64 research outputs found
Menstrual Hygiene Management and Associated Factors among High School Girls: - A Case of Bahir Dar City Administration
No full textBackground: -Menstruation is the cyclical shedding of the inner lining of the uterus, the
endometrium, under the control of hormones of the hypothalamo-pituitary axis.
In adolescents who experienced menstruation for the first time, menstrual hygiene
management is constrained by practical, social, economic and cultural factors such as the
expense of commercial sanitary pads, lack of water and latrine facilities, lack of private rooms
for changing sanitary pads, and limited education about the facts of menstrual hygiene.
However, menstrual hygiene management is an under researched issue in East Africa including
Ethiopia.
Objective: -The aim of the study was to assess menstrual hygiene management and associated
factors among secondary and preparatory school girls in Bahir Dar city administration,
Northwest Ethiopia, 2016.
Methods: - A cross-sectional quantitative study was conducted from March 1st- 31th, 2016
to assess the menstrual hygiene management and associated factors among high school girls
in Bahir Dar city administration Northwest, Ethiopia on a minimum sample of 685 .
Data was collected by self-administered structured questionnaire. After checking for
completeness, data was coded and entered to SPSS version 20 for analysis.
Descriptive and analytical statistics were employed. Bivariate analyses were used to examine
association between dependent and independent variables. All variables with p<=0.20 in
bivariate analysis were fitted in to the multivariate logistic regression model to identify factors
associated with menstrual hygienic practice. P value <= 0.05 were considered as a level of
significance.
After bivariate analysis, the significant factors of menstrual hygiene were fitted in to the
multivariate model.
Result: - Majority of the participants (84.3%) practiced good menstrual hygiene and had high
level of menstrual hygiene knowledge (95.2%).
As the study found that; urban dwelling, access for water, school type and knowledge about
sanitary pads before were the factors associated with menstrual hygiene management.
It showed that the practice of good menstrual hygiene was more among students who live in the
urban (AOR 2.708:95% CI, 1.712, 4.285) than students who live in the rural area, students who
have access for water (AOR 1.553:95% CI, 0.309, 0.989) than students who have no access for
water, students from private schools (AOR 4.425:95% CI, 1.793, 10.924) than who are in the
public schools and students who had knowledge about sanitary materials(AOR 2.493:95% CI,
1.478, 4.207) than who had not knowledge before.
Conclusion: Majority of the participants had high level of menstrual hygiene knowledge and
good practice. Different factors affect the practice of menstrual hygiene such as access of water,
residency, type of school and hearing about sanitary pads before
Factors associated with poor treatment outcome of tuberculosis in Debre Tabor, northwest Ethiopia
No full textFactors associated with poor treatment outcome of tuberculosis in Debre Tabor, northwest Ethiopia
No full textAbstract Objective Directly observed treatment short course has been implemented as part of the national tuberculosis control program in Ethiopia. The strategy, as evidenced by different studies, has improved the survival and treatment success rate of tuberculosis patients. However, some patients failed to complete their treatments and the factors for this failure were not assessed in the study area. We, therefore sought to identify factors associated with poor treatment outcome of tuberculosis in Debre Tabor, northwest Ethiopia. Results We included 303 patients (173 males, 130 females) with mean age of 34.9 years in the study and 39 (12.9%) patients were with poor treatment outcome over the period of 5 years (2008–2013). Being male, urban residency, positive and unknown smear result at the 2nd month of treatment and patients in the age of 35–44 years were more likely to have poor treatment outcomes than their counterparts. Patients in the new treatment category were less likely to have poor treatment outcome compared to the retreated cases. Further studies are recommended to explore the association of poor treatment outcome with other important factors which are not investigated by this study
Helicobacter pylori infections in Ethiopia; prevalence and associated factors: a systematic review and meta-analysis
No full textAbstract Background Helicobacter pylori (H.pylori) infections are prevalent and recognized as major cause of gastrointestinal diseases in Ethiopia. However, Studies conducted on the prevalence, risk factors and other clinical forms of H.pylori on different population and geographical areas are reporting conflicting results. Therefore, this review was conducted to estimate the pooled prevalence of H.pylori infections and associated factors in Ethiopia. Methods PubMed, Embase, Google scholar, and Ethiopian Universities’ repositories were searched following the Preferred Items for Systematic review and Meta-analysis (PRISMA) guideline. The quality of included studies was assessed using the Newcastle-Ottawa Scale in meta-analysis. Heterogeneity between studies was assessed using Cochrane Q test and I2 test statistics based on the random effects model. Comprehensive meta-analysis (CMA 2.0) and Review Manager (RevMan 5.3) were employed to compute the pooled prevalence and summary odds ratios of factors associated with of H.pylori infection. Results Thirty seven studies with a total of 18,890 participants were eligible and included in the analysis. The overall pooled prevalence of H.pylori infection was 52.2% (95% CI: 45.8–58.6). In the subgroup analysis by region, the highest prevalence was found in Somalia (71%; 95% CI: 32.5–92.6) and the lowest prevalence was reported in Oromia (39.9%; 95% CI: 17.3–67.7). Absence of hand washing after toilet (OR = 1.8, 95% CI; 1.19–2.72), alcohol consumption (OR = 1.34, 95% CI; 1.03–1.74) and gastrointestinal (GI) symptoms (OR = 2.23, 95% CI; 1.59–3.14) were associated with H.pylori infection. The trend of H.pylori infection showed a decreasing pattern overtime from 1990 to 2017 in the meta-regression analysis. Conclusion The prevalence of H.pylori infection remains high; more than half of Ethiopians were infected. Although the trend of infection showed a decreasing pattern; appropriate use of eradication therapy, health education primarily to improve knowledge and awareness on the transmission dynamics of the bacteria, behavioral changes, adequate sanitation, population screening and diagnosis using multiple tests are required to reduce H.pylori infections. Recognizing the bacteria as a priority issue and designing gastric cancer screening policies are also recommended
Magnitude of mortality and associated factors among road traffic accident victim children admitted in East and West Gojjam Zone specialized public hospitals Northwest, Ethiopia
No full textAbstract Background A road traffic accident is a collision between vehicles, between pedestrians and vehicles, between vehicles and animals, or between fixed obstacles and vehicles that leads to fatal human injury and premature death. Children are highly vulnerable to road traffic accident death. Yet, evidence is scarce concerning it in this study area. This study aimed to determine the magnitude of mortality and associated factors among road traffic accident victim children. Methods An institution-based cross-sectional study was conducted among 391 victimized children using simple random sampling techniques from March 1st, 2021, to April 30th, 2021. The sample size was calculated using a single population proportion formula, and the data were collected retrospectively using a structured checklist. The data were checked for completeness and consistency, coded, entered into EPI Data version 3.1, and then transferred to STATA version 14 statistical software for analysis. Bivariate and multivariable binary logistic regression analyses were conducted to identify the association between dependent and independent variables. An adjusted odds ratio with a 95% CI was used to measure the strength of the association, and a P-value ≤ 0.05 was considered statistically significant. Result The overall mortality was 10.7% (95% CI: 8- 14). Patients’ age within 1- 4 years (AOR (95%CI: 7(2.0–24.6)), urgent need of blood transfusion (AOR (95%CI: 3.2(1.03–9.8)), Glasgow coma scale < 8 (AOR (95%CI: 6.7(2.1–20.8)), surgery done (AOR (95%CI: 4.7(1.6–14.1)), and length of stay < 5 days (AOR (95%CI: 4.7(1.6–13.3)) were significantly associated with mortality of road traffic accident victim children. Conclusion The overall mortality was high compared with other countries’ findings. Being young, in urgent need of blood transfusion, Glasgow coma scale < 8, undergoing surgery, and short length of stay were significantly associated with mortality of road traffic accident victim children. This study recommended prioritizing young children and timely blood transfusions for emergency cases
Forest plot of in the proportion of ischemic stroke in Ethiopia, 2020.
No full textForest plot of in the proportion of ischemic stroke in Ethiopia, 2020.</p
Parental satisfaction and its associated factors with neonatal intensive care unit services at public hospitals in Bahir Dar, Northwest Ethiopia
No full textBackground: Parental satisfaction is an effective strategy to improve the quality of neonatal care and reduce neonatal mortality. Low parental satisfaction may result in discharge against medical advice, increased neonatal readmission, morbidity, and mortality. We found a scarcity of research on parental satisfaction and its factors associated with neonatal care unit services. This study aimed to assess parental satisfaction and its associated factors in public referral hospitals in Bahir Dar, Ethiopia. Methods: A facility-based cross-sectional study was conducted on 400 parent-neonate pairs. Participants were selected using a systematic random sampling technique. We used the Neonatal Satisfaction Survey (NSS-8) tool to collect data through face-to-face interviews. Data were entered using Epi data 3.1 and analyzed using the Statistical Package for the Social Sciences (SPSS) version 25. Multivariable logistic regression analysis was conducted using the adjusted odds ratio (aOR) with a 95% confidence interval (CI) to identify associated factors. Statistical significance was set at p < 0.05. Findings: A total of 400 parent-neonate pairs were included in this study. The mean and standard deviation of parental age was (29.4 ± 6.2) years. Overall parental satisfaction was 55.0% (95% CI:50.0–59.9%). Parental age (aOR = 2.03;95% CI:1.13–3.64), parental sex (aOR = 2.27; 95% CI:1.35–3.80), length of hospital stay (aOR = 5.09; 95% CI: 2.15–12.01), a history of readmission (aOR = 0.34; 95% CI:0.16–0.76), and involvement in decision making (aOR = 2.80; 95% CI:1.76–4.46) were associated with overall parental satisfaction. Conclusion: More than half of the participants were satisfied with the neonatal care provided to their infants. Parental age, sex, length of hospital stay, history of readmission, and involvement in decision-making were factors affecting parental satisfaction. We recommend paying more attention to parental involvement in decision-making for the care of their newborns, parents with a long duration of admission, and the need for continuity of care to improve parental satisfaction with neonatal care
Subgroup analysis of recovery after stroke by region, sample size, and study year in Ethiopia 2020.
No full textSubgroup analysis of recovery after stroke by region, sample size, and study year in Ethiopia 2020.</p
Study characteristics of included articles for the final systematic review and meta-analysis on the burden of modifiable risk factors and rate of improvement at discharge after stroke in Ethiopia 2020.
No full textStudy characteristics of included articles for the final systematic review and meta-analysis on the burden of modifiable risk factors and rate of improvement at discharge after stroke in Ethiopia 2020.</p
Forest plot of the proportion of recover during discharge after stroke in Ethiopia, 2020.
No full textForest plot of the proportion of recover during discharge after stroke in Ethiopia, 2020.</p
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