Magnitude of Undernutrition and associated factors among children with cardiac disease in University of Gondar hospital, northwest Ethiopia

Abstract Background Undernutrition and cardiac disease are interconnected in a vicious cycle. Little is known about the effect of undernutrition on cardiac disease among children in low- and middle-income countries (LMICs). This study aimed to assess magnitude of undernutrition and associated factors among children with cardiac disease at University of Gondar hospital, northwest Ethiopia. Method This hospital-based cross-sectional study included children with cardiac disease presenting to the pediatric outpatient clinic at University of Gondar Hospital, Ethiopia. A self-administered questionnaire was administered to participating families, and medical records were reviewed. All participants who fulfill the inclusion criteria were included. Anthropometric measurements were made and the presence of malnutrition was diagnosed according to the WHO criteria. Associated factors of undernutrition analyzed by using binary logistic regression model. Variables with p-value ≤0.2 in bivariate analysis were fitted to the final multivariable analysis and those variables with p-value ≤0.05 were considered as having statistically significant association to the outcome variable. AOR and 95% confidence interval was calculated to assess the strength of association between the variables. Result A total of 269 patients participated in the study. 177 (65.7%) were undernourished, of whom 96 (54.5%) were underweight, 70 (39.7%) were stunted, and 95 (53.9%) were wasted. Pulmonary hypertension (adjusted odds ratio [AOR] = 3.82, 95%CI 1.80–8.10), NYHA/modified Ross class III and IV heart failure (AOR = 4.64, 1.69–12.72) and cardiac chamber enlargement (AOR = 2.91, 1.45–5.66) were associated with undernutrition. Conclusion Undernutrition is common among children with cardiac disease in northern Ethiopia. Children with pulmonary hypertension, high-grade heart failure, and cardiac chamber enlargement may warrant close follow-up for malnutrition.

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Knowledge Of Glaucoma And Associated Factors Among Adults In Gish Abay Town, Northwest Ethiopia, Jun 2018

10.21203/rs.2.436/v1 ◽

2019 ◽

Author(s):

Zewdu Yenegeta Bizuneh ◽

Ayanaw Tsega ◽

Yezinash Addis ◽

Fisseha Admassu

Keyword(s):

Associated Factors ◽

Public Health Problem ◽

Educational Status ◽

Northwest Ethiopia ◽

Good Knowledge ◽

P Value ◽

Global Public Health ◽

Binary Logistic Regression Model ◽

Younger Age ◽

Eye Examination

Abstract Introduction: Glaucoma is a global public health problem and it is the leading cause of irreversible blindness worldwide and the fifth cause of blindness in Ethiopia. Even though public knowledge of glaucoma is a key for early case identification and prevention of blindness, it is unknown in the study area, making provision of interventions difficult. Objective: To assess knowledge of glaucoma and associated factors among adults in Gish Abay town, Northwest Ethiopia, 2018 Methods: A Community based cross - sectional study design with systematic random sampling technique was used to select 630 adults. The study was conducted from April 25-May 05, 2018. Data was entered into Epi Info version 7 and was analysed by Statistical Package for Social Sciences version 23. Binary logistic regression model and adjusted odds ratio with 95% confidence level was used to identify the significant factors associated with knowledge of glaucoma. P–value ≤ 0.05 was considered statistically significant. Results: About 594 adults were participated with a response rate of 94%. Nearly 52% of the participants were females with median age of 28 years. The proportion of good knowledge was demonstrated in 68.9% [95% CI; 61, 75.9]. Educational status: secondary education [AOR; 4.01: 1.15, 13.94], college and above [AOR; 4.49: 1.31, 15.32], history of eye examination [AOR; 2.86: 1.05, 7.79] and younger age (18-22) [6.39: 1.82, 22.41] were positively associated with good knowledge of glaucoma. Conclusion and recommendation: The proportion of good knowledge of glaucoma was high. Better educational status, younger age, eye examination at least once in life and higher income level were associated with better knowledge of glaucoma. Recognizing the severity of glaucoma, enhancing knowledge is paramount at the community.

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Vaccination timeliness and associated factors among children aged 12-23 months in northwest Ethiopia: community-based study

10.21203/rs.3.rs-56134/v1 ◽

2020 ◽

Author(s):

Bekalu Endalew ◽

Ayal Debie ◽

Lake Yazachew

Keyword(s):

Associated Factors ◽

Maternal Education ◽

Northwest Ethiopia ◽

Childhood Vaccination ◽

P Value ◽

Time Interval ◽

Binary Logistic Regression Model ◽

Community Based ◽

History Of ◽

Vaccination Timeliness

Abstract Background: vaccines are the most effective preventive and success of public health to control and eradicate serious childhood diseases. Timely childhood vaccination can help for children to develop antibody against vaccine preventable diseases. Evidences on childhood vaccination timeliness, however, there are limited in developing countries including Ethiopia. Therefore, this study was aimed at assessing vaccination timeliness and associated factors among children aged 12 to 23 months in Jabitehnan district, northwest Ethiopia.Methods: A community based cross-sectional study was conducted in Jabitehnan district from February to March 2020. A total of 548 children aged 12-23 months were included using multi-stage and simple random sampling technique. Binary logistic regression model was fitted to identify factors associated with vaccination timeliness. Adjusted odd ratio (AOR) with 95% CI and p-value less than 0.05 were used to declare statistically significant variables. Results: A total of 13.1% (95 % CI: 10.1-15.8) of children were received childhood vaccines in the recommended time interval. Higher level of maternal education (AOR: 2.73; 95% CI: 1.14-6.50), history of abortion (AOR: 3.45; 95%CI: 1.54-7.74), knowledge (AOR: 1.79; 95%CI: 1.10-3.18) and favorable attitude (AOR: 3.38; 95%CI: 1.83-6.24) were positively associated with vaccination timeliness. While home delivery (AOR: O.35; 95%CI: 0.18-0.68) and rural residence (AOR: 0.31; 95%CI: 0.14-0.65) were negatively associated. Conclusion: The overall childhood vaccination timeliness status was low in the study area. Children were received the first dose of vaccines within the recommended time relatively higher than the other doses/vaccines. Moreover, children were received measles vaccine earlier and BCG vaccine later than the acceptable time interval. Variables such as residence, maternal level of education, having history of abortion, place of delivery, knowledge and attitudes were affecting vaccination timeliness. Therefore, the policy planners and managers should give emphasis and incorporate vaccination timeliness in the childhood vaccination plan, and better to monitor and evaluate as one potential indicator to enhance the immune status of children. Health planners and managers should also improve women’s awareness to enhance their attitude towards childhood vaccination. Furthermore, it is better to promote institutional delivery service utilization to enhance childhood vaccination timeliness.

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Prevalence and associated factors of hemorrhoids among adult patients visiting the surgical outpatient department in the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0249736 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0249736

Author(s):

Anteneh Ayelign Kibret ◽

Mohammed Oumer ◽

Abebe Muche Moges

Keyword(s):

Associated Factors ◽

Multivariable Analysis ◽

Northwest Ethiopia ◽

Adult Patients ◽

Outpatient Department ◽

P Value ◽

Multivariable Logistic Regression Analysis ◽

Cross Sectional ◽

Specialized Hospital ◽

The University

Introduction Hemorrhoidal disease is a very common benign anorectal disease. It affects millions of people around the world, and represent a major medical and socioeconomic problem. However, studies that determine the magnitude and risk factors are limited. Therefore, the aim this study is to assess the prevalence and associated factors of hemorrhoid among adult patients visiting the surgical outpatient department at the University of Gondar Comprehensive Specialized Hospital (UoGCSH) Northwest Ethiopia. Methods An institution-based cross-sectional study was conducted from February to May 2020. A systematic random sampling technique was used to select a total of 403 participants. The data were collected then entered using EPI DATA version 3.1 and exported to the STATA 14 for analysis. Bivariable and multivariable logistic regression analysis were performed. Adjusted odds ratio (AOR) with 95% confidence interval was used as a measure of association. Variables having P-value < 0.05 from the multivariable analysis were considered to have a significant association with the outcome. Result Out of the 403 study participants, 13.1% (95%CI; 10.1, 16.8) had hemorrhoids. Constipation (AOR = 4.32, 95% CI; 2.20, 8.48) and BMI ≥25kg/m2 (AOR = 2.6, 95% CI; 1.08, 6.23) had a statistically significant association with hemorrhoid. Conclusion The overall prevalence of hemorrhoid was high and its prevalence was higher in male subjects. Constipation and being overweight were found to increase the odds of having hemorrhoids. Screening for early identification and intervention of hemorrhoids, especially for risk groups is better to be practiced by health professionals.

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Institutional delivery services utilization and associated factors among mothers who gave birth in the last year in Mandura district, Northwest Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0243466 ◽

2020 ◽

Vol 15 (12) ◽

pp. e0243466

Author(s):

Kassahun Asres Mitikie ◽

Gizachew Tadesse Wassie ◽

Melkamu Bedemo Beyene

Keyword(s):

Associated Factors ◽

Institutional Delivery ◽

Statistical Significance ◽

Northwest Ethiopia ◽

Outcome Variable ◽

P Value ◽

Cross Sectional ◽

Delivery Service ◽

Risk Of Death ◽

Institutional Delivery Service

Background The risk of death from complications relating to pregnancy and childbirth for women’s lifetime is higher in developing countries. Improving maternal and child health through a well-organized institutional delivery service is central to achieving reduced maternal and child mortality. Despite the efforts that have been made to improve maternal health outcomes in Ethiopia, institutional delivery is still unacceptably low. Objective This study was conducted to assess institutional delivery service utilization and associated factors in the study area. Methods A Community-based cross-sectional study was conducted. A multi-stage sampling technique was used to employ a total of 546 women. Data were collected using an interviewer-administered questionnaire and entered into EpiData version 3.1 and then exported to SPSS version 23.0. for analysis. Logistic regression models were used to determine factors associated with the outcome variable. Adjusted Odds ratios with 95% CI were computed to measure the strength of association and statistical significance was declared at p-value <0.05. Results The Prevalence of institutional delivery in the study area was 38% (34%-42%). Factors significantly associated with institutional delivery were ANC visit 1.80 (1.12–2.91), knowledge of danger sign during pregnancy 3.60 (2.25–5.76), urban residency 2.09 (1.15–3.81), Parity 0.49 (0.25–0.95) accessibility of health facility 4.60 (2.01–10.89), husbands educational level: primary 2.50 (1.27–4.91), secondary and above 2.36 (1.24–4.48), mothers occupation: governmental employee 2.05 (1.00–4.18), and Private employee 2.42 (1.09–5.35). Conclusions The prevalence of institutional delivery in the District was low. Antenatal visits, residency, knowledge of pregnancy danger signs, parity, and accessibility of health facilities, maternal occupation, and husband education were factors significantly associated with institutional delivery.

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Knowledge Of Glaucoma And Associated Factors Among Adults In Gish Abay Town, Northwest Ethiopia

10.21203/rs.2.436/v3 ◽

2019 ◽

Author(s):

Zewdu Yenegeta Bizuneh ◽

Ayanaw Tsega ◽

Yezinash Addis ◽

Fisseha Admassu

Keyword(s):

Associated Factors ◽

Public Health Problem ◽

Educational Status ◽

Northwest Ethiopia ◽

Good Knowledge ◽

P Value ◽

Global Public Health ◽

Binary Logistic Regression Model ◽

Younger Age ◽

Eye Examination

Abstract Introduction Glaucoma is a global public health problem and it is the leading cause of irreversible blindness worldwide and the fifth cause of blindness in Ethiopia. Even though public knowledge of glaucoma is a key for early case identification and prevention of blindness, it is unknown in the study area, making provision of interventions difficult. Objective: To assess knowledge of glaucoma and associated factors among adults in Gish Abay town, Northwest Ethiopia, 2018 Methods: A Community based cross - sectional study design with systematic random sampling technique was used to select 630 adults. The study was conducted from April 25-May 05, 2018. Data was entered into Epi Info version 7 and was analysed by Statistical Package for Social Sciences version 23. Binary logistic regression model and adjusted odds ratio with 95% confidence level was used to identify the significant factors associated with knowledge of glaucoma. P–value ≤ 0.05 was considered statistically significant. Results: About 594 adults were participated with a response rate of 94%. Nearly 52% of the participants were females with median age of 28 years. The proportion of good knowledge was demonstrated in 68.9% [95% CI; 61, 75.9]. Educational status: secondary education [AOR; 4.01: 1.15, 13.94], college and above [AOR; 4.49: 1.31, 15.32], history of eye examination [AOR; 2.86: 1.05, 7.79] and younger age (18-22) [6.39: 1.82, 22.41] were positively associated with good knowledge of glaucoma. Conclusion and recommendation: The proportion of good knowledge of glaucoma was high. Better educational status, younger age, eye examination at least once in life and higher income level were associated with better knowledge of glaucoma. Recognizing the severity of glaucoma, enhancing knowledge is paramount at the community.

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Knowledge Of Glaucoma And Associated Factors Among Adults In Gish Abay Town, Northwest Ethiopia

10.21203/rs.2.436/v4 ◽

2019 ◽

Author(s):

Zewdu Yenegeta Bizuneh ◽

Ayanaw Tsega ◽

Yezinash Addis ◽

Fisseha Admassu

Keyword(s):

Associated Factors ◽

Public Health Problem ◽

Educational Status ◽

Northwest Ethiopia ◽

Good Knowledge ◽

P Value ◽

Global Public Health ◽

Binary Logistic Regression Model ◽

Younger Age ◽

Eye Examination

Abstract Introduction Glaucoma is a global public health problem and it is the leading cause of irreversible blindness worldwide and the fifth cause of blindness in Ethiopia. Even though public knowledge of glaucoma is a key for early case identification and prevention of blindness, it is unknown in the study area, making provision of interventions difficult. Objective: To assess knowledge of glaucoma and associated factors among adults in Gish Abay town, Northwest Ethiopia, 2018 Methods: A Community based cross - sectional study design with systematic random sampling technique was used to select 630 adults. The study was conducted from April 25-May 05, 2018. Data was entered into Epi Info version 7 and was analysed by Statistical Package for Social Sciences version 23. Binary logistic regression model and adjusted odds ratio with 95% confidence level was used to identify the significant factors associated with knowledge of glaucoma. P–value ≤ 0.05 was considered statistically significant. Results: About 594 adults were participated with a response rate of 94%. Nearly 52% of the participants were females with median age of 28 years. The proportion of good knowledge was demonstrated in 68.9% [95% CI; 61, 75.9]. Educational status: secondary education [AOR; 4.01: 1.15, 13.94], college and above [AOR; 4.49: 1.31, 15.32], history of eye examination [AOR; 2.86: 1.05, 7.79] and younger age (18-22) [6.39: 1.82, 22.41] were positively associated with good knowledge of glaucoma. Conclusion and recommendation: The proportion of good knowledge of glaucoma was high. Better educational status, younger age, eye examination at least once in life and higher income level were associated with better knowledge of glaucoma. Recognizing the severity of glaucoma, enhancing knowledge is paramount at the community.

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KNOWLEDGE OF GLAUCOMA AND ASSOCIATED FACTORS AMONG ADULTS IN GISH ABAY TOWN, NORTHWEST ETHIOPIA, JUN 2018

10.21203/rs.2.436/v2 ◽

2019 ◽

Author(s):

Zewdu Yenegeta Bizuneh ◽

Ayanaw Tsega ◽

Yezinash Addis ◽

Fisseha Admassu

Keyword(s):

Associated Factors ◽

Public Health Problem ◽

Educational Status ◽

Northwest Ethiopia ◽

Good Knowledge ◽

P Value ◽

Global Public Health ◽

Binary Logistic Regression Model ◽

Younger Age ◽

Eye Examination

Abstract Introduction Glaucoma is a global public health problem and it is the leading cause of irreversible blindness worldwide and the fifth cause of blindness in Ethiopia. Even though public knowledge of glaucoma is a key for early case identification and prevention of blindness, it is unknown in the study area, making provision of interventions difficult. Objective: To assess knowledge of glaucoma and associated factors among adults in Gish Abay town, Northwest Ethiopia, 2018 Methods: A Community based cross - sectional study design with systematic random sampling technique was used to select 630 adults. The study was conducted from April 25-May 05, 2018. Data was entered into Epi Info version 7 and was analysed by Statistical Package for Social Sciences version 23. Binary logistic regression model and adjusted odds ratio with 95% confidence level was used to identify the significant factors associated with knowledge of glaucoma. P–value ≤ 0.05 was considered statistically significant. Results: About 594 adults were participated with a response rate of 94%. Nearly 52% of the participants were females with median age of 28 years. The proportion of good knowledge was demonstrated in 68.9% [95% CI; 61, 75.9]. Educational status: secondary education [AOR; 4.01: 1.15, 13.94], college and above [AOR; 4.49: 1.31, 15.32], history of eye examination [AOR; 2.86: 1.05, 7.79] and younger age (18-22) [6.39: 1.82, 22.41] were positively associated with good knowledge of glaucoma. Conclusion and recommendation: The proportion of good knowledge of glaucoma was high. Better educational status, younger age, eye examination at least once in life and higher income level were associated with better knowledge of glaucoma. Recognizing the severity of glaucoma, enhancing knowledge is paramount at the community.

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Prevalence and associated factors of soil transmitted helminthiasis among school-age children in wetland and non-wetland areas of Blue Nile Basins, northwest Ethiopia: A community-based comparative study

SAGE Open Medicine ◽

10.1177/20503121211063354 ◽

2021 ◽

Vol 9 ◽

pp. 205031212110633

Author(s):

Almaw Genet ◽

Achenef Motbainor ◽

Tsion Samuel ◽

Muluken Azage

Keyword(s):

Comparative Study ◽

Significant Variation ◽

Associated Factors ◽

Northwest Ethiopia ◽

P Value ◽

Multivariable Logistic Regression Analysis ◽

Human Feces ◽

Community Based ◽

Related Factors ◽

Blue Nile

Introduction: Different interventions have been done to reduce the burden of soil-transmitted helminths (STH). The available evidences in Ethiopia in either school or community-based school-aged children (SAC) have limitation in wetland areas. This study assessed the prevalence and associated factors of STH infection among SAC in wetland and non-wetland areas of Blue Nile Basins, Amhara Region, Northwest Ethiopia. Method: A community-based comparative study was conducted from October to November, 2019. Multistage stratified random sampling technique used to select 716 SAC. Data were collected using structured questionnaire and observational checklist. Stool samples were collected from children using tight-fitting plastic cups following the standard procedures. Data were coded and entered into Epi data version 4.6 and exported to SPSS version 20 software. Bivariate and multivariable logistic regression analysis was employed to identify factors associated with STH. Results: The overall prevalence of STH was 30.30% (95% CI: 26.90, 33.90) and did not show significant variation between wetland (33.60% (95% CI: 28.80, 39.60%)) and non-wetland (27.0% (95% CI: (21.90, 31.60)) areas. Presence of human feces near the house and certain habits such as nail trimming and playing with mud/soil was not different between wetland and non-wetlands. Nonetheless, the presence of human feces near the house of respondents was found to be significantly associated with STH infection (p value < 0.001). Moreover, other factors significantly associated with STH infection were lack of nail trimming (p value < 0.001) and playing with mud/soil (p value < 0.01). Conclusions: The prevalence of STH was high and did not show significant variation between the two areas. Emphasis needs to be given for hygiene and lifestyle-related factors.

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Knowledge and Attitude towards Evidence Based Medicine and Associated Factors among Medical Interns in Amhara Regional State Teaching Hospitals, Northwest Ethiopia: A Cross-sectional Study (Preprint)

10.2196/preprints.28739 ◽

2021 ◽

Author(s):

Delelegn Emwodew ◽

Tesfahun Melese ◽

Adamu Takele ◽

Nebiyu Mesfin ◽

Binyam Tariku

Keyword(s):

Associated Factors ◽

Medical Curriculum ◽

Multivariable Analysis ◽

Internet Access ◽

Northwest Ethiopia ◽

Teaching Hospitals ◽

Cross Sectional ◽

Regional State ◽

Medical Interns ◽

Knowledge And Attitude

BACKGROUND EBM teaching programs are popular and widely available, they have successfully incorporated in medical curriculum and shown to be effective in helping clinicians search for, retrieve and apply evidence. In Ethiopia, teaching of the EBM is not yet a component of the undergraduate medical curriculum. In particular, little is known about the levels of knowledge and attitude regarding EBM, their ability to access and understand evidence, their information about statistical terms among medical interns. Thus, it is required that the current state of EBM to be understood in order to plan long-term educational programs. OBJECTIVE The objective of this study was to assess the knowledge and attitude towards EBM and its associated factors among medical interns in Amhara regional state teaching hospitals, Northwest Ethiopia. METHODS An institution based cross-sectional survey was conducted from March to April, 2020. Simple random sampling with proportional allocation was used. A total of 403 medical interns were included in the study. Multi-variable logistic regression analysis method was used to identify the factors associated with the knowledge and attitude of medical interns towards EBM. RESULTS From a sample of 423 medical interns, 403 completed the questionnaire making a response rate of 95.3%. Out of the respondents, 291 (72.2%) were males. The mean age of the participants were 24.7 ± 0.97 SD years and 324 (80.4%) had never received any training related to EBM. Most, 276 (68.5%) of the participants have their own computer and 355 (88.1%) have an internet access. The level of good knowledge and favorable attitude were 57.1% and 68.0% respectively. The variables associated with the level of EBM knowledge were found to be previous EBM training (AOR=2.947, 95% CI = 1.648-5.268), understanding of sensitivity (AOR= 2.836, 95% CI = 1.824-4.408) and internet access (AOR=2.914, 95% CI = 1.494-5.685). The multivariable analysis also showed a positive association between use of electronic database to make clinical decision (AOR=1.808, 95% CI= 1.143-2.861) and knowledge of absolute risk reduction (AOR =2.750, 95% CI= 1.105-6.841) with attitude of medical interns towards EBM. CONCLUSIONS Medical interns have limited knowledge and understanding of key concepts of EBM, but a relatively positive attitude towards the concepts. There is a need to setup EBM journal club, which helps to increase awareness and use of evidence, as well as assist medical interns and other clinical staffs to ensure the correct application of EBM in to clinical practice.

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