scholarly journals Soil-transmitted helminth infections among pre-school aged children in Gamo Gofa zone, Southern Ethiopia: Prevalence, intensity and intervention status

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243946
Author(s):  
Mekuria Asnakew Asfaw ◽  
Tigist Gezmu ◽  
Teklu Wegayehu ◽  
Alemayehu Bekele ◽  
Zeleke Hailemariam ◽  
...  
Keyword(s):  
Neglected Tropical Diseases ◽  
Cross Sectional Study ◽  
Trichuris Trichiura ◽  
Southern Ethiopia ◽  
High Morbidity ◽  
Preventive Chemotherapy ◽  
Cross Sectional ◽  
School Aged Children ◽  
Dug Well ◽  
Gamo Gofa

Background Soil-transmitted helminths (STH), i.e., Ascaris lumbricoides, Trichuris trichiura and hookworms are among the most prevalent Neglected Tropical Diseases (NTDs) in Ethiopia. Although pre-school aged children pay a high morbidity toll associated with STH infections, evidence on prevalence, intensity and intervention status is lacking in Ethiopia. This study, therefore, aimed to address these gaps to inform decision made on STH. Methods We did a community-based cross-sectional study in five districts of Gamo Gofa zone, Southern Ethiopia; in January 2019. Data were collected using pre-tested questionnaire, and the Kato-Katz technique was used to diagnose parasites eggs in stool. Then, collected data were edited and entered into EpiData 4.4.2, and exported to SPSS software (IBM, version 25) for analysis. Results A total of 2462 PSAC participated in this study. Overall, the prevalence of STH was 23.5% (578/2462) (95% confidence interval (CI) = 21.8%–25.2%). As caris lumbricoides was the most prevalent (18.6%), followed by Trichuris trichiura (9.2%), and hookworms (3.1%). Of the total, 7.4% PSAC were infected with two STH species. Most of the positive cases with STH showed low infection intensities, while 15.1% ascariasis cases showed moderate infection intensities. The study found that 68.7% of PSAC were treated with albendazole. Also, household’s level data showed that 39.4% used water from hand-dug well; 52.5% need to travel ≥30 minutes to collect water; 77.5% did not treat water, and 48.9% had no hand washing facility. In addition, almost 93% care givers achieved less than the mean knowledge and practice score (≤5) on STH prevention. Conclusions This study showed that significant proportions of pre-school aged children are suffering from STH infections despite preventive chemotherapy exist at the study area. Also, gaps in the interventions against STH were highlighted. Thus, a call for action is demanding to eliminate STH among PSAC in Ethiopia by 2030.

scholarly journals Validation of Health Extension Workers Job Motivation Scale in Gamo-Gofa Zone, Southern Ethiopia: A Cross-Sectional Study

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Shikur Mohammed ◽  
Marelign Tilahun ◽  
Mesfin Kote ◽  
Mohamedaman Mama ◽  
Dessalegn Tamiru
Keyword(s):  
Health Care ◽  
Community Health ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Sectional Study ◽  
Health Extension Workers ◽  
Cross Sectional ◽  
Job Motivation ◽  
Motivation Scale ◽  
Gamo Gofa

Introduction. Well-trained and highly motivated community health workers are critical for delivery of community-based health care services. Understanding what motivates especially community health care providers for better community health requires the use of psychometrically reliable and valid scale. This study was conducted to validate job motivation scale in Gamo Gofa Zone, Southern Ethiopia. Methods. A cross-sectional study was conducted in 150 health care posts in Gamo Gofa Zone, from February 01, 2013, to March 01, 2013. A total of 301 participants responded to questionnaires asking about sociodemographic characteristics and job motivation. Exploratory factor analysis with principal component extraction and varimax with Kaiser Normalization rotation were employed to develop scales for job motivation. Eigenvalues greater than 1 were used as criterion of extraction. Items with item factor loadings less than 0.4 and double loaded items were dropped. Alpha and exploratory factor analyses were examined to test reliability and validity of the scale. Results. During exploratory factor analysis eight factors emerged from the three dimensions of job motivation scale, namely, educational career, workload, financial incentive, supervisor encouragement, community recognition, access to infrastructure, living condition, and better achievement in work. The factor loadings of the items in each dimension ranged from 0.58 to 0.83. Crobach’s alpha of the scales ranged from 0.79 to 0.90. To check validities of the scales developed in this study, the previous studies conducted to develop job motivation scale were used. Conclusion. Although the present scale has the potential to measure the job motivation of health extension workers and it is low in cost and easy to administer and analyze, it should be field-tested at different settings.

scholarly journals Schistosomiasis and Associated Risk Factors Among School-Aged Children in Northern Nigeria

2020 ◽  
Vol 4 (2) ◽  
pp. 103-111
Author(s):  
Musa M. Dogara ◽  
Saadatu Ahmad ◽  
Babalola J. Balogun ◽  
Salwa S. Dawaki ◽  
Muzammil B. Mustapha ◽  
...  
Keyword(s):  
Risk Factors ◽  
Primary Schools ◽  
Cross Sectional Study ◽  
Northern Nigeria ◽  
Preventive Chemotherapy ◽  
Cross Sectional ◽  
Creative Commons ◽  
School Aged Children ◽  
Intestinal Schistosomiasis ◽  
Associated Risk Factors

Background: The Jigawa State Ministry of Health in Northern Nigeria undertook a pilot intervention without a follow-up to control schistosomiasis through preventive chemotherapy by ensuring that each child swallows praziquantel from 2009 to 2013 in five primary schools in Dutse metropolis. Previously, the overall prevalence for urinary and intestinal schistosomiasis determined using Sedimentation and Kato Katz methods was 22.9%. Methods: A cross sectional study involving 150 randomly selected pupils, aged 6 - 15 years old was conducted using sedimentation and Kato-Katz methods to determine the prevalence of urinary and intestinal schistosomiasis respectively in three schools in July, 2018. Information on demographic and associated risk factors was collected using a structured questionnaire and the data generated was analyzed using SPSS statistics version 18.0. Results: The overall prevalence was 10% with S. haematobium 8%, S. mansoni 2.67% and co-infection 0.67%. Males had higher prevalence, 15.10% than females 1.75%. The 11 - 15 years age group had higher prevalence, 10.10% than 6 - 10 years, 9.68%. Nearly all the infections occurred among class 4-6 pupils with 12.10% and 2.94% in 1-3. Based on parental occupations, children of unskilled laborer had the highest prevalence of 16.67% followed by children of civil servants 12.50%, and children of butchers 0%. Kachi School had the highest prevalence of 14.00% while Sir Muhammadu Sunusi had the lowest 4.00%. Schistosomiasis prevalence was found only to be significantly associated with gender; higher among males than females (15.1% vs 1.75%, P = 0.011). Conclusion and Implications for Translation: Schistosomiasis is still endemic among school-aged children in Dutse metropolis, but with a drop in overall prevalence from 22.9% to 10.00%. Chemotherapy and health education should be sustained on both in and out of school-aged children in order to control the transmission. Key words: • Schistosomiasis • Tropical diseases • Northern Nigeria • Chemotherapy• School-aged Children • Kato - Katz • Sedimentation   Copyright © 2020 Dogara et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

scholarly journals Concordance of mother-child (6-23 month) dietary diversity and its associated factors in Kucha district, Gamo Gofa Zone, Southern Ethiopia: a community- based cross- sectional study

2020 ◽  
Author(s):  
Tesfaye Guja ◽  
Yeabsira Melaku ◽  
Eshetu Andarge
Keyword(s):  
Associated Factors ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Food Groups ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Mothers And Children ◽  
Gamo Gofa

Abstract Background Meeting minimum standards of dietary quality in mothers and children is a challenge in many developing countries including Ethiopia. Emerging evidence suggests that maternal and child dietary diversity is associated but little is known about the associated factors of concordance of mother-child dietary diversity in Ethiopia and none is documented in the study area. This study examines the concordance between mother- child (6-23 months) dyads dietary diversity and the associated factors in Kucha district, Gamo Gofa zone, Southern Ethiopia. Methods A community based cross-sectional study was conducted among 791 mother- child (6-23 months) pairs from 11 selected kebeles in March 6 to April 13, 2017. Multi-stage cluster sampling technique was used to select the study subjects. The sampling frame was obtained from family folder of health posts in each kebele. The mother-child pairs were selected by simple random sampling method. The 7 food groups of World Health Organization (WHO) for children and the 10 food groups of FANTA/FAO, 2016 for mothers were used to analyze the dietary diversity. Cohen’s kappa statistics was calculated to see the strength of concordance. Multivariable logistic regression model was fitted to determine factors affecting mother-child dietary diversity concordance. Result A good concordance was noted between mother- child dietary diversity scores (Kappa = 0.43). Only 56 (7.1%) of mothers were negative deviants and 133 (16.8%) of mothers were positive deviants in dietary diversity consumption. Rural residence (AOR =3.49; 95% CI: 1.90-6.41), mothers having no formal education (AOR= 1.8; 95% CI: 1.08-3.05, mothers who did not own milking cow (AOR= 1.7; 95% CI: 1.10-2.56),children with low diversity diversity(AOR= 8.23; 95% CI: 5.17-13.08) and mothers with low dietary diversity (AOR= 0.46; 95% CI: 0.29-0.74) were found to be factors associated with mother-child dietary diversity concordance. An increase in the percentage of children reaching the minimum dietary diversity was greater with successive increase in maternal dietary diversity. Conclusion Despite, interesting similarity between mothers and children dietary consumption, more than three quarter of concordants didn’t achieve the recommended dietary diversity score (were low concordants). Interventions targeting on rural women’s access to high school education, home based milking cow rearing and promote nutrition sensitive agriculture to meet the dietary requirements of mothers and children in a sustainable manner and public health efforts to improve child nutrition may be strengthened by promoting maternal dietary diversity due to its potential effect on the entire family.

scholarly journals Assessment of Auditable Pharmaceutical Transactions at Public Hospitals in Gamo Gofa, Southern Ethiopia, a Comparative cross-sectional study, July 2017

2018 ◽  
Author(s):  
Mende Mensa ◽  
Akililu Ayele ◽  
Biruk Wogayehu
Keyword(s):  
General Setting ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Southern Ethiopia ◽  
Patient Knowledge ◽  
Sectional Study ◽  
Cross Sectional ◽  
Total Satisfaction ◽  
Significant Difference ◽  
Gamo Gofa

AbstractBackgroundAvailability of essential medicines is necessary to maintain health of the community. In Ethiopia, availability of medicines was low (65%), with high expiry rate (8.24%), low patient knowledge on correct dosage (50.5%) and satisfaction on pharmacy services (74.5%). To avert these problems, the government had endorsed legislation on a system called “Auditable Pharmaceutical Transactions and Services (APTS)”. However, the outcomes and challenges in implementation of this system were not assessed.ObjectiveTo assess the implementation status of APTS and its challenges at public hospitals in Gamo Gofa Zone Southern Ethiopia, April 2017.MethodsFacility based Cross sectional study was conducted in two APTS implementing hospitals in Gamo Gofa zone. Semi structured Self-administered questionnaire was distributed to all pharmacy staffs in selected hospitals. APTS reports of 12 months (with different characteristics) were reviewed. Four hundred patients were interviewed by data collectors about patient knowledge and satisfaction using WHO questionnaire. The data were entered and analyzed using Statistical package for social science students/SPSS version 20. T-test and linear regression was used to evaluate significant differences between two hospitals with level of significance pre-set at p-value ≤0.05.ResultsAll dispensing units in primary hospital had six (75%) out of the eight essential equipment for dispensing practice. it was found that respondents in general hospital stated higher scores in general setting of outpatient pharmacy (4.58 Versus 4.25; P <0.001), but lower scores for availability and cost of medicines (4.24 vs 4.43; P<0.05) when compared with those in primary level hospital. There was no significant difference in instruction of medicine provided by dispenser (2.58 vs 2.59; P>0.05), dispenser client interaction (3.09 vs 4.08; P>0.05) and total satisfaction score (2.09 vs 2.02; P>0.05).Conclusion and recommendationsIn our study Quality of Auditable Pharmaceutical Transactions and Service was low, especially regarding patient knowledge about medicines, unaffordability of medicines, less availability of prescribed drugs, poor transparency of pharmaceutical transactions, insufficient counseling practice and limited facilities for dispensing such as, key medicines, formularies and standard guidelines. We therefore recommend the following measures responsible bodies to improve these gaps y taking administrative actions and providing continued education and training for dispensers.

scholarly journals Attendee awareness about preventive chemotherapy neglected tropical diseases (PC-NTD) control during the first world neglected tropical diseases day in Ekiti State, Nigeria

2021 ◽  
Vol 15 (3) ◽  
pp. e0009315
Author(s):  
Hammed O. Mogaji ◽  
Ikenna M. Odoh ◽  
Concilia I. Iyeh ◽  
Abdulhakeem A. Adeniran ◽  
Segun I. Oyedeji ◽  
...  
Keyword(s):  
Qualitative Data ◽  
Neglected Tropical Diseases ◽  
Cross Sectional Study ◽  
Tropical Diseases ◽  
Sectional Study ◽  
Preventive Chemotherapy ◽  
Cross Sectional ◽  
The Public ◽  
Control Programs ◽  
First World

Background The need to control Neglected Tropical Diseases (NTDs) and sustain progress towards elimination through mass administration of medicines requires substantial communal participation. This study, therefore, assessed the knowledge and perception of attendees’ regarding NTDs and its control activities during the Inaugural World NTD day event in Ekiti State, Nigeria. Methodology A cross-sectional study involving the administration of pretested semi-structured questionnaires to consenting attendees at the Inaugural World NTD day event was conducted on the 30th January, 2020. The questionnaire collected data on attendee’s demography, knowledge and awareness about NTDs in Nigeria. Quantitative data were analysed using descriptive statistics in SPSS. 20.0 Software and expressed as frequencies and percentages. However, qualitative data to support quantitative analysis were obtained using open-ended questionnaires and analysed thematically. Principal findings/conclusion A total of 309 attendees comprising 167 (54.0%) females, and 142 (46.0%) males participated in this study. By age groupings, majority 206 (66.7%) were within 15–25 years. 167 (54.8%) of the attendees have not heard about NTDs before, whereas 77(35.0%) have heard about NTDs through the advertisement of the event. 181(63.3%) were aware of ongoing NTD control programs in schools and communities. Also, 246 (83.4%) of them have not taken or do not know anyone that has taken drugs donated in schools or communities before. The number of attendees 41(13.3%) who incorrectly classified malaria as NTDs is higher than those who recognized onchocerciasis 36 (11.7%) and worm infections 34(11.0%) as NTDs (p>0.05). This study has shown that awareness and knowledge about NTDs control activities in Ekiti State is low, thus justifying the event as an awareness day for addressing NTDs. Public enlightment and regular promotional activities such as media engagement will raise the public appreciation and participation in NTDs control activities.

scholarly journals Magnitude, Pattern and Management Outcome of Intestinal Obstruction among Non-Traumatic Acute Abdomen Surgical Admissions in Arba Minch General Hospital, Southern Ethiopia

2021 ◽  
Author(s):  
Mulatie Atalay ◽  
Abinet Gebremickael ◽  
Solomon Demissie ◽  
Yonas Derso
Keyword(s):  
Intestinal Obstruction ◽  
General Hospital ◽  
Acute Abdomen ◽  
Cross Sectional Study ◽  
Sigmoid Volvulus ◽  
Southern Ethiopia ◽  
High Morbidity ◽  
Cross Sectional ◽  
Intestinal Obstructions ◽  
Study Participants

Abstract Background: Intestinal obstruction is defined as a blockage or partial blockage of the passage of the intestinal contents. It is a potentially risky surgical emergency associated with high morbidity and mortality. Its pattern differs from country to country and even from place to place within a country. Therefore, this study aimed to find out the magnitude, pattern and management outcome of intestinal obstruction in Arba Minch General Hospital.Methods: A retrospective Cross-Sectional study was conducted in Arba Minch General hospital from January 09, 2015, to November 09, 2018. The data collection period was from December 15, 2018, to February 09, 2019. Simple random technique was applied to select 801 study participants. Then, the required data entered into Epi Info version 7.2.1.0 and exported to the statistical package for the social sciences software package version 20 for analysis. Result: This study revealed that the overall magnitude of intestinal obstruction was 40.60% with 95% CI (34.95 - 45.95). The magnitude of unfavorable management outcomes and deaths during the study period were 22.3% with 95% CI (18.00-27.00) and 7.1 % with 95% CI (4.00-10.00) respectively. Small bowel volvulus, sigmoid volvulus and adhesion (bands) accounted for 45.30%, 21.35% and 11.97% of all patterns of intestinal obstructions respectively. Dehydration (p<0.001), persistent tachycardia (p<0.001) and perforated bowl (p<0.001) were highly significantly associated with the management outcome of intestinal obstruction.Conclusion and recommendation: Intestinal obstruction was the most common among all acute abdomen cases and its management outcome highly associated with dehydration. Early resuscitation is recommended to decrease unfavorable management outcomes.

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