scholarly journals Late Diagnosis of Breast Cancer and Associated Factors Among Women Attending Hawassa University Comprehensive and Specialized Hospital Southern Ethiopia

2021 ◽  
Author(s):  
Mesay Yoseph ◽  
Achamyelesh Gebresadik ◽  
Akalewold Alemayehu
Keyword(s):  
Breast Cancer ◽  
Late Stage ◽  
Associated Factors ◽  
Breast Biopsy ◽  
Late Diagnosis ◽  
Sub Saharan Africa ◽  
Public Health Issue ◽  
Southern Ethiopia ◽  
Specialized Hospital ◽  
Hawassa University

Abstract Background; Breast cancer is a significant public health issue in sub-Saharan Africa and the second commonest cancer overall. In Ethiopia, most women present at the late-stage presentation. This is because Ethiopian government gives less attention, and is not well-studied as well. Therefore, it is important to assess delays in diagnosis and treating breast cancer that has been associated with a more advanced stage of the disease and a decrease in patient survival rates.Objective: To assess the magnitude and associated factors for late diagnosis of breast cancer among women attending Hawassa University Comprehensive Specialized Hospital in Southern Ethiopia. Methodology: A facility-based cross-sectional study was conducted from December to January 2019. Data were collected from 261 consecutively selected clients based on the arrival of their hospital visit by using a pretested structured questionnaire and checklist. Physicians performed physical examinations and diagnoses. Data was checked for completeness and consistency, and entered into epi data, then exported to SPSS for analysis. Descriptive, Bivariate, and multivariable logistic regression analyses were performed using SPSS Version 25 Statistical Software.Results: The magnitude of late diagnosis of breast cancer was 86.3%. The woman who had no initial advice for breast biopsy [AOR=5.1, 95% (CI=1.4-18.9)], not sharing the problem to others [AOR=4.7, 95% (CI=1.8-12.2)] and using traditional and faith healers as a first treatment choice [AOR=3.3, 95% (CI=1.2 - 8.8)] were associated with late diagnosis of breast cancer.Conclusions: The majority of women having breast cancer were diagnosed at a late stage. It needs attention to provide better options of the modern health service, and providing accessible initial advice for breast biopsy, and creating awareness about the benefit of sharing problems with family to improve the health of mothers by early diagnosing and managing the breast cancer.

MEDICATION ADHERANCE AND ITS ASSOCIATED FACTORS AMONG DIABETES PATIENTS HAVING FOLLOW UP IN DIABETIC CLINIC AT HAWASSA UNIVERSITY COMPRENSIVE SPECIALIZED HOSPITAL.

2019 ◽  
Author(s):  
Bereket Beyene Gebre ◽  
ZEWDE OLTAYE OCHE
Keyword(s):  
Social Support ◽  
Medication Adherence ◽  
Associated Factors ◽  
Information Provision ◽  
Southern Ethiopia ◽  
Dietary Regimen ◽  
Duration Of Illness ◽  
Specialized Hospital ◽  
Hawassa University

Abstract Abstract Objective:-To assess the magnitude of medication adherence and its associated factors among diabetic patient in diabetic (DM) clinic, Southern Ethiopia, 2019. Result: The magnitude of medication adherence among Diabetes was found to be 58.8%. The independent predictors were social support AOR 95%CI 3.2(1.28, 4.93), dietary regimen AOR 95% CI 2.45(1.37, 4.35) and duration of illness AOR 95% CI 1.52 (1.32, 2.12). Health information provision for the patients as well as for the community through different means of communication should be essential to increase the medication adherence and social support to bring the good clinical outcome. Key words: Magnitude, medication adherence, Diabetes, MMAS.

scholarly journals Surgical site infection prevalence and associated factors in Hawassa University comprehensive specialized hospital, southern Ethiopia.

2019 ◽  
Author(s):  
Bedilu Deribe ◽  
Wegene Jemebere ◽  
Gezahegn Bekele
Keyword(s):  
Surgical Site Infection ◽  
Associated Factors ◽  
Significant Risk ◽  
Health Care Facilities ◽  
Southern Ethiopia ◽  
Infection Prevalence ◽  
Site Infection ◽  
Surgical Wound ◽  
Specialized Hospital ◽  
Hawassa University

Abstract Background Surgical site infections (SSIs) continue the main problem in health care facilities, causing the prolonged length of stay, considerable morbidity, mortality, and the extra cost to patients after surgery. The aim of this study was to determine the prevalence of SSIs and explore its associated factors among surgical patients at Hawassa university comprehensive specialized hospital, southern Ethiopia.Methods A hospital-based cross-sectional study design was conducted among post-operative patients on a sample of 281 who were admitted and have had surgery from 1 March – 1 April 2019. Purposive sampling technique and the structured questioner were selected to gather data from the patient's medical record, interview, and observation. EPI Info 3.5.4 was a data entry software and SPSS version 20.0 was selected for analysis. Associations among variables were assessed by binary logistic regression.Result A total of 281 patients have participated and the mean age was 30.3 (±18.9) years. The prevalence of SSIs was (24.6%) (95% CI 19.6 – 29.69). Age less than 15 years AOR = 0.131 (95% CI 0.020, 0.087), having clean surgical wound AOR = 0.006 (95% CI 0.002, 0.024) were significant protective associated factors to SSIs while having open surgical wound AOR =5.189 (95% CI 1.511, 17.821) and malnutrition AOR =29.351 (95% CI 5.711, 150.851) were significant risk associated factors to SSIs.Conclusion The prevalence of SSIs was bigger than the worldwide range between (1.2%) and (5.2%) even higher compared to reports from several developing countries. This needs exceptional attention to reduce the odds of surgical site infection by standardizing patient care and controlling of comorbidities.

scholarly journals Prevalence and Associated Factors of Dyslipidemia Among Psychiatric Patients on Antipsychotic Treatment at Hawassa University Comprehensive Specialized Hospital

2021 ◽  
Vol 14 ◽  
pp. 117863882110168
Author(s):  
Agete Tadewos Hirigo ◽  
Tesfaye Teshome ◽  
Wondwossen Abera Gitore ◽  
Endale Worku
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Associated Factors ◽  
Ldl Cholesterol ◽  
Psychiatric Patients ◽  
Southern Ethiopia ◽  
Antipsychotic Treatment ◽  
Female Sex ◽  
Specialized Hospital ◽  
Hawassa University

Background: Dyslipidemia is one of the adverse metabolic outcomes associated with psychotropic medications and the nature of the mental illness itself. Therefore, this study aimed to assess magnitude of dyslipidemia and associated factors among patients with severe mental illness on antipsychotic treatments. Methods: A cross-sectional study was conducted among 245 patients with severe mental illness in Hawassa University Comprehensive Specialized Hospital, Sidama Regional state, Southern Ethiopia. Socio-demographic and other important data were collected using a structured questionnaire through a systematic random sampling technique. Individual dyslipidemia was characterized by the National Cholesterol Education Program Adult Treatment Panel-III (NCEP ATP-III) guideline. Results: Mean total cholesterol (TC) was significantly higher in males when compared to females (162.2 mg/dl vs 121 mg/dl, P = .023). While, mean LDL-cholesterol was significantly higher in females when compared to males (100.9 mg/dl vs 93.6 mg/dl, P = .028). Overall 58.4% (95% CI: 52.2-64.8) of participants had at least 1 dyslipidemia. The prevalence of TC ⩾200 mg/dl, HDL-cholesterol <40 mg/dl, triglyceride (TG) and LDL-cholesterol were 61 (24.9%), 75 (30.6%), 66 (26.9%), and 47 (19.2%), respectively. Female sex and smoking were significantly and positively associated with LDL-c dyslipidemia, the aOR (95% CI) were 2.1 (1.0-4.2) for female sex and 3.4 (1.1-10.5) for smoking. Also, Age >40 years was significantly associated with TC dyslipidemia, the aOR (95% CI) was 2.0 (1.1-3.7). Conclusion: More than half of psychiatric patients are at risk of developing cardiovascular and other related health problems. Therefore, periodic screening of lipid profiles during healthcare follow-up is mandatory to limit risks of cardiovascular-related comorbidities among patients with severe mental illness.

scholarly journals Magnitude, Severity, and Associated Factors of Anemia among Under-Five Children Attending Hawassa University Teaching and Referral Hospital, Hawassa, Southern Ethiopia, 2016

Anemia ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Yeshimebet Gebereselassie ◽  
Mesganaw BirhanSelassie ◽  
Tadesse Menjetta ◽  
Jemal Alemu ◽  
Aster Tsegaye
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Associated Factors ◽  
Public Health Problem ◽  
Referral Hospital ◽  
University Teaching ◽  
Southern Ethiopia ◽  
Under Five ◽  
Hawassa University ◽  
Prevalence Of Anemia

Background. Anemia is a widespread public health problem associated with increased risk of morbidity and mortality. Infants, under-5-year-old children, and pregnant women have greater susceptibility to anemia. The magnitude and associated risk factors for anemia vary in different settings. The study aimed to assess the magnitude, severity, and associated factors of anemia at Hawassa University Teaching and Referral hospital, Hawassa, southern Ethiopia. Methods. In a hospital-based cross-sectional study, a total of 422 under-five children were included. Sociodemographic data and other predisposing factors were collected by structured questionnaire. Venous blood samples were collected and analyzed for hemoglobin determination using a Cell-Dyn 1800 automated analyzer. Stool samples were collected and processed using direct wet mount and formol-ether concentration method to detect intestinal parasites. Data were entered and analyzed using SPSS version 20 statistical packages. Binary and multiple logistic regressions were computed to assess factors associated with anemia. p value less than 0.05 was taken as statistically significant. Result. The overall prevalence of anemia was found to be 41.7%. The mean hemoglobin level was 10.59 g/dl. Anemia was of mild, moderate, and severe type in 6.6%, 19%, and 16.1% of the children, respectively. Children in the age group 6–23 months (AOR = 2.04 (95% CI: 1.13, 3.69)), and mothers having no formal education (AOR = 1.73 (95% CI: 0.99, 3.02)) were identified as associated factors for anemia. Conclusion. The prevalence of anemia among the study subjects was 41.7% indicative of the fact that anemia is an important public health problem. It was associated with the child’s age, residence, mother’s education level, and intestinal parasite (Ascaris lumbricoides). It clearly indicates that there should be well integrated public health interventions to improve the health status that needs to be prioritized to prevent anemia among children under five years of age.

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