20 research outputs found
sj-docx-1-smo-10.1177_20503121221094658 – Supplemental material for Determinants of long-acting reversible contraceptive use among women in Jawi woreda, North West Ethiopia: A case-control study
No full textSupplemental material, sj-docx-1-smo-10.1177_20503121221094658 for Determinants of long-acting reversible contraceptive use among women in Jawi woreda, North West Ethiopia: A case-control study by Abiyot Wolie Asres, Ayele Almaw Tiruneh, Addisu Gasheneit Ferede and Woldeamilak Adamu Hunegnaw in SAGE Open Medicine</p
Formula Feeding Practice and Associated Factors Among Mothers Who Visited Health Facilities for Their Infants Aged Below 6 Months in Bahir Dar City, Northwest Ethiopia, 2020
No full textHamelmal Azene Alemu,1 Hiwot Tesfa,2 Tadele Fentabil Anagaw,3 Hunegnaw Almaw Derseh,4 Netsanet Fentahun Babbel4 1Department of Human Nutrition, Health Science College, Debre Tabor University, Debre Tabor, Ethiopia; 2Department of Public Health, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia; 3Department of Health Promotion and Behavioral Science, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia; 4Department of Public Health Nutrition, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, EthiopiaCorrespondence: Hunegnaw Almaw Derseh, Department of Public Health Nutrition, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, PO Box: 79, Bahir Dar, Ethiopia, Tel +251-912-80-22-59, Email [email protected]: Even though breastfeeding for infants and young children provides the ideal food for healthy growth and development, nowadays the use of infant formula feeding has increased worldwide. In developing countries, 1.3 million to 1.45 million childhood deaths are attributed to suboptimal breastfeeding practices.Objective: This study aimed to assess infant formula feeding practice and associated factors among mothers who visited health facilities for their infants aged less than 6 months in Bahir Dar city in 2020.Methods: An institution-based cross-sectional study was conducted in March–May 2020. Data were collected from 593 randomly selected mothers with infants less than 6 months of age. A multivariable logistic regression analysis was performed to identify associated factors of formula feeding practice with an a p-value of less than 0.05 and an adjusted odds ratio of 95% confidence interval.Results: The prevalence of infant formula feeding practices was 25%. Maternal age group of 25– 34 years [AOR = 2.388; 95% CI: 1.295, 4.406], mother’s occupation of private employee [AOR = 6.726; 95% CI: 2.756, 16.413], government employee [AOR = 4.726; 95% CI: 1.895, 8.700] and merchant [AOR = 2.798; 95% CI: 1.066, 7.345], positive attitude to infant formula [AOR = 2.10; CI: 1.09, 4.06], delayed breast milk initiation after delivery [AOR = 3.73; 95% CI: 1.504, 9.252], mothers who had 3 antenatal care [AOR = 2.294; 95% CI: 1.317, 3.997] and source of formula milk information from supermarket/pharmacy [AOR = 6.57; 95% CI: 1.48, 29.16] and from families/friends [AOR = 2.24; 95% CI: 1.24, 4.03] were independent predictors of infant formula feeding practice.Conclusion: This study’s findings revealed that one-fourth of mothers fed infant formula before the age of 6 months. Therefore, we recommended promoting behavior change communication, focusing on attitude change in formula feeding practice and its health consequences, promoting exclusive breastfeeding practice, and strengthening ANC service provision.Keywords: formula feeding practice, infants less than 6 months of age, Ethiopi
Determinants of hyperemesis gravidarum among pregnant women attending antenatal care at public and private hospitals in Bahir Dar City, North-West Ethiopia, 2022: a multicenter unmatched case control study
No full textAbstract Introduction Hyperemesis gravidarum is a severe form of nausea and vomiting during pregnancy characterized by more than 5% weight loss and ketonuria. Although there are cases in Ethiopia, there is still insufficient information regarding the determinant factors of hyperemesis gravidarum.This finding helps to decrease maternal as well as fetal complications of hyperemesis gravidarum by early identification of pregnant mothers who are at high risk. This study aimed to assess determinants of hyperemesis gravidarum among pregnant women attending antenatal care at public and private hospitals in Bahir Dar, North-West Ethiopia, 2022. Method A multicenter, facility-based, unmatched case-control study was conducted on 444 pregnant women (148 cases and 296 controls) from January 1 to May 30. Women with a documented diagnosis of hyperemesis gravidarum on the patient chart were considered as cases, and women who attended antenatal care service without hyperemesis gravidarum were assigned as controls. Cases were selected using a consecutive sampling technique, whereas controls were selected using systematic random sampling technique. Data were collected using an interviewer-administered structured questionnaire. The data were entered into EPI-Data version 3 and exported into SPSS version 23 for analysis. Multivariable logistic regression was performed to identify determinants of hyperemesis gravidarum at a p-value of less than 0.05. An adjusted odds ratio with a 95% confidence interval was used to determine the direction of association. Results Living in urban (AOR = 2.717, 95% CI : 1.693,4.502), primigravida (AOR = 6.185, 95% CI: 3.135, 12.202), first& second trimester of pregnancy (AOR = 9.301, 95% CI: 2.877,30.067) & (AOR = 4.785, 95% CI: 1.449,15.805) respectively, family history of hyperemesis gravidarum (AOR = 2.929, 95% CI: 1.268,6.765), helicobacter pylori (AOR = 4.881, 95% CI: 2.053, 11.606) & Depression (AOR = 2.195, 95% CI: 1.004,4.797) were found to be determinants of hyperemesis gravidarum. Conclusion Living in an urban area, primigravida woman, being in the first and second trimester, having family history of hyperemesis gravidarum, Helicobacter pylori infection, and having depression were the determinants of hyperemesis gravidarum. Primigravid women, those living in urban areas, and women who have a family history of hyperemesis gravidarum should have psychological support and early treatment initiation if they develop nausea and vomiting during pregnancy. Routing screening for Helicobacter pylori infection and mental health care for a mother with depression at the time of preconception care may decreases hyperemesis gravidarum significantly during pregnancy
Sociodemographic Factors Associated with Bottle Feeding Practices in Infants Under Two Years of Age: A hospital-based study in Woldia, Ethiopia
No full textINTRODUCTION: Bottle feeding should be avoided when possible in infants under the age of two to improve health outcomes. The magnitude of bottle feeding practice is currently increasing in Ethiopia, however factors associated with bottle feeding usage are rarely addressed in research. We aimed to fill this gap and assess the magnitude of bottle feeding and its association with sociodemographic factors among infants in Woldia, Ethiopia in 2019. METHODS: A hospital-based cross-sectional study was conducted in Woldia General Hospital at the Immunization Clinic. A total of 255 mothers who had infants were selected by systematic random sampling method. Data was collected through face-to-face interview using a structured standardized questionnaire. The data was entered to EpiData version 3.1 and analyzed using SPSS version 20. Binary logistic regression analysis models were used to assess the association between dependent and independent variables. Variables with p-value < 0.2 in bivariable logistic regression analysis were entered to multivariable logistic regression analysis. Finally, variables with p-value < 0.05 with 95% CI in multivariable logistic regression were taken as independent predictors. COR and AOR were used to show the strength of association between the dependent and independent variables. RESULTS: The rate of bottle feeding practice in this study was 42.7% (95%CI: 35.8, 48.2). Being an infant age 0–5 months old [AOR=0.16; 95%CI: 0.06, 0.4], being a mother age 35–50 years old [AOR=0.43; 95%CI: 0.22, 0.85], having 2–5 children [AOR=6.37; 95%CI: 1.33, 30.44], and being a farmer as reported mother's occupation [AOR=2.72; 95%CI: 1.30, 5.67] showed significant association with bottle feeding practice. CONCLUSIONS: The magnitude of bottle feeding practice was significantly higher in the current study as compared to national prevalence. Several sociodemographic factors showed significant association with bottle feeding practice which need to be explored further in the future research
Diet quality of preparatory school students in Awi Zone, Ethiopia: a cross-sectional study
No full textObjective The study aimed to assess diet quality and associated factors among preparatory school students in Awi Zone, Ethiopia.Design A school-based cross-sectional study design was used in this study.Setting The study was carried out in Awi Zone, Amhara Region, Ethiopia.Participants A total of 834 preparatory school students participated in the study.Outcome measures Diet quality was the outcome variable, and it was computed using the dietary diversity score, food variety score and consumption of animal-source foods. Students with high dietary diversity scores, appropriate animal-source food consumption and adequate food variety scores were labelled as having good-quality diets. Data were collected using a pretested structured self-administered questionnaire. Bivariate and multivariable logistic regressions were employed to analyse the data. Variables with p≤0.2 in the bivariate logistic regression analysis were included in the multivariable logistic regression model. Multivariable logistic regression analysis was done to determine the strength of the association. Statistical significance was determined at p value less than 0.05.Results Only 24.7% (95% CI: 21.7%, 27.7%) of preparatory school students had good-quality diets. Being female (adjusted OR (AOR)=2.88, 95% CI: 2.0, 4.1), residing in an urban setting (AOR=1.90, 95% CI: 1.1, 3.2), having an educated mother (AOR=1.78, 95% CI: 1.1, 2.7), having pocket money (AOR=1.83, 95% CI: 1.2, 2.6) and nutrition information (AOR=1.90, 95% CI: 1.2, 3.1), and family monthly income >8000 Ethiopian birrs (AOR=3.90, 95% CI: 2.2, 7.1) were factors significantly associated with having good-quality diet.Conclusion The majority of the preparatory school students had poor-quality diets. These findings highlight the necessity of nutrition education that considers the sociodemographic characteristics of the students and their families. Implementing income-generating interventions for low-income households was also recommended by the findings
Factors associated with overall micronutrient intake inadequacy among school adolescent girls at Meshenti town, Bahir Dar City Administration, North West Ethiopia, 2020(n = 401).
No full textFactors associated with overall micronutrient intake inadequacy among school adolescent girls at Meshenti town, Bahir Dar City Administration, North West Ethiopia, 2020(n = 401).</p
Mean (±SD) and median (IQR) of micronutrient intake of adolescent girls at Meshenti town, Bahir Dar City Administration, February 2020. (n = 401).
No full textMean (±SD) and median (IQR) of micronutrient intake of adolescent girls at Meshenti town, Bahir Dar City Administration, February 2020. (n = 401).</p
AN EFFICIENT DEEP LEARNING APPROACH FOR GROUND POINT FILTERING IN AERIAL LASER SCANNING POINT CLOUDS
No full textGround surface extraction is one of the classic tasks in airborne laser scanning (ALS) point cloud processing that is used for three-dimensional (3D) city modelling, infrastructure health monitoring, and disaster management. Many methods have been developed over the last three decades. Recently, Deep Learning (DL) has become the most dominant technique for 3D point cloud classification. DL methods used for classification can be categorized into end-to-end and non end-to-end approaches. One of the main challenges of using supervised DL approaches is getting a sufficient amount of training data. The main advantage of using a supervised non end-to-end approach is that it requires less training data. This paper introduces a novel local feature-based non end-to-end DL algorithm that generates a binary classifier for ground point filtering. It studies feature relevance, and investigates three models that are different combinations of features. This method is free from the limitations of point clouds’ irregular data structure and varying data density, which is the biggest challenge for using the elegant convolutional neural network. The new algorithm does not require transforming data into regular 3D voxel grids or any rasterization. The performance of the new method has been demonstrated through two ALS datasets covering urban environments. The method successfully labels ground and non-ground points in the presence of steep slopes and height discontinuity in the terrain. Experiments in this paper show that the algorithm achieves around 97% in both F1-score and model accuracy for ground point labelling
Unlocking health insights: exploring intention to adopt district health information systems in Bahir Dar City, northwest Ethiopia
No full textBackgroundDistrict Health Information System version 2 (DHIS2) is an open-source platform designed for data collection, processing, analysis, and visualization within healthcare systems. However, there is limited empirical evidence regarding health professionals’ intentions to use district health information systems. Understanding the factors influencing health workers’ intention to utilize DHIS2 is crucial for ensuring successful implementation and sustained usage. This study aimed to assess the intention to use DHIS2 and identify associated factors among health professionals in health centers of Bahir Dar Metropolitan City, Ethiopia, in 2022.MethodsAn institutional-based cross-sectional study was conducted involving 368 randomly selected health professionals from health centers in Bahir Dar City, Ethiopia, between 24 May and 24 June 2022. Data were collected using a structured, self-administered questionnaire. Completed questionnaires were entered and coded in EpiData version 4.6 and exported to SPSS version 25 for cleaning and statistical analysis. Descriptive statistics and bivariate and multivariable logistic regression analyses were performed. Model fitness was assessed using the Hosmer–Lemeshow goodness-of-fit test, with statistical significance set at a p-value < 0.05 and a 95% confidence interval.ResultsA total of 342 participants completed the study, resulting in a response rate of 92.9%. The sample included 176 (51.5%) women, of whom 147 (43%) were nurses. Nearly two-thirds (65.2%) of health professionals expressed an intention to use the DHIS2 system. The intention to use DHIS2 was significantly associated with factors including attitude, computer skills, perceived utility, and perceived ease of use.ConclusionThe findings indicate that attitude, perceived utility, perceived ease of use, and computer skills significantly influence the intention to utilize DHIS2. Therefore, it is imperative to implement targeted interventions before system rollout, including practice-based training, fostering positive attitudes, and enhancing knowledge of the system's usability and functionality to improve the adoption of the district health information system
