Yadeta Dessie | Haramaya university (original) (raw)

Papers by Yadeta Dessie

BMJ Open, Jun 1, 2022

Background Gestational weight gain (GWG) is an important indicator of fetal well-being during pre... more Background Gestational weight gain (GWG) is an important indicator of fetal well-being during pregnancy. Inadequate or excessive GWG could have undesirable effects on birth weight. However, information regarding the influence of GWG on birth weight is lacking from the Ethiopian setting. Objective This study aimed to determine the influence of GWG and other maternal-related factors on birth weight in Addis Ababa, Ethiopia. Design and methods A cohort of pregnant women who received the first antenatal care before or at 16 weeks of gestation in health centres in Addis Ababa were followed from 10 January 2019 to 25 September 2019. Data were collected using a structured questionnaire and medical record reviews. We conducted a multivariable linear regression analysis to determine the independent effect of gestational weight on birth weight. Results Of the 395 women enrolled in the study, the participants' pregnancy outcome was available for 329 (83.3%). The mean birth weight was 3130 (SD, 509) g. The proportion of low birth weight (<2500 g) was 7.5% (95% CI 4.8% to 11.0%). Babies born to underweight women were 150.9 g (95% CI 5.8 to 308.6 g, p=0.049) lighter than babies born to normal-weight women. Similarly, babies whose mothers gained inadequate weight were 248 g (95% CI 112.8 to 383.6 g, p<0.001) lighter than those who gained adequate weight. Moreover, babies whose mothers had a previous history of abortion or miscarriages or developed gestational hypertension in the current pregnancy were 147.2 g (95% CI 3.2 to 291.3 g, p=0.045) and 310.7 g (95% CI 62.7 to 552.8 g, p=0.012) lighter, respectively, compared with those whose mothers had not. Conclusions Prepregnancy weight, GWG, having had a previous history of abortion or miscarriages, and developing gestational hypertension during a current pregnancy were independently associated with birth weight. Pregnancy-related weight management should be actively promoted through intensive counseling during routine antenatal care contacts.

Background: Nearly three million women are dying each year from complications of pregnancy and ch... more Background: Nearly three million women are dying each year from complications of pregnancy and childbirth. Most of these deaths are occurring in low and lower-middle-income countries. Evidence indicates that promoting birth preparedness and complication readiness has importance in averting maternal morbidity and mortality. Therefore, this study aimed to assess factors associated with birth preparedness and complication readiness practice among pregnant women attending antenatal care clinics in public health facilities, Harari region, Eastern Ethiopia. Methods: Facility-based cross-sectional study was conducted among pregnant women attending antenatal care from April 01 to May 30, 2018. A systematic random sampling technique was used to select 419 study-participants. A pretested questionnaire was used to collect data. The data were entered to EpiData Version 3.1 and exported to Statistical Package for the Social Sciences Version 21 for analysis. Bivariate and multivariable logistic regressions were done to identify factors associated with the practice of birth preparedness and complication readiness. The adjusted odds ratio at a 95% confidence interval was used for the final interpretation of statistical significance. Results: Birth preparedness and complication readiness among pregnant women was 52.1% (95% CI: 47.2, 56.9). Participants' age ≥35 (AOR=3.62; 95% CI: 1.95, 10.96), being an urban resident (AOR=3.61; 95% CI: 1.46, 8.96), having planned pregnancy (AOR=3.64; 95% CI: 2.17, 6.09), ever heard about birth preparedness and complication readiness (AOR=1.77; 95% CI: 1.08, 2.92), having knowledge about obstetric danger signs during pregnancy (AOR=3.27; 95% CI: 1.88, 5.69), and having knowledge about obstetric danger signs during childbirth (AOR=6.10; 95% CI: 2.60, 14.31) were found to be significantly associated with the practice of birth preparedness and complication readiness. Conclusion: The proportion of pregnant women who were prepared for birth and complication readiness was low. Women's age ≥35, urban resident, planned pregnancy, prior information about birth preparedness and complication readiness, having knowledge of obstetric danger signs during pregnancy and childbirth were the positively associated factors. Therefore, health information dissemination on birth preparedness and complication readiness; obstetric danger sign during pregnancy, and childbirth should be provided at the community and institutional level.

Despite the established notion of cultivating new knowledge, academicians in developing nations a... more Despite the established notion of cultivating new knowledge, academicians in developing nations are not strongly engaged in researching and publishing as a result of different challenges. In-depth interviews were made with senior professors, Doctor of Philosophy (PhD) and Masters Degrees holders and PhD students at Haramaya University to explore the different challenges in researching and publishing. The interviews were tape-recorded and thematically analyzed. Challenges at individual, institutional, national and global levels that could be categorized as individual and environmental were identified from the interview.

Maternal and Child Nutrition, Mar 16, 2021

Malnutrition is the leading cause of poor child health in Ethiopia, and progress to avert it is u... more Malnutrition is the leading cause of poor child health in Ethiopia, and progress to avert it is unacceptably slow. In addition, little is known about the magnitude and factors associated with concurrent wasting and stunting (WaSt). Therefore, this study aimed to assess the prevalence and factors associated with WaSt, wasting, stunting and underweight among children 6-59 months in Kersa Health and Demographic Surveillance System, Ethiopia. Data from a total of 1091 children and their parents' were analysed from a cross-sectional study. Household questionnaires and anthropometric measurements were used for data collection. Height-forage , weight-forheight and weight-forage indices are expressed as standard deviation units from the mean for the reference group. Multivariate analyses were conducted to identify factors associated with WaSt, wasting, stunting and underweight. Statistical significance was declared at p < 0.05. The prevalence of indicators of malnutrition was WaSt (5.8%), wasting (16.8%), stunting (53.9%) and underweight (36.9%). Children aged 6-17 months had a higher odds of wasting (adjusted odds ratio [aOR] 1.8, 95% confidence interval [CI] 1.12-2.75) compared with those aged 36-59 months, whereas children aged 18-35 months (aOR 2.4, 95% CI 1.65-3.47) and 36-59 months (aOR 1.6, 95% CI 1.07-2.37) had higher odds of stunting compared with those aged 6-17 months. Similarly, children aged 18-35 months (aOR 1.6, 95% CI 1.07-2.37) and 36-59 months (aOR 2.2, 95% CI 1.52-3.10) had higher odds of underweight compared with children aged 6-17 months. Households that did not treat drinking water at point of use were at higher odds of WaSt (aOR 3.3, 95% CI 1.16-9.27) and stunting (aOR 1.9, 95% CI 1.31-2.85) compared with those who did treat drinking water. Boys were more likely to be WaSt, wasted, stunted and underweight. Cough was associated with WaSt, wasting and underweight. Furthermore, maternal education, maternal occupation and maternal age were significantly associated with

Journal of Health Management, Jun 29, 2022

Background: Previous experiences show that family planning programs have focused on women’s attit... more Background: Previous experiences show that family planning programs have focused on women’s attitudes, behaviours and determinants ignoring the role of men. This lack of active involvement and approval of husbands to family planning often hampers effective and continuous use of family planning methods. Couples can make better reproductive decisions if they discuss family planning matters more openly and frequently. The objective of this study was to assess the level of spousal family planning communication in Harar, Eastern Ethiopia. Methods: A community-based cross-sectional survey was conducted in 12 kebeles of Harar Urban Health and Demographic Surveillance System. A total of 2,700 currently married couples of whose wives were in the reproductive age participated in the study. The selection of the study participants was made using simple random sampling, and data were collected using an interviewer administered structured questionnaire. Data were analysed using Stata version 12. Results: The level of spousal family planning communication was high (89.6%) (95% CI, 89%, 91%). However, the level of effective spousal family planning communication was low (38%) (95% CI, 36%, 40%). Frequency of spousal family planning communication was also very low, that is, 8.6% women and 8.4% men reported frequent communication. The major reasons for absence of spousal family planning communication were religious prohibition, belief that it is not necessary to discuss about family planning and cultural taboos. Conclusion: Policies and programmes aimed at promoting family planning should give due emphasis for men and husband-wife effective communication about family planning. Family planning information, education and communication programmes should be strengthened.

Global health, science and practice, Mar 21, 2023

Implementation of obstetric surveillance through a network of reporting clinicians and implemente... more Implementation of obstetric surveillance through a network of reporting clinicians and implementers is feasible in a setting like Ethiopia. n The introduction of regional obstetric surveillance combining mortality and morbidity data may help to improve care by providing more robust, rapid, and context-sensitive data collection.

Frontiers in Psychiatry, Oct 13, 2022

Background: Despite its strong hereditary and genetic connections, there are other factors report... more Background: Despite its strong hereditary and genetic connections, there are other factors reported to be linked to schizophrenia, but not well studied in eastern Ethiopia. Objective: This study was aimed to investigating the potential profiles and factors associated with schizophrenia in eastern Ethiopia. Materials and methods: A matched case-control study was conducted in two public hospitals from December 1, 2021, to January 30, 2022. Cases were patients with schizophrenia who visited the hospitals, and controls were healthy individuals without any mental illness who visited the same hospitals. A questionnaire was used to collect the data. Cases and controls were matched using age and sex. STATA-14 was used for analysis. A conditional logistic regression with an adjusted odds ratio (AOR) and a 95% confidence interval (CI) was applied to identify the determinants. P-values of <0.05 were used to build the final model as a measure of statistical significance. Results: The mean age of the study participants group was 28.6 (±8.44) years, mean age for cases was 28.7(±8.5) ranging from 18 to 56 years and the mean age for the controls was 28.4 (±8.5), ranging from 18 to 60 years. About 181 (83.03%) of the participants were male. The odds of having schizophrenia was about 12.2 times higher among participants with family history of mental illness (AOR: 12.21; 95% CI: 4.83-30.00). The odds of having schizophrenia was 4.5 times higher among polysubstance users (AOR: 4.45; 95% CI: 1.28-5.45) and 2.8 times higher among khat consumers (AOR: 2.82; 95% CI: 1.23-6.45) compared to their counterparts. Conclusion: Our findings show that genetic risk factors as well as some modifiable behaviors are associated to schizophrenia in eastern Ethiopia. At all levels, special attention should be given to those who are at risk.

Clinical journal of obstetrics and gynecology, Jun 24, 2020

Background: Neonatal Near-miss is defi ned as complications of neonates so severe as to be immine... more Background: Neonatal Near-miss is defi ned as complications of neonates so severe as to be imminently life-threatening but survived due to chance or treatment. The number of neonates who survived morbidities were approximately 3 to 6 times greater than those who died. There was little evidence about neonatal near miss in Ethiopia. This study attempted to identify the determinants of neonatal near miss among neonates admitted to the

BMJ Open, Nov 1, 2021

Objective We conducted serosurveillance of anti-SARS-CoV-2 antibodies among pregnant women attend... more Objective We conducted serosurveillance of anti-SARS-CoV-2 antibodies among pregnant women attending their first antenatal care. Setting The surveillance was set in one referral hospital in Harar, one district hospital and one health centre located in Haramaya district in rural eastern Ethiopia. Participants We collected questionnaire data and a blood sample from 3312 pregnant women between 1 April 2020 and 31 March 2021. We selected 1447 blood samples at random and assayed these for anti-SARS-CoV-2 antibodies at Hararghe Health Research laboratory using WANTAI SARS-CoV-2 Rapid Test for total immunoglobulin. Outcome We assayed for anti-SARS-CoV-2 antibodies and temporal trends in seroprevalence were analysed with a χ 2 test for trend and multivariable binomial regression. Results Among 1447 sera tested, 83 were positive for anti-SARS-CoV-2 antibodies giving a crude seroprevalence of 5.7% (95% CI 4.6% to 7.0%). Of 160 samples tested in April-May 2020, none was seropositive; the first seropositive sample was identified in June and seroprevalence rose steadily thereafter (χ 2 test for trend, p=0.003) reaching a peak of 11.8% in February 2021. In the multivariable model, seroprevalence was approximately 3% higher in first-trimester mothers compared with later presentations, and rose by 0.75% (95% CI 0.31% to 1.20%) per month of calendar time. Conclusions This clinical convenience sample illustrates the dynamic of the SARS-CoV-2 epidemic in pregnant women in eastern Ethiopia; infection was rare before June 2020 but it spread in a linear fashion thereafter, rather than following intermittent waves, and reached 10% by the beginning of 2021. After 1 year of surveillance, most pregnant mothers remained susceptible.

Nursing: Research and Reviews

Background: Male partner involvement in reproductive health services is an important strategy to ... more Background: Male partner involvement in reproductive health services is an important strategy to decrease maternal and child morbidity and mortality. Despite this, little attention is given to this issue around the globe, particularly in Africa, where male dominance is high. This study aimed to assess male partner involvement in institutional delivery services in Lemmo district, Southern Ethiopia. Methods: A community-based cross-sectional study was conducted among 614 male participants. A multistage sampling technique was used to select study samples. A structured, pretested, and interviewer-administered questionnaire was used to collect the data. Male involvement in institutional delivery was measured using six yes or no items. The participants were asked if they communicated with relatives and health care providers, saved money, arrange transportation, decide to give birth at an institution, and arrange blood donation. Binary and multivariable logistic regression was used to identify associated factors. An adjusted odds ratio with 95% CI was used to show the strength and direction of the association. Variables with a p-value <0.05 were considered statistically significant. Results: A total of 251 (43.1%, 95% CI: (39.2, 46.9)) male partners were involved in the institutional delivery services of their partner. Primary educational level [AOR=2.2, 95% CI: (1.361, 3.532)], secondary and above educational level [AOR=2.4, 95% CI: (1.46, 4.01)], having good knowledge [AOR=3 (95% CI: (2, 4.49)], positive perception [AOR=3.66, 95% CI: (2.45, 5.46)], and discussing institutional delivery with their spouse [AOR=1.99, 95% CI: (1.3, 2.99)] were significantly associated factors. Conclusion: More than two out of five male partners were involved in the institutional delivery services of their partner. Attending formal education, having good knowledge, positive perception, and discussing institutional delivery with a spouse were significantly associated factors. Strengthening male partner involvement in reproductive health services and enhancing the culture of reproductive inter-spousal communication through couple counseling and peer-to-peer group sessions at a facility and community level are important measures.

Frontiers in Global Women's Health

Background: With only less than a decade left till 2030, it is essential to research the burden a... more Background: With only less than a decade left till 2030, it is essential to research the burden and trends of women of reproductive age (WRA) mortality in order to design appropriate interventions toward achieving goal three of the sustainable development goals (SDGs), good health and well-being. For several low-income countries, such data are often lacking or sometimes extrapolated from non-representative facility-based studies. In this paper, we presented trends, causes, and determinants of mortality among reproductive-age women under follow-up for 12 years through the Health and Demographic Surveillance System (HDSS) located in eastern Ethiopia.Methods: We used 12 years of (2008 to 2019) open cohort data of women aged 15–49 living in Kersa HDSS in Eastern Ethiopia. In the HDSS, data on socio-demographic and basic household conditions are recorded for every household member at enrollment, and data on vital events such as births, deaths, and migration were collected and updated bia...

BMC Women's Health

Introduction Child marriage is a union before the age of 18 and a violation of human right. Aroun... more Introduction Child marriage is a union before the age of 18 and a violation of human right. Around 21% of young women in the world married before reaching the age of 18. Every year, 10 million girls under the age of 18 are married. Child marriage causes lifetime suffering, and its abolition was one component of the Sustainable Development Goal to achieve gender equality and empower women and girls. However; abolition of child marriage by 2030 will not happen because its prevalence in the community has remained stable. Objective To assess the prevalence of child marriage and its associated factors among reproductive-age women from March 7 to April 5, 2022 in Harari Regional State, eastern Ethiopia. Methods Community-based cross-sectional study was conducted from March 7 to April 5, 2022 among the reproductive age group in the Harari Region state, Eastern Ethiopia. A systematic random sampling technique was used to find study participants. Data were obtained by face-to-face interview ...

Frontiers in Psychiatry

BackgroundSuicide is a major public health issue across the globe. It is the second leading cause... more BackgroundSuicide is a major public health issue across the globe. It is the second leading cause of death in adolescents. Even though the rate of suicide has increased, no study has been conducted to investigate the determinants of suicide in the study area. Therefore, this study aimed to assess the magnitude of suicidal ideation, suicide attempts, and its associated factors among secondary school students in the Harari regional state of Eastern Ethiopia.MethodsAn institutional-based cross-sectional study was conducted among randomly selected 1,666 secondary school students. A structured-self-administered questionnaire was used for data collection. The WHO Composite International Diagnostic Interview (CIDI) was used to assess suicidal ideation and suicide attempts. The Depression Anxiety and Stress Scale (DASS) was also used to assess depression, anxiety, and stress. Data were entered into EpiData version 3.1 and exported to Stata version 14.0 for the analysis. A logistic regressio...

Psychology Research and Behavior Management

The importance of social capital for adolescent mental health has not been explored in low resour... more The importance of social capital for adolescent mental health has not been explored in low resource settings like Ethiopia. In this study, we examined the association between social capital and mental health problems among in-school adolescents in Harari Regional State, eastern Ethiopia. Methods: A cross-sectional study was conducted among 3227 in-school adolescents of 13-19 years. A multistage sampling was used to select participants. Guided self-administered questionnaire was used to collect data. Mental health problem was measured using a self-administered version of the strength and difficulty questionnaire (SDQ), while social capital questionnaire for adolescent students (SCQ-AS) was used to collect data about the condition of social capital. The data were double entered, validated, and cleaned using EpiData 3.1 and analyzed using STATA 14.1. The association between the outcome variable and predictors was analyzed using an ordinal logistic regression model. The result was reported using an odds ratio along with 95% confidence interval (CI) and a p-value <0.05 was considered statistically significant association. Results: A total of 740 (22.93%) students had mental health problem, of which 9.7% (95% CI, 8.7-10.8) and 13.20% (95% CI, 12-14) were classified as "abnormal" and "borderline", respectively. Factors associated with decreased mental health problem were increased network of friends at school (AOR = 0.75, 95% CI: 0.58-0.99), increased trust in school or neighborhood (AOR = 0.52, 95% CI: 0.44-0.63), and high social cohesion in the community (AOR = 0.75, 95% CI: 0.62-0.89). Conclusion: Higher social capital is associated with a decreased mental health problem among in-school adolescents. Prevention and treatment of mental health problems require strengthening social capital at school, household, and in the neighborhood.

Introduction: Most individuals in low and middle income countries do not meet nutritional require... more Introduction: Most individuals in low and middle income countries do not meet nutritional requirements. This can be at least partially attributed to poor diet quality, which is impacted by both external and personal food environment factors. Personal food choice factors among socio-economically disadvantaged groups of Ethiopia are not well researched. Objective: This study aimed to assess food choice factors in eastern Ethiopia. Methods: A cross-sectional quantitative study was conducted among 1196 households in Kersa, Eastern Ethiopia with women age 18-49 years. Confirmatory factor analysis models were used to estimate factors that influence food choice. Cronbach’s alpha for internal reliability coefficients were tested. Results: A majority of respondents were employed in agricultural work and a quarter of the families were poor. Women were primarily responsible for household food procurement. Factors that play a role in food choice included food price, convenience, quality, househ...

Frontiers in Pediatrics

BackgroundDespite a declining neonatal mortality rate globally, Ethiopia has scored 29–30 deaths ... more BackgroundDespite a declining neonatal mortality rate globally, Ethiopia has scored 29–30 deaths per 1,000 live births. Birth asphyxia is a major contributor to neonatal mortality, where 4–9 million newborns develop birth asphyxia each year. This study aimed to assess the prevalence of birth asphyxia, its determinants, and its management among neonates admitted to the NICU in Harari and Dire Dawa public hospitals.MethodsA facility-based cross-sectional study was conducted among 409 randomly selected neonates and their index mothers admitted to neonatal intensive care units of public hospitals in Harari and Dire Dawa from June 20 to August 20, 2021. Data were collected through card review and interviewer-administered questionnaires. The collected data were entered into Epi data version 3.1 and exported to SPSS version 20 for analysis. Logistic regression models were fitted to identify factors associated with birth asphyxia. Adjusted odds ratios along with 95% CIs were estimated to me...

PLOS ONE

Introduction Adherence to anti-asthmatic medications plays a vital role in enhancing an asthma pa... more Introduction Adherence to anti-asthmatic medications plays a vital role in enhancing an asthma patient’s quality of life and prognosis. However, in Ethiopia, the level of adherence and contributing factors were rarely studied. Therefore, this study was conducted to determine the level of adherence to anti-asthma medications and associated factors among adult asthmatic patients in Eastern Ethiopia. Method Institutional based cross-sectional study was conducted at six governmental hospitals found in Eastern Ethiopia. A total of 320 asthma patients aged 18 years and above and using asthma medicines for at least 12 months were involved. An interviewer based structured questionnaires were used to collect the data. Bivariable and multivariable logistic regression analyses were carried out using IBM SPSS version 22 (SPSS, Chicago, IL). The Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) was used to determine the strength of association between independent variables and outcome ...

BMC Pregnancy and Childbirth

Background In a woman’s life, labor pain is the most severe pain that they have ever faced. In Et... more Background In a woman’s life, labor pain is the most severe pain that they have ever faced. In Ethiopia, the provision of pain relief in labor is often neglected. Furthermore, evidence strongly urged that further research is needed on non-pharmacological labor pain management. Therefore, obstetrics care providers’ attitudes and utilization of non-pharmacological labor pain management need to be assessed. Method A facility-based cross-sectional study was conducted from May 20 to June 10, 2021, in Harari regional state health facilities, Ethiopia. All obstetric caregivers in Harari regional state health facilities were included in the study. A structured questionnaire adapted from the previous studies was used to collect data. The data was entered into Epi-data version 3.1 statistical software. Statistical analysis was carried out by using SPSS for windows version 22. Multivariate linear regression analysis was employed to determine the association between independent variables and th...