137 research outputs found
sj-docx-1-nah-10.1177_02601060221148898 - Supplemental material for Parental khat use and early childhood growth status in Eastern Ethiopia
No full textSupplemental material, sj-docx-1-nah-10.1177_02601060221148898 for Parental khat use and early childhood growth status in Eastern Ethiopia by Kedir Teji Roba, Alexandra Brewis, Mason Manning and Jemal Yousuf Hassen in Nutrition and Health</p
sj-docx-1-smo-10.1177_20503121211047389 – Supplemental material for Magnitude and factors associated with anemia among pregnant women admitted to labor ward of Hiwot Fana Specialized University Hospital, Eastern Ethiopia
No full textSupplemental material, sj-docx-1-smo-10.1177_20503121211047389 for Magnitude and factors associated with anemia among pregnant women admitted to labor ward of Hiwot Fana Specialized University Hospital, Eastern Ethiopia by Serkalem Abdu, Tilahun Ali, Adera Debella, Nega Assefa and Kedir Teji Roba in SAGE Open Medicine</p
sj-docx-1-smo-10.1177_20503121221133935 – Supplemental material for Food taboos among pregnant women and associated factors in eastern Ethiopia: A community-based cross-sectional study
No full textSupplemental material, sj-docx-1-smo-10.1177_20503121221133935 for Food taboos among pregnant women and associated factors in eastern Ethiopia: A community-based cross-sectional study by Wbalem Amare, Abera Kenay Tura, Agumasie Semahegn and Kedir Teji Roba in SAGE Open Medicine</p
sj-docx-1-whe-10.1177_17455065211046139 – Supplemental material for Knowledge of preconception care and associated factors among maternal health care providers working in urban public health institutions of Eastern Ethiopia
No full textSupplemental material, sj-docx-1-whe-10.1177_17455065211046139 for Knowledge of preconception care and associated factors among maternal health care providers working in urban public health institutions of Eastern Ethiopia by Seboka Abebe Sori, Kedir Teji Roba, Tesfaye Assebe Yadeta, Hirut Dinku Jiru, Keyredin Nuriye Metebo, Haregwa Asnake Weldekidan and Lemma Demissie Regassa in Women’s Health</p
sj-doc-1-smo-10.1177_20503121221142412 – Supplemental material for Immediate postpartum intrauterine contraceptive device utilization and associated factors among women who gave birth in public health facilities of Adama town, Ethiopia
No full textSupplemental material, sj-doc-1-smo-10.1177_20503121221142412 for Immediate postpartum intrauterine contraceptive device utilization and associated factors among women who gave birth in public health facilities of Adama town, Ethiopia by Etenat Aemro, Meyrema Abdo, Alem Deksisa, Afework Alemayehu, Teshale Mulatu, Tahir Ahmed Hassen, Alemayehu Molla and Kedir Teji Roba in SAGE Open Medicine</p
sj-xps-1-smo-10.1177_20503121221081009 – Supplemental material for Failed induction of labor and associated factors in Adama Hospital Medical College, Oromia Regional State, Ethiopia
No full textSupplemental material, sj-xps-1-smo-10.1177_20503121221081009 for Failed induction of labor and associated factors in Adama Hospital Medical College, Oromia Regional State, Ethiopia by Enku Afework Demssie, Haji Aman Deybasso, Tewodros Mengistu Tulu, Dawit Abebe, Mohammed Abdurke Kure and Kedir Teji Roba in SAGE Open Medicine</p
Nutritional status of lactating mothers and their children 6-23 months of age in pre- and post-harvest seasons in two agro-ecological zones of rural Ethiopia
No full textThe objective of this study was to assess seasonal variation in nutritional status and feeding practices among lactating mothers and their children 6-23 months of age in two different agro-ecological zones of rural Ethiopia (lowland zone and midland zone). Food availability and access are strongly affected by seasonality in Ethiopia. However, there are few published data on the effects of seasonal food fluctuations on nutritional status and dietary diversity patterns of mothers and children in rural Ethiopia. A longitudinal study was conducted among 216 mothers in two agro-ecological zones of rural Ethiopia during pre and post-harvest seasons. Data were collected on many parameters including anthropometry, blood levels of haemoglobin and ferritin and zinc, urinary iodine levels, questionnaire data regarding demographic and household parameters and health issues, and infant and young child feeding practices, 24 h food recall to determine dietary diversity scores, and household use of iodized salt. Chi-square and multivariable regression models were used to identify independent predictors of nutritional status. A wide variety of results were generated including the following highlights. It was found that 95.4% of children were breastfed, of whom 59.7% were initially breastfed within one hour of birth, 22.2% received pre-lacteal feeds, and 50.9% of children received complementary feedings by 6 months of age. Iron deficiency was found in 44.4% of children and 19.8% of mothers. Low Zinc status was found in 72.2% of children and 67.3% of mothers. Of the study subjects, 52.5% of the children and 19.1% of the mothers were anaemic, and 29.6% of children and 10.5% of mothers had iron deficiency anaemia. Among the mothers with low serum iron status, 81.2% and 56.2% of their children had low serum zinc and iron, respectively. Similarly, among the low serum zinc status mothers, 75.2% and 45.3% of their children had low serum in zinc and iron, respectively. There was a strong correlation between the micronutrient status of the mothers and the children for ferritin, zinc and haemoglobin (P <0.001). There was also statistically significant difference between agro-ecological zones for micronutrient deficiencies among the mothers (p<0.001) but not for their children. The majority (97.6%) of mothers in the lowland zone were deficient in at least one micronutrient biomarker (zinc or ferritin or haemoglobin). Deficiencies in one, two, or all three biomarkers of micronutrient status were observed in 48.1%, 16.7% and 9.9% of mothers and 35.8%, 29.0%, and 23.5%, of children, respectively. Additionally, about 42.6% of mothers had low levels of urinary iodine and 35.2% of lactating mothers had goitre. Total goitre prevalence rates and urinary iodine levels of lactating mothers were not significantly different across agro-ecological zones. Adequately iodised salt was available in 36.6% of households. The prevalence of anaemia increased from post-harvest (21.8%) to pre-harvest seasons (40.9%) among lactating mothers. Increases were from 8.6% to 34.4% in midland and from 34.2% to 46.3% in lowland agro-ecological zones. Fifteen percent of mothers were anaemic during both seasons. Predictors of anaemia were high parity of mother and low dietary diversity. The proportion of stunted and underweight children increased from 39.8% and 27% in post-harvest season to 46.0% and 31.8% in pre-harvest season, respectively. However, wasting in children decreased from 11.6% to 8.5%. Major variations in stunting and underweight were noted in midland compared to lowland agroecological zones. Anthropometric measurements in mothers indicated high levels of undernutrition. The prevalence of undernutrition in mothers (BMI <18.5kg/m2) increased from 41.7 to 54.7% between post- and pre-harvest seasons. The seasonal effect was generally higher in the midland community for all forms of malnutrition. Parity, number of children under five years and regional variation were predictors of low BMI among lactating mothers. There were differences in minimum meal frequency, minimum acceptable diet and dietary diversity in children in pre-harvest and post-harvest seasons and these parameters were poor in both seasons. Dietary diversity among mothers was higher in lowland zone but was poor in both zones across the seasons. In conclusion, malnutrition and micronutrient deficiencies are very prevalent among lactating mothers and their children 6-23 months old in the study areas. There are significant seasonal variations in malnutrition and dietary diversity, in addition to significant differences between lowland and midland agro-ecological zones. These findings suggest a need to design effective preventive public health nutrition programs to address both the mothers’ and children’s needs particularly in the preharvest season
Maternal and household factors affecting the dietary diversity of preschool children in eastern Ethiopia: a cross-sectional study
No full textOBJECTIVE: Investigate the association between the dietary diversity of preschool children and proximate factors including household food insecurity, maternal food choice, preferences, khat use, and levels of depressive symptoms. DESIGN: Cross-sectional survey of randomly selected households. SETTING: Haramaya Health and Demographic Surveillance site in Eastern Ethiopia, predominantly smallholder farming households. PARTICIPANTS: 678 preschool children (24-59 months) and their mothers. METHODS: The key outcome, the adequacy of dietary diversity of preschool children, was calculated using a 24-hour parental dietary recall. Binary logistic regression was then used to identify maternal and household factors associated with dietary adequacy versus inadequacy. RESULTS: The majority (80.53%) of surveyed children had low dietary diversity (mean Dietary Diversity (MDD)) score of 3.06±1.70 on a 7-point scale). Approximately 80% of households exhibited food insecurity. Households with greater food security (adjusted OR (AOR)=1.96, 95% CI 1.19 to 3.23), healthier maternal food choice (AOR=2.19, 95% CI 1.12 to 4.31) and broader maternal food preferences (AOR=4.95, 95% CI 1.11 to 21.95) were all associated with higher dietary diversity of their preschool children (p≤0.05). Other covariates associated with adequate child dietary diversity included improved household drinking water sources (AOR=1.84, 95% CI 1.16 to 2.92) and family planning use (AOR=1.69, 95% CI 1.00 to 2.86). Despite predictions, however, maternal depression and khat consumption were not identified as factors. CONCLUSIONS: The dietary diversity of preschool children is extremely low-a pattern observed in both food-secure and food-insecure households. Key factors include maternal selection of food for convenience and ease, preferences that do not include animal protein or healthier food choices, and lack of access to improved drinking water sources. Interventions around maternal food choice and preferences could improve preschool children's nutritional health
Women’s satisfaction with intrapartum care and its predictors at Harar hospitals, Eastern Ethiopia: a cross-sectional study
No full textAgegnehu Bante Getenet,1 Kedir Teji Roba,2 Berhanu Seyoum Endale,3 Abera Mersha Mamo,1 Rasha Darghawth4 1Department of Nursing, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia; 2Department of Public Health, School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 3Department of Medical Laboratory Sciences, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 4Business Development Officer with CARE Ethiopia and Cuso International, Monitoring and Evaluation Advisor, Harar, Ethiopia Background: Satisfaction with intrapartum care is crucial for the well-being of the mother and newborn. It also serves as a proxy indicator for future utilization and recommendation of the facility. Conversely, little is known about women’s level of satisfaction during the intrapartum period in the Ethiopian context of a high maternal mortality ratio. As such, the aim of this study was to assess women’s satisfaction with intrapartum care and its predictors at hospitals in Harar, Eastern Ethiopia. Materials and methods: A hospital-based, analytical, cross-sectional study was conducted in Harar hospitals, Eastern Ethiopia from February 1 to 28, 2017. The data were collected using an interviewer-administered questioner from 398 women who delivered in the selected hospitals during the data collection period. The collected data were entered into EpiData version 3.1 and analyzed using SPSS version 22.0. Bivariate and multivariable logistic regression was applied to identify the effect of each predictor on the outcome variable (satisfaction). A P-value of <0.05 was considered to be statistically significant. Results: The proportion of women who were satisfied with intrapartum care in this study was 84.7% (95% CI: 81.1, 88.2). Factors including a minimal waiting time to be seen by the healthcare provider, ample availability of emergency drugs within the hospital, not having antenatal care follow-up, having a previous experience of home delivery, planning to deliver in the hospital, and experiencing a short hospital stay after delivery were statistically and positively associated with women’s satisfaction. Conclusion: Overall, ~85% of the women were satisfied with the service provided in the facilities. Decreasing waiting time to be seen by the healthcare providers, ensuring emergency drugs in the hospitals, advising mothers to have antenatal care follow-up, and delivering in the health facilities are crucial to improve the quality of intrapartum care. Keywords: satisfaction, intrapartum care, labor, hospitals, Ethiopia, delivery care, predicto
Zero Fruit and Vegetables Consumption and Associated Factors Among Children Aged 6–23 Months Old in Eastern Africa
No full textGalana Mamo Ayana,1 Temam Beshir Raru,1 Dawit Firdisa,1 Bonsa Girma Fufa,2 Dagim Habteyesus Fisseha,3 Imteaz Mahmud,4 Kedir Teji Roba5 1Department of Epidemiology and Biostatistics, School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 2Department of Statistics, College of Natural and Computational Science, Dire Dawa University, Dire Dawa, Ethiopia; 3International Programs Division, Population Council, Addis Ababa, Ethiopia; 4Department of Public Health, North South University, Dhaka, Bangladesh; 5School of Nursing and Midwifery, college of health medical science, Haramaya University, Harar, EthiopiaCorrespondence: Kedir Teji Roba, School of nursing and midwifery, college of health medical science, Haramaya University, Harar, Ethiopia, Email [email protected]: Despite WHO and UNICEF recommending the consumption of fruit and vegetables by children as one of their indicators for evaluating infant and young child feeding practices, there is a dearth of literature about the magnitude of fruit and vegetable consumption among 6– 23-month-old children in Eastern Africa. The current study adds to the scholarly discourse by providing insight into the magnitude of fruit and vegetable intake among 6– 23-months-old children in East Africa.Methods: The secondary source data analysis was conducted for 12 Eastern African countries. Twenty-three thousand seven hundred and fourteen children aged 6– 23 months were included in this analysis. A multilevel statistical model with an odds ratio of 95% was fitted to estimate the strength of the association between zero fruits and vegetables and explanatory variables.Results: Our study showed that 32.20%, with a 95% CI of 31.70– 32.81, of children aged 6– 23 months did not consume any fruit or vegetables. Mother’s educational status [AOR═ 0.77, CI: (0.69, 0.85)], [AOR ═ 0.75, CI: (0.68, 0.90)], [AOR ═ 0.49, CI: (0.37, 0.64)], husband’s educational status [AOR═ 0.75, CI: (0.62, 0.78)] and [AOR ═ 0.73, CI: (0.62, 0.82)], wealth index [AOR═0.82, CI: (0.73, 0.91), [AOR═0.78, CI: (0.69, 0.87)], [AOR═ 0.77, CI: (0.68, 0.89)], [AOR═ 0.67, CI: (0.56, 0.79)], Media exposure, [AOR═ 0.74, CI: (0.67, 0.81)], Place of delivery [AOR═0.88, CI: (0.80, 0.97)] and child’s postnatal checkup within the first 2 months [AOR═ 0.83, CI: (0.76, 0.91)] were significantly associated with zero fruit and vegetables.Conclusion: The magnitude of zero fruit and vegetables was found to be high. These findings are commendable, yet demand emphasis on interventions that target households with lower wealth indexes and integrating nutritional counseling into routine healthcare visits may help increase awareness and benefits of consuming fruits and vegetables.Keywords: early childhood nutrition, fruit and vegetables, complimentary feeding, regressio
- …
