scholarly journals Knowledge and Practice for Prevention of Bovine Tuberculosis and Its Derivers Among HIV Positive People in Bahir Dar City Public Hospitals, Ethiopia

2021 ◽  
Vol Volume 13 ◽  
pp. 1025-1034
Author(s):  
Fikirtemariam Aregay Hailu ◽  
Haileyesus Dejene ◽  
Temesgen Yihunie Akalu ◽  
Yeshwas Ferede Alemu
2015 ◽  
Vol 19 (2) ◽  
pp. 27 ◽  
Author(s):  
Anwar Nuru ◽  
Gezahegne Mamo ◽  
Leakemariam Teshome ◽  
Aboma Zewdie ◽  
Girmay Medhin ◽  
...  

2020 ◽  
Vol 10 ◽  
pp. 2235042X1989931
Author(s):  
Zenebework Getahun ◽  
Muluken Azage ◽  
Taye Abuhay ◽  
Fantu Abebe

Background: People living with human immunodeficiency virus (HIV) are facing an increased burden of noncommunicable diseases (NCDs) comorbidity. There is, however, paucity of information on the magnitude of HIV-NCDs comorbidity, its associated factors, and how the health system is responding to the double burden in Ethiopia. Objective: To determine the magnitude of comorbidity between HIV and hypertension or diabetes and associated factors among HIV-positive adults receiving antiretroviral therapy (ART) in Bahir Dar city, Ethiopia. Methods: A facility-based cross-sectional study was conducted among 560 randomly selected HIV-positive adults taking ART. Data were collected using a structured questionnaire and analyzed using SPSS version 23. Descriptive statistics were used to describe the data. A logistic regression model was fit to identify associated factors with comorbidity of HIV and NCDs. Results: The magnitude of comorbidity was 19.6% (95% confidence interval (CI): 16.0–23.0). Being older (55 and above years) adjusted odds ratio (AOR: 8.5; 95% CI: 3.2–15.1), taking second-line ART regimen containing tenofovir (AOR: 2.7; 95% CI: 1.3–5.6), and increased body mass index (BMI) ≥25 (AOR: 2.7; 95% CI: 1.2–6.5) were the factors associated with comorbidity. Participants reported that they were not managed in an integrated and coordinated manner. Conclusions: The magnitude of comorbidity among adults was high in the study area. Being older, second-line ART regimen and high BMI ≥25 increased the odds of having NCDs among HIV-positive adults. Targeted screening for the incidences of NCDs, addressing modifiable risk factors, and providing integrated care would help to improve the quality of life comorbid patients.


2020 ◽  
Vol 16 (1) ◽  
pp. 59-66
Author(s):  
Abdilahi Yousuf ◽  
Ramli Musa ◽  
Muhammad Lokman Md. Isa ◽  
Siti Roshaidai Mohd Arifin

Introduction: It has been found that HIV positive women are becoming increasingly affected by various illnesses, including Common Mental Disorders (CMDs) such as depression. Such comorbidity escalates the disease progression to the severe stage and commonly hinders treatment adherence. This study determined the prevalence of anxiety and depression amidst women living with HIV. Methods: Based on a cross-sectional and facility-based study, 357 HIV positive women were recruited using the systematic sampling technique from two public hospitals in Jijiga town, Ethiopia. The Hospital Anxiety and Depression Scale (HADS) was administered for screening, and followed by a pre-tested questionnaire that comprised of Perceived Social Support and HIV stigma. Results: The results revealed that the prevalence of both anxiety and depression amidst HIV positive women was 28.9% and 32.5%, respectively. In the multivariate analysis, it was discovered that lack of formal education, being divorced, unemployed, and earning a monthly income less than 1400 ETB (37.5 USD) were significantly associated with depression. Women with symptomatic HIV clinical stage III (AOR =2.06, 95% C.I (0.75-5.61), with CD4 cell count below 250 (AOR = 1.14, 95% C.I (0.57-2.28), and with co-infections (AOR= 1.04, 95% C.I (0.40-2.71) also suffered from depression. Conclusion: The study outcomes show that the prevalence of depression in women with HIV was 32.5%, but they were more likely to be depressed if they were illiterate, divorced, unemployed or had a financial burden. In addition, HIV positive women with less CD4 cell count and in the final clinical stage or suffered from a co-infection were also associated with depressive symptoms. This signifies the public health implications of psychological and cognitive morbidities of the illness among these women with chronic illnesses. Hence, future mental health interventions and HIV care should be integrated with substantial emphasis given to vulnerable groups, including HIV positive women.


2020 ◽  
Vol 10 (1) ◽  
pp. 42-45
Author(s):  
Suresh Jaiswal ◽  
Laxman Banstola ◽  
Manisha Shrestha ◽  
Srijana Sapkota ◽  
Sujan Sharma ◽  
...  

Introduction: Syphilis, a sexually transmitted disease is one of the oldest diseases caused by the bacterium Treponema pallidum, has been a major public health concern worldwide. The aim is to find out the prevalence of syphilis and its risk factors among people with HIV at Western Regional hospital in Nepal. Methods: A hospital-based cross-sectional study was conducted at one of the largest public hospitals in Western Region of Nepal. A consecutive 90 HIV-positive patients were recruited prospectively from December 2016 to February 2017. Blood samples and data on sociodemographic and risk factors were collected. Serum were diagnosed for syphilis using Rapid Plasma Reagin (RPR) test. Results: The prevalence of syphilis infection was 12.2% in HIV positive participants. Syphilis occurred exclusively in male 7 comparatively 4 in female. Seropositivity of syphilis was seen higher in married than unmarried HIV infected individuals. Syphilis prevalence seems to increase with increasing age, with the highest rate in the age group 35–50 years. A decreasing rate of syphilis was observed with increasing educational level, where illiterate HIV-positive participants had higher infection compared with those having at least a certificate. Conclusion: Higher prevalence of syphilis in people with HIV infection demands the need to target this people to prevent the transmission of both infections. Testing for all HIV-infected people for syphilis and management of the infected would have clinical and epidemiological importance.


2019 ◽  
Author(s):  
gebeyaw biset ◽  
Ketema Bizuwork ◽  
Teshome Habte ◽  
Mengesha Birkie ◽  
Abay Woday

Abstract Background: The neonatal period is the most vulnerable time for child morbidity and mortality. Asphyxia due to poor resuscitation techniques contributed significantly to this vulnerability. Therefore, this study is aimed to assess the extent of knowledge and practice towards neonatal resuscitation among nurses and midwives in public hospitals of south Wollo northeast Ethiopia. Method: Institutional based cross-sectional study design was employed among 143 study participants selected by a simple random sampling method from each hospital. Self-administered questionnaire and interview-based guide were used to collect data. Data were coded and entered into EPI data software version 3.1 and was exported into SPSS version 20 for analysis. Logistic regression with backward LR method was performed to see the possible associations of factors with the outcome variables. Finally, p-values of less than 0.05 in multivariate analysis were declared having a significant association with the outcome variable. Result: One hundred and forty-three participants were included with a response rate of 100%. Only 32.9% and 24.5% of the participants had good knowledge and practice toward neonatal resuscitation respectively. After adjustment was made for covariates; lack of training (AOR: 3.44, 95% CI:1.54-7.68), absence of guideline (AOR: 3.8, 95% CI: 1.68-8.58) and lack of supportive supervision (AOR: 2.49, 95% CI:1.1-5.6) were significantly associated with poor knowledge score, whereas absence of guidelines (AOR: 2.83, 95% CI:1.12-7.15) and lack of supportive supervision (AOR: 5.28, 95% CI: 1.86-14.96) were significantly associated with the poor practice of the participants. Specialization with neonatology (AOR: 0.19, 95% CI: 0.047-0.8) was associated with good practice level of neonatal resuscitation. Conclusion: Knowledge and practice of nurses and midwives toward neonatal resuscitation were suboptimal. The training was found to be a single predictor for knowledge while supportive supervision and availability of resuscitation guidelines were predictors for both knowledge and practice toward neonatal resuscitation. Therefore, regular training and supportive supervision need to be strengthened to fill the identified gaps. Other observational and qualitative studies are recommended to explore factors that contributed to poor knowledge and practice toward neonatal resuscitation.


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