scholarly journals Prevalence and Associated Factors of Pre-Hypertension Among Adults Visiting the Outpatient Department at Mizan Tepi University Teaching Hospital, Mizan-Aman, Ethiopia, 2021.

2021 ◽  
Author(s):  
Mirresa Guteta
Keyword(s):  
Blood Pressure ◽  
Teaching Hospital ◽  
Associated Factors ◽  
University Teaching ◽  
Outpatient Department ◽  
Outcome Variable ◽  
P Value ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Starting Point

Abstract Background: Prehypertension is a systolic blood pressure (SBP) of 120-139 millimeters of mercury (mmHg) and a diastolic blood pressure (DBP) of 80-89 millimeters of mercury (mmHg) According to JNC-7 report the new added category. It is considered as a starting point for cardiovascular and many other morbidities. Little is known about the magnitude of prehypertension and its associated factors in study area. Objective: To assess prevalence of Pre-hypertension and Associated factor among adults visiting the Outpatient department at Mizan Tepi university teaching hospital, Mizan-Aman, Ethiopia, 2021.Methods: Institution based cross sectional study design was conducted in Mizan Tepi University Teaching hospital. Simple random sampling method was used to recruit study participants. Data was entered into Epi data version 3.1 and exported to SPSS version 23 for data analysis. The descriptive analysis of data was done and the result presented using frequency tables and graphs. Multivariable logistic regression model was fitted, Adjusted Odds Ratio (AOR) at 95% confidence interval and p-value <0.05 were estimated to determine statistically significant association between predictors and outcome variable.Result: The prevalence of Prehypertension among adults visiting the Outpatient department at Mizan Tepi university teaching hospital was 30.7%. Significant association of prehypertension was found with age (AOR=1.22, 95% CI: 0.69, 2.15), educational status (AOR=0.32, 95% CI: 0.11, 1.00), physical exercise (AR=1.11, 95% CI: 0.57, 2.16) and Body Mass Index (AOR=4.14, 95% CI: 0.44, 39.34). Conclusion: Pre-Hypertension is high in the study area. As a result, concerned body should take action to enhance patients visiting Mizan Tepi University Teaching hospital about impact of Pre-Hypertension on individual health and how to control it.

scholarly journals Condom use and associated factors among HIV-positive patients accessing care at a private tertiary health institution in the southwest, Nigeria

2020 ◽  
Vol 3 (1) ◽  
pp. 49-58
Author(s):  
Ngozi Adefala ◽  
Kolawole Sodeinde ◽  
Abiodun Osinaike ◽  
Fikayo Bamidele ◽  
Adebola Omotosho
Keyword(s):  
Condom Use ◽  
Associated Factors ◽  
Study Data ◽  
Sexual Pleasure ◽  
University Teaching ◽  
Good Knowledge ◽  
Categorical Variables ◽  
P Value ◽  
People Living With Hiv ◽  
Cross Sectional

Objective: This study aimed to assess the knowledge, attitude and practice towards condom utilization and other associated factors among people living with HIV/AIDS enrolled in the Virology clinic in Babcock University Teaching Hospital (BUTH) Ilishan, Ogun state, Nigeria. Methods: This cross-sectional study was conducted among 285 ART users selected using a systematic random sampling method. The minimum sample size was estimated using the formula z2pq/d2 and a 24% prevalence extracted from a previous similar study. Data were elicited using a structured interviewer-administered questionnaire, analyzed using SPSS version 20, and presented as tables. The Chi-square test was used to assess associations between categorical variables. The level of significance was set at the 95% confidence interval with a p-value of 0.05. Results: From the total respondents, 180(63.2%) were females, 93.7% had good knowledge, 141(49.5%) believed ARV prevents transmission of HIV and 144 (50.5%) strongly agreed that condom reduces sexual pleasure. Majority 254 (89.1%) were currently using condoms, 131 (46.0%) used a condom consistently, while 108 (37.9%) frequently use a condom during sexual intercourse. The Use of condoms had statistically significant associations with occupation (p<0.001), married at pre-diagnosis of HIV (p<0.001), married at post-diagnosis of HIV (p<0.001) and education (p= 0.015). Conclusion: The majority of the respondents had good knowledge and were using condoms. Discussions on safe sex and improved positive attitudes towards condom-use should, however, be encouraged further.

scholarly journals Early implanon discontinuation and associated factors among women ever used implanon in Mettu district, Oromia regional state, southwest Ethiopia, 2021

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Hana Tesfaye ◽  
Ebissa Negara ◽  
Kenbon Bayisa
Keyword(s):  
Side Effects ◽  
Associated Factors ◽  
Statistical Significance ◽  
Descriptive Analysis ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Relative Effect ◽  
Outcome Variable ◽  
P Value ◽  
Cross Sectional

Abstract Background Implanon is an effective form of long-acting reversible contraceptive used to prevent conception with a clinical failure rate of less than one per 100 users. However, in sub-Saharan countries the utilization of implanon was very low. Regardless of low utilization; its early discontinuation is very common in most developing countries including Ethiopia. Objectives To assess the prevalence of early implanon discontinuation and associated factors among women ever used implanon in Mettu district. Methods A community based cross-sectional study design was conducted from October 11 to December 4, 2020 G C. A total of 430 women were included in the study by systematic random sampling technique. Data were entered into epi data version 3.1 and analyzed by SPSS version 25.0. Descriptive analysis was computed to describe descriptive results. Logistics regression was computed to see the relative effect of factors on the outcome variable. Adjusted odds ratio was calculated with 95% confidence intervals to show strength of association and p-value < 0.05 was used to declare statistical significance. The finding of the study was presented using narrations, tables and chart. Result The total proportion of early implanon discontinuation among 430 mothers was 19.3%. Women who did not counseled about the presence of alternatives methods [AOR = 2.28: 95% CI (1.22–4.26)], women who experienced dizziness after insertion of implanon [AOR = 1.90: 95% CI (1.06–3.43)] and being having menstrual disturbance after insertion of implanon [AOR = 2.17: 95% CI (1.16–4.08)] were significantly associated with early implanon discontinuation. Women who were counseled about the advantage of implanon [AOR: 0.49: 95% CI (0.28–0.87)] were protective from early implanon discontinuation. Conclusion and recommendation Early implanon discontinuation among mothers was found to be high. Hence, effective counseling on advantages and side effects of implanon and proper management of the side effects should be made to increase implanon retention.

scholarly journals Patients’ Opinion on Availability and Price of Drugs in the General Outpatient Department of a Teaching Hospital, Southeast Nigeria

2020 ◽  
pp. 200-208
Author(s):  
Edmund O. Ndibuagu ◽  
Onyinye H. Chime ◽  
Ejiofor T. Ugwu
Keyword(s):  
Health Care ◽  
Teaching Hospital ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
University Teaching ◽  
Outpatient Department ◽  
Health Coverage ◽  
Cross Sectional ◽  
Enugu State ◽  
Cross Sectional Design

Aim: Patients perception of health care delivery system can be expressed as an opinion. The aim of the study is to assess patients’ opinion on availability and cost of drugs in the General Outpatient Department of a state teaching hospital in Nigeria. Study Design: The study was of descriptive, cross-sectional design. Place and Duration of Study: This study was conducted at the General Outpatient department, Enugu State University Teaching Hospital, Enugu state, Nigeria. It was conducted between August 1st and October 31st, 2017. Methodology: Information was collected from 313 patients exiting the Pharmacy unit, using structured interviewer-administered questionnaire. Statistical Package for Social Sciences (SPSS) was used for analysis, and the results expressed as frequencies and percentages. Education, sex, and age patterns of the responses were looked at. Results: A total of 313 patients responded, 131 (41.9%) males and 182 (58.1%) females. Out of these, 91 (29.0%) were of the opinion that drugs were reasonably or completely available, while 184(58.8%) reported that it was either few or completely unavailable; with 38(12.1%) having no opinion on availability. With respect to price; 198(63.3%) believed that price is affordable or very affordable, while 78(24.9%) thought it was exorbitant or very exorbitant; with 37(11.8%) being uncertain about the price of drugs. Conclusions: In LMIC, inadequate stock of drugs in health facilities is a common occurrence. More than half of patients that presented in the study health facility were of the opinion that only few prescribed drugs, or completely none were available. However, most of them believed that the price of drugs was affordable or very affordable. It is crucial that governments and health care managers redouble their efforts towards provision of drugs, if meaningful progress will be made in the area of global Universal Health Coverage.

scholarly journals Patients’ Adherence to Anti-diabetic Medications and Associated Factors in Mizan-Tepi University Teaching Hospital: A Cross-Sectional Study

2021 ◽  
Vol 58 ◽  
pp. 004695802110674
Author(s):  
Jafer Siraj ◽  
Turi Abateka ◽  
Oliyad Kebede
Keyword(s):  
Side Effects ◽  
Drug Use ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
University Teaching ◽  
P Value ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Monthly Income ◽  
Cross Sectional

Introduction: A number of medications have been demonstrated to lower blood glucose. However, current-day management has failed to achieve and maintain the optimal glycemic level for diabetic patients. Patients’ non-adherence is among the most contributing factors. Therefore, the aim of this study was to explore the prevalence of non-adherence to anti-diabetic medications and associated factors. Methods: A hospital based cross-sectional study was conducted from November 2020 to January 2021. A systematic random sampling technique was used. Data were collected by structured questionnaire adapted from different literatures. Then, data were entered into SPSS version 25 and analyzed. To determine the association of dependent and independent variables, multiple logistic regression was done. P-value <.05 was considered statistically significant. Results: A total of 275 study participants were interviewed with a response rate of 100%. From this 53.8% were females, 59.3% were in the age group of 41-60 years, 35.3% were college/university graduates and 79.3% were not using social drugs. One hundred eighty-seven (68%) of them were adherent to their anti-diabetic medication. Factors found to be significantly associated with anti-diabetic medication adherence were age >60 years (AOR = .276, 95% CI = .124-.611) attending higher education (AOR = 6.203, 95% CI = 1.775-21.93), retired (AOR = 7.771, 95% CI = 1.458-41.427), housewife (AOR = 7.023, 95% CI = 1.485-33.215), average monthly income 1001birr-2000 birr (AOR = .246, 95% CI = .067-.911) and social drug use (AOR = 3.695, 95% CI = 1.599-8.542). Forgetfulness, not affording, side effects, misunderstanding of instructions, and poly-pharmacy were identified reasons for non-adherence. Conclusions and Recommendations: Patients’ adherence to anti-diabetic medications in the current study is sub-optimal. Age, monthly income, level of education, occupational status, and social drug use were associated with adherence. Forgetfulness, not affording, and side effects were reasons identified to contribute to non-adherence. Therefore, adherence counseling, use of alarms, and the way to mitigate non-affordability, including anti-diabetic medications into a program drug should be considered.

scholarly journals Birth preparedness and complication readiness practice and associated factors among pregnant women in Northwest Ethiopia: 2018

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249083
Author(s):  
Tibeb Zena Debelie ◽  
Abdella Amano Abdo ◽  
Kiber Temesgen Anteneh ◽  
Miteku Andualem Limenih ◽  
Mengstu Melkamu Asaye ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Living Standard ◽  
Outcome Variable ◽  
Birth Preparedness ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Complication Readiness ◽  
North Gondar Zone

Background Birth-preparedness and complication readiness is a comprehensive strategy aimed at promoting the timely utilization of skilled maternal and neonatal health care. Pregnancy-related complications both on the mother and the newborn could be largely alleviated if there is a well-consolidated birth preparedness and complication readiness plan developed during pregnancy and implemented at the time of delivery. Objective To determine the prevalence of birth preparedness and complication readiness practice (BPCR) and associated factors among pregnant women in North Gondar Zone, Northwest Ethiopia, 2018. Methods A community based cross-sectional study was conducted among pregnant women in North Gondar Zone from March 2017 to February 2018. A multistage clustered sampling technique was used to enroll a total of 1620 participants. The data were collected by face to face interviews using pretested and semi-structured questionnaires at baseline and following delivery. The data were entered using EPI-data version 3.1 and analyzed using STATA version 14 software. Bivariate and multivariable logistic regression model was fitted to assess factors with BPCR practice. Adjusted odds ratio (AOR) with 95% confidence interval was used to determine the association between covariates and the outcome variable. Results From a total of 1620 pregnant women only 1523 (94.0%) mothers were followed at the end line. The prevalence of BPCR plan during pregnancy was 66.1% [95% CI: 63.8, 68.5] and the practice at the time of delivery was 73.5% [95% CI 71.3, 75.7]. Of the total respondents who mentioned having a BPCR plan, 76.4% practiced at the time of delivery. Frequency of ANC visits [AOR = 1.97; 95% CI: 1.67, 2.32], larger number of family in the household [AOR = 1.14; 95%CI: 1.00, 1.30], highest wealth asset [AOR = 1.87; 95%CI: 1.16, 3.01], Multigravidity [AOR = 0.30; 95% CI: 0.15, 0.62], husband involvement in decision making [AOR = 2.2; 95% CI: 1.25, 3.82], counseled on BPCR [AOR = 2.35; 95% CI: 1.51, 3.68], were found to be significantly associated with BPCR practice. Conclusion BPCR practice at the time of delivery was higher than previous studies conducted in the country. However, BPCR practice was found to be lower than the standard that every woman should practice the plan at the time of delivery. Intersectoral collaborative interventions required to improve the economic status and living standard of families in the community as well as various awareness creation strategies should be implemented to support women to attend ANC follow-up visits.

scholarly journals Timely initiation of postpartum contraceptive and associated factors among women of extended postpartum period in Pawe district, northwest Ethiopia, 2019

2019 ◽  
Author(s):  
Desalegn Nazi Jaleta ◽  
Hedeja Yenus Yeshita ◽  
Koku Sisay Tamirat
Keyword(s):  
Family Planning ◽  
Postpartum Period ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
P Value ◽  
Postpartum Women ◽  
Modern Contraceptive ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Timely Initiation

Abstract Background: Postpartum family planning is an important intervention for reducing high risk fertility behavior and spacing birth intervals; which ultimately helpful for the health of mothers and their babies. Hence, this study aimed to determine the magnitude of timely initiation of postpartum contraceptive and associated factors among extended postpartum women in Pawe district, Northwest Ethiopia.Methods: Community based cross-sectional study design was employed from February to March 2019 in Pawe district. A stratified multistage sampling technique was used to select a total of 820 women in the extended postpartum period. Data were collected using a pretested interviewer administered questionnaire. A bivariable and multivariable logistic regression model was fitted to identify determinants of timely initiation of postpartum contraceptive among extended postpartum women. Adjusted Odds ratio (AOR) with 95% CI was computed to assess the strength and presence of an association. Variable with less than 0.05 p-value considered as a significant determinant of contraceptive initiation.Results: Out of the total participants about 37.2% [95% CI (34.0, 40.5)] initiated postpartum contraceptive. Time return of menses [AOR=18.32, 95% CI(11.66,28.80)], postnatal care [AOR=7.8, 95%bCI(3.98,15.44)], knowledge level regarding modern contraceptive methods [AOR=3.0, 95% CI(1.40,6.59)], time of resumption of sexual intercourse [AOR=2.1, 95% CI(1.327,3.21), husband approval to use contraceptive [AOR=2.45,95%CI(1.42,4.22), antenatal care [AOR=2.1,95% CI(1.13,3.76), place of delivery at institution [AOR=2.0, 95% CI(1.22,3.39)], and got family planning counseling at delivery [AOR=2.34, 95% CI(1.22,4.49)] were factors associated with timely initiation of postpartum contraceptive. Conclusion and recommendation: The magnitude of timely initiation of postpartum contraceptive was low. This suggests strengthening the integration of postpartum contraceptive use with other basic maternal health services and improving knowledge of women in practicing timely initiation of postpartum contraceptive before engagement to risk activities of unintended pregnancy is important.

scholarly journals 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 ◽  
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.

scholarly journals Distribution of risks and Factors Associated with Unscreened Hypertension among Adults Living in Rural of Dano District, West Shewa, Oromia, Ethiopia, 2020: Community-based cross-sectional study

2021 ◽  
Author(s):  
Firaol Regea
Keyword(s):  
Blood Pressure ◽  
Associated Factors ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
P Value ◽  
Multivariable Logistic Regression Analysis ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Measuring Device

Abstract Background: Hypertension affects more than one quarter of adults worldwide and one in three peoples in developing countries. Although Hypertension is known to be a silent medical condition, there is limited information on the prevalence of unscreened hypertension and associated factors among rural dwellers in Ethiopia in general and Dano district in particular. Objective: To assess the prevalence of Unscreened hypertension and associated factors among adults living in the rural area of Dano district, West Shewa, Oromia, Ethiopia 2020.Methods and materials - A community-based cross-sectional study was employed. A multi-stage sampling technique was used to select 605 Adults from the rural community of Dano District from May 23 -July 5, 2020. Data were collected by trained BSc nurses and Public health officers. Standardized WHO STEPS survey tool was used to collect socio-demographic and behavioral characteristics of the participants. Standardized digital blood pressure device was used to measure Blood pressure. The mean score of three blood measurements was used to classify hypertension after intra-class correlation was tested. GmateTM blood glucose measuring device was used to measure blood sugar. Multivariable logistic regression analysis was done to identify factors independently associated with unscreened hypertension. Adjusted Odds Ratio with 95% CI was estimated to measure the strength of association. The level of statistical significance was declared at p-value < 0.05. The results presented by tables and figures. Result: The prevalence of Unscreened Hypertension was 14.6%, (95% CI: 11.95%, 17.4%). Being in age of 19-33 years[(AOR: 2.5,95%CI:( 1,6)], having family history of hypertension [AOR=3.1,95%CI:(1.23,7.77)],having other chronic disease [AOR=0.28,95%CI:(0.11, 0.72)], Participants’ health-seeking behaviour to hypertension[AOR=3.3,95%CI:(1.6,6.5)] and participants knowledge about hypertension[AOR=2.3,95%CI:(1.2,4.5)]were independently associated with unscreened Hypertension.Conclusion - The evidence from this study shows unscreened hypertension is prevalent among adults in the study area. Therefore, opportunistic screening of adults regardless of their age and health status is important.

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

PLoS ONE ◽  
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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