Prevalence and correlates of home delivery amongst HIV-infected women attending care at a rural public health facility in Coastal Kenya

Adequate health facilities have become one of the interesting issues to be discussed since this pandemic situation. Availability and accessibility of health facilities are the vital aspects that should be accomplished by both local and central government. Nevertheless, some population especially those living in rural areas have some difficulties in reaching these facilities due to the inequality condition within regions. This study aims to analyze the coverage of health facilities in Temanggung Regency, Central Java province and cluster its subdistricts according to their condition in accessing these facilities. The analysis is limited to public health facility (PUSKESMAS) and hospital levels. Both statistical and spatial data were processed using the GIS network analysis approach in producing the coverage number of each health facility and they were compared to the applied standard range of service and threshold. Then, a hierarchy is created using the weighted centrality index approach to represent disparities among subdistricts in Temanggung Regency regarding the availability and its coverage to health facilities. The results show that there is an inequality condition on health facilities coverage between central and peripheral areas within this regency, both at the public health facility level and hospital level. Several population in several districts, mostly residing in outer areas, are not covered by both public health facility and hospital. On the other hand, people in the capital and its surrounding subdistricts have better access to these facilities. Several factors are identified in producing this inequality, such as spatial distribution of housing areas, spatial allocation of health facilities, road network, and topographic condition. The topographic condition in some uncovered areas, which is relatively hilly and has steep slope, causes limited access to the road network and less coverage of health facilities.

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Undernutrition, Food Insecurity and Associated Factors among Adult HIV Positive people on HAART in Public Health Facility in Oromia Special Zone Surrounding Finfinne, Oromia, Ethiopia.

10.21203/rs.3.rs-815780/v1 ◽

2021 ◽

Author(s):

Desalegn Neme ◽

Haile Bikila ◽

Tariku Tesfaye ◽

Markos Desalegn ◽

Zalalem Kaba

Keyword(s):

Public Health ◽

Human Immunodeficiency Virus ◽

Food Insecurity ◽

Health Facility ◽

Associated Factors ◽

Public Health Facility ◽

Factors Associated ◽

Under Nutrition ◽

Immunodeficiency Virus ◽

Special Zone

Abstract Background: Malnutrition is resulted from inequalities in nutrients intake and body demands. People living with Human Immunodeficiency virus (PLHIV) are more vulnerable to malnutrition, due to opportunistic infection, metabolic disorder, and increased need of energy during infection. Worldwide, over 800 million people are chronically undernourished. The dual burden in areas of severe food insecurity and Human Immunodeficiency virus (HIV) epidemic are highly contributing to morbidity and mortality of people living with HIV, especially in developing countries particularly Sab- Saharan Africa is considered as home of malnutrition and food insecurity. The major problem of PLHIV in Ethiopia is under nutrition and its complication. Objective: This study aimed to assess magnitude of under nutrition, food insecurity and associated factors among adult clients on ART attending ART clinic, at public health facilities, Oromia regional states central Ethiopia Method: An institution based cross-sectional study was conducted among adult PLHIV and on highly active antiretroviral therapy(HAART) attending public health facility in Oromia Special Zone Surrounding Finfinne (OSZSF) was conducted from August 2020 to May 2021. A systematic sampling was applied for sample selection. A pre tested semi structured questionnaire was used to collect data. Bivariate and multivariable analysis also employed to identify the presence, strength, direction of association and other confounding. After calculating for both first objective (prevalence of under nutrition) and second objective or factors associated with under nutrition the maximum sample size 305 was selected for this study.Result: The prevalence of under nutrition was 22.4% and house hold food insecurity was also high in current study 54.3%. Factors associated with under nutrition among participants were absence of ration (AOR=0.42, 95%CI: 0.0-0.9), World health organization clinical stage II, III and VI (AOR= 6.8, 95%CI: 2.5-18.6) and household food in secure (AOR=0.51, 95%CI: 0.27-0.95) while literacy status primary and less (AOR=2.24, 95%CI: 1.1-4.6), household average monthly income <2250 Ethiopian birr (AOR=0.41, 95%CI:0.21-0.8) and meal frequency less or equal to two (AOR=4.14, 95%CI:1.3-13.46).Conclusion and recommendation: This study finding reveals high prevalence of under nutrition and HH food insecurity results in disturbing the success of the program, thus Comprehensive care and support bio-medical and inter-sectorial collaboration is suggested for alleviating the problem.

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