scholarly journals Knowledge of Vasectomy and its Associated Factors Among Married Men in Debre Tabor Town, Northwest Ethiopia: A community Based Cross-sectional Study.

2020 ◽  
Author(s):  
Alemu Degu Ayele ◽  
Fentahun Yenealem Beyene ◽  
Bekalu Getnet Kassa ◽  
Gedefaye Nibret Mihretie

Abstract Background: - Even though vasectomy is one of the safest, simple and most effective family planning methods available for men, it is one of the least used contraceptive methods in developing world including Ethiopia. The main reason for low level use may be low knowledge about vasectomy among men. This study was therefore designed to assess knowledge of vasectomy and its associated factors among married men in Debre Tabor Town.Methods: - A community based cross-sectional study was conducted among 418 married men from December 05 - 25, 2019. Simple random sampling technique was employed. Data was collected by face to face interview using structured and pre-tested questionnaire. Data was entered using Epi- Data version 4.2 and analyzed by SPSS version 23. The association between variables was analyzed using bivariable and multivariable logistic regression model. Finally variables having p-value < 0.05 at 95% CI were considered as statistically significant. Results: A total of 418 participants were included with response rate of 98.8%. The mean age of participant was 38.06 (SD± 6.873) years. About 60.5% of men had ever heard about vasectomy. Men mentioned health care providers as main source of information. Among those who had ever heard, only 58.8% defined vasectomy correctly. About 25.6% equated vasectomy with castration and about 15.6% described as “it is making the man impotent. In this study, only 38.5% of men were knowledgeable about vasectomy. Multivariable logistic regression showed that completing secondary education (AOR= 4.70, 95% CI: 1.26--17.55), attending college and above (AOR=8.36, 95% CI: 2.41-28.97)), having 4 or more alive children (AOR=0.51, 95% CI: 0.29-0.89) and positive attitude (AOR= 2.47, 95% CI: 1.58-3.86) were significantly associated with knowledge of vasectomy. Conclusions: In this study level of knowledge of married men about vasectomy was low. Educational status, number of children and attitude were statistically significant with men knowledge about vasectomy. Emphasis should be given on improving the educational status of men to improve their knowledge, and positively changing the men upbringing culture right from their childhood which will also improve their attitude towards vasectomy in the future.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alemu Degu Ayele ◽  
Gedefaye Nibret Mihretie ◽  
Habtamu Gebrehana Belay ◽  
Adanech Getie Teffera ◽  
Bekalu Getnet Kassa ◽  
...  

Abstract Background Coronavirus disease is now a global concern with the non-availability of antiviral treatment and attacks all groups of the population. Hence, applying preventive measures is the most critical intervention to control the infection. Pregnant women are particularly susceptible to respiratory pathogens because of their immunosuppressive state and physiological adaptive change during pregnancy. Therefore, this study was aimed to assess knowledge and practice to prevent coronavirus disease and its associated factors among pregnant women in Debre Tabor Town. Methods Community-based cross-sectional study was conducted among 422 participants from May 25–June 15, 2020. A simple random sampling technique was employed. Data were collected by face-to-face interview using a structured and pre-tested questionnaire and analysis using SPSS version 23. Bivariable and multivariable logistic regression analysis was carried out and p-value < 0.05 at 95% CI were considered as statistically significant. Results Overall 46.8 and 47.6% of women were knowledgeable and had good practice to prevent coronavirus respectively. Women’s age (15–24 years) (AOR = 4.85, 95% CI: 1.34–5.42), educational status (AOR:3.70; 95% CI: 1.16–5.40) being civil servant (AOR:2.84; 95% CI: 1.55–5.21), wanted pregnancy (AOR:3.37; 95% CI: 1.20–9.45), antenatal care follow-up (AOR:2.07; 95% CI: 1.03–4.13) were significantly associated with COVID-19 knowledge, whereas educational status (AOR:3.78; 95% CI: 1.19–5.11), number of children (AOR:2.89; 95% CI: 1.29–6.45) and knowledge (AOR:8.42;95% CI: 4.50–15.85), were also found to be statistically significant with practice. Conclusions Most of the participants had poor knowledge and inappropriate practice. Increasing health education programs via different media, coordinated and combined efforts of authorities and all individuals will be needed to battles the spread of the infection.


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.


2020 ◽  
Author(s):  
Alehegn Bishaw Geremew ◽  
Abebaw Addis Gelagay ◽  
Telake Azale Bisetegn ◽  
Yohannes Ayanaw Habitu ◽  
Solomon Mekonen Abebe ◽  
...  

Abstract Background Violence as a known serious public health problem affects people in all stages of life, from childhood to the elderly. In society, one of the most visible forms of violence is young people violence, whereas they, adolescents and young adults, are the main victims of such violence. There was limited information on the burden of violence and factors among this age group. Therefore, this study aimed to determine the prevalence of violence and its associated factors among youth in Northwest, Ethiopia. Methods A community-based cross-sectional study design was conducted to estimate the magnitude of violence among youth in Northwest, Ethiopia. The calculated sample size was 1765. A structured and pretested interviewer administered questionnaire was used to collect the data. A multi-stage cluster sampling technique was employed to get the study participants. Data were entered using Epi Info version 7 and then exported to STATA 14 for data analysis. The bivariate logistic regression model was employed to identify associated factors. An adjusted odds ratio with a 95% confidence interval was used to determine factors associated with violence. Results From the total 1765 representatives of the youth population, 1597 (90.5%) youth participated in the study. Overall, the prevalence of violence among youth aged 15–24 years for the last 12 months was 21.5%. In the multivariate logistic regression model, factors significantly associated with violence were being married and divorced (AOR= 1.77, 95% CI: 1.13, 2.79) and (AOR=5.67, 95%CI: 2.93, 10.99), respectively, Living with mother’s only (AOR= 1.85, 95% CI: 1.28, 2.66) and father’s only (AOR=2.45, 95% CI: 1.30, 4.63), and substance use (AOR= 2.38, 95% CI: 1.56, 3.66). Conclusions The prevalence of violence among youth was high compared to other studies. Special emphasis should be given to reduce the burden of youth violence and preventing and controlling the identified factors by modifying the existing policies/strategies or developing new strategies and interventions program. Keywords: Violence, Youth, Physical violence, Sexual violence, Psychological violence


BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e037792
Author(s):  
Tsegaye Gebremedhin ◽  
Asmamaw Atnafu ◽  
Endalkachew Dellie

ObjectiveThe community-based newborn care (CBNC) is a newborn care package along the maternal and newborn health continuum of care that has been implemented at the community level in Ethiopia. The utilisation which might be affected by several factors has not been well assessed. Thus, this study aimed to examine the utilisation of CBNC and associated factors among women who delivered recently in Geze Gofa rural district, south Ethiopia.DesignCross-sectional study.SettingCommunity-based.ParticipantsThree-hundred seventy-one women who had their newborns recently were randomly selected. Then, they were interviewed at their places using an interviewer-administered structured questionnaire.MethodsA binary logistic regression analysis was done. In the multivariable logistic regression analysis, a p value of <0.05 and adjusted OR (AOR) with 95% CI were used to identify factors statistically associated with CBNC utilisation.OutcomesCBNC utilisation.ResultsThe findings showed that the overall utilisation of CBNC by women who delivered recently with their newborns was 37.5% (95% CI: 32.6 to 42.6). Factors associated with the utilisation of CBNC included women who attended elementary school (AOR: 1.76, 95% CI: 1.01 to 3.07), college and above (AOR: 3.71, 95% CI: 1.12 to 12.24), farmer women (AOR: 0.35, 95% CI: 0.16 to 0.79), women in the lowest (AOR: 3.76, 95% CI: 1.65 to 8.54) and middle quantile of wealth status (AOR: 1.96, 95% CI: 1.01 to 3.76), and those whose preference was visiting hospital only when they faced any signs of danger (AOR: 0.29, 95% CI: 0.11 to 0.78).ConclusionThe use of the CBNC programme in the study area was surprisingly low. To increase utilisation and potentially improve the outcomes of these neonates, we need to increase awareness at community levels, make convenient arrangements and increase the availability of services at nearby health facilities that are essential to improve the uptake of CBNC in the rural district.


BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e055881
Author(s):  
Xiang-Ji Chen ◽  
Wenqiang Zhang ◽  
Rui-Li Yuan ◽  
Xiao-Bo Huang ◽  
Ya Liu ◽  
...  

ObjectivesTo investigate the prevalence of hyperuricaemia among the oldest-old persons in Chengdu and identify associated factors to provide information on achieving healthy ageing in China.DesignA community-based cross-sectional study.SettingJinjiang, Qingyang, Longquanyi locating in the southeast, the northwest and the east of Chengdu, respectively, were chosen as the study sites.ParticipantsA representative sample of 1391 people aged over 80 years were enrolled from September 2015 to June 2016, and 106 participants were excluded due to missing information. Thus, a total of 1285 participants were analysed in this study.Outcome measuresHyperuricaemia was defined as serum uric acid >420 µmol/L in men or serum uric acid >360 µmol/L in women. A univariable logistic regression model and a multivariable logistic regression model were used to estimate the ORs and 95% CI to explore the associated risk factors of hyperuricaemia.ResultsThe overall prevalence of hyperuricaemia among the oldest-old was 29.6%. There was no significant sex difference in the prevalence of hyperuricaemia, 29.1% in men vs 30.0% in women (p>0.05). Hyperlipidaemia and overweight were associated with the risk of hyperuricaemia both in men (OR 1.86; 95% CI 1.27 to 2.72; OR 2.44; 95% CI 1.42 to 4.19) and in women (OR 1.78; 95% CI 1.23 to 2.58; OR 2.95; 95% CI 1.89 to 4.61). Additionally, diabetes mellitus was associated with an increased prevalence of hyperuricaemia only in women (OR 1.99; 95% CI: 1.34 to 2.97).ConclusionThe burden of hyperuricaemia is substantial among the oldest-old population in the urban areas of Chengdu, China.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Biruk Beletew ◽  
Bereket Gebremichael ◽  
Tewodros Tesfaye ◽  
Ayelign Mengesha ◽  
Mesfin Wudu

Abstract Background The 1000 days, between a woman’s pregnancy and her child’s second birthday, offer a unique window of opportunity to build healthier and more prosperous societies. The right nutrition during this time can have a profound impact on a child’s ability to grow, learn, and rise out of poverty. An essential nutrition action is one of the most effective preventive actions for reducing nutrition-related morbidity and mortality among young children. Nonetheless, there is limited evidence regarding the practice of essential nutrition action and its associated factors. Objective The main aim of this study was to assess the practice of key essential nutrition action messages and associated factors among mothers of children from birth up to 2 years old in Wereilu Wereda, South Wollo Zone, Northeast Ethiopia. Methods A community-based cross-sectional study was conducted on 563 mothers of children from birth up to 2 years old in Wereilu Wereda from April 1–30, 2018. A multi-stage sampling technique was employed. A structured, adapted and pre-tested questionnaire was used to collect the data. The data was collected through the interviews. The data were entered in EPI-data Version 4.2 and exported to SPSS version 24.0 for analysis. Bivariate and multivariable logistic regression was carried out to asses’ associations between the outcome and independent variables. A p-value of < 0.05 was considered statistically significant in this study. Results The prevalence of good practice was 256 (46.5%). Educational status of the mother and the father, monthly income, parity, place of birth, postnatal care follow-up, level of knowledge and level of attitude were predictors of good practice. Conclusion The practices of key essential nutrition action messages in the study area were found to be low. So, it is better to improve access to information to the community on key essential nutrition action messages through trained health workers coupled with media.


2021 ◽  
Author(s):  
Bisrat Dessie Getu ◽  
Nigusie Selomon Tibebu ◽  
Kefyalew Amogne Azanaw ◽  
Libsuye Yalgaw Zimamu ◽  
Gashaw Mekete Adal ◽  
...  

Abstract Introduction: Wasting is acute malnutrition that has harmful short-term consequences for children and it is determined by inadequate diet. Therefore, this study was aimed to assess the prevalence and associated factors of wasting among children age 6-59 months at Debre Tabor town Ethiopia, 2019.Method: A community-based cross-sectional study was conducted on wasting using simple and systematic random sampling. A sample of 436participants completed a questionnaire designed for the study. The questionnaire was coded and entered into Epi info version 7.2.0.1 and exported to SPSS 20.0 for data analysis. Principal component analysis (PCA) was used to compute family wealth status. Bivariable and multivariable logistic regression analyses were done to see which independent variables have an association with the dependent variable, and a P value of less than 0.05 was considered as significant at 95% CI.Results: The result revealed that wasting for children age 6-59 months was 6.2 %( 95% CI 3.9%-8.5 %,). Children with the age group of 6-11 months were 4.3 times more likely to have wasted than those age group of 24-59 months [AOR: 4.3; 95% CI: 1.5–12.5]. Similarly, parents who have poor wealth status in their family are 3.1 times more likely to have wasted children than those who have rich wealth status in their family [AOR: 3.1 (1.01–9.35)]. Mothers who gave first birth at the age group of 20-25 years of age were 4.3 times more likely to have wasted children than those who gave birth at an age group of greater than 30 years [AOR: (4.3(1.56-12.5)].Conclusion: Undernutrition especially wasting is still an important public health problem in children with an age group of 6-59 months. Age of the child, wealth status of the family, and giving the first birth before 20 years of age were significantly associated with wasting. Therefore, family wealth status should be modified, create awareness to the mothers regarding maternal and child health care and responsible bodies should be designed for further nutritional intervention programs.


2021 ◽  
Author(s):  
Habtam ayenew Teshome ◽  
Walelegn Worku Yallew ◽  
Jember Azanaw ◽  
Gardew ayanew Tadege ◽  
Agerie Mengistie zeleke

Abstract IntroductionThe hygienic practices of mothers during complementary feeding are crucial in the protection of vulnerable infants and children aged 6–24 months from childhood communicable diseases like diarrhea and malnutrition. However, sufficient evidence on the hygienic practices of mothers during complementary feeding and their associated factors is limited.ObjectiveTo determine the levels of complementary feeding hygiene practice and its associated factors among mothers of children aged 6–24 months in the Tegedie district, northwest Ethiopia.MethodsA community-based cross-sectional study was conducted from March 17 to April 17, 2021, among 576 mothers with children aged 6–24 months in the Tegedie district, northwest Ethiopia. A multistage sampling technique was used to select the study participants. Data were collected using a structured questionnaire administered by an interviewer and entered into Epi-data version 4.6 before being exported to SPSS version 20.0 for data cleaning and further analysis. Bivariate and multivariable binary logistic regression analyses were employed to identify predictors of complementary feeding hygiene practice with p-value < 0.25 that entered into the multivariable logistic regression model. Then variables with a p-value of 0.05 in multivariable logistic regressions were considered statistically significant.ResultsThe prevalence of hygienic practice during complementary feeding of their children aged 6–24 months was 33.6%, with 95% CI 29.7–37.6%) of them had good practice. Living in an urban area [AOR=7.02, 95% CI: (4.14, 11.88)], the presence of a handwashing facility near the latrine [AOR = 3.02, 95% CI: (1.18, 7.70)], the presence of a separate area to store raw and cooked foods [AOR = 5.87, 95% CI: (2.84, 12.13)], and the presence of a three-compartment dish washing system [AOR = 5.70,Conclusion and recommendationThe prevalence of good hygienic practices during complementary feeding among mothers is still low; the district health office and health extension workers should work to improve maternal hygienic practices during complementary feeding.


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