41 research outputs found
sj-docx-1-smo-10.1177_20503121221074492 – Supplemental material for Knowledge of pregnancy danger signs and its associated factors among pregnant women in Debre Tabor Town Health Facilities, South Gondar Administrative Zone, North West Ethiopia, 2019: Cross-sectional study
No full textSupplemental material, sj-docx-1-smo-10.1177_20503121221074492 for Knowledge of pregnancy danger signs and its associated factors among pregnant women in Debre Tabor Town Health Facilities, South Gondar Administrative Zone, North West Ethiopia, 2019: Cross-sectional study by Worku Necho Asferie and Bizunesh Goshu in SAGE Open Medicine</p
Magnitude of workplace violence and associated factors among healthcare professionals in East Africa: A systematic review and meta-analysis.
No full textIntroductionWorkplace violence refers to violent acts that occur in the workplace against employees while they are delivering services to consumers. This phenomenon is an invasive and alarming issue affecting employees worldwide, posing both implicit and explicit threats to their health, safety and well-being. According to a World Health Organization report and study findings, 20% to 38% of healthcare workers have experienced physical violence at some point during their careers, compared to employees in other sectors. This study aimed to assess the pooled magnitude of workplace violence and to identify its associated factors among healthcare professionals in East Africa.MethodThe study protocol was registered with PROSPERO under registration number CRD42024552266. An extensive electronic database search was conducted from August 10-31, 2024, using PubMed, Google Scholar, Web of Science, and manual Google searches. The extracted data were exported into STATA version 17 for analysis. A weighted inverse-variance random-effects model was used to calculate the pooled magnitude of workplace violence and to determine the impact of predictors on the workplace violence. Publication bias was checked by a funnel plot and Egger's test. Heterogeneity was assessed using I2 statistic and Galbraith plot. Subgroup and sensitivity analyses were conducted to investigate the sources of heterogeneity.ResultsA total of 25 studies involving 9,648 participants were included in this study. The pooled magnitude of workplace violence was 55.64% (95% CI: 48.32, 62.96; I2 = 97%, p ConclusionThe magnitude of workplace violence in the region was relatively prevalent, with significantly higher odds among emergency department staff, younger healthcare professionals, those with less work experience, female professionals, and individual reporting alcohol consumption
Incidence of prolonged transitional neonatal hypoglycemia and associated factors among neonatal admissions in South Gondar public hospitals, North-Central Ethiopia: a prospective cross-sectional study
No full textBackgroundUnlike in developed countries, neonatal morbidity and mortality are the leading challenges associated with easily preventable and treatable disorders during the neonatal period in low- and middle-income countries. However, evidence-based data about prolonged transitional hypoglycemia and associated factors are highly limited in Ethiopia and resource-limited countries.MethodsAn institution-based prospective cross-sectional study was conducted at public hospitals in South Gondar in neonatal intensive care units (NICUs). The data were entered and analyzed using SPSS version 23. Descriptive statistics were used to summarize maternal characteristics. Multivariate binary logistic regression at a p value <0.05 was used.ResultsA total of 400 neonates, admitted to NICUs in public hospitals within 48–72 h of birth between October 2, 2021, and June 30, 2022, were included in the study. The incidence of prolonged transitional neonatal hypoglycemia (PTHG) was 23.5% (19.3%–28%). The factors associated with PTHG were hypothermia (AOR = 4.41; 95% CI = 2.72–10.92), preterm birth (AOR = 3.5; 95% CI = 1.69–11.97), perinatal asphyxia (AOR = 2.5; 95% CI = 1.34–9.67), and pathological jaundice (AOR = 2.3; 95% CI = 1.21–10.34). In contrast, spontaneous vaginal delivery (SVD) was a protective factor (AOR = 0.72; 95% CI = 0.35–0.88).ConclusionsThe incidence of (PTHG) was nearly one-fifth. Factors increasing the risk of PTHG were hypothermia, preterm birth, perinatal asphyxia (PNA), early onset of sepsis (EONS), and pathological jaundice. Spontaneous vaginal delivery (SVD) was also a protective factor. Preventing neonatal hypothermia was the main measure used to reduce PTHG in the study area. Special attention could be given to neonates with prematurity, early onset neonatal sepsis (EONS), birth asphyxia, and pathological jaundice, as monitoring their RBS could lead to a significant change in reducing PTHG
Prevalence and distribution of human papillomavirus genotypes in women with abnormal cervical cytology in Ethiopia: a systematic review and meta-analysis
No full textBackgroundCervical cancer is the 4th most common cancer in women globally. Determining the prevalence of the high-risk human papillomavirus (HR-HPV) and low-risk (LR-HPV) genotypes and the distribution in abnormal cervical cytology will be essential in a future population-based cervical cancer prevention program.MethodPrimary studies with women with abnormal cervical cytology were systematically searched for in Medline, CINHAL, Google Scholar, African Journal Online, and the University of Antwerp repository from 19-30 May 2023. A weighted inverse-variance random effects model was used. Variations across the studies were checked using a forest plot, I2 statistics, and Egger’s test. Group analysis was performed for evidence of heterogeneity.ResultsThe pooled prevalence of human papillomavirus (HPV) genotypes with abnormal cervical cytology of a precancerous cervical lesion was 38.74% (95% CI: 27.56-49.93). The leading pooled prevalence estimates by subgroup analysis were 18% (95% CI: 13-26), 14% (95% CI: 111-16), and 66% (51-79) for women with retroviral infection (RVI), DNA genotyping with amplification, and central parts of Ethiopia respectively. There were 25 HPV variants identified by genotyping techniques with the five most prevalent HPV genotypes being HPV-16 and HPV-18 coexisting at 54%; HPV-16 alone at 29%; HPV-51 at 16%; HPV-52 at 13%; and HPV-31 and HPV-33 each contributing approximately 12%.ConclusionThe pooled prevalence of HPV genotypes was higher than in other countries. HPV-51, HPV-52, HPV-31, and HPV-33 are the most prevalent genotypes. Hence, the nonavalent vaccine type would be the one that includes all the most prevalent HPV genotypes, but HPV-51in Ethiopia. Additional data on similar DNA test techniques for comparisons with precancerous lesions and invasive cancer are needed. Cervical cancer prevention and control programs in Ethiopia should be aligned with the most prevalent genotypes.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/, identifier CRD42023428955
Association Between Maternal Undernutrition During Pregnancy and Newborn Low Birth Weight in Ethiopia: A Systematic Review and Meta‐Analysis
No full textABSTRACT Maternal undernutrition is a key contributor for poor fetal growth, low birth weight and infant morbidity and mortality. Globally, 15%–20% of all births were low birth weight, accounting more than 20 million births a year. This review aims to estimate the pooled association of maternal undernutrition during pregnancy with newborn low birth weight in Ethiopia. A systematic literature search was done from PubMed, Scopus, Hinari, Google Scholar and online research repositories. All studies reporting the association of undernutrition with low birth weight among pregnant women in Ethiopia were included. Heterogeneity between the included studies was assessed using the Cochrane Q‐test and I2 statistics. Publication bias was also assessed using Egger's regression test with 5% significance level. Finally, the random effects analysis model was used to estimate the overall pooled effect size. Among 596 identified studies, 15 articles were met inclusion criteria and included in this meta‐analysis. A total of 6441 mother‐neonate pairs were involved in this analysis. The pooled effect size revealed that there was a significant association between maternal undernutrition during pregnancy and newborn low birth weight in Ethiopia AOR: 2.52 (2.01–3.15, I2 = 78.42%). This review was estimated that maternal undernutrition during pregnancy had a significant association with newborn low birth weight in Ethiopia. Undernutrition pregnant women had an increased chance of giving low birth weight. The finding of this review may help the stakeholders to focus on managing pregnancy malnutrition
Individual and community level maternal factors for zero-dose children in Ethiopia using mini-EDHS 2019: a mixed effects model
No full textIntroduction Zero-dose children refer to a child who has not yet received any childhood vaccines. Globally, zero-dose children are the major public health problem. In sub-Saharan African countries, one among five children do not have access to vaccines. But the efforts to identify the factors contributing to the zero-dose children are not well addressed in Ethiopia.Objectives To assess individual and community-level maternal factors of zero-dose children in Ethiopia using mini-Ethiopian Demographic Health Survey 2019.Methods A secondary analysis of a cross-sectional study was used among a total of 3208 participants. STATA-14 was used for descriptive and multilevel binary logistic regression (mixed effects model) analysis. Model selection was conducted using Akaike information criteria. To identify significant factors for zero-dose children, a p value of <0.05 with 95% CI was used.Results The prevalence of zero-dose children among children aged 12–35 months was 523 (16.3%, 95% CI 15% to 17.6%). Women with no antenatal care follow-up (adjusted OR (AOR)=1.55, 95% CI 1.02 to 2.35), uneducated women (AOR=1.47, 95% CI 1.11 to 1.95), women who gave birth at home (AOR=1.39, 95% CI 1.04 to 1.86), women who had poor wealth index (AOR=2.15, 95% CI 1.62 to 2.85) and women from low proportions of community media exposure (AOR=1.39, 95% CI 1.13 to 1.71) were the risk factors for zero-dose children in Ethiopia.Conclusion Compared with previous studies, the prevalence of zero-dose children was low in Ethiopia. Variables like urban residence, no education, home delivery, poor wealth index, no antenatal care(ANC) visit and women from low proportions of community media exposure were the risk factors for zero-dose children in Ethiopia. Therefore, expanding maternal health services and media access for women is highly recommended to reduce zero-dose children mortality
Health Professionals' knowledge and practice on basic life support and its predicting factors in Ethiopia: Systematic review and meta-analysis.
No full textBackgroundBasic Life Support (BLS) is a sequence of care provided to patients who are experiencing respiratory arrest, cardiac arrest, or airway obstruction. Its main purpose is to maintain the airway, breathing, and circulation through CPR. This review aimed to estimate the pooled prevalence of Health Professionals' knowledge and practice on basic life support in Ethiopia.MethodEligible primary studies were accessed from international database (PubMed, Google Scholar, Hinari databases) and grey literatures found in online repositories. The required data were extracted from those studies and exported to Stata 17 for analysis. A weighted inverse-variance random-effects model and Der Simonian-Laird estimation method were used to compute the overall pooled prevalence of Health Professional's knowledge, practice of basic life support and its predictors. Variations across the included studies were checked using forest plot, funnel plot, I2 statistics, and Egger's test.ResultA total of 5,258 Health Professionals were included from 11 studies. The pooled prevalence of knowledge and practice outcomes on basic life support in Ethiopia were 47.6 (95% CI: 29.899, 65.300, I2: 99.21%) and 44.42 (95% CI: 16.42, 72.41, I2: 99.69) respectively. Educational status of the Professional's was significantly associated with knowledge outcome. Those who had degree and above were 1.9 times (AOR: 1.90 (1.24, 2.56)) more likely knowledgeable on basic life support than under degree.ConclusionThe overall pooled estimates of Health Professionals knowledge and practice on basic life support was considerably low. The educational status of the Health Professionals was significantly associated with knowledge outcome. The Health Professionals and responsible stakeholders should focus on the basic life support at Health Institutions. The professionals should advance their knowledge and skill on basic life support for the patients
Burden and its associated factors of neonatal necrotizing enter colitis among neonates admitted in neonatal intensive care unit in Ethiopia. A systematic review and meta-analysis
No full textNeonatal Necrotizing enterocolitis is the most critical and recurrent gastrointestinal disorder in neonatal intensive care units. Although the overall mortality extends to 50 % related to necrotizing enterocolitis, it can approach 100 % with perforation, peritonitis and sepsis complications. It is the first step to planning management approaches that can contribute to decreasing long term morbidity and mortality. The aim of this systematic review and meta-analysis was to assess the prevalence and its determinant factors of necrotizing enterocolitis among admitted neonates in Ethiopia. The procedure of this systematic review and meta-analysis was registered at the Prospero with a registration number of CRD42023409175. Universal online databases such as PubMed, Cochrane, Google, Google Scholar, SCOPUS, and Web of science and Global health were used to search for articles. Data extraction was commenced with Microsoft Excel and STATA17 was used to conduct the Meta-Analysis. Random effect model analysis was considered when there was evidence of heterogeneity among the studies. The overall pooled prevalence of neonatal necrotizing enterocolitis was 14.4 % (95 % CI; 7.04, 21.85, I2 = 95.80 %, p = 0.000). The pooled odds ratio of Birth weight (AOR = 3.75 (95 % CI; 1.72, 5.79), Apgar score (AOR = 2.37 (95 % CI; 1.83, 2.91), maternal infection (AOR = 5.24 (95 % CI; 4.04, 6.45) and prolonged labor (AOR = 2.70 (95 % CI; 1.65, 3.74) had significant statistical association with neonatal necrotizing enterocolitis. This finding concluded that high prevalence and multiple determinant factors of neonatal necrotizing enterocolitis in Ethiopia. This finding recommend that neonatal care programs prioritize targeting maternal infection prevention, improved labor management, and enhanced care for low birth weight neonates and those with low Apgar scores to decrease the unacceptably high burden of neonatal necrotizing enterocolitis and its devastating consequences
Sampling procedure of short birth interval practice among reproductive age women in Farta woreda, south Gondar zone, North West Ethiopia, 2019.
No full textSampling procedure of short birth interval practice among reproductive age women in Farta woreda, south Gondar zone, North West Ethiopia, 2019.</p
Bivariate and multivariable analysis of determinant factors among reproductive-age women in Farta Woreda, South Gondar Zone, North West, Ethiopia, 2019.
No full textBivariate and multivariable analysis of determinant factors among reproductive-age women in Farta Woreda, South Gondar Zone, North West, Ethiopia, 2019.</p
