia

2020 ◽  
Author(s):  
Resom Berhe Gebremariam ◽  
Adane Nigusie
Keyword(s):  
Public Health Problem ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
World Health ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Child Bearing

Abstract Background: The World Health Organization estimates that globally only 43 percent of women have access to skilled care during deliveries and the rest are exposed to unskilled delivery service. A recent Ethiopian Demographic and Health Survey report stated that maternal death was 412 per 100,000 in 2016.This still indicate that maternal health remains a major public health problem in Ethiopia irrespective of the government’s measure to institutional delivery.Methods: - A community based cross sectional study was conducted among women aged 15-49 years in Sherkole district, Benishangul Gumuz region from January to June 2018. A total of 451 randomly selected women were included in the study. Stratified sampling followed by simple random sampling technique was used to select the study participants. Data were collected using pretested and structured questionnaires. Bivariate and multivariate logistic regression models were fitted to identify factors associated with home delivery among women in the child bearing age. An adjusted odds ratio with 95% confidence interval was computed to determine the level of significance. Results: The magnitude of home delivery was 353 (80%) and were assisted by non-skilled birth attendants. Mothers whose husband choose the place of delivery [AOR: 5.6, 95% CI (2.1-15.2), Mothers’ occupation ([AOR: 0.21 95% C I (0.08-0.57), ANC visit [AOR: 95 CI: 5.1(1.6-15.8), decision making [AOR: 95 CI: 0.3(0.01-0.7)] and traditional remedies [AOR: 95%CI: 0.03(0.01-0.09)] were significantly associated with home delivery.Conclusions: Based on the findings of the survey, it was concluded that the overall magnitude of home delivery was found to be high. Therefore, it is recommended that promotion of antenatal care follow-up with maternal and child health information particularly on delivery complications or danger signs needs due attention and remedial actions.

scholarly journals Determinants of Anemia in Pregnancy: Findings from the Ethiopian Health and Demographic Survey

Anemia ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-9 ◽  
Author(s):  
Ataklti Gebretsadik Woldegebriel ◽  
Gebremedhin Gebregziabiher Gebrehiwot ◽  
Abraham Aregay Desta ◽  
Kiros Fenta Ajemu ◽  
Asfawosen Aregay Berhe ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Addis Ababa ◽  
Multivariable Analysis ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Cluster Sampling ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Anemia During Pregnancy

In Ethiopia, anemia during pregnancy is a major public health problem and affects both the mother’s and their child’s health. There is a scarcity of community-based evidence on determinants of anemia among pregnant women in the country. Therefore, this study aimed to assess the determinants of anemia among pregnant women in Ethiopia. Method. This study was based on the 2016 Ethiopian Demographic Health Survey (EDHS) that used a two-stage stratified cluster sampling technique. A cross-sectional study was conducted among 3080 pregnant women. Data analysis was done using STATA v.14. Variables with P value <0.05 in the bivariate analysis were candidates for the multivariable analysis to identify independent determinants of anemia among pregnant mothers. Odds ratios (OR) were calculated at 95% confidence interval (CI). Results. The overall prevalence of anemia among pregnant women was 41% of which 20% were moderately anemic, 18%, mildly anemic, and 3%, severely anemic. The following were significantly associated with anemia during pregnancy: an age of 30–39 years, receiving no education (AOR = 2.19; 95% CI 1.45, 2.49), belonging to the poorest wealth quintile (AOR = 1.29; 95% CI 1.22, 1.60), being a Muslim (AOR = 1.59; 95% CI 1.69, 2.65), number of house members being 4–6 (AOR = 1.44; 95% CI 1.05, 1.97), number of under-five children being two (AOR = 1.47; 95% CI 1.10, 1.97), head of the household being a female (AOR = 2.02; 95% CI 1.61, 2.54), current pregnancy wanted later (AOR = 1.75; 95% CI 1.23, 1.63), no terminated pregnancy (AOR = 1.49; 95% CI 1.15, 1.93), and an age of 13–17 years at the first sexual intercourse (AOR = 1.97; 95% CI 1.291, 3.00). Conclusions. The study revealed that more than one-third of the pregnant women in Ethiopia were found anemic. Its prevalence varied among regions in which the highest (62.7%) and the lowest (11.9%) were from Somali and Addis Ababa, respectively. Hence, efforts should be made by concerned bodies to intervene in terms of the identified risk factors.

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