scholarly journals Attitude Towards Traditional Eye Medicine and Associated Factors Among Adult Ophthalmic Patients Attending University of Gondar Comprehensive Specialized Hospital-Tertiary Eye Care and Training Center, Northwest Ethiopia

2021 ◽  
Vol Volume 13 ◽  
pp. 323-332
Author(s):  
Biruk Lelisa Eticha ◽  
Haile Woretaw Alemu ◽  
Aragaw Kegne Assaye ◽  
Mikias Mered Tilahun
PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0252064
Author(s):  
Mikias Mered Tilahun ◽  
Betelhem Temesgen Yibekal ◽  
Habtamu Kerebih ◽  
Fisseha Ademassu Ayele

Purpose This study aimed to assess the prevalence of common mental disorders and associated factors among adults with glaucoma at Gondar university comprehensive specialized hospital tertiary eye care and training center. Glaucoma predisposes patients to common mental problems and leads to wasteful, costly and inefficient use of medical services and complications of the diagnoses. So, determining the level and factors associated with common mental disorders among glaucoma patient would help to improve and integrate comprehensive ophthalmic services which address common mental disorder in a follow-up visit. Methods An institution-based cross-sectional study was conducted on 495 glaucoma patients selected by using systematic random sampling. Data were collected through face-to-face interview and chart review. Self-reported questionnaire (SRQ-20) was used to assess the presence of common mental disorders. Binary logistic regression analysis was done to identify factors associated with common mental disorders. Variables with P<0.05 were considered as factors significantly associated with common mental disorders. Result Four hundred sixty-eight patients were included in this study with a response rate of 94.54%. The mean age of the participant was 58 ± 14.11 years. The prevalence of common mental disorders was found to be 29.5% (95% CI 25.4–33.3). Female sex (AOR = 3.79, 95% CI: 1.66–8.62) (p-value = 0.001), average monthly income of less than 1200 birr (AOR = 6.05 95% CI: 2.26–16.22) (p-value = 0.001), poor level of social support (AOR = 17.39 95% CI: 7.79–38.82) (p-value = 0.001), moderate and high risk of alcohol use (AOR = 10.42 95%CI: 2.74–39.54) (p-value = 0.001), presence of chronic medical illness (AOR = 3.85 95% CI: 2.07–7.16) (p-value = 0.001), receiving both drug and surgical treatment (AOR = 2.50, 95%CI: 1.30–4.83) (p-value = 0.006) and presence of systemic carbonic anhydrase inhibitors use (AOR = 3.16, 95%CI: 1.65–6.06) (p-value = 0.001) were significantly associated with increased level of common mental disorders. Conclusion Significant numbers of glaucoma patients have CMD and found significantly associated with socio-economic, ocular and systemic clinical factors. Therefore, the integration of psychosocial care into the current treatment of patients with glaucoma would have a significant advantage to help these patients.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Melkamu Temeselew Tegegn ◽  
Gizachew Tilahun Belete ◽  
Ayanaw Tsega Ferede ◽  
Aragaw Kegne Assaye

Introduction. Low vision is a worldwide health problem in both developing and developed countries. A national survey of low vision and blindness in Ethiopia showed that the prevalence of low vision was 3.7% and that of blindness was 1.6%, whereas there is no evidence in the study area. Purpose. The study was aimed to assess the proportion and associated factors of low vision at the University of Gondar tertiary eye care and training center. Methods. A hospital-based cross-sectional study was conducted on 727 study participants with a systematic random sampling technique from April 18 to May 16, 2019. Data were collected through the use of a structural questionnaire and physical eye examination. Data were entered into Epi Info version 7, and analysis was performed by using statistical package for social science (SPSS) version 20. The binary logistic regression model was fitted to identify factors associated with low vision, and variables with a P value of <0.05 in a multivariable binary logistic regression were considered as statistically significant. Results. A total of 715 study participants have participated in this study with a mean age of 49.39 ± 19.93 years. The prevalence of low vision was 35.7% (95% CI: 32.3, 39.3). Being female (AOR = 1.58; 95% CI: 1.10, 2.28), no formal educational level (AOR = 2.24; 95% CI: 1.25, 4.02), history of cataract surgery (AOR = 2.58; 95% CI: 1.53, 4.36), and age ≥ 70 years (AOR: 3.96; 95% CI: 2.21, 7.10) were significantly associated with low vision. Conclusion and Recommendation. The prevalence of low vision found in this study was high as compared with the national and global magnitude. Older age, being female, previous history of cataract surgery, and no formal education were independently and significantly associated with low vision. Cataract and uncorrected refractive errors were identified as the main causes of low vision. Therefore, it requires a plan to provide an eye care education to the community, increasing the quality of cataract surgery and refractive service for the community in the catchment area.


2021 ◽  
Author(s):  
Tesfahun Ejigu ◽  
Asmere Tsegaw

Abstract Purpose: Diabetic retinopathy (DR) is one of the most serious complications of diabetes mellitus (DM). It is the most common cause of blindness among the working age group in the developed world and the fifth leading cause of global blindness. In Sub-Saharan Africa, 2.8% of all blindness is caused by DR. Studies addressing the patterns of DR and associated factors are scarce in Ethiopia. The objective of this study was to determine the Prevalence and associated factors of DR among DM patients attending University of Gondar (UOG), Tertiary Eye Care and Training center.Patients and methods: A cross-sectional study was carried out from March 2019 to February 2020 involving all consecutive diabetes patients who visited the center during the study period. Data were collected using a semi-structured questionnaire and data extraction check list, and entered into SPSS version 20 and analyzed. Univariate and multivariate logistic regression analysis were done to identify predictors of DR. Statistical significance was determined with 95% confidence interval using odds ratio and p-values.Results: A total of 225 DM patients with mean age of 55.4 ± 13.5 years were studied, of whom 95 (42.2%) had DR. Duration of diabetes ≥ 6 years (AOR= 2.91: 95%CI; 1.01-8.35) and baseline age < 60 years (AOR= 3.2: 95%CI; 1.19 - 8.63) were significantly associated with DR. Diabetic retinopathy was significantly associated with the form of therapy. Those on insulin (p=0.025), and oral hypoglycemic agents (OHA) with insulin combination (p=0.014) had statistically significantly associated with development of DR. Patients with systolic blood pressure of <140 mmHg were 3.6 times (AOR=0.28:95%CI:0.09-0.82) less likely to have DR. A majority of patients had Non-proliferative DR (NPDR) without diabetic macular edema (DME) (34.2%). DME and proliferative DR (PDR) were seen in 5.7% and 3.6% of the patients respectively. Vision threatening DR (VTDR) was seen in 10.7% of patients. There was significant association between age <60 years and VTDR (AOR=4.19: 95%CI; 1.23-14.35).Conclusion: The prevalence of DR among our study patients was very high. Longer duration of diabetes, higher systolic blood pressure, baseline age < 60 years, use of insulin alone and use of combination of insulin with OHA were independently associated with DR. Health education; early screening and treatment are recommended.


2016 ◽  
Vol Volume 8 ◽  
pp. 85-91 ◽  
Author(s):  
Destaye Shiferaw Alemu ◽  
Alemayehu Desalegn ◽  
Ayanaw Tsega Ferede ◽  
Haile Woretaw Alemu

2019 ◽  
Vol Volume 11 ◽  
pp. 103-104
Author(s):  
Destaye Shiferaw Alemu ◽  
Alemayehu Desalegn ◽  
Ayanaw Tsega Ferede ◽  
Haile Woretaw Alemu

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Tariku Gebre Haile ◽  
Eshetu Haileselassie Engeda ◽  
Abdella Amano Abdo

Background. In many studies, compliance with standard precautions among healthcare workers was reported to be inadequate.Objective.The aim of this study was to assess compliance with standard precautions and associated factors among healthcare workers in northwest Ethiopia.Methods.An institution-based cross-sectional study was conducted from March 01 to April 30, 2014. Simple random sampling technique was used to select participants. Data were entered into Epi info 3.5.1 and were exported to SPSS version 20.0 for statistical analysis. Multivariate logistic regression analyses were computed and adjusted odds ratio with 95% confidence interval was calculated to identify associated factors.Results.The proportion of healthcare workers who always comply with standard precautions was found to be 12%. Being a female healthcare worker (AOR [95% CI] 2.18 [1.12–4.23]), higher infection risk perception (AOR [95% CI] 3.46 [1.67–7.18]), training on standard precautions (AOR [95% CI] 2.90 [1.20–7.02]), accessibility of personal protective equipment (AOR [95% CI] 2.87 [1.41–5.86]), and management support (AOR [95% CI] 2.23 [1.11–4.53]) were found to be statistically significant.Conclusion and Recommendation.Compliance with standard precautions among the healthcare workers is very low. Interventions which include training of healthcare workers on standard precautions and consistent management support are recommended.


2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Yordanos Tsehai Jemberu ◽  
Yared Assefa Woldie ◽  
Wossen Mulugeta ◽  
Destaye Shiferaw Alemu ◽  
Getasew Mulat Bantie

Background. For so long, corneal diseases have been known as one of the leading causes to blindness in the global. This blindness might be due to failure to accept the corneal transplantation. Therefore, this study aimed to determine the prevalence and the root challenges for corneal transplantation acceptance at the University of Gondar tertiary eye care and training center, Ethiopia. Methods. An institution-based cross-sectional study was conducted among patients who had an indication for corneal transplantation at the University of Gondar tertiary eye care and training center since January 1, 2017, up to October 30, 2018. A structured questionnaire was used to collect the data and entered into Epi-Info 7 software and analyzed using SPSS version 20. Simple logistic regression was used to identify the associated factors of corneal transplantation acceptance. Associations between outcome and exposure variables were expressed by the adjusted odds ratio with a 95% confidence interval and p value <0.05. Result. A total of 116 patients with a mean age of 51 (±21) years participated in the study. The overall acceptance level of corneal transplantation was only 38.8% (95% CI: 29.93, 47.66). Patients with poor knowledge [AOR = 2.41; 95% CI: 1.90, 6.48] and an unfavorable attitude [AOR = 6.33; 95% CI: 2.42, 16.54] were significantly associated with the acceptance of corneal transplantation. Conclusion. The study revealed that the corneal transplantation acceptance level was very low. Hence, the government and other concerned stakeholders should give due emphasis to the awareness creation and behavior change communication strategies to increase the acceptance level of corneal transplantation.


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