Factors affecting acceptance of VCT among different professional and community groups in North and South Gondar Administrative zones, north west Ethiopia

Abstract Introduction - Feeding of human breast milk, especially colostrum, is the normative standards for infants and regarded as a complete form of nutrition. The positive health benefits of breastfeeding/breast milk feeding as part of caring for premature, sick and vulnerable newborns are well documented in the scientific literature.Objective -To assess the knowledge and practice of mothers and its contributing factors on colostrum feeding of newborn at Este (Mekane Eyesus), south Gondar Amhara ,north west, ethiopia,2020Method – community-based cross sectional study design was conducted among 376 mothers, from March 10/2020 to May 2020. The study participants were selected by multistage sampling technique after selecting 02 urban and 03 rural kebeles by simple random sampling technique. Each participant was also selected from household after determining and proportionately allocating of samples in each selected kebeles. During selection of participants, house to house visit was made. To select the study participants from each household, Kth interval was determined for each proportionally allocated 3rural and 02 urban kebeles. Multivariable binary logistic regression model was fitted and adjusted odds ratios with 95% confidence interval were computed to determine the strength of association between each variable with milk teeth extraction. Variables with P-value < 0.05 was considered as statistically significant.Result - knowledge of mothers about colostrum feeding was 86.4 % [95% CI: ( 83.0-89.6)] whereas the overall practice of mothers about colostrum feeding was found to be 98.4% [95%, CI :( 96.8-99.5)]. counseling about colostrum feeding [AOR: 31.1(10.35, 93.2] were significantly associated with knowledge of mothers about colostrum feeding. Regarding to practice of mothers on colostrum feeding mothers’ the place of delivery at home [AOR: 20.00(2.30, 173.8] was significantly associated with practice of mothers about colostrum feeding.Conclusion - Discarding of colostrum (first milk) is still common in Este (Mekane Eyesus) and the surrounding rural kebeles. The current knowledge and practice level of colostrum feeding among mothers was 96.4% and 98.4% respectively and which was considered being high when compared the study conducted in Northern Ethiopia and post-natal educations in health institutions.

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Body mass index variation over time and associated factors among HIV-positive adults on second-line ART in north-west Ethiopia: a retrospective follow-up study

BMJ Open ◽

10.1136/bmjopen-2019-033393 ◽

2019 ◽

Vol 9 (9) ◽

pp. e033393

Author(s):

Adhanom Gebreegziabher Baraki ◽

Lemma Derseh Gezie ◽

Ejigu Gebeye Zeleke ◽

Tadesse Awoke ◽

Adino Tesfahun Tsegaye

Keyword(s):

Functional Status ◽

Hiv Positive ◽

Second Line ◽

Factors Affecting ◽

North West ◽

Follow Up Study ◽

Hiv Positive Adults ◽

North West Ethiopia ◽

Over Time

ObjectivesThis study aimed to assess the evolution of body mass index (BMI) of HIV-positive adults on second-line antiretroviral therapy (ART) over time and factors affecting it in north-west Ethiopia.DesignAn institution-based retrospective follow-up study was conducted using data extracted from 1016 patient cards from February 2008 to February 2016.SettingEight referral hospitals from Amhara region, Ethiopia were included.ParticipantsHIV patients who started second-line ART.Outcome measuresChange in BMI since starting second-line ART.ResultsFive hundred and thirty-eight (52.95%) participants were males and the median age of the participants was 33 years (IQR: 28; 39). The median follow-up time was 18 months (IQR: 5.2; 32.2). The average change of BMI showed linear increase over time. The amount of BMI increment or decrement according to each variable was shown as β coefficients. Treatment duration (β=0.013, 95% CI 0.004 to 0.022), isoniazid prophylaxis (β=0.87, 95% CI 0.32 to 1.42), cotrimoxazole prophylaxis (β=0.63, 95% CI 0.08 to 1.19), ambulatory functional status (β=−1.16, 95% CI −1.95 to 1.31), bedridden functional status (β=−1.83, 95% CI −2.47 to 1.21), WHO stage III (β=−0.42, 95% CI −0.65 to 0.20), WHO stage IV (β=−0.62, 95% CI −1.02 to 0.22), CD4 count (β=0.001, 95% CI 0.0008 to 0.0015), and time interaction of variables like tertiary educational status (β=0.02, 95% CI 0.01 to 0.04), ambulatory functional status (β=0.03, 95% CI 0.01 to 0.05) and WHO stages III (β=0.01, 95% CI 0.007 to 0.02) were found to be significant predictors.ConclusionThe BMI of patients has shown linear increment over the treatment time. Factors affecting it have been identified but its effect on cardiovascular disease needs further study.

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