83 research outputs found
Kajian Pendidikan Agama Kristen Keluarga Terhadap Pola Asuh Rohani Di Suku Boti
No full textPendidikan agama Kristen keluarga merupakan pendidikan yang menempatkan orang tua sebagai pendidik utama bagi anak-anak agar mereka dapat memahami agama Kristen dalam kehidupan mereka. Orang tua memiliki tugas untuk menjadi teladan dalam mengasuh anak-anaknya agar mereka hidup dalam nilai-nilai agama Kristen. Perkembangan agama Kristen yang sangat pesat membuat banyak anggota masyarakat, termasuk masyarakat suku Boti ikut memeluk agama Kristen. Suku Boti merupakan suku yang masih memegang teguh nilai-nilai lokal serta mempraktikan ritus-ritus adat. Penelitian ini bertujuan untuk menganalisis seperti apa pola asuh rohani dalam keluarga Kristen di suku Boti menurut kajian Pendidikan Agama Kristen. Penulis menggunakan metode penelitian kualitatif dengan pendekatan deskriptif untuk memperoleh informasi dan data dari narasumber. Hasil penelitian menunjukan bahwa pola asuh rohani orang tua Kristen di suku Boti lebih banyak dipengaruhi oleh nilai-nilai yang terkandung dalam budaya lokal termasuk nilai-nilai yang tidak sesuai dengan ajaran agama Kristen. Hal ini terjadi karena orang tua Kristen di suku Boti hidup dalam penghayatan budaya dan kebiasaan turun temurun termasuk kebiasaan yang tidak sesuai dengan nilai-nilai yang ada di dalam agama Kristen, contohnya praktek pengobatan, penghormatan terhadap alam dan ritual potong ayam. Namun, orang tua Kristen di suku Boti juga menyadari bahwa sebagai orang yang sudah Kristen, kebiasaan-kebiasaan tersebut perlu dipertimbangkan ulang, akan tetapi belum ada upaya selanjutnya dari para orang tua. Untuk itu, gereja sebagai pelaksana pendidikan agama Kristen perlu memperhatikan setiap anggota jemaat dan mendampingi serta menguatkan para orang tua dan anak-anak dalam upaya tersebut agar jemaat mengalami transformasi sebagai orang Kristen yang berada di suku Boti.Family Christian religious education places parents as the main educators for children so they can understand Christianity in their lives. Parents have a duty to be role models in raising their children so that they live according to the values of the Christian religion. The rapid development of Christianity made many members of society, including the Boti tribe, join Christianity. The Boti tribe is a tribe that still adheres to local values and practices traditional rites. This research aims to analyze what spiritual parenting patterns are like in Christian families in the Boti tribe, according to Christian Religious Education studies. The author uses a qualitative research method with a descriptive approach to obtain information and data from sources. The research results show that the spiritual upbringing of Christian parents in the Boti tribe is more influenced by the values contained in local culture, including values that are not in accordance with the teachings of the Christian religion. This happens because Christian parents in the Boti tribe live by observing the culture and habits passed down from generation to generation, including habits that are not in accordance with the values contained in the Christian religion, for example, medical practices, respect for nature, and chicken slaughter rituals. However, Christian parents in the Boti tribe also realize that, as people who are Christians, these habits need to be reconsidered, but there has been no further effort from the parents. For this reason, as the implementer of Christian religious education, the church needs to pay attention to every congregation member and accompany and strengthen parents and children in this effort so that the congregation experiences transformation as Christians in the Boti tribe
Health-Related Quality-of-Life and Associated Factors Among Post-Partum Women in Arba Minch Town
No full textYirgalem Tola,1 Gistane Ayele,2 Negussie Boti,2 Manaye Yihune,2 Firdawek Gethahun,2 Zeleke Gebru2 1Arba Minch Health Science College, Department of Midwifery, Arba Minch, Ethiopia; 2Arba Minch University, College of Medicine & Health Sciences, School of Public Health, Arba Minch, EthiopiaCorrespondence: Negussie Boti Tel +251-920997752Email [email protected]: It is generally accepted that pregnancy and childbirth are natural physiological processes. However, these significantly affect the quality of mothers’ lives. Little is known about the level of quality-of-life and associated factors among postpartum women in Ethiopia, particularly in the study area.Methods: A community-based cross-sectional study was conducted among 409 randomly selected post-partum women who were living in Arba Minch town. Systematic random sampling was employed to select the study participants. The standard quality-of-life assessment tool which is known as the short-form SF 36 tool was used to assess health-related quality-of-life. The logistic regression model was used to identify associated factors. Statistically significant variables at a p-value< 0.25 in the bi-variable analysis were candidate variables for multi-variable analysis and statistical significance which was declared at a p-value< 0.05.Results: Among the study participants, 255 (62.3%) had lower level health-related quality-of-life (HRQoL). About 46.2% of the study participants had lower physical HRQoL and about 79% of the study participants had lower mental HRQoL. The overall mean score of HRQoL was 45.15 (± 8.13). Factors associated with lower overall HRQoL were age group 17– 24 years (AOR=2.73, 95% CI=1.22– 6.10), no formal education [AOR 2.02, 95% CI (1.05– 3.89)], and cesarean delivery (AOR=0.49, 95% CI=0.24– 0.97). A factor associated with lower physical HRQoL was cesarean delivery (AOR=0.34, 95% CI=0.13– 0.88). Factors associated with lower mental HRQoL were age group 17– 24 (AOR=3.37, 95% CI=1.60– 7.04), not receiving antenatal care (AOR=3.65, 95% CI=1.45– 9.16), and having postpartum depression (AOR=2.27, 95% CI=1.30– 3.93).Conclusion: The results suggest that the majority of post-partum women had a lower HRQoL, particularly women’s mental health was compromised. In this study, a suggestion is made that the respective bodies need to give particular attention to mothers during the post-partum period to prevent poor quality-of-life.Keywords: post-partum women, health-related quality-of-lif
Mapping Effective and inclusive implementation strategies to enhance the accessibility and utilization of adolescents’ sexual and reproductive health service in sub-Saharan Africa: A scoping review protocol
No full textBackground: This review aims to comprehensively map effective and inclusive implementation strategies aimed at enhancing the accessibility and utilization of sexual and reproductive health (SRH) services in sub-Saharan Africa. The scope encompasses a diverse range of strategies implemented across the region, considering the unique socio-cultural, economic, and geographic contexts of individual countries and communities within sub-Saharan Africa. By mapping and synthesizing the existing evidence on effective and inclusive implementation strategies, this review seeks to inform policymakers, program planners, healthcare providers, and other stakeholders working in the field of SRH in sub-Saharan Africa. Beside this, the review will identify knowledge gaps and areas for future research, policy development, and programmatic interventions aimed at further enhancing the accessibility and utilization of SRH services in sub-Saharan Africa.
The main objective of this scoping review: The primary objective of this scoping review is to map effective and inclusive implementation strategies aimed at enhancing the accessibility and utilization of SRH services among adolescents in sub-Saharan Africa
Survival time and its predictors among HIV-infected children after antiretroviral therapy in public health facilities of Arba Minch town, Gamo Gofa Zone, Southern Ethiopia
No full textBackground: Antiretroviral therapy is a drug treatment that plays a great role in reduction of mortality among children infected with human immunodeficiency virus. Studies in Africa have shown that there is short survival time among children receiving antiretroviral therapy. Factors that contribute to low survival probability have been poorly described in sub-Saharan Africa, particularly in Ethiopia.Objective: The study was conducted to estimate the survival time and identify associated factors among HIV-infected children after initiation of antiretroviral therapy.Methods: Institution-based retrospective cohort study was conducted among 421 children enrolled on antiretroviral therapy from January 2009 to December 2016 in public health facilities in Arba Minch town, Gamo Gofa zone, Southern Ethiopia. Cox proportional-hazard regression model was used to determine independent predictors of survival time.Results: Two hundred and sixty one (62%) children were alive; 43 (10.2%) were lost to follow-up; 52 (12.4%) were transferred out to other facilities and 65 (15.4%) were reported to have died. The probability of survival of children on antiretroviral therapy was 73.9% after 96 months and overall mean survival time was 82.3 (95% CI= 79.48 - 85.14) months. Multivariate analysis showed that low hemoglobin level (AHR =3.3, 95% CI=1.83-6.04), absolute CD4 count below threshold (AHR=2.1, 95% CI=1.15-3.77), fair and poor adherence to antiretroviral therapy (AHR=2.17, 95% CI=1.12-4.79), (AHR=2.1, 95% CI=1.02-4.13), Isoniazid prophylaxis (AHR=0.4, 95%, CI=0.22 -0.68) and Cotrimoxazole prophylactic therapy (AHR=0.3, 95% CI=0.15-0.46) were independent predictors of the survival time.Conclusions: Survival time was very low among children below 1 year and 5-14 years olds as compared to those aged between 1-4 years. The main predictors for this variation were nutritional status, poor adherence to antiretroviral therapy, absolute CD4 below threshold, and absence of Isoniazid and Cotrimoxazole prophylaxes. Therefore, children living with HIV should be encouraged to adhere to the antiretroviral therapy, take Cotrimoxazole and isoniazid preventive therapies. [Ethiop. J. Health Dev. 2018; 32(2):88-96]Key Words: Antiretroviral therapy, Co-trimoxazole preventive therapy, isoniazied preventive therapy, children, Ethiopi
Nutritional Status and Its Effect on Treatment Outcome among HIV-Infected Children Receiving First-Line Antiretroviral Therapy in Arba Minch General Hospital and Arba Minch Health Center, Gamo Zone, Southern Ethiopia: Retrospective Cohort Study
No full textSurvival time and its predictors among HIV-infected children after antiretroviral therapy in public health facilities of Arba Minch town, Gamo Gofa Zone, Southern Ethiopia
No full textBackground: Antiretroviral therapy is a drug treatment that plays a great role in reduction of mortality among children infected with human immunodeficiency virus. Studies in Africa have shown that there is short survival time among children receiving antiretroviral therapy. Factors that contribute to low survival probability have been poorly described in sub-Saharan Africa, particularly in Ethiopia.Objective: The study was conducted to estimate the survival time and identify associated factors among HIV-infected children after initiation of antiretroviral therapy.Methods: Institution-based retrospective cohort study was conducted among 421 children enrolled on antiretroviral therapy from January 2009 to December 2016 in public health facilities in Arba Minch town, Gamo Gofa zone, Southern Ethiopia. Cox proportional-hazard regression model was used to determine independent predictors of survival time.Results: Two hundred and sixty one (62%) children were alive; 43 (10.2%) were lost to follow-up; 52 (12.4%) were transferred out to other facilities and 65 (15.4%) were reported to have died. The probability of survival of children on antiretroviral therapy was 73.9% after 96 months and overall mean survival time was 82.3 (95% CI= 79.48 - 85.14) months. Multivariate analysis showed that low hemoglobin level (AHR =3.3, 95% CI=1.83-6.04), absolute CD4 count below threshold (AHR=2.1, 95% CI=1.15-3.77), fair and poor adherence to antiretroviral therapy (AHR=2.17, 95% CI=1.12-4.79), (AHR=2.1, 95% CI=1.02-4.13), Isoniazid prophylaxis (AHR=0.4, 95%, CI=0.22 -0.68) and Cotrimoxazole prophylactic therapy (AHR=0.3, 95% CI=0.15-0.46) were independent predictors of the survival time.Conclusions: Survival time was very low among children below 1 year and 5-14 years olds as compared to those aged between 1-4 years. The main predictors for this variation were nutritional status, poor adherence to antiretroviral therapy, absolute CD4 below threshold, and absence of Isoniazid and Cotrimoxazole prophylaxes. Therefore, children living with HIV should be encouraged to adhere to the antiretroviral therapy, take Cotrimoxazole and isoniazid preventive therapies. [Ethiop. J. Health Dev. 2018; 32(2):88-96]Key Words: Antiretroviral therapy, Co-trimoxazole preventive therapy, isoniazied preventive therapy, children, Ethiopi
Determinants of Anemia among Pregnant Women Attending Antenatal Clinic in Public Health Facilities at Durame Town: Unmatched Case Control Study
No full textBackground. Anemia among pregnant women is one of the most common public health problems in developing country. World health organization (WHO) estimate shows nearly half of pregnant women were affected by anemia. High burden of anemia is observed in Africa particularly in Ethiopia. However, the factors that contribute to the occurrence of anemia were not exhaustively studied. Therefore, the aim of this study was to identify determinant factors of anemia among pregnant women in Durame Town, southern Ethiopia. Method. An institutional based unmatched case control study was conducted among 111 cases and 222 controls in Durame Town from 16th February to 8th May 2017 using interviewer administered questionnaires. Controls were pregnant women whose hemoglobin level was 11 g/dl and above at their first antenatal care clinics and cases were pregnant women whose hemoglobin level was less than 11 g/dl. Bivariate and multivariate logistic regression model was used to see the determinants of anemia. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p-value were used to identify the significant association. Result. A total of 333 women (111 cases and 222 controls) participated in the study. The major determinant factors were parasitic infection (AOR: 3.67, 95% CI: 1.72-7.86), not taking additional diet during pregnancy (AOR: 2.49, 95% CI: 1.22-5.08), consuming tea/coffee immediately after food (AOR: 3.58, 95% CI: 1.72-7.42), not eating meat (AOR: 2.07, 95% CI: 1.03-4.15), previous heavy menstrual blood flow (AOR: 2.62, 95% CI: 1.18-5.84), and being housewife (AOR: 2.38, 95% CI: 1.02-5.57). Conclusion. Parasitic infection, additional diet during pregnancy, consuming tea/coffee immediately after food, meat consumption, previous heavy menstrual blood flow, and occupational status of women were significant factors associated with anemia among pregnant women. Therefore, anemia prevention strategy should include promotion of counseling on additional diet during pregnancy, preventing parasitic infection, and increasing employment opportunities for women
The way of Husband Involvement during Birth Preparedness and Complication Readiness Plan, Arba Minch town, Gamo zone, Southern Ethiopia: Qualitative Study
No full textBackground: Birth-preparedness and complication-readiness is the process of planning for normal birth and anticipating the actions needed in case of an emergency. The involvement of husband during pregnancy and its complication helps an expectant mother to make timely decisions to avoid delays: The present study aim was to explore ways how husband can involve in birth preparedness and complication readiness plan, among husband living in Arba Minch Town.Materials: Qualitative study was conducted among purposely selected husbands. The data was collected using focus group discussion. A progressive approach was used to analyze the data as Miles and Huberman suggested. All focus group discussions were recorded, translated, and transcribed verbatim. An inductive approach was used in coding the substantive themes.Results: In this study, birth and complication of pregnancy were identified by most of the participants as a condition which necessitates preparedness and readiness. Participants mentioned that they had been involved in their wives birth preparedness and complication-readiness plan through: identifying place of delivery, arranging skilled birth assistance, identifying signs of labor, well understanding the date of birth, arranging cultural food, clean clothes and other materials for the baby and mother, personally accompanying, having awareness of an emergency and it’s immediate action, saving for emergencies and identifying decision-maker for emergencies.Conclusions: The findings of this study revealed that creating husbands awareness focusing on their role during pregnancy will help the women to prepare early for birth and complications this will reduce the delay in deciding to seek care. The women will give birth in health faculties this will play a vital role in reducing maternal and neonatal mortality by early recognition pregnancy-related problem and by giving appropriate care for women.</p
The way of Husband Involvement during Birth Preparedness and Complication Readiness Plan, Arba Minch town, Gamo zone, Southern Ethiopia: Qualitative Study
No full textPredictors of time-to-recovery from severe acute malnutrition treated in an outpatient treatment program in health posts of Arba Minch Zuria Woreda, Gamo zone, Southern Ethiopia: A retrospective cohort study.
No full textBackgroundAccess to outpatient therapeutic feeding programs for all children who had uncomplicated severe acute malnutrition (SAM) in need is a global health priority. In Ethiopia SAM is treated in hospitals, health centers and health posts. Health extension workers (HEWs) manage SAM that is uncomplicated at the health posts through the outpatient therapeutic feeding programs (OTP). Identifying predictors that predict time-to-recovery of children on OTP is thus vital to optimizing therapeutic success. However, the factors affecting children's' recovery time at this peripheral health institutions were not well documented. Therefore, this study aimed to identify predictors of time-to-recovery from SAM among children treated at an OTP in health posts of Arba Minch Zuria woreda, Gamo Zone, Southern Ethiopia.MethodsA retrospective cohort study was conducted on 402 children enrolled in an OTP in the health posts of Arba Minch Zuria woreda based on data abstracted from their medical records. The study children were selected using systematic random sampling method using a list of their medical record numbers. Both descriptive and analytic analyses were performed. Median time of recovery was estimated by using the Kaplan-Meier survival curve. Furthermore, bivariate and multivariable Cox proportional hazard regression analyses were used to identify factors significantly associated with outcome variable.ResultThe median time-to-recovery from severe acute malnutrition among children was 49 days (Interquartile range [IQR]: 42-56). Among the participants, 70.40% with 95% CI: (74.2-85.0%) recovered from severe acute malnutrition. The Cox-proportional hazard analysis showed that children's age at admission (Adjusted hazards ratio [AHR] = 3.15; 95% confidence interval [CI]: 1.85, 5.03), diagnosis with edema (AHR = 1.75, 95%CI: (1.27, 2.43), co-morbidity of diarrhea (AHR = 0.22, 95% CI(0.13, 0.39), and anemia (AHR = 0.64, 95% CI:(0.42, 0.98) were found to be predictors of time to recovery from SAM.ConclusionsThe median time-to-recovery at the health posts in this study was in the accepted time period for the maximum Ethiopian standard protocol set for the management of SAM. However, the nutritional recovery rate was lower than the minimum acceptable threshold for the Sphere International Standards. Therefore, early screening of co-morbidity like diarrhea, anemia and edemaand timely intervention would increase the chance of recovery of children
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