scholarly journals Utilization of Postnatal Care and its Determinants in Loma District, Southwest Ethiopia: a Community Based Cross Sectional Study

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Teklemariam Ergat Yarinbab
2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Bedilu Kifle ◽  
Kifle Woldemichael ◽  
Mamo Nigatu

Background. Though onchocerciasis control and elimination through community directed treatment with ivermectin were conducted for the last fifteen years, prevalence of onchocerciasis and factors associated with it in the study area are yet not known. The aim of the current study is to assess prevalence of onchocerciasis and associated factors among adults aged greater than or equal to fifteen years in Semen Bench district, Bench Maji zone, southwest Ethiopia: community based cross-sectional study 2018. Methods. Community based cross-sectional study was conducted on 553 study participants selected by multistage sampling in April 2018. Data were collected using a pretested interviewer-administered questionnaire. Data were entered using EpiData version 3.1 and exported to SPSS version 20 for statistical analysis. Descriptive statistics were done to summarize dependent and independent variables. Bivariate logistic regression was done to select candidate variables. Multivariable logistic regression was performed to identify independent predictors of onchocerciasis infection. Adjusted odds ratios with 95% CI were calculated to assess association and statistical significance, respectively. Confidence interval was used to declare statistical significance. Result. The overall prevalence of onchocerciasis infection in the study area was 6.32%. Age category of 35-44 years (AOR: 13.48, 95%CI: 3.51, 51.76), age of 45 years and above (AOR: 9.41, 95% CI: 2.26, 39.06), male sex (AOR 4.568, 95% C.I: 1.622, 12.861), not being compliant with ivermectin treatment (AOR: 3.804, 95%CI: 1.524, 9.49), and residing at less than 2Km from the river (AOR: 9.15, 95%CI: 3.9, 21.49) were significantly associated with onchocerciasis infection. Conclusion and Recommendation. After more than a decade of treatment with ivermectin, onchocerciasis in the study area is still hypoendemic. Zonal health department and other stakeholders should evaluate therapeutic coverage and community directed treatment with ivermectin in the study area. Zonal health department with other stokeholds should give community based information education communication, giving due attention to older ages, male residents, and those living near the rivers. Further community based study should also be done to identify factors hindering the community compliance with the treatment.


2019 ◽  
Vol 2019 ◽  
pp. 1-11 ◽  
Author(s):  
Gedion Asnake Azeze ◽  
Kelemu Abebe Gelaw ◽  
Natnael Atnafu Gebeyehu ◽  
Molalegn Mesele Gesese ◽  
Taklu Marama Mokonnon

Background. Exclusive breastfeeding tops the table of life-saving interventions for newborns. A child who is exclusively breastfed is 14 times less likely to die in the first six months compared to its counterpart. Approximately 18,000 children globally still die every day and if current trend continues, some 60 million children under age 5 will die between 2017 and 2030, and half of them will be newborns. Five countries, including Ethiopia, accounted for half of all newborn deaths in the world. Objective. To assess the prevalence and associated factors of exclusive breastfeeding practice among mothers who have infants 6-12 months of age in Boditi Town, Wolaita Zone, Southern Ethiopia, 2018. Methods. Community-based cross-sectional study was conducted among 412 randomly selected mothers having 6 to 12 month infants from April 1 to 14, 2018. A pretested interviewer administered questionnaire was used for data collection. The data were entered using Epi Data version 3.1 and analyzed using SPSS version 20. Descriptive statistics was made. Bivariate and multivariate logistic regression was also carried out to see the effect of each independent variable on the dependent variable. Results. Of 412 mother-infant pairs sampled, 403 were participated, which made a response rate of 97.8%. Prevalence of EBF computed using since birth dietary recall method was 64.8% (95% C.I= 60.0, 69.0). From multivariable analysis, child birth attended by health care provider (AOR = 5.303, 95% C.I = 1.613, 17.436), postnatal care utilization (AOR = 1.91, C.I = 1.083, 3.370), and mothers who did not report any breast related problem for the first six months after child birth (AOR = 1.864, C.I = 1.090, 3.189) were factors positively associated with exclusive breastfeeding practice. Conclusion. Although the prevalence of exclusive breastfeeding practice in this study was relatively high, more effort to meet World Health Organization (WHO) recommendations is still necessary to benefit from its intervention. There is a need to promote child births to be attended by health care providers and postnatal care utilization. Further, women should be educated on what to do and where to seek care if breast problem occurs after child birth.


2020 ◽  
Author(s):  
Tadesse Nigussie ◽  
Qaro Qanche ◽  
Tewodros Yosef ◽  
Wondimagegn Wondimu ◽  
Adane Asefa

Abstract Background: The prevalence of HIV/AIDS is increasing over time, leading to a significant number of life losses. According to the USAID 2018 report, 36.9 million (35.1 million adults) people globally were living with HIV, 1.8 million people became newly infected with HIV, and 940 000 people died from AIDS-related illnesses in 2017. Mining workers are at high risk of acquiring HIV and infecting others, while successful preventive m easures are a key solution. Objective: To assess HIV preventive behaviors among gold mining workers in Dima district, southwest Ethiopia, 2019Methods and materials: A community-based cross-sectional study was conducted from March 1st to 31st, 2019. The data were collected through face-to-face interviews. The collected data were coded and entered into Epidata version 4.2.0.101, cleaned, and analyzed using SPSS version 21 statistical software. A binary logistic regression was conducted to determine the association using odds ratios at 95% confidence intervals. A P-value of less than 0.05 considered as the level of significance for HIV preventive behaviors. Results: Of 279 (61.3%) of the respondents have good practices of HIV prevention. Factors associated with good preventive practice were not alcohol drinkers (AOR= 2.86, 95%CI:1.30-6.29), not chew Khat (AOR= 2.09, 95%CI: 1.09-4.02), having good knowledge about HIV (AOR=1.81, CI:1.16-2.83), favorable attitude towards HIV prevention (AOR=4.76, 95%CI:3.02-7.49), and high perceived susceptibility to HIV were (AOR=2.63, 95%CI:1.63-4.24).Conclusion: Only about 61% of the mining workers in the study area were practiced HIV preventive behaviors. Not alcohol drinkers, having good knowledge about HIV, having a favorable attitude toward HIV prevention, and having high perceived susceptibility to HIV were factors associated with the practice of HIV preventive behaviors. Efforts have to be made by local governments and other concerned bodies to increase preventive behavior.


2020 ◽  
Author(s):  
Wondimagegn Wondimu ◽  
Amare Genetu Ejigu ◽  
Mengistu Ayenew Mekonen ◽  
Angesom Weldu ◽  
Wondwossen Niguse Asmare ◽  
...  

Abstract Background Coronavirus disease 19 (COVID-19) is an emerging contagious respiratory infection that brings a big puzzle to global health. In Ethiopia, the number of cases and related deaths are increasing exponentially. Prevention is currently available effective management, and its implementation has not been assessed adequately.Objective To assess the COVID-19 prevention practices in three zones of Southwest Ethiopia.Methods A community-based cross-sectional study was conducted in the Bench Sheko, Kafa, and West Omo zones. A multistage sampling technique was employed to select 845 study participants. The data collection tool was adapted from the WHO resources and related literature. SPSS version 20 was used to analyze the data. Participants who scored at least a mean score of practice questions were categorized as having good practice. Binary logistic regression was fitted to identify factors associated with the practice.Results In this study, 803 participants participated. About two-thirds (64.7%) of the respondents had a history of going to crowded places, while only 30.3% of the participants had a history of wearing a mask when leaving home. Two-thirds of the respondents had a history of maintaining their distance at 2 meters (64.4%) and washing their hands with soap and water or using alcohol-based hand sanitizers (64.8%). Generally, less than two-thirds (59.4%) of study participants had a good practice of COVID-19 prevention methods. Urban residence, good knowledge, positive attitude, intention to seek care, and perceived mortality were positively associated with good practice.Conclusion The proportion of individuals who had good COVID-19 prevention practices was inadequate. For such highly infectious diseases, prevention should be the priority intervention, and improving its implementation needs further effort. Community-based interventions such as risk communication and mass education should center on scaling up community knowledge and practice by prioritizing vulnerable groups such as rural residents.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jonas Sagawa ◽  
Allen Kabagenyi ◽  
Godwin Turyasingura ◽  
Saul Eric Mwale

Abstract Background Postnatal care (PNC) service is a neglected yet an essential service that can reduce maternal, neonatal and infant morbidity and mortality rates in low and middle-income countries. In Malawi, maternal and infant mortality rates remain high despite numerous efforts by the government and its partners to improve maternal health service coverage across the country. This study examined the determinants of PNC utilization among mothers in Mangochi District, Malawi. Methods A community based cross-sectional study was conducted among 600 mothers who gave birth in the past 2 years preceding January 1–31; 2016. A multistage sampling technique was employed to select respondents from nine randomly selected villages in Mangochi district. A transcribed semi-structured questionnaire was pre-tested, modified and used to collect data on socio-demographic characteristics and maternal related factors. Data was coded in EpiData version 3.1 and analysed in Stata version 12. A multivariable logistic regression adjusted for confounding factors was used to identify predictors of PNC utilization using odds ratio with 95% confidence interval and p-value of 0.05. Results The study revealed that the prevalence of PNC service utilization was 84.8%. Mother’s and partner’s secondary education level and above (AOR = 2.42, CI: 1.97–6.04; AOR = 1.45, CI: 1.25–2.49), partner’s occupation in civil service and business (AOR = 3.17, CI: 1.25, 8.01; AOR =3.39, CI:1.40–8.18), household income of at least MK50, 000 (AOR = 14.41, CI: 5.90–35.16), joint decision making (AOR = 2.27, CI: 1.13, 4.57), knowledge of the available PNC services (AOR = 4.06, CI: 2.22–7.41), knowledge of at least one postpartum danger sign (AOR = 4.00, CI: 2.09, 7.50), health facility delivery of last pregnancy (AOR = 6.88, CI: 3.35, 14.14) positively associated with PNC service utilization. Conclusion The rate of PNC service utilization among mothers was 85%. The uptake of PNC services among mothers was mainly influenced by mother and partner education level, occupation status of the partner, household income, decision making power, knowledge of available PNC services, knowledge of at least one postpartum danger signs, and place of delivery. Therefore, PNC awareness campaigns, training and economic empowerment programs targeting mothers who delivered at home with primary education background and low economic status are needed.


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