scholarly journals Determinants of neonatal near misses among neonates admitted to Guji and Borena zones selected public hospitals, Southern Ethiopia, 2021: A facility based unmatched case control study design

2022 ◽  
Vol 2 (1) ◽  
pp. e0000168
Author(s):  
Anteneh Fikrie ◽  
Elias Amaje ◽  
Amana Jilo Bonkiye ◽  
Wako Golicha Wako ◽  
Alqeer Aliyo ◽  
...  
Keyword(s):  
Birth Interval ◽  
Neonatal Death ◽  
Case Control Study ◽  
Case Control ◽  
Public Hospitals ◽  
Southern Ethiopia ◽  
P Value ◽  
Near Misses ◽  
History Of ◽  
Control Study

There is little available evidence that quantifies the determinats of NNM in Ethiopia despite an increasing magnitude of neonatal mortality. Therefore, this study was designed to provide concrte evidence about the determinats of NNMS among neonates admitted to Guji and Borena Zones Public Hospitals, Southern Ethiopia, 2021. A facility based unmatched case control study design was conducted on 402 (134 cases and 268 controls) selected neonates admitted to Bule Hora, Adola and Yabelo General Hospitals from February 1-March 31, 2021. Cases were consecutively selected. Whereas for each case, two controls were selected by systematic random sampling technique. The data collection included a pretested and structured face-to-face interviewer administered questionnaire with a supplementation of maternal and neonatal medical records with checklists. Then the data were coded and entered in to Epi data version 3.1 and then exported to the Statistical Package for Social Science IBM version 25 for analysis. The descriptive statistics run and the results of the data were presented using frequencies, and tables. Bivariable and multi variable logistic regression was used for the analsysis of the data. Finally, Adjusted Odds Ratio together with 95% Confidence Intervals and p value <0.05 was used to declare the significance of all statistic. A total of 134 cases (neonatal near misses) and 268 controls (normal neonate) were participated in this study to make a response rate of 100% for both cases, and controls. In this study rural residence (AOR = 0.51, 95% CI: 0.27, 0.96), previous history of neonatal death (AOR = 4.85, 95%CI: 2.24,10.49), birth interval ≤ 2 years (AOR = 1.83, 95% CI: 1.04, 3.11) and history of abortion (both induced and miscarriage) (AOR = 1.97, 95%CI: 1.17, 3.31) were found to be statistically significant at a p-value of <0.05. History of prior abortion history of prior neonatal death and short birth interval (≤ 2 years) were identified to be the determinats of NNMs. High quality antenatal and intrapartum continuum of care should be provided for women and neonates. Additionally, contraceptive utilization should be encouraged for a women to space the births of their children.

scholarly journals Determinants of Low Birth Weight Among Newborn Delivered At Public Hospital in Silte Zone, Southern Ethiopia: Case Control Study

2021 ◽  
Author(s):  
Mubarek Hussen Mohammed ◽  
Yasin Awol Wabe ◽  
Musa Mohammed Ali
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Death ◽  
Case Control Study ◽  
Case Control ◽  
Southern Ethiopia ◽  
Hypertensive Disorder ◽  
Nutritional Counseling ◽  
Under Nutrition ◽  
Control Study

Abstract Background: There is high incidence of neonatal death in Ethiopia. There are various factors that contribute to neonatal death. Low birth weight (LBW) contributes for about half of infant death. Identification of modifiable determinants of LBW for potential interventions has received little attention in southern parts of Ethiopia. The aim of this study was to identify determinants of LBW among mothers delivered at hospitals in Silte Zone, Southern Ethiopia. Methods: A hospital-based unmatched case-control study was conducted in all public hospitals of Silte Zone. In the study, the number of mothers, cases and controls from each hospital was recruited using probability proportion to population size. Baby born with weight less than 2500gm were taken as a case where as a preceding three baby with birth weight of more than or equal to 2500gm was taken as control during study time in consecutive manner. Data was collected using pretested structured questionnaire, and by anthropometric measurements. Data was entered in to Epi Info 3.5.4 and exported to SPSS Version 20 software. Descriptive analysis and binary logistic regression model were used to calculate Odds ratio with 95% confidence intervals to estimate the association between the dependent and independent variables. Variables with a p-value less than 0.05 were considered as statistically significant. Result: The mean ± SD of birth weight of was 2174.47gm ±266.2for cases and 3370.48gm ±446.48for controls. After using multivariate logistic regression analysis, mothers who did not receive iron folate during pregnancy [AOR=2.84(1.15,7.03)], mothers who had anemia (hemoglobin <11mg/dl) during pregnancy [AOR=1.03(1.12, 6.24)], mothers who did not take additional meal [AOR =3.25(1.64,6.44)], mothers who did not receive nutritional counseling during the current pregnancy [AOR =6.93(4.80,11.76)], maternal under nutrition [AOR= 3.62(2.64, 6.47)], hypertensive disorder related to pregnancy [AOR= 2.76(1.34,5.71)] and inadequate Minimum Dietary Diversity Assessment(MDD-W) [AOR=6.65(2.31, 10.16)] were found as an independent and significant predictors of low birth weight. Conclusions: Maternal under nutrition, mothers not receiving iron folate during pregnancy, mother who had anemia, lack of target nutritional counseling, mothers who did not receive additional food during pregnancy, hypertensive disorder related to pregnancy and inadequate MDD-W were significant determinants of LBW. The importance of nutritional counseling with iron folate supplements, adherence during pregnancy and maternal under nutrition screening needs to be strengthened effort to reduce incidence of LBW infants.

Predictors of Immunization Defaulting among Children Age 12-23 Months in Hawassa Zuria District of Southern Ethiopia: Community Based Unmatched Case Control Study

2014 ◽  
Vol 3 (3) ◽  
pp. 185 ◽  
Author(s):  
Fikru Tesfaye ◽  
Alemu Tamiso ◽  
Yemane Birhan ◽  
Tariku Tadele
Keyword(s):  
Urban Areas ◽  
Case Control Study ◽  
Household Wealth ◽  
Case Control ◽  
Child Health Services ◽  
Southern Ethiopia ◽  
P Value ◽  
Immunization Schedule ◽  
Wealth Status ◽  
Control Study

<p>As part of the overall package of maternal and child health services in Ethiopia, all children are provided with free immunization services and it is available in all government health facilities, both in rural and urban areas. But significant number of children was defaulted from Immunization schedule, even after the health extension program was launched. Therefore, the study was assessed predictors of immunization defaulting among children age range of 12-23 months, in Hawassa Zuria district of southern Ethiopia. Unmatched case control study was conducted in six Kebeles which were selected from 26 kebeles by simple random sampling techniques. Cases were children in the age ranges of 12 - 23 months who did not complete the recommended immunization. All cases (105) and controls (209) in the kebeles were identified by using health posts Vaccine registration book. Bivariable and multiple logistic regression model were used to identify important predictor of immunization defaulting. P-value of less than 0.05 was considered as the level of significances. The study identified educational status, place of delivery, immunization related knowledge, ANC follow up and household wealth status as significant predictors of defaulting from immunization schedules. Sustained health education on vaccination related knowledge and institutional delivery services utilization will be needed. The household literacy and economic status should also get emphasis so as to decreases defaulting of children from immunization schedule.</p>

scholarly journals Determinants of postpartum IUCD utilization among mothers who gave birth in Gamo zone public health facilities, southern Ethiopia; case-control study

2019 ◽  
Author(s):  
Seid Jemal Mohammed ◽  
Weynshet Gebretsadik ◽  
Gisila Endeshaw ◽  
Mulugeta shigaz Shimbre ◽  
Kenzudine Asfaw Mosa ◽  
...  
Keyword(s):  
Public Health ◽  
Birth Interval ◽  
Case Control Study ◽  
Case Control ◽  
Health Facilities ◽  
Partner Support ◽  
Southern Ethiopia ◽  
Public Health Facilities ◽  
Determinant Factors ◽  
Control Study

Abstract ABSTRACT Background: Even though postpartum IUCD is effective, reliable, safe and recommended contraceptive method during postpartum women, only a small amount of mother who gave birth in health facilities used PPIUCD in the world. Besides the underlining problem and as to the knowledge of the researcher; nothing is known in Gamo zone about the determinants of PPIUCD. Therefore, this study aimed to assess determinants of postpartum IUCD utilization among mothers who gave birth in Gamo zone health facilities, southern Ethiopia, 2019. Methods: a facility based unmatched case control study was conducted in Gamo zone public health facilities, southern Ethiopia. A total of 536(179 cases and 357 controls) participants were selected in the study with a 1:2 case to control ratio. Data was collected by a pretested interviewer administered questionnaires from March 1 to April 15 2019. The data was coded, cleaned and entered by Epi-Info version 3.5.1 and exported to SPSS version 25 for advanced analysis. Bivariable and multivariable logistic regression analysis were performed to identify the determinants. Result: A total of 510(175 cases and 335 control) were involved in the study, which makes a response rate of 95.1%. The odds of mothers who have partner support for IUCD insertion were ten times more likely to utilize PPIUCD than those do not have partner support. (AOR (95 CI) 10(4.03, 24.3)). Mothers who have a birth interval of 1-2 year and 3-5 years 12 and almost 10 times more likely to utilize PPIUCD than mothers who have greater than five years. (AOR (95 CI) 12.0(1.5, 97.7), 9.7(1.7, 55.1)) respectively. The odds of mothers who are spacer four times more likely to utilize PPIUCD than limiters (AOR (95 CI) 4(1.44,10.84)). Mothers who are counseled during early labor around 88% less likely to utilize PPIUCD than those counseled during ANC (AOR (95 CI) .125(.034, .46)). Conclusion and recommendation : Birth interval, fertility plan, timing of counseling, pregnancy plan and partner support were determinant factors. Therefore, health professionals better to give counseling by incorporating partners during antenatal follow up and after delivery. Key words : Postpartum IUCD, Gamo zone, unmatched case control, determinant factors

scholarly journals Factors Related to Case Of Coronavirus Disease 2019 (Covid-19)

2021 ◽  
Vol 2 (2) ◽  
pp. 57-69
Author(s):  
Neneng Bisyaroh
Keyword(s):  
Quantitative Research ◽  
Case Control Study ◽  
Close Relation ◽  
Case Control ◽  
P Value ◽  
Enabling Factors ◽  
Knowledge And Attitudes ◽  
Reinforcing Factors ◽  
History Of ◽  
Control Study

As of March 24, 2021, in Indonesia there were 1,482,559 confirmed cases. East Java province occupies the third highest cases after DKI Jakarta and West Java Province. Gresik Regency still has many additional confirmed cases. Based on strategic guidelines, prevention efforts are needed, namely the 5M movement, knowledge and attitudes related to prevention efforts that are very important so as not to cause an increase in the number of cases. The purpose of this research was to determine the factors associated with the incidence of Covid-19. This type of research is quantitative research with a case control study design. The results of the study were that 69 respondents (74.2%) had a history of negative status and 24 people (25.8%) had a positive status. Factor related to the history of Covid-19 incidence is enabling factors (affordability of health facilities) with p value = 0.003. Analysis of the close relation between the two variables obtained Odd Ratio = 0.180 (95% CI: 0.060-0.538), and there was no relationship between predisposing factors and reinforcing factors with the incidence of Covid-19 history. ABSTRAK   Terhitung sampai tanggal 24 Maret 2021, di Indonesia tercatat 1,482,559 terkonfirmasi. Provinsi jawa timur menduduki kasus tertinggi ketiga setelah DKI Jakarta dan Provinsi Jawa Barat. Kabupaten Gresik masih banyak penambahan confrim kasus. Berdasarkan panduan strategis diperlukan upaya pencegahan, yaitu gerakan 5M, serta pengetahuan dan sikap terkait upaya pencegahan adalah hal yang sangat penting agar tidak menimbulkan peningkatan jumlah kasus. Tujuan penelitian ini untuk mengetahui faktor–faktor yang berhubungan dengan kejadian riwayat Covid-19. Jenis penelitian ini adalah penelitian kuantitatif dengan desain studi case control. Hasil penelitian adalah responden memiliki riwayat status negatif sebanyak 69 orang (74.2%) dan yang memiliki status positif sebanyak 24 orang (25.8%). Faktor yang berhubungan dengan riwayat kejadian Covid-19 adalah faktor pemungkin (keterjangkauan fasilitas kesehatan) dengan nilai p = 0,003. Analisis keeratan hubungan dua variabel diperoleh Odd Ratio = 0,180 (95% CI : 0,060-0,538), serta tidak ada hubungan antara faktor predisposisi dan faktor penguat dengan kejadian riwayat Covid-19.

scholarly journals Determinants of Severe Acute Malnutrition among Children age 6-59 Months Old in Two Public Hospitals, North West Ethiopia: a Case Control Study

2019 ◽  
Author(s):  
Adonia Damtew Nebro ◽  
Degnet Teferi Asres ◽  
Reddy PCJ Prasad
Keyword(s):  
Exclusive Breastfeeding ◽  
Case Control Study ◽  
Severe Acute Malnutrition ◽  
Case Control ◽  
Hand Washing ◽  
Acute Malnutrition ◽  
P Value ◽  
Monthly Income ◽  
History Of ◽  
Control Study

AbstractIntroductionGlobally sever acute malnutrition affects 16.4 million under five children and more than one quarter of those children live in Africa. In Ethiopia, about 3% of children are severely wasted and continues to be persistent over the past 15 years. To implement an effective intervention, it is essential to identify predictors predispose to it. This study therefore, aimed to identify determinants of severe acute malnutrition among under five children in selected public health facilities, Northwest Ethiopia.MethodsInstitution based; age matched case control study was conducted on 104 cases and 208 controls. Bivariate and multivariate analyses were done using conditional logistic regression to identify predictors. Variables having P-value ≤ 0.2 during binary analysis were entered into multivariate analysis. P value < 0.05 was considered as statistically significant.ResultsChildren from households of large family size(AOR=2.7, 95% CI: 1.06 – 6.9), having monthly income less than 1500 birr (AOR = 5.17, 95% CI: 1.7-15.3), which are food insecure (AOR = 2.9, 95% CI:1.17-7.28)), which didn’t receive any nutrition information (AOR= 3.47,95% CI: 1.14 - 7.10), didn’t practice exclusive breastfeeding (AOR = 2.69, 95% CI: 1.18 - 6.10), and practice infrequent hand washing (AOR= 7.6 95% CI:2.44-23.6) as well as children who had history of diarrhea two weeks prior to the survey (AOR 3.2, 95%CI:1.4-7.2) were more likely to suffer from severe acute malnutrition.ConclusionFamily size, monthly income, food security status, exclusive breastfeeding practice, access to information on child feeding, hand washing practice and history of diarrhea were identified to be predictors of severe acute malnutrition. Due emphasis should be given to promoting family planning, improve household livelihoods and food security, strength awareness creation on exclusive breastfeeding and frequent hand washing practices as well as prevention of diarrhea.

scholarly journals Determinants of Active Tuberculosis Occurrences after ART Initiation among Adult HIV-Positive Clients in West Showa Zone Public Hospitals, Ethiopia: A Case-Control Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Gerbaba Guta Nugus ◽  
Mergitu Eliyas Irena
Keyword(s):  
Case Control Study ◽  
Clinical Stage ◽  
Case Control ◽  
Public Hospitals ◽  
Hiv Positive ◽  
P Value ◽  
Cd4 Cells ◽  
Adherence Level ◽  
Art Initiation ◽  
Control Study

Introduction. Tuberculosis is a major public health concern globally, especially in sub-Saharan African countries. It is the most common opportunistic infection and leading cause of mortality among people living with human immunodeficiency virus despite increased deliverance of antiretroviral therapy. Objectives. The aim of this study was to identify determinants of active tuberculosis among adult HIV positive patients after ART initiation in West Showa Zone public hospitals, Ethiopia. Methods. Multicentred unmatched case-control study was conducted on selected public hospitals in West Showa Zone from February to June, 2019. A total of 406 participants (203 cases and 203 controls) were included in the study. Cases were adult HIV patients who developed tuberculosis after ART initiation while controls were adult HIV patients who did not develop tuberculosis after ART initiation. Data were collected using interviewer administered structured questionnaire. Logistic regression analysis was performed using SPSS version 24 statistical software. Statistical significance test was set at 95% confidence level. Results. This study identified that patient’s previous TB history (AOR = 2.41; 95% CI: 1.49, 3.90; P value<0.001), haemoglobin level (AOR = 3.67; 95% CI: 1.98, 6.79; P value<0.001), CD4 cells count (AOR = 2.02; CI: 1.24, 3.29; P value=0.004), adherence level (AOR = 19.00; CI: 5.59, 64.59; P vaue<0.001), and WHO HIV/AIDS clinical stage (AOR = 2.58; CI: 1.59, 4.18; P vaue<0.001) were found to be statistically significant determinants for the occurrence of tuberculosis among PLHIV after ART initiation. Conclusion. Patient’s previous TB history, haemoglobin level, CD4 cells count, adherence level, and WHO clinical stage were significant determinants of occurrence of tuberculosis after ART initiation in PLHIV.

scholarly journals Birth Month And Prevalence Of Atopic Dermatitis In Children Under 3 Years In Antananarivo, Madagascar

2020 ◽  
Author(s):  
Fandresena Arilala Sendrasoa ◽  
Volatantely Ratovonjanahary ◽  
Mendrika Fifaliana Rakotoarisaona ◽  
Malalaniaina Andrianarison ◽  
Onivola Raharolahy ◽  
...  
Keyword(s):  
Case Control Study ◽  
Case Control ◽  
University Hospital ◽  
P Value ◽  
Month Of Birth ◽  
Birth Month ◽  
History Of ◽  
The University ◽  
The Relationship ◽  
Control Study

Abstract BACKGROUND: Several studies have been done to evaluate the relationship between month of birth and atopic diseases but the results are contradictory. So, we aim to evaluate the correlation between the month of birth and the prevalence of AD in Malagasy children less than 3 years.METHODS: A case-control study was conducted based on patients’ data of the department of Dermatology in the University Hospital Joseph Raseta Befelatanana (UH/JRB) Antananarivo. It included 354 children less than 3 years seen in this department between January 2010 and December 2018. For each AD patient, two age and sex-matched controls without a history of AD were selected from the same period.RESULTS: This study included 118 AD cases and 236 non-AD controls. Our case-control study found that there are no statistically significant correlation between birth month and risk of AD in Malagasy children < 3 years. However, the fewest children with AD were born in February (17.86%, OR: 0.40, CI 95%: 0.11-1.14), and the most were born in August (45.16%, OR: 1,73; CI 95%: 0,75-3,88). Asthma, allergic rhinitis and allergic conjunctivitis were significantly correlated with AD in our patients.CONCLUSION: Our case-control study found that there are no statistically significant correlation between birth month and risk of AD in children < 3 years. However, the high frequency of AD in children born in August (dry season) compared to non-AD controls was not negligible (p-value =0,05 and X 2 3,27).

scholarly journals Determinants of Anemia among Pregnant Women at Public Hospitals in West Shewa, Central Ethiopia: A Case-Control Study

Anemia ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Berhanu Senbeta Deriba ◽  
Elias Teferi Bala ◽  
Gizachew Abdissa Bulto ◽  
Tinsae Abeya Geleta ◽  
Agumas Fentahun Ayalew ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Family Size ◽  
Birth Interval ◽  
Case Control Study ◽  
Previous History ◽  
Case Control ◽  
Public Hospitals ◽  
The West ◽  
Central Ethiopia ◽  
Control Study

Introduction. Anemia is highly dominant among pregnant women due to the need for iron for women themselves and their fetuses. Nearly half a billion globally and around one-third in Ethiopia of pregnant women were affected by anemia which has both health and economic impact. Therefore, this study aimed to identify the determinants of anemia among pregnant women attending antenatal care at public hospitals in the West Shewa zone, Oromia regional state, Central Ethiopia, 2019. Methods. An unmatched case-control study was conducted at public hospitals in the West Shewa zone, Ethiopia, from February to April 2019. A consecutive sampling was used to select study participants. Data were collected by a structured questionnaire, and the collected data were entered into Epi Info version 7 and SPSS version 23 for analyses. Descriptive statistics such as tables, graphs, and proportions were used to present the data. Binary and multiple logistic regression analyses were computed to identify the determinants of anemia. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p value <0.05 were used to determine the presence of an association. Result. A total of 426 women (142 cases and 284 controls) participated in this study with a 95.3% response rate. Family size >5 (AOR = 2.95, 95% CI: 1.34–6.50), peptic ulcer diseases (PUD) (AOR = 2.85, 95% CI: 1.14–7.13), having the previous history of abortion (AOR = 2.84, 95% CI: 1.08–7.47), birth interval <2 years (AOR = 2.61, 95% CI: 1.20–5.70), antepartum hemorrhage (APH) (AOR = 6.05, 95% CI: 1.95–18.81), and not using latrine (AOR = 3.45, 95% CI: 1.30–9.24) were the identified determinants of anemia. Conclusions. Family size, PUD, abortion, birth interval, APH, and unable to use latrine were the determinants of anemia among pregnant women. Therefore, the intervention on anemia prevention should consider the promotion of family planning methods and counseling on latrine utilization.

Sign in / Sign up

Export Citation Format

Share Document