scholarly journals Medication Non-adherence and Use of Traditional Treatment Among Adult Psychiatric Patients in Jimma Town Treated at Jimma University Teaching Hospital Psychiatric Clinic. Community Based Cross-sectional Study, 2016

2017 ◽  
Vol 21 (1) ◽  
Author(s):  
Birhanie Mekuriaw ◽  
Mubarek Abera ◽  
Workinesh Tessema ◽  
Liyew Agenagnew ◽  
Badiru Dawud ◽  
...  
2018 ◽  
Author(s):  
Eba Abdisa Golja ◽  
Shimelis Girma

AbstractBackgroundself Stigma associated with psychiatric disorders and its treatment toward patients with mental illness is the main challengers for early and successful treatment outcome.ObjectiveTo assess the association between self stigma and level of medication adherence among patients with mental illness who have been treated at psychiatric clinic, JUSH, South West Ethiopia, 2017.MethodsThis study is a community based cross sectional study design using a case tracing method to identify patients in the community. To get the study subject, tracing method was carried to get the patients who had history of treatment at psychiatric clinic, Jimma University Teaching Hospital. Interview based Questionnaire was used to get information from the participants. The relationship was checked by doing both bivariate and multi variables linear regression.ResultOf the total respondents, males were185 (61.7%), females 115 (38.3%), and the mean age of the respondents was 34.99 (SD=11.51) years. From the total (n=300) respondents, more than half of them, 182 (60.7%) were adherent to their psychotropic medication. Among adherent respondents, of all types of stigma, minimal stigma was 63.2% whereas moderate to high stigma was 22.4%.ConclusionIt was identified that there was high self stigma related to medication non adherent among patients with mental illness. Therefore, mental health professionals and the health care policy shall work to increase the level of psychotropic medication adherence so as to decrease self stigma associated with mental illness.


2020 ◽  
Author(s):  
Bekana Fekecha Hurissa ◽  
Haregwa Asnake

Abstract Background: Malnutrition continues to be a critical public health problem in sub-Saharan Africa. For example, in East Africa, 48% of children under- five are stunted while 36% are under weight. Poor health and poor nutrition are now more characteristics of children living in urban area than of children in rural areas. Therefore this study assessed the effect of maternal employment on nutritional status of under-five children at Mendera Kochi kebele of Jimma town South West of Ethiopia.Method: Community based cross sectional study design was conducted in Jimma town Mendera Kochi kebele from April15-May 05. Systematic sampling technique was used. Pre-tested structured questionnaires used for data collection. A total of 264 study subjects were interviewed. The collected data analyzed using SPSS 20 version.Result: Out of 264 total households the majority, 96(36.4%) of mothers were living in households with 3-4 or more family members. Out of 264 respondents 155(58.7%) were government employee, 93(35.3%) and the remaining were private and NGO employees. The income level of majority of respondents, 54.5% was between 1000 and1500. A total of 254 children aged 0–59 months were enrolled in this study. The age of the children in the study area, 6-12 months 89(35%), 12-24 months 111(43.6%), and 24-59 months 54(21.4%) respectively. Weight of children’s 53(21.1%) were between 1500-2500 gm, 40(16.1%) were between 2500-4000gm, 25(9.8%) were >4000gm and the rest were below 1500gm. 151(57.2%) children of working mothers had a mean upper arm circumference value of >=12.5. 51.1% of the children had height for age ranged from 90-95% percentiles. Conclusion- The children of working mothers were observed to achieve better nutritional status from their anthropometric measurement. Maternal employment is not a protective factor against diarrhea and acute respiratory infection.


2019 ◽  
Author(s):  
Tilahun Abdeta ◽  
Daniel Tolessa ◽  
Wondale Tsega

Abstract Background Tardive Dyskinesia is described as a movement disorder that can be caused by the prolonged use of antipsychotics. It is a permanent condition that affects quality of life. However, studies on TD among psychiatric patients in Ethiopia are limited. The objective of this study was to determine the prevalence and associated factors of Tardive dyskinesia among psychiatric patients on first-generation antipsychotics at Jimma University specialized hospital (JUSH) psychiatric clinic, Jimma, South west Ethiopia.Method Hospital based cross-sectional study was conducted using Abnormal Involuntary Movement Scale (AIMS) and Schooler and Kane research criteria to identify cases of first-generation antipsychotic-induced TD among 151 psychiatric outpatients on first-generation antipsychotics at Jimma University Specialized Hospital psychiatric clinic. Simple random sampling method was employed to select subjects from a total of 912 patients on follow-up and logistic regression analysis was employed to identify associated factorsResult In our study the prevalence of first-generation antipsychotic induced TD was 14.6% (95%CI: 10.76%, 18.4%). In the final model multivariate logistic regression analysis revealed that age (AOR 4.5, 95%CI: 9.7, 20.4), current smoking cigarettes (AOR 1.4, 95%CI: 2.6, 7.8) and chlorpromazine equivalent dose (AOR 6.5, 95%CI: 2.6, 26.8) had statistically significant association with first-generation antipsychotic induced TD.Conclusions Considerable number of psychiatric patients were suffered from first-generation antipsychotic induced TD. Age and current smoking cigarettes and chlorpromazine equivalent dose had significant association with first-generation antipsychotic induced TD. Therefore, stakeholders should consider and appropriately address these statistically identified associated factors in order to reduce antipsychotic induced TD.


2020 ◽  
Author(s):  
Derese Bekele Daba ◽  
Kefyalew Taye Belete

Abstract Background: Violence against children is a major public health, human rights, and social problem, with potentially devastating and costly harming children in every country. Even though evidences showed that street children accumulate a range of experiences of violence from an early age, physical and sexual violence are the commonest among street children. Street children’s health is an area that is not well researched, especially the magnitude and forms of violence targeted to street children lack attention, in which only few qualitative studies have been done in different parts of Ethiopia in past remote years. Therefore, this study planned to determine the magnitude of physical violence and associated factors among street children, who were residing in Jimma town, March, 2019. Methods: A community based cross-sectional study was conducted among 312 street children. Pre tested Self-administered structured questioners were used for data collection. Data were entered to Epi data version 3.1 and exported to SPSS version 20 for statistical analysis. Principal Component Analysis (PCA) was used to create a dichotomous dependent variable. Independent variables with p-value ≤ 0.25 in bivariate analysis were included into multivariable logistic regression and variables with P-value < 0.05 in multivariable logistic regression were declared as statistically significant.Results: A community based cross-sectional study was conducted among 312 street children from March 1 st to 31 st 2019. The study found that the magnitude of low physical violence to be 52.9% (95% C.I: 47.1- 58.7%) and high physical violence 47.1% (95% C.I: 41.3-52.9%). Factors like sex (being males) (AOR: 2.70, 95% C.I: 1.00- 7.36), sleeping under bridge (AOR: 2.08, 95%C.I: 1.11-3.89), deliver message (AOR: 2.43, 95%C.I: 1.20- 4.93), attending/washing cars (AOR: 2.17, 95%C.I: 1.22- 3.93), and begging (AOR: 3.12: 95%C.I: 1.33- 7.27) as a means of income generation and those who were tensioned, anxious or feel insecure during their street life (AOR: 1.90, 95%C.I: 1.03- 3.51) had statistically significant association with low physical violence. Being female (AOR: 2.82, 95%C.I: 1.01- 8.06) was statistically associated with high physical violence whereas factors like spent night under plastic shelter (AOR: 2.36, 95%C.I: 1.02- 5.46), spent night under bridge (AOR: 0.47, 95%C.I: 0.25- 0.89), can read and write (AOR: 0.11, 95%C.I: 0.03- 0.41), Attended/ washed cars(AOR: 0.48, 95%C.I: 0.27- 0.88) and begging (AOR: 0.40, 95%C.I: 0.17-0.96) pose less risk of having high physical violence.Conclusion: Street children are experiencing low to high physical violence and a number of factors are contributing to this problem in the study setting. Intersectoral collaboration and efforts are needed to alleviate physical violence among street children. Policy formulation and law enforcement targeting to this street children and perpetrator is needed locally and nationally.


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