scholarly journals Help-Seeking Preferences to Informal and Formal Source of Care for Depression: A Community-Based Study in Northwest Ethiopia

2021 ◽  
Vol Volume 15 ◽  
pp. 1505-1513
Author(s):  
Shegaye Shumet ◽  
Telake Azale ◽  
Dessie Abebaw Angaw ◽  
Getachew Tesfaw ◽  
Messele Wondie ◽  
...  
2020 ◽  
Author(s):  
shegaye shumet ◽  
Tilahun Kassew ◽  
Telake Azale ◽  
Getinet Ayano ◽  
Dessie Abebaw ◽  
...  

Abstract Background: Depression is the leading cause of disability at a population level and globally 350 million people are suffering from depression. Many people suffer from depression use different sources of help for their mental health problems. People with different mental health problems seek help from formal and/or informal sources. This gives crucial information on community,s beliefs and perception regarding their preference for help if they faced depression. This study helps to guide effective planning and provision of mental health services and health policy of the country to explore the community,s preferences of help-seeking. Objective: The aim of this community based cross-sectional study was to contrast patterns of formal and informal help-seeking preferences for depression among residents of Aykel town, Northwest Ethiopia. Methods: This cross-sectional population based study included 832 participants. We used a major depressive disorder case vignette and general help-seeking questionnaire (GHSQ) to assess the preferences to seek help. Study participants were selected by multistage cluster sampling technique. Data were collected by face-to-face interviews. An independent- sample t- test and analysis of variance test (ANOVA) was performed to determine mean score difference in socio-demographic characteristics of the participants for informal sources of help.Results: A total of 656 subjects (78.8%) showed high propensity to intimate partner, and 655 (78.7%) of the study subjects had high propensity to mental health professional. The mean score of the residents’ preference to seek help from informal sources was 3.41±0.60.The mean score of preference to seek help from formal sources was 3.18±0.75. A total of 276 (33.2%) subjects showed high propensity to both informal and formal sources of help. The result also showed that there was mean score difference in preferences to informal help between subjects with strong social support and low and/ moderate social support (P<0.001).Conclusion: The result suggests that the majority of the residents had a higher preference to seek help from informal sources compared to formal sources of care. Mean score difference was observed in degree of social support and occupational status(student,housewife and jobless) for informal sources of help. Providing and strengthening both formal and informal sources of help in conjunction is crucial to get a more qualified and effective care of depressed patients.


2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Kessete Ayelgn ◽  
Tadesse Guadu ◽  
Atalay Getachew

Abstract Background Trachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited. Objective To determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia. Method A community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance. Results A total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95% CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3–6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma. Conclusion The current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Eshetu Haileselassie Engeda ◽  
Berihun Assefa Dachew ◽  
Hiwot Kassa Woreta ◽  
Mengistu Mekonnen Kelkay ◽  
Tesfaye Demeke Ashenafie

Studies in the northern part of Ethiopia showed high prevalence of undiagnosed cluster of tuberculosis cases within the community which demanded an investigation of the health care seeking behaviour of tuberculosis suspects. A community-based cross-sectional study was conducted in Lay Armachiho district, Northwest Ethiopia. Individuals who had cough for at least two weeks and aged greater than or equal to 15 years were included in the study. Data were collected by interview using pretested and structured questionnaire. Logistic regression was computed and adjusted odds ratio with 95% confidence interval was calculated. Out of the total population surveyed (29, 735), 663 (2.2%) individuals were found to be pulmonary tuberculosis suspects. Majority of the suspects reported that they had visited a modern health care facility. Those aged 15 to 34 and aged 35–54 had secondary educational level and above; those who were civil servants, those who were farmers, those who had previous history of tuberculosis treatment, and those who perceived that they were sick were more likely to visit a modern health care facility. The proportion of respondents who had taken traditional measures was found to be higher than some other districts. Improving the socioeconomic status of the community is recommended.


2021 ◽  
Vol 9 ◽  
pp. 205031212110633
Author(s):  
Almaw Genet ◽  
Achenef Motbainor ◽  
Tsion Samuel ◽  
Muluken Azage

Introduction: Different interventions have been done to reduce the burden of soil-transmitted helminths (STH). The available evidences in Ethiopia in either school or community-based school-aged children (SAC) have limitation in wetland areas. This study assessed the prevalence and associated factors of STH infection among SAC in wetland and non-wetland areas of Blue Nile Basins, Amhara Region, Northwest Ethiopia. Method: A community-based comparative study was conducted from October to November, 2019. Multistage stratified random sampling technique used to select 716 SAC. Data were collected using structured questionnaire and observational checklist. Stool samples were collected from children using tight-fitting plastic cups following the standard procedures. Data were coded and entered into Epi data version 4.6 and exported to SPSS version 20 software. Bivariate and multivariable logistic regression analysis was employed to identify factors associated with STH. Results: The overall prevalence of STH was 30.30% (95% CI: 26.90, 33.90) and did not show significant variation between wetland (33.60% (95% CI: 28.80, 39.60%)) and non-wetland (27.0% (95% CI: (21.90, 31.60)) areas. Presence of human feces near the house and certain habits such as nail trimming and playing with mud/soil was not different between wetland and non-wetlands. Nonetheless, the presence of human feces near the house of respondents was found to be significantly associated with STH infection (p value < 0.001). Moreover, other factors significantly associated with STH infection were lack of nail trimming (p value < 0.001) and playing with mud/soil (p value < 0.01). Conclusions: The prevalence of STH was high and did not show significant variation between the two areas. Emphasis needs to be given for hygiene and lifestyle-related factors.


2021 ◽  
Vol Volume 14 ◽  
pp. 993-1001
Author(s):  
Tadesse Guadu Delele ◽  
Gashaw Andargie Biks ◽  
Solomon Mekonnen Abebe ◽  
Zemene Tigabu Kebede

2020 ◽  
Author(s):  
Mulugeta Dile Worke ◽  
Gurmesa Tura Debelew ◽  
Zewdie Birhanu Koricha

Abstract Background: Coping strategies of sexual harassment are determined by the person, environment, and cognitive reappraisal. Consequently, the issue of how women victims cope with the problem is still unsettled worldwide. Women were disproportionately victims of sexual harassment in the hospitality industries, and the issue of response is at an earlier phase in low and middle-income countries, and particularly in Ethiopia. Thus, this study was aimed to develop a context specific and data-driven coping strategy framework for sexual harassment victimization against women working in the hospitality workplaces.Methods: We conducted a qualitative, grounded theory approach to guide the study process. The data were collected from women, managers, cashiers, and customers. We use a semi-structured, specific audience, and focus group discussion guides. A constant comparative approach was used to summarize data and describe meanings. ATLAS. ti version 8.4.24 software package was used for data coding categorizing, and visualizing networks.Results: The analysis provided a context specific coping strategic framework, which consists of, closely interconnected, four dimensions practiced by women hospitality employees. The dimensions were normalization, engagement, help-seeking, and detachment with the respective barriers. The normalization dimension encompasses silence, acceptance, denial, refusal, grief, and tolerance. Likewise, the engagement dimension consists of confrontation, negotiation, retaliation/threatening, and discrimination of the perpetrators. The help-seeking dimension also involves elements such as discussing with friends, complaining to supervisors, consulting professionals, and accusing the perpetrators. Finally, the detachment dimension entails job-hopping, job withdrawal, work withdrawal, and distancing. A variety of barriers deterred all dimensions. However, normalization was facilitated by some factors, and adverse outcomes ended the engagement dimension of coping.Conclusion: The sexual harassment coping capacities of women employees have been unclear, which left no whole for the stakeholders to intervene. The new coping strategic framework can serve as a valuable guide to design context-specific interventions that make the women and the stakeholders prevent sexual harassment, decrease the barriers, and alleviate effects.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Melash Belachew Asresie ◽  
Gizachew Worku Dagnew

Abstract Background Institutional delivery is the cornerstone reducing maternal mortality. Community-based behavioral change interventions are increasing institutional delivery in developing countries. Yet, there is a dearth of information on the effect of attending pregnant women’s conferences in improving institutional delivery in Ethiopian. Therefore, this study was aimed to assess the effect of attending pregnant women’s conference on institutional delivery, Northwest Ethiopia. Methods Community-based comparative cross-sectional study was conducted in 2017 among 871 women who gave birth within the last 12 months (435: pregnant women’s conference attendants and 436: pregnant women’s conference non-attendants). Participants were selected by using a multistage-simple random sampling technique and a structured interviewer-administered questionnaire was used for data collection. Both descriptive and logistic regression analyses were performed using SPSS V.23. A P-value less than or equal to 0.05 at 95% confidence interval was set to test statistical significance. Results Institutional delivery among women who attended pregnant women’s conferences was 54.3%, higher compared with 39.9% of women who didn’t attend the conference. Likewise, the level of well-preparedness for birth was higher among women who attended the conference (38.9%) compared with their counterparts (25.7%). Being knowledgeable on childbirth (AOR = 1.7, 95%CI: 1.2, 2.8) and postpartum danger signs (AOR = 14.0, 95%CI: 4.6, 40.0), and discussed with partners/families about the place of birth (AOR = 7.7, 95%CI: 3.6, 16.4) were more likely to institutional delivery among women who attended pregnant women’s conference. Whereas, among women who didn’t attend the pregnant women’s conference, being knowledgeable about pregnancy danger signs (AOR = 3.6, 95%CI: 1.6, 8.1) were more likely to institutional delivery. In addition, the nearest health facility within 1 h of walking and well-preparedness for birth and its complication were found positively associated with institutional delivery in both groups. Conclusion Institutional delivery was low in both groups compared to the national plan, but was higher among women who attended the conference. Similarly, women’s knowledge of obstetric danger signs and preparation for birth and its complication was higher among women who attended the conference. Therefore, encouraging women to attend the pregnant women’s conference and discuss with their families about the place of delivery should be strengthened.


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