Adherence with COVID-19 Preventive Measures and Associated Factors Among Residents of Shashemane, Central Ethiopia

Abstract Introduction:Covid 19 pandemic can seriously affect African nations because of the weak health care system, crowding, poor hygiene in the cities, and the random mobility of people. Hospital-based interventions are not a good choice for resource-scarce countries which have shortages of hospital beds, ventilators, and oxygen; rather practicing preventive measures at a community level is the best strategy. There is a shortage of evidence about current public adherence with COVID-19 preventive strategies in Ethiopia, therefore this study helps to target health education messages to groups of populations with poor compliance to specific prevention measures, which also contribute to decreasing the magnitude and duration of the pandemic.Methods:A Community based cross-sectional study was done on 405 participants selected by systematic random sampling in Shashemane. Data was collected using A pretested structured tool comprising socio-demographic characteristics, knowledge, attitude, and adherence with COVID-19 prevention practice. Participants who practiced ≥ 75% of the COVID-19 preventive practices were labeled as having “good adherence”. Bivariate and multivariable logistic regression was used to determine the associated variables. Odds ratios along with 95%CI were estimated to identify associated factors and a level of statistical significance was decided at p -value less than 0.05.Result:The practice of COVID-19 preventive measures was 19.5%, (95% CI: 15–24.5%). Having a favorable attitude (AOR = 5, 95% CI: 3.3–8.41), having good knowledge of the disease (AOR = 3, 95% CI: 2.74– 9.3) and educational status (Diploma and above) (AOR = 5.5, 95% CI: 2– 9.39) were significantly associated factors with the practice of COVID-19 preventive measures.Conclusion:The Adherence to COVID-19 preventive practices was very low, educational status above Diploma, good knowledge, and Favorable attitude were the factors positively and independently associated with good adherence to Covid-19 prevention practices. Behavioral change communication and Strict government law and implementing it are highly required.

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Knowledge, Attitude, and Preventive Practices towards Sexually Transmitted Infections among Preparatory School Students in West Gojjam Zone, Ethiopia

Advances in Public Health ◽

10.1155/2020/6894394 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Ayalnesh Asmamaw Kassie ◽

Temesgen Worku Gudayu ◽

Bilen Mekonnen Araya

Keyword(s):

Sexually Transmitted Infections ◽

Associated Factors ◽

Statistical Significance ◽

Sampling Technique ◽

Good Knowledge ◽

School Students ◽

Cross Sectional ◽

Sexually Transmitted ◽

Preventive Practice ◽

Preventive Practices

Background. Sexually transmitted infections are major public health concerns that mostly affect adolescents and young people. Hence, the aim of this study was to assess students’ knowledge, attitude, and preventive practice towards sexually transmitted infections and the associated factors. Methods. A school-based cross-sectional study was conducted from October 24 to November 4, 2018. A sample size of 845 was calculated and a 1-stage sampling technique was employed. Data were collected through a self-administered questionnaire. The data were entered into Epi-Info 7.2 and analyzed using IBM SPSS version 25 software. The descriptive result was presented in text, figure, and tables. Also, bivariate and multivariable logistic regression analyses were done to identify associated factors. Then the adjusted odds ratio and its 95% confidence interval were computed. And a p value of <0.05 was considered to assert statistical significance. Results. Half of the respondents (50.5%) had good knowledge on sexually transmitted infections. Also, 46.4% of students had a good preventive practice. However, only 38.4% of students had an appropriate attitude towards sexually transmitted infections. Being a male (AOR: 1.58 (95% CI: (1.19, 2.09)) and having employed father (AOR: 1.97 (95% CI: (1.18, 3.30)) predicted good knowledge. Similarly, secondary and above level of paternal education (AOR: 2.16 (95% CI: (1.28, 3.64)) and having a farmer father (AOR: 1.77 (95% CI: (1.04, 3.02)) predicted appropriate attitude. Predictors of preventive practices included elder age (AOR: 2.33 (95% CI: (1.27, 4.28)), never had sexual intercourse (AOR: 1.44 (95% CI: (1.07, 1.94)), and having good knowledge on STIs (AOR: 1.53 (95% CI: (1.16, 2.02)). Conclusion. The proportion of students that had good knowledge, appropriate attitude, and good preventive practice towards STIs were low. Personal and parental factors predicted students’ knowledge, attitude, and preventive practices. Hence, creating awareness need to be strengthened.

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COVID-19: Knowledge of Mode of Spread and Preventive Practices among College Adolescents in Nigeria

Journal of Tropical Pediatrics ◽

10.1093/tropej/fmab002 ◽

2021 ◽

Author(s):

Ann E Aronu ◽

Awoere T Chinawa ◽

Edmund N Ossai ◽

Vivian O Onukwuli ◽

Josephat M Chinawa

Keyword(s):

Secondary Schools ◽

Preventive Measures ◽

Tertiary Education ◽

Significant Proportion ◽

Educational Status ◽

Cross Sectional Study ◽

Female Adolescent ◽

Good Knowledge ◽

Cross Sectional ◽

Preventive Practices

Abstract Background Corona virus pandemic (COVID 19) has emerged as the single most important topical issue and poses a challenge to medicine. Adolescent school children are exposed to a varying degree. Objectives The study is aimed to determine the knowledge of the mode of spread and preventive practices among college adolescents attending six secondary schools in Enugu metropolis. Methodology This was a cross-sectional study carried out in 6 secondary schools among 500 college adolescents. A pretested, interviewer-administered questionnaire was used for data collection. Results Majority of the respondents, 98.4% were aware of COVID-19. Although, a higher proportion of the respondents, 52.0% were aware COVID-19 could be transmitted through contact with infected persons, only a minor proportion of them, 42.4% had a good knowledge of the mode of spread of COVID-19. However, a high proportion of the respondents, 69.2% practiced good preventive measures against COVID-19. Also, respondents whose parents were self-employed were 1.4 times more likely to have good knowledge of the mode of spread of COVID-19 when compared with those whose parents were on paid employment [adjusted odd ratio (AOR) = 1.4, 95% confidence interval (CI): 0.9–2.0]. The respondents whose fathers have attained tertiary education were 1.6 times more likely to have good preventive practices against COVID-19 when compared with those who had secondary school and below (AOR = 1.6, 95% CI: 1.04–2.5). Conclusion Though college adolescents were aware of COVID-19, not a significant proportion practiced good preventive measures against COVID-19. Knowledge of mode of spread and preventive practices were significantly enhanced by fathers’ educational status and being a female adolescent child.

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Hypoglycemia Prevention Practice and Associated Factors Among Diabetic Mellitus Patients on Follow-up at Public Hospitals of Central Zone, Tigray, Ethiopia, 2018.

10.21203/rs.2.11704/v2 ◽

2019 ◽

Author(s):

Gebrewahd Bezabh Gebremichael ◽

Teklewoini Mariye Zemichael

Keyword(s):

Diabetes Mellitus ◽

Associated Factors ◽

Central Zone ◽

Public Hospitals ◽

Favorable Attitude ◽

Good Knowledge ◽

P Value ◽

Binary Logistic Regression Model ◽

Cross Sectional ◽

At Home

Abstract Background Hypoglycemia is an acute medical situation that occurs when blood sugar falls below the recommended level. Even though, hypoglycemia prevention practice in the management of diabetes mellitus is one cornerstone in controlling the effect of hypoglycemia, hypoglycemia prevention practice among patients with diabetes mellitus is insufficiently studied. Moreover, the existed scarce literature in Ethiopia revealed hypoglycemia prevention practice is inadequate. Thus, this study tried to assess hypoglycemia prevention practices and associated factors among diabetic patients.Methods Hospital-based, cross-sectional study design was employed from April one to March one 2018 in Central Zone of Tigray Regional state of Ethiopia. A total of 272 diabetes mellitus patients were selected by systematic random sampling method from study area. The collected data was checked for its completeness and then entered into Epi data version 3.1 then cleaned and analyzed using SPSS version 23. Binary logistic regression model (AOR, 95% CI and p-value < 0.05) was used to determine the predictors of hypoglycemia prevention practice.Results the mean age of respondents was 52.19 years and about 100 (63.2%) had good hypoglycemia prevention practice. Good knowledge regarding hypoglycemia [AOR = 10.34; 95% CI [5.41, 19.89]], having a glucometer at home [AOR = 3. 02; 95% CI [1.12, 8.12]], favorable attitude towards diabetes mellitus [AOR = 2.36 CI [1.26, 4.39]], and being governmental employee [AOR = 5.19, 95% CI [1.63, 16.58]] were positive predictors of good hypoglycemia prevention practice. However, being divorced [AOR =0.13, 95% CI [0.32, 0.53]] was found negatively associated with good hypoglycemia prevention practice.Conclusion Around two third of the study participants were found to have good hypoglycemia prevention practice. Good knowledge and favorable attitude toward diabetes mellitus, having glucometer at home, being governmental employee and divorced were found to be the predictors of good hypoglycemia prevention practice.

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Attitude towards diabetes mellitus among adult communities in Gondar city, Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0251777 ◽

2021 ◽

Vol 16 (5) ◽

pp. e0251777

Author(s):

Abiy Maru Alemayehu ◽

Malede Mequanent Sisay

Keyword(s):

Diabetes Mellitus ◽

Odds Ratio ◽

Associated Factors ◽

Adjusted Odds Ratio ◽

Educational Status ◽

Favorable Attitude ◽

Good Knowledge ◽

Limited Information ◽

Cross Sectional ◽

Higher Educational

Background Diabetes mellitus is a metabolic disorder characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Diabetes and its complications can be reduced by enhancing the attitude of the community. However, there is limited information regarding attitude towards diabetes in northwest Ethiopia. Therefore, this study determined the attitude and associated factors of diabetes mellitus among adult non-diabetic participants in Gondar city. Methods A community-based cross-sectional study was conducted in Gondar city. Systematic random sampling was employed to select 626 non-diabetic participants. The data were collected using a pre-tested structured questionnaire. Descriptive statistics, processing, and analysis were done using STATA version 14. Both bivariable and multivariable binary logistic regressions were used to identify the associated factors. An adjusted odds ratio with a 95% confidence interval was used to calculate a level of significance. Results Of 626 participants, 572 (91.37%) study subjects heard about diabetes mellitus. Three hundred and fifteen participants (55.07%) (95% CI: 50.9% - 59.1%) had a favorable attitude towards diabetes mellitus. Having good knowledge about diabetes (adjusted odds ratio = 2.69, 95% CI: 1.88, 3.87), and higher educational status (adjusted odds ratio = 1.69, 95% CI: 1.04, 2.78) were positively associated with a favorable attitude towards diabetes mellitus. Female gender (adjusted odds ratio = 0.68, 95% CI: 0.47, 0.98), on the other hand, had poor attitude towards diabetes mellitus. Conclusion In this study, a favorable attitude towards diabetes was low among adult non-diabetic participants. Good knowledge, higher educational status, and being male were the factors associated with a favorable attitude towards diabetes.

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

Babcock University Medical Journal (BUMJ) ◽

10.38029/bumj.v3i1.26 ◽

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.

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Preventive Practices of Tuberculosis Patients in a Municipality of Chitwan District, Nepal

Journal of College of Medical Sciences-Nepal ◽

10.3126/jcmsn.v15i1.23165 ◽

2019 ◽

Vol 15 (1) ◽

pp. 59-66

Author(s):

Prerna Bansal ◽

Dipendra Khatiwada ◽

Hari Prasad Upadhyay

Keyword(s):

Health Education ◽

Preventive Measures ◽

Good Practice ◽

Cross Sectional Study ◽

P Value ◽

Prevention Measures ◽

Chi Square ◽

Cross Sectional ◽

Tuberculosis Patients ◽

Preventive Practices

Background: Tuberculosis (TB) is one of the top 10 causes of death worldwide and sixth leading cause of death in Nepal. Preventing new infections of Mycobacterium tuberculosis is crucial to reduce TB burden and death. The source of infection is an open (sputum positive) case of pulmonary tuberculosis. Poor management of TB-related waste like disposal of sputum by patients has been reported as a risk factor for increasing susceptibility to active TB infection. The present study was undertaken to assess preventive measures practiced by TB patients. Methods: A cross-sectional study was conducted among 82 tuberculosis patients who visited the five different DOTs centres of Bharatpur Municipality of Chitwan district, Nepal during December 2016 to February 2017. To find the association between variables, chi-square test was used. P-value less than 0.05 were considered as statistically significant. Results: The Mean ± SD of age of patients was 37.02±18.90 years. 67.10% of the patients received health education on preventive measures. 59.8% of the respondents had good practice on prevention measures of TB. Only 3.70% used burning method for the sputum disposal after diagnosis of TB. None of the respondents used boiling method for the disposal of sputum. Among all only 6% practiced safe method of sputum disposal. The statistically significant variables with health education were preventive measures like self isolation (ᵪ2 = 7.54, p = 0.006), covering face while coughing and sneezing (ᵪ2 = 4.113, p = 0.043) and keeping surrounding clean (ᵪ2= 7.880, p = 0.005). Conclusions: Patients and family members should be well educated on practicing different preventive measures by further strengthening the preventive measures strategy in the transmission of tuberculosis if we envisioned to end TB by 2035.

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Knowledge of Neonatal Danger Signs and Its Associated Factors among Mothers Attending Child Vaccination Centers at Sheko District in Southwest Ethiopia

International Journal of Pediatrics ◽

10.1155/2020/4091932 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6

Author(s):

Tewodros Yosef ◽

Tadesse Nigussie ◽

Adane Asefa

Keyword(s):

Associated Factors ◽

Educational Status ◽

Sub Saharan Africa ◽

Good Knowledge ◽

Health Seeking ◽

Public Health Importance ◽

Cross Sectional ◽

Southwest Ethiopia ◽

Danger Signs ◽

Child Vaccination

Background. Even though a great improvement in the last twenty years, the problem of newborn deaths is still remaining. In 2017 alone, an estimated 2.5 million neonatal deaths occurred worldwide, around 39 percent of all deaths in sub-Saharan Africa. Early detection of neonatal illness is an important step towards improving newborn survival. If mothers know the appropriate manifestations of the causes of death in newborns (neonatal danger signs), it is possible to avert related mortality, because of the health-seeking behavior of mothers highly relies on their knowledge of neonatal danger signs. Objective. To assess knowledge of neonatal danger signs and its associated factors among mothers attending child vaccination centers at Sheko District in Southwest Ethiopia. Methods. A facility-based cross-sectional study was conducted among 351 mothers who attended health centers for child vaccination in Sheko District from March 17 to April 30, 2018. A consecutive sampling method was used to select study participants. Data were collected by using structured questionnaires through face-to-face interviews. Data were entered using EPI-DATA version 3.1 and analysed using SPSS version 21. Results. Of the 351 mothers interviewed, 39% (137) had good knowledge of neonatal danger signs. The study also found that mothers aged 29-40 years (AOR=2.37, 95% CI [1.35-4.17], P=0.003), educational status of primary and above (AOR=2.68, 95% CI [1.48-4.88], P=0.001), attending ≥ 4 antenatal care visits during pregnancy (AOR=3.57, 95% CI [2.10-6.06], P<0.001), and history of postnatal attendance after birth (AOR=2.33, 95% CI [1.16-4.65], P=0.017) were significantly associated with good knowledge of neonatal danger signs. Conclusion. The proportion of mothers with good knowledge of neonatal danger signs was remarkably low. Since the problem is a public health importance in developing countries, particularly in Ethiopia, which determines future generations. Great efforts are needed to create awareness for mothers on the importance of the early identifying neonatal danger signs plus to avert the high magnitude of neonatal mortality.

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

Reproductive Health ◽

10.1186/s12978-021-01222-8 ◽

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.

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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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Knowledge of Malaria and Utilization of Insecticide-Treated Nets amongst Mothers of Under-five Children in selected Rural Communities of Nigeria’s Federal Capital Territory

Journal of Community Medicine and Primary Health Care ◽

10.4314/jcmphc.v33i1.9 ◽

2021 ◽

Vol 33 (1) ◽

pp. 102-114

Author(s):

S.N. Esomonu ◽

E.N. Ossai ◽

A.T. Onajole

Keyword(s):

Rural Communities ◽

Tertiary Education ◽

Statistical Significance ◽

Good Knowledge ◽

P Value ◽

Insecticide Treated Nets ◽

Cross Sectional ◽

Under Five ◽

Under Five Children ◽

Malaria Burden

Background: Malaria is a life-threatening parasitic disease caused by the plasmodium parasite and women and under-five children are more prone to its adverse consequences. The use of insecticide-treated nets (ITNs) is recommended to reduce malaria burden in endemic communities. The study aimed to determine knowledge of malaria and utilization of insecticide-treated nets (ITNs) amongst mothers of under-five children in rural communities of Nigeria’s Federal Capital Territory, and the predictors.Methods: A community-based cross-sectional design was used. Multi-stage sampling method was used to select 160 mothers of under-five children in two rural communities. A structured questionnaire was used for data collection. Data analysis was done using SPSS statistical software version 22.0 and level of statistical significance was determined by a p value of < 0.05.Results: Mean age of respondents was 29.0±5.4 years, and majority 144 (90%) of the women were married. Lower proportion of respondents had good knowledge of malaria 33 (20.6%). Ninety-four (58.8%) of respondents owned ITNs, but less than half 45 (47.9%) utilized the nets. Predictors of good knowledge of malaria were having attained tertiary education [Adjusted Odds Ratio (AOR); 2.7, 95% Confidence Interval (CI):1.1–8.1], p=0.042, and being self-employed, (AOR; 3.4, 95% CI: 1.1-13.1), p=0.043). Predictor of utilization of ITNs was being aged 30 years and above (AOR; 2.5, 95% CI: 1.1-6.1, p=0.031).Conclusion: Lower proportions of respondents had good knowledge of malaria and utilization of ITNs. Health education of mothers on malaria and benefits of ITNs use should be intensified in the study area.

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