scholarly journals Time of recovery and associated factors of children with severe acute malnutrition treated at outpatient therapeutic feeding program in Dire Dawa, Eastern Ethiopia

PLoS ONE ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. e0217344 ◽  
Author(s):  
Binyam Atnafe ◽  
Kedir Teji Roba ◽  
Tariku Dingeta
2021 ◽  
Author(s):  
Legesse Abera Natae ◽  
Abdulahi Aliye ◽  
Kalbesse Tadesse ◽  
Alemu Guta

Abstract Background: Child sexual abuse means any kind of sexual contact with a child under the age of 18 years. It is a common and serious public health problem affecting millions of people each year worldwide. It is the most neglected and least documented form of violence in Ethiopia among school girls. So, this study aimed to assess the magnitude and its associated factors among high school female students in Dire Dawa, Eastern Ethiopia.Methods: An institutional-based, cross-sectional study was conducted, March, 1-23/2021. A stratified multistage sampling technique was used for quantitative data and 794 participants from selected high schools were included. A pre-tested, self-administered questionnaire was used, and data were analyzed using SPSS software version 24. For qualitative data, sixteen in-depth interviews and five focus group discussion were conducted and analyzed thematically. Result: The magnitude of at least one form of sexual abuse were 384 (48.9%), of these, 150 (19.1%) were rape. Students who live alone 4.3 times (AOR=4.30;95 % CI: 1.81-10.24), those who lives with their friends 5 times (AOR=5.02: 95% CI: 2.24-11.24), and those who lives with their single parent 3 times (AOR=3.31: 95% CI: 1.23-8.89) more likely experience life time sexual abuse than those living with their both parents. The odds of experiencing life time sexual abuse among students of rural residence were 2 times higher than their urban counter part (AOR=2.1; 95% CI: 1.79-3.45). Students who don’t drink alcohol were 70% more protective than those who drink alcohol (AOR=0.70: 95% CI: 0.28-0.97).Conclusion: This study revealed that the magnitude of child sexual abuse among female students in Dire Dawa is high. Lack of discussion about sexual issue with parents, living without both parents, drinking alcohol, being rural residence had significant association with child sexual abuse. Unwanted pregnancy, abortion, and STIs were the most common reproductive consequences of sexual abuse. So, community-based comprehensive awareness creation on sexual and reproductive health issues, are recommended especially, at rural area.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Asmare Getie ◽  
Biftu Geda ◽  
Tadesse Alemayhu ◽  
Agenehu Bante ◽  
Zeleke Aschalew ◽  
...  

2016 ◽  
Vol 5 (4) ◽  
pp. 392
Author(s):  
Anteneh Berhane Yaye ◽  
Negga Baraki ◽  
Birhanu Seyum Endale

In Ethiopia, Iodine Deficiency Disorder has been recognized as a serious public health problem for the past six decades. In 2011, an estimated <br /> 12 million school-age children were living with inadequate iodine, and <br /> 66 million people were at risk of iodine deficiency. One out of every <br /> 1000 people is a cretin mentally handicapped, due to a congenital thyroid deficiency, and about 50000 prenatal deaths are occurring annually due to iodine deficiency disorders. Only 5.7% of the households were using iodized salt in Dire Dawa city Administration, which is below the legal requirement.This study assessed availability of adequately iodized salt at household level and associated factors in Dire Dawa town, East Ethiopia. Community based cross-sectional study was carried out among households in Dire Dawa town during March 16-26, 2015. Multistage sampling technique was used. Data were collected using a pretested and structured questionnaire by a face-to-face interview technique. Bivariate and multivariate analyses were performed to check associations and control confounding. A total of 694 participants were participated. The availability of adequately iodized salt (≥15 parts per million) in the study area was 7.5% (95% CI; 5.6-9.5). Multivariate result showed that health information about iodized salt (AOR=8.96, 95% CI; 4.68-17.16) (p=0.03), good knowledge about iodized salt (AOR=9.23, 95% CI; 3.34-25.5) (p=0.01) and using packed salt (AOR=3.99, 95% CI; 1.48-10.73) (p=0.006) were associated with availability of adequately iodized salt at household level. Availability of adequately iodized salt at household level was very low.  Hence, households should be sensitized about importance of iodized salt and its proper handling at the household level.


2020 ◽  
Vol 27 (1) ◽  
pp. 107327482095870
Author(s):  
Yalelet Belay ◽  
Merga Dheresa ◽  
Alekaw Sema ◽  
Assefa Desalew ◽  
Nega Assefa

Background: Cervical cancer is a public health problem and one of the leading causes of death in women worldwide. In Ethiopia, the government expands cervical cancer screening centers and recommends services to age-eligible and high-risk groups of women. However, evidence indicates that the utilization of services among eligible and high-risk women in the country has remained very low, and data are scarce in Dire Dawa. Therefore, this study aimed to assess cervical cancer screening service utilization and associated factors among women aged 30 to 49 years in Dire Dawa, eastern Ethiopia. Methods: A facility-based cross-sectional study was undertaken in Dire Dawa from February 01 to March 01, 2017. Only two facilities provided the screening service in Dire Dawa Administration. Six- hundred and one women aged 30 to 49 years were selected using a systematic sampling method. Data were collected using a pretested face-to-face interview administered questionnaire. Data were entered using EpiData 3.1, and analyzed using the Statistical Package for Social Science Version 21. Multivariable logistic regression was used to examine the factors associated with cervical cancer screening utilization. An adjusted odds ratio (AOR) with a 95% confidence interval (CI) was used, and a p-value <0.05 was considered statistically significant. Results: In this study, the magnitude of cervical cancer screening service utilization was 4.0% (95% CI: 2.5-5.7). The factors associated with cervical cancer screening service utilization were older age (AOR = 4.2; 95% CI:1.3-13.8), attending private health facilities (AOR = 8.9; 95% CI: 2.8-28.0), being employed (AOR = 3.3; 95% CI: 1.3-8.8), visiting the gynecology departments (AOR = 3.8; 95% CI: 1.5-9.8), being knowledgeable (AOR = 4.8; 95% CI: 1.5-15.5), being counseled by health professionals (AOR = 4.1; 95% CI: 1.5-11.3), and user’s of family planning (AOR = 4.9; 95% CI: 1.2-20.0). Conclusion: The magnitude of cervical cancer screening utilization was very low. Hence, to improve the screening service utilization of cervical cancer, a campaign on community awareness, strengthening service linkage among departments, expansion of the centers for cervical cancer screening, and promotion of family planning method utilization are recommended.


PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0206546
Author(s):  
Mengistu Tiruneh Alemu ◽  
Yadeta Dessie ◽  
Tesfaye Gobena ◽  
Yohannes Teka Mazeingia ◽  
Abdu Oumer Abdu

2019 ◽  
Vol 8 (2) ◽  
pp. 219
Author(s):  
Abdu Oumer

<span>For appropriate management of severe acute malnutrition skilled, knowledgeable and concerned health professionals are critical for child survival. </span><span>Thus assessing the knowledge of nurses towards management protocol of severe acute malnutrition is crucial step for targeted interventions. </span><span>This study aimed to assess Knowledge towards Severe Acute Malnutrition Management Protocol and its Associated Factors among Nurses working in Hiwot Fana Specialized University Hospital, 2018. Cross-sectional study was conducted among eligible 132 nurses. Data were collected using self-administered questionnaire prepared from the national SAM management guideline of Ethiopia. SPSS version 20.0 software using frequency, tables, graphs, percentages and mean was used. Student t test and analysis of variance with F statistics and P value was computed. Overall, 65 (49.2%) of nurses had poor knowledge on SAM management. More than half, 100 (75.8%) of the nurses had experience in SAM management previously. Males were more likely to be knowledgeable (AOR=1.27) as compared to females. Nurses with the previous experience of managing malnourished child had 1.70) times more likely to be knowledgeable as compared to their counterparts. Having SAM training was associated with having higher knowledge score (AOR=1.56). Having SAM training was found to have significantly higher knowledge score (p=0.034). Knowledge level of nurses towards SAM management is not satisfactory. Those who ever involved in SAM management, having recent malnutrition training and gender were predictors of high knowledge score. There should be regular capacity building schemes for nurses especially for those who are involved in management of SAM at emergency or SAM unit.</span>


Author(s):  
Biruk Beletew Abate ◽  
Befkad Dress ◽  
Ayelign Mengesha Kassie ◽  
Mesifn Wudu Kassaw

Abstract Background: In Ethiopia uncomplicated severe acute malnutrition is managed through the outpatient therapeutic program at health posts level. This brings the services for the management of Severe Acute Malnutrition closer to the community by making services available at decentralized treatment points within the primary health care settings. So far, evidence on the treatment outcome of the program is limited. Thus, the main aim of this study was to determine the magnitude of treatment outcomes of severe acute malnutrition and associated factors among under-five children at outpatient therapeutic feeding units. Methods: This was a retrospective cohort study conducted on 600 children who had been managed for SAM under OTP in Gubalafto Wereda from April to May/2019. The children were selected using systematic random sampling from 9 health posts. The structured, pre-tested and adapted questionnaire was used to collect the data. The data was entered by using EPI-data Version 4.2 and exported to SPSS version 24.0 for analysis. Bivariate and Multivariate regression was also carried out to determine the association between dependent and independent variables. Results: A total of 600 records of children with a diagnosis of severe acute malnutrition were reviewed. Of these cases of malnutrition, the recovery rate was revealed as 65 %. The death rate, default rate, and medical transfer were 2.0, 16.0, and 17.0 respectively. Children who took immunization were had 6.85 times higher odds of recovery than children who were not immunized (AOR=6.85 at 95% CI (3.68-12.76)). The likelihood of recovery was 3.78 times higher among children with new admission than those with re-admission (AOR=3.78at 95% CI ((1.77-8.07))). Likewise, children provided with amoxicillin were 3.38 times more likely to recover compared to their counterparts who were not provided (AOR=3.38 at 95% CI ((1.61-7.08))). Conclusions: The recovery rate and medical transfer were lower than sphere standard. Presence of cough, presence of diarrhea admission category, provision of amoxicillin, and immunization status were factors identified as significantly associated with treatment outcome of Sever Acute Malnutrition. Building capacity of OTP service providers and regular monitoring of service provision based on the management protocol were recommended.


2016 ◽  
Vol 4 (1) ◽  
pp. 246
Author(s):  
Syed Manazir Ali ◽  
Hari Shankar Meshram

Background: Hypoglycemia is a known complication of SAM which is to be managed early to prevent morbidity and mortality. There is lack of literature regarding hypoglycemia and its associated factors in SAM children. This study aimed to evaluate predicting factors associated with hypoglycemia in children with severe acute malnutrition (SAM) in NRC.Methods: In this case-control design, we compared clinical and laboratory characteristics of children with and without hypoglycemia taken from a population of 299 children with SAM admitted in NRC.Results: Prevalence of hypoglycemia in SAM was 14%. Amongst the association it was found that deranged creatinine (P value of 0.002, odds ratio 2.9, 95% C.I.1.48 - 5.97) and deranged urea (P value 0.0001, odds ratio 3.6, 95% C.I. 1.79 - 7.2) were statistically significant. Diarrhoea (P value 0.7, odds ratio 1.14, 95% C.I. 0.57 - 2.26), leucocytosis (P value 0.23, odds ratio 0.54, 95% C.I. 0.21 - 2.26), leucopenia ( P value 0.6, odds ratio 0.42, 95% C.I. 0.05 - 3.35) were found statistically insignificant.Conclusions: Azotemia in SAM was found significantly associated with hyponatremia. 


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