scholarly journals Magnitude of Home Delivery and Associated Factors Among Child Bearing Age Mothers in Sherkole District, Benishangul Gumuz Regional State-Western-Ethiopia.

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 indicates that maternal health remains a major public health problem in Ethiopia irrespective of the government’s measure to institutional delivery. Therefore, the aim of this study was to assess the magnitude of home delivery and associated factors among women of child bearing age in Sherkole district, Western Ethiopia.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 a 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 chooses 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 the 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. In addition, it is empirical to study the need and the feasibility of introducing defaulter tracing mechanisms in ANC services, by learning from experiences of settings that have already adopted it.

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.


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

Abstract Background Globally, more than 536,000 maternal and 8 million perinatal deaths occur every year. Ethiopian Demographic and Health Survey 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.MethodsCommunity based cross sectional study was conducted among women aged 15-49 years in Sherkole district, Benishangul Gumuz region from January to Jun 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 questionnaire. Bivariate and multivariate logistic regression model was fitted to identify factors associated with home delivery among women’s 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. ANC visit, mother’s occupation, traditional remedies and decision making were significantly associated with home delivery.


2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Desalegne Amare ◽  
Ayenew Negesse ◽  
Baye Tsegaye ◽  
Birtukan Assefa ◽  
Birehanu Ayenie

Background. Malnutrition is the major public health problem over the world. Developing countries are highly affected. Asian and Sub-Saharan African countries, including Ethiopia, contribute the highest of all. The main aim of this study was to assess the prevalence of undernutrition and its associated factors among children below five years of age.Methods. Community-based cross-sectional survey was conducted on 342 study participants. Simple random sampling technique was used to select sampling kebeles and study units. Weight and height were measured using calibrated instruments. The data were entered into EpiData version 3.1 software and calculated using SPSS version 20.0 statistical software and/or World Health Organization Anthro software with aid of Stat/Transfer.Results. Overall prevalence of undernutrition was 35.5%, of which 85 (24.9%), 38 (11.1%), and 49 (14.3%) were stunting, wasting, and underweight, respectively. Male children were more affected in both severe and moderate nutritional problems compared to female children. The finding showed that 27 (7.9%) had severe stunting, 15 (4.4%) had severe wasting, and 11 (3.2%) had severe underweight, respectively.Conclusion. Undernutrition was high in Bure town among children below five years of age. Male sex, maternal educational status, low household income, preterm babies, absence of antenatal follow-up, diarrhea, and respiratory infections within one-month duration were factors affecting undernutrition.


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.


2020 ◽  
Author(s):  
Leweyehu Alemaw Mengiste ◽  
Yoseph worku ◽  
Endeshaw Degie Abebe ◽  
Wondimeneh Shibabaw shiferaw

AbstractIntroductionUndernutrition is a major public health problem all over the world. In Ethiopia, the child malnutrition rate is one of the most serious public health problems and the highest in the world. High malnutrition rates in the country pose a significant obstacle to achieving better child health outcomes.ObjectivesThis study was aimed to assess the prevalence of underweight and its associated factors among 6-59months of age children in Angolela Tera district, northeast Ethiopia.MethodsA community based cross-sectional study was conducted by a simple random sampling technique with a sample size of 414 enrolled mothers with 6-59months of children. Semi-structured questionnaires were used to collect data. The data was entered using EPI DATA version 3.1and analysis was done by SPSS version 24 and WHO Anthro software was used for anthropometry calculation. Bivariable and multivariable logistic regression analysis was used.ResultAmong 414 mothers with child pairs the result of the current study indicated that 15.9% (95% CI: 12.6-19.6)were underweight. Being male (AOR=1.8;95%CI;1.04-3.16), birth interval below 24 months (AOR3.2=95%CI;1.59-6.71), average monthly family income less than 1596ETB (AOR4.9=95%: CI;2.53-9.76), Children having diarrhea in the past two weeks before the data collection (AOR =9.06; 95% CI: 3.14-26.12), and children having diarrhea within two weeks (AOR=2.06;95%: CI;1.07-3.96) were significantly associated with underweight.ConclusionThis study revealed a high prevalence of underweight among children aged 6-59 months in the study area. All the concerned bodies should be strengthening the health extension program to improve and provide the necessary education for the community on nutritional programs, environmental sanitation, and diarrhea prevention.


2021 ◽  
Author(s):  
Amare Asmamaw ◽  
Mesele Wondie ◽  
Mengesha Birkie ◽  
Wondale Getinet

Abstract Abstract Background: Depression is a significant preventable public health problem; which is highly prevalent and disabling worldwide. Despite depression is highly prevalent worldwide, it is limited in evidence that illustrates the prevalence of depression and factors associated with it among teachers in Ethiopia. Objective: To assess the magnitude and associated factors of depression among high and preparatory public-school teachers in Gondar town, Northwest Ethiopia, 2020. Methods: Institution based cross-sectional study was conducted among randomly selected 423 high and preparatory public-school teachers from February to March 2020 in Gondar town. A simple random sampling technique was applied to data collection. A structured self-administered questionnaire was used to collect data. Depression was declared at teachers with scores of 5 and above in


2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Tariku Gebre Haile ◽  
Eshetu Haileselassie Engeda ◽  
Abdella Amano Abdo

Background. In many studies, compliance with standard precautions among healthcare workers was reported to be inadequate.Objective.The aim of this study was to assess compliance with standard precautions and associated factors among healthcare workers in northwest Ethiopia.Methods.An institution-based cross-sectional study was conducted from March 01 to April 30, 2014. Simple random sampling technique was used to select participants. Data were entered into Epi info 3.5.1 and were exported to SPSS version 20.0 for statistical analysis. Multivariate logistic regression analyses were computed and adjusted odds ratio with 95% confidence interval was calculated to identify associated factors.Results.The proportion of healthcare workers who always comply with standard precautions was found to be 12%. Being a female healthcare worker (AOR [95% CI] 2.18 [1.12–4.23]), higher infection risk perception (AOR [95% CI] 3.46 [1.67–7.18]), training on standard precautions (AOR [95% CI] 2.90 [1.20–7.02]), accessibility of personal protective equipment (AOR [95% CI] 2.87 [1.41–5.86]), and management support (AOR [95% CI] 2.23 [1.11–4.53]) were found to be statistically significant.Conclusion and Recommendation.Compliance with standard precautions among the healthcare workers is very low. Interventions which include training of healthcare workers on standard precautions and consistent management support are recommended.


2020 ◽  
Vol 14 (3) ◽  
pp. 332-337
Author(s):  
Lalu Dedy Supriatna ◽  
Indasah Indasah ◽  
Byba Melda Suhita

Pesantren Health Post (Poskestren) promotional program for Clean and Healthy Living Behavior (CHLB)  among students at Islamic boarding schoolsBackground: Clean and Healthy Living Behavior (CHLB) school environment structure is an effort to empower students, teachers, and the school community to know, want, and be able to treat CHLB. This is in line with Health Promotion in educational institutions (Health Promoting School) launched by the World Health Organization which uses a holistic model that includes the relationship between physical, mental, social and environmental aspects.Purpose: To analyze the influence of the health post promotion program for Clean and Healthy Living Behavior (CHLB)  among students at Islamic boarding schoolsMethod: An observational analytic study using a cross sectional approach. The sampling technique used simple random sampling, a sample of 271 respondents. The research instrument used a questionnaire with 20 question items. The data analysis technique used the chi-square test.Results: Obtained from 271 respondents with the Poskestren program (Promotive) in the less category, it will have an influence in the moderate category on the (CHLB)   of students (36.16%). It is necessary to plan that is directed and sustainable in improving the quality for the implementation of the poskestren program in a promotional manner so that it can get better results.Conclusion: The Pesantren Health Post program promoted a significant effect on (CHLB)  among students at Ad Diinul Qayyim Islamic Boarding School, West Lombok Regency, NTB.Keywords: Pesantren Health Post (Poskestren); Promotional program; Clean and Healthy Living Behavior (CHLB); Students; Islamic boarding schoolsPendahuluan: Perilaku Hidup Bersih dan Sehat (PHBS) tatanan lingkungan sekolah adalah upaya untuk memberdayakan siswa, guru, dan masyarakat lingkungan sekolah agar tahu, mau, dan mampu memperlakukan PHBS. Hal ini sejalan dengan Promosi Kesehatan di institusi pendidikan (Health Promoting School) yang dicanangkan oleh Organisasi Kesehatan Dunia yang menggunakan model holistik yang meliputi hubungan antar aspek fisik, mental, sosial, dan lingkungan.Tujuan: Untuk menganalisis pengaruh program promotif  poskestren terhadap PHBS Santri di Pondok PesantrenMetode: Penelitian analitik observasional dengan menggunakan pendekatan cross sectional. Teknik sampling menggunakan simple random sampling, sampel sebanyak 271 responden. Instrumen penelitian menggunakan kuisioner dengan 20 item pertanyaan. Teknik analisa data menggunakan uji chi-square.Hasil: Didapatkan dari 271 responden dengan program Poskestren (Promotif) dalam kategori kurang maka akan memberikan pengaruh dalam kategori cukup pada PHBS santri (36.16%). Perlu perencanaan yang terarah dan berkesinambungan dalam meningkatkan kualitas untuk penerapan program poskestren secara promotif sehingga mendapatkan hasil yang lebih baik.Simpulan: Program Poskestren secara promotif berpengaruh secara signifikan terhadap PHBS pada santri di Pondok Pesantren Ad Diinul Qayyim Kabupaten Lombok Barat NTB.


2019 ◽  
Author(s):  
Demelash Wachamo ◽  
Fisseha Bonja

Abstract Background Opportunistic infections are late complications of HIV infection is the depletion of the immune system. It is a major public health problem and high morbidity AIDS patients die of AIDS-related infections in developing countries like Ethiopia. Identification of opportunistic infections (OIs) is important to develop a specific intervention. Therefore, this study aimed to assess the burden and associated factors of opportunistic infections.Method A facility-based cross-sectional study was conducted on 420 randomly selected HIV/AIDS patients taking anti-retroviral therapy. Data was collected from selected hospitals in Sidama Zone based on population proportion to size. Data was collected by a pre-tested questionnaire and a pre-tested checklist from the medical records of patients. Data entry and analyzed for descriptive and logistic regression models by SPSS v.23. The result declared as statistically significant at p < 0.05.Result The magnitude of opportunistic infections was 39.6%. Major identified OIs was oral candidacies 23.2%, recurrent bacterial pneumonia 21.5%, Herpes zoster 6.3%, and Pulmonary Tuberculosis 6.0%.The magnitude of opportunistic associated with; older age [AOR=2.69, 95% CI: 1.33-5.43], No formal education [AOR=3.12, 95% CI: 1.06-9.25], Low monthly income [AOR=2.27, 95%CI:1.35-3.83], initial CD4 count less than 200 cells/mm3 [AOR=1.91, 95% CI:1.05-3.46), WHO clinical stage II [AOR=2.43, 95% CI:1.34-4.42] and stage III and IV [AOR=4.27, 95% CI: 2.12-8.59], had no extra medicine additional to ART (prophylaxis) had [AOR= 5.91, 95% CI: 3.31-10.56], who interrupt ART medicines [AOR=2.03, 95% CI: 1.09- 3.80] and Khat chewing [AOR=5.48, 95% CI: 2.32-12.96] when compared to their counterparts.Conclusions The overall magnitude of opportunistic infections was high when compared with other studies. Health officials and clinicians need to give attention on the strengthening of the provision if ART with prophylaxis on early-stage and adhrerence, implementation of the TB/HIV collaboration activity, and early initiation of ART to reduce opportunistic infections.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Wossene Negash ◽  
Teshager Dubie

Bovine brucellosis is among the top five diseases primarily threatening both public health and livestock economy. Available data are limited to central and highland areas of the country leaving documented literature on the disease in cattle to be found hardly in pastoral and agropastoral regions of the country. As a result, the magnitude and extent of the disease remained to be investigated. A cross-sectional study design was conducted on local Afar cattle aged six months and above from February 2017 to January 2019 in selected districts of Afar region. Technically, study districts and kebeles were selected purposively whereas simple random sampling technique was applied to select cattle owners and individual animals for sample collection. An average of 8 ml whole blood was drawn of jugular vein into plain vacutainer tube using sterile needle. Using Thrusfield formula, a total of 420 blood samples were collected. The sera were tested by RBPT and CFT tests for detection of Brucella antibodies. Data were analyzed using Stata v14.0. Of the 420 sera tested by RBPT, 50 were positive for Brucella antibodies providing an overall animal level prevalence of 11.9% and those RBPT positive sera were further retested by specific and sensitive confirmatory CFT test and 24 of the retested samples had come positive for the disease providing an overall individual animal seroprevalence of 5.7% over the three districts. Of the 3 associated factors (sex, age, and district) considered, only sex had significantly associated ( P < 0.05 : 0.036 ) with the disease. To estimate the strength of sex impact, odds ratio was generated using bivariate and multivariate logistic regression analyses with 95% CI and P < 0.05 providing OR of 2.484 (1.061–5.815) and 2.514 (1.041–6.07), respectively. Hence, the computations revealed that male cattle were 2.484 and 2.514 times more likely at higher risk for the disease as compared to their female counterparts.


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