scholarly journals Magnitude and Associated Factors of Delayed Immunization Among Children Aged 11 -23 Months in Edagahamus Town, Tigray, Ethiopia, 2018.

2019 ◽  
Author(s):  
Merhawit Gebremeskel Hagos ◽  
Teferi Gebru Gebremeskel ◽  
Selam Shushay Kassahun ◽  
Birhane Hailu Gebrezgi ◽  
Manay Kifle Woldegebriel

Abstract Background: Delayed immunization is a major public health problem that is associated with vaccine-preventable disease epidemics. In Ethiopia, many children don’t receive the benefits of age-appropriate immunization; thus more than 90% of child deaths are largely due to preventable communicable diseases. Therefore, the aim of this study to assess the magnitude and factors associated with delayed immunization among 12 -23 months old children in Edagahamus Town, Tigray, Ethiopia, and 2018 G.C. Methods: A community-based Cross-Sectional study was carried out on July1-30, 2018. A simple random sampling method was used to select study participants. Information was collected using a structured, pre-tested questionnaire. The date of vaccinations was obtained from children’s immunization cards and timeliness assessed based on the recommended age ranges. Data were entered and analyzed using SPSS version 20.0. Variable with P-value < 0.2 in bivariate was exported to multivariate. The strength of association was identified using the odds ratio with a 95 % confidence interval (CI) and the P-value of <0.05 in multivariate was taken statistically significant. Results: In this study, the overall magnitude of delayed immunization was 29.5% (95%CI 26.7-45). Private firm work of mothers (AOR=0.205 95% CI 0.068-0.617), Mothers who attend tertiary education (AOR 0.169, 95% CI 0.032-0.882), and secondary education (AOR 0.269, 95% CI 0.114-0.636) had the protective effect of delayed immunization. But sickness of a child (AOR= 11.8, 95% CI 6.16-22.65) was a risk for delayed immunization. Conclusions: From the study, it is concluded that the magnitude of delayed immunization for children aged 12-23 months is high (29.5%) in Edagahamus. Delayed immunizations of children were predicted by the Mother's occupation, education, and Mother’s consideration in the child’s wellness to take the vaccine.

2019 ◽  
Author(s):  
Merhawit Gebremeskel Hagos ◽  
Teferi Gebru Gebremeskel ◽  
Selam Shushay Kassahun ◽  
Birhane Hailu Gebrezgi ◽  
Manay Kifle Woldegebriel

Abstract Background Delay in receiving immunization is a major public health problem that has been associated with vaccine preventable disease epidemics. In Ethiopia, many children have not received the benefits of age appropriate immunization; thus more than 90% of child deaths are largely due to preventable communicable diseases. Therefore, assessment of magnitude and associated factors of delayed child immunization is essential to prevent morbidity and mortality among children. Objective To assess magnitude and factors associated with delayed immunization among 11 -23 months old children in Edagahamus Town, Tigray, Ethiopia, 2018 G.C. Method and materials A community based Cross-Sectional study was carried out on July1-30, 2018. Simple random sampling method was used to select study participants. Information was collected using structured, pre-tested questionnaire. Vaccination dates were obtained from children immunization cards and timeliness assessed based on the recommended age ranges. Data were entered and analyzed using SPSS version 20.0. Variable with P-value < 0.2 in bivariatewere exported to multivariate. The strength of association was identified using odds ratio with 95% confidence interval (CI) and P-value of <0.05 in multivariate was taken statistically significant. Results In this study the overall magnitude of delayed immunization was29.5%(95%CI 26.7-45). Private firm work of mothers(AOR=0.205 95% CI 0.068-0.617), sickness of the child(AOR= 11.8, 95% CI 6.16-22.65), Mothers who attend tertiary education (AOR 0.169, 95% CI 0.032-0.882) and secondary education (AOR 0.269, 95% CI 0.114-0.636) were significantly associated with delayed immunization. Conclusion From the study it is concluded that the magnitude of delayed immunization for children aged 12-23 months is high (29.5%) in Edagahamus. Delayed immunizations of children were predicted by Mother’s occupation, education and experience of illness of the child.


2019 ◽  
Author(s):  
Merhawit Gebremeskel Hagos ◽  
Teferi Gebru Gebremeskel ◽  
Selam Shushay Kassahun ◽  
Birhane Hailu Gebrezgi ◽  
Manay Kifle Woldegebriel

Abstract Background: Delay in receiving immunization is a major public health problem that has been associated with vaccine-preventable disease epidemics. In Ethiopia, many children have not received the benefits of age-appropriate immunization; thus more than 90% of child deaths are largely due to preventable communicable diseases. Therefore, the aim of this study to assess the magnitude and factors associated with delayed immunization among 12 -23 months old children’s in Edagahamus Town, Tigray, Ethiopia, and 2018 G.C. Methods: A community-based Cross-Sectional study was carried out on July1-30, 2018. A simple random sampling method was used to select study participants. Information was collected using a structured, pre-tested questionnaire. Vaccination dates were obtained from children’s immunization cards and timeliness assessed based on the recommended age ranges. Data were entered and analyzed using SPSS version 20.0. Variable with P-value < 0.2 in bivariate was exported to multivariate. The strength of association was identified using the odds ratio with a 95 % confidence interval (CI) and the P-value of <0.05 in multivariate was taken statistically significant. Results: In this study, the overall magnitude of delayed immunization was 29.5% (95%CI 26.7-45). Private firm work of mothers (AOR=0.205 95% CI 0.068-0.617) and Mothers who attend tertiary education (AOR 0.169, 95% CI 0.032-0.882) and secondary education (AOR 0.269, 95% CI 0.114-0.636) had the protective effect of delayed immunization. But the sickness of the child (AOR= 11.8, 95% CI 6.16-22.65) was a risk for delayed immunization. Conclusions: From the study, it is concluded that the magnitude of delayed immunization for children aged 12-23 months is high (29.5%) in Edagahamus. Delayed immunizations of children were predicted by the Mother's occupation, education, and the mother considered the child was too ill to undertake vaccination when it was due. Keywords: Child immunization, Delay to be immunized, Vaccine-preventable diseases


2020 ◽  
Author(s):  
Resom Berhe Gebremariam ◽  
Adane Nigusie

Abstract Background: The World Health Organization estimates that globally only 43 percent of women have access to skilled care during deliveries and the rest are exposed to unskilled delivery service. A recent Ethiopian Demographic and Health Survey report stated that maternal death was 412 per 100,000 in 2016.This still indicate that maternal health remains a major public health problem in Ethiopia irrespective of the government’s measure to institutional delivery.Methods: - A community based cross sectional study was conducted among women aged 15-49 years in Sherkole district, Benishangul Gumuz region from January to June 2018. A total of 451 randomly selected women were included in the study. Stratified sampling followed by simple random sampling technique was used to select the study participants. Data were collected using pretested and structured questionnaires. Bivariate and multivariate logistic regression models were fitted to identify factors associated with home delivery among women in the child bearing age. An adjusted odds ratio with 95% confidence interval was computed to determine the level of significance. Results: The magnitude of home delivery was 353 (80%) and were assisted by non-skilled birth attendants. Mothers whose husband choose the place of delivery [AOR: 5.6, 95% CI (2.1-15.2), Mothers’ occupation ([AOR: 0.21 95% C I (0.08-0.57), ANC visit [AOR: 95 CI: 5.1(1.6-15.8), decision making [AOR: 95 CI: 0.3(0.01-0.7)] and traditional remedies [AOR: 95%CI: 0.03(0.01-0.09)] were significantly associated with home delivery.Conclusions: Based on the findings of the survey, it was concluded that the overall magnitude of home delivery was found to be high. Therefore, it is recommended that promotion of antenatal care follow-up with maternal and child health information particularly on delivery complications or danger signs needs due attention and remedial actions.


2021 ◽  
Author(s):  
Kessete Ayelgn ◽  
Tadesse Guadu ◽  
Atalay Getachew

Abstract BackgroundTrachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited.ObjectiveTo determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia.MethodA community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance.ResultsA total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95 % CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3-6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma.ConclusionThe current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.


Author(s):  
Vinithra Varadarajan ◽  
Christina Mary P. Paul ◽  
Swapna S. ◽  
Preethi S. ◽  
Keerthana Kumar ◽  
...  

Background: Self -medication is a major public health problem in India because of the easy availability of drugs even without prescription to the lay population. The objective of the study was to estimate the prevalence of self-medication use among the common population in the last three months and to identify certain suspected risk factors that might be associated with it.Methods:An analytical cross- sectional study was conducted on 180 participants chosen by simple random sampling from the rural and urban field practice areas of A. C. S. Medical College in Thiruvallur district. Data was collected through a questionnaire collecting background information of the person like age, address, income, to a series of questions on self-medication and alternative medicines. Data entry was done in SPSS and p values were based on chi- square values.Results: The overall prevalence of self-medication use in the last three months was found to be 51.7% with a 95% CI of 44.7-59. Self-medication use was 2.07 times more common among subjects aged above 35 years of age and this association was statistically significant (P Value = 0.016).  The commonest reason quoted for the practice of self – medication was financial constraints (40.80%) and the commonest ailment for which self- medication was practiced was quoted as common cold (73.02%).Conclusions:Study revealed a very high prevalence of self-medication emphasizing on the need for creating awareness on the ill-effects of the same. 


2019 ◽  
Author(s):  
Abebe Alemu ◽  
Habtie Tesfa ◽  
Ayalew Jejaw Zeleke ◽  
Yalewayker Tegegne ◽  
Yibeltal Aschale ◽  
...  

Abstract Background Hookworm is a major public health problem in Ethiopia. The prevalence of Hookworm and associated factors among podoconiosis patients and healthy residents has not been studied.Objective to determine the prevalence of Hookworm and associated risk factors among podoconiosis patients and healthy residents.Methods A cross-sectional study was conducted at Debre Elias from January to February 2018. One hundred ninety two participants were included. Stool sample was collected for microscopy, kato-katz and formalin ether concentration technique. Logistic regressions were performed to assess association between variables. P-value < 0.05 was used as statistically significant.Result The prevalence of Hookworm among podoconiosis patients was 84.4% and 75% among control. Hookworm infection was relatively higher among podoconiosis patients 52.9%. Higher age group, illiterate and farmers more affected with high proportion of podoconiosis patients. Being a formers, no history of stool examination and no shoe wearing habit were significantly associated with hookworm infection (AOR = 4.1; 95% CI= (1.65- 10.11)), (AOR = 3.03; 95% CI= (1.11-8.25)) and (AOR= 3.9; 95% CI= (1.11-14.24) respectively.


Author(s):  
Shalini Rawat ◽  
Ashwini Yadav ◽  
Kamaxi Bhate

Background: Hypertension is a major public health problem and also major risk factor for cardiovascular diseases. The prevalence and severity of hypertension increases with age, and it becomes difficult to control blood pressure with increasing age particularly in women. Thus present study aims to explores the risk factors contributing for hypertension among women.Methods: A cross-sectional study was carried out in the field practice area of Rural Health Training Centre of Community Medicine Department for one month duration September to October 2017. All the women reporting to general OPD for routine visit to RHTC were included. Informed consent was obtained. The participants who were already known hypertensives and were already on medication were excluded. Total 200 subjects were included in the study. Percentages, chi-square test and P-value were calculated using Epi Info software.Results: Out of total 200 women maximum were in the age group of 40-60 years (64%) followed by (22.5%)in  60-70 years. 40% of women were found to be  normotensive, 16%  were in stage one 12% were in stage two and 32% were showing elevated blood pressure. Hypertension was found to be significantly associated with modifiable risk factors like BMI, physical activity, waist circumference. 66.66% of women who were obese were found to be hypertensive. 91.91% of women who had family history of hypertension were themselves hypertensive and 97 (48.5%) women who had diabetes out of them 82.47% were both diabetic as well as hypertensive.Conclusions: Screening, detection and treatment of NCDs, are key components of the response to non-communicable diseases.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mariam Mohsen Aly ◽  
Marwa Aly Elchaghaby

Abstract Background The use of antibiotics in dentistry as prophylaxis and treatment is frequent. Their misuse has led to a major public health problem globally known as antibiotic resistance. This study aimed to assess the pattern of antibiotic prescription and its prophylactic use for systemic conditions. Besides, this study evaluated the awareness and adherence to antibiotic prescription guidelines and antibiotic prophylaxis guidelines along with awareness of antibiotic resistance across pediatric and general dentists. Methods An overall of 378 pediatric and general dentists meeting the required eligibility criteria, fulfilled a pre-designed validated questionnaire. Data were collected, tabulated, and statistically analyzed. Results A significant statistical difference was found among the pediatric and general dentists regarding antibiotics prescription for most of the oral conditions where Amoxicillin with clavulanic acid was the most frequently prescribed antibiotic among the two groups (53% pediatric dentist and 52% general dentist). The majority of pediatric and general dentists, on the other hand, were aware of antibiotic resistance and prescribing recommendations. Conclusions The present study showed a tendency to overprescribe and overuse antibiotics in certain dental conditions among the participants. The vast majority of dentists, especially general dentists do not have adherence to professional guidelines for antibiotics prescription in children despite their awareness of antibiotic resistance and prescription guidelines.


Author(s):  
Indra Agussamad ◽  
Maya Sari

Perawat merupakan petugas kesehatan dengan presentasi terbesar dan memegang peranan penting dalam pemberian pelayanan kesehatan.WHO (2013) mencatat, dari 39,47 juta petugas kesehatan di seluruh dunia, 66,7%-nya adalah perawat. Di Indonesia, perawat juga merupakan bagian terbesar dari tenaga kesehatan yang bertugas di rumah sakit yaitu sekitar 47,08% dan paling banyak berinteraksi dengan pasien. Penelitian ini bersifat analitik dengan desain cross sectional study dengan jumlah sampel 72 perawat dengan menggunakan teknik simple random sampling,dan penelitian ini secara univariat dan bivariat dengan Chy-Square yang disajikan dalam bentuk tabel. Hasil menunjukkan bahwa terdapat adanya hubungan yang signifikan antara pengetahuan, pengawasan, motivasi, sikap dan ketersediaan alat terhadap kepatuhan perawat rawat inap dalam menggunakan alat pelindung diri dengan(p-value< 0,05).


2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Animen Ayehu ◽  
Yibeltal Aschale ◽  
Wossenseged Lemma ◽  
Animut Alebel ◽  
Ligabaw Worku ◽  
...  

Background. Visceral leishmaniasis (VL, also called kala-azar) is a public health problem in Ethiopia, especially in sesame and sorghum growing areas. Compared to other populations, labor migrants are the most exposed. Knowing the seroprevalence ofLeishmania donovaniand associated risk factors is essential to design appropriate control measures. The main aim of this study was to assess the seroprevalence of asymptomaticL. donovaniamong laborers and associated risk factors in agricultural camps of West Armachiho district, Northwest Ethiopia. Therefore, this study was conducted to know the seroprevalence and associated risk factors ofL. donovaniinfection.Method. A cross-sectional study was conducted among 185 laborers from October to December 2017. A simple random sampling technique was used to select study participants from selected agricultural camps. After obtaining written informed consent, data were collected using a structured pretested Amharic version questionnaire using the interview technique. A single finger prick blood sample was collected from the study participants and the blood samples were subjected to the serological diagnostic method using the rk39 kit. The multivariable logistic regression model was used to identify risk factors associated withL. donovaniinfection.Result. Among 185 participants examined using rk39, 14 (7.6%) were seroreactive forL. donovani.Leishmania donovaniinfection had a statistically significant association with sleeping underBalanitestrees (AOR: 4.36, 95%CI: 1.186-16.06), presence of domestic animals near sleeping place (AOR: 4.68, 95% CI: 1.25-17.56), and lack of knowledge about VL transmission (AOR: 3.79, 95% CI: 1.07-13.47).Conclusion. Seroprevalence of asymptomaticL. donovaniamong laborers in agricultural camps of West Armachiho was low. Prevention measures and health education about risk factors that expose toL. donovaniinfection for the laborers are essential to prevent the spread of the disease.


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