Sewunet Sako - Academia.edu (original) (raw)

Papers by Sewunet Sako

Journal of Health, Population and Nutrition, Dec 7, 2023

Introduction Poor child feeding practice is a public health problem in Africa. Mobile health (mHe... more Introduction Poor child feeding practice is a public health problem in Africa. Mobile health (mHealth) is a supportive intervention to improve this problem; however, the evidence available in the current literature is inconsistent and inconclusive in Africa. Some studies state that exclusive breastfeeding is not different between controls and mHealth interventions in the first month. Other studies state that health providers need additional training for the success of mHealth interventions. Objective This systematic review and meta-analysis aims to provide the summarized effect of mHealth on childfeeding practices in Africa to improve future planning and decisions. Method We conducted a systematic review and meta-analysis based on the published and unpublished evidence gathered from PubMed, Web of Science, Cochrane Library, and Embase databases between January 1, 2000, and March 1, 2022. Studies included were randomized control trials and experimental studies that compared mHealth to standards of care among postpartum women. Preferred Reporting Items for Systematic Review and Meta-analysis guidelines followed for the reporting. Results After screening 1188 studies, we identified six studies that fulfilled the study criteria. These studies had 2913 participants with the number of total intervention groups 1627 [1627/2913 = 56%]. Five studies were completed within 24 weeks while one required 12 weeks. We included two RCTs, two cluster RCTs, and two quasi-experimental studies all used mHealth as the major intervention and usual care as controls. We found significant improvement in child-feeding practices among intervention groups. Conclusion This systematic review and meta-analysis showed that the application of mHealth improved child-feeding practices in Africa. Although the finding is compelling, the authors recommend high-quality studies and mHealth interventions that consider sample size, design, regional differences, and environmental constraints to enhance policy decisions. The place of residence, access, low socioeconomic development, poor socio-demographic characteristics, low women empowerment, and low women's education might cause high heterogeneity in the included regions and need consideration during interventions.

Archives of public health, Nov 22, 2021

Background: Optimal nutrition in early child's life plays a vital role in improving mental and mo... more Background: Optimal nutrition in early child's life plays a vital role in improving mental and motor development, reduces the possibility of contracting various infectious diseases and related deaths, decreases the risk of obesity, and fosters better overall development. However, 45% of deaths in children under five years of age that occur globally is attributed to nutrition-related factors and the majority of these deaths occur in low-and middle-income countries. Therefore, this study aims to assess complementary feeding practices and associated factors among mothers of children aged 6-23 months in Ethiopia. Method: The study used the Ethiopian mini demographic and health survey 2019 data. A two-stage stratified cluster sampling technique was used to select 1465 mothers of children aged 6-23 months in Ethiopia. Two-level multilevel mixed-effects logistic regression model analysis was computed, and variables with p-value of less than 5% and an adjusted odds ratio with a 95% confidence interval in the final model were reported as statistically significant factors with appropriate complementary feeding practice. Result: The overall prevalence of appropriate complementary feeding practice among mothers of children aged 6-23 months was 9.76%. In our study, mothers who attended primary[AOR = 2.72; 95%CI: 1.47-5.01], secondary[AOR = 2.64; 95%CI: 1.18-5.92] and higher school[AOR = 5.39; 95%CI: 2.29-12.64], being from medium income household[AOR = 2.89; 95%CI: 1.41-5.92], attended 1-3 times ANC visits in index pregnancy[AOR = 0.41; 95%CI: 0.18-0.89], mothers who have 12-17 months[AOR = 1.96; 95%CI: 1.16-3.33] and 18-23 months old children[AOR = 2.61; 95%CI: 1.49-4.54], currently breastfeeding mothers[AOR = 3.69; 95%CI: 1.73-7.91], mothers from pastoralist contextual regions[AOR = 0.29; 95%CI: 0.09-0.91], and mothers who have resided in rural areas[AOR = 0.49; 95%CI: 0.25-0.97] were factors significantly associated with appropriate complementary feeding practice.

Heliyon, Apr 1, 2022

Background: Pre-lacteal feeding has continued as a deep-rooted nutritional malpractice in develop... more Background: Pre-lacteal feeding has continued as a deep-rooted nutritional malpractice in developing countries. Pre-lacteal feeding is a barrier to the implementation of optimal breastfeeding practices and increases the risk of neonatal early-life diseases and mortality. Therefore, the aim of this study was to assess pre-lacteal feeding practice and associated factors among mothers having children less than 2 years of age in Aksum town, central Tigray, Ethiopia. Methods: A community-based cross-sectional study was conducted to interview 477 mother-child pairs by systematic random sampling technique. Data were collected through interviewer-administered semi-structured questionnaires. Data were coded, entered, cleaned and edited using EPIDATA version 3.1 and export to SPSS Version 22.0 for analysis. To identify the significant variables binary logistic regression were employed. Variables with p-value < 0.05 at 95% CI in multivariate logistic regression were considered statistically significant. Result: The prevalence of pre-lacteal feeding in Aksum town was 10.1% (95% CI: 7.3%, 13%). Mothers with no previous birth (AOR: 2.93(95% CI:1.21,7.09)), birth spacing less than 24 (AOR: 2.88(95% CI: 1.15,7.25)), colostrum discarding (AOR: 6.72 (95% CI: 2.49,18.12)), less than four anti natal care follow up (AOR: 10.55 (95% CI: 4.78,23.40)), those who underwent cesarean section (AOR: 4.38 (95% CI:1.72,11.12)) and maternal believe on purported advantage of pre-lacteal feeding (AOR: 3.36 (95%CI: 1.62,6.96)) were more likely to practice pre-lacteal feeding to their infants. Conclusions: Pre-lacteal feeding is still practiced in the study area. Childbirth spacing, colostrum discarding, antenatal Care follow up, maternal belief in pre-lacteal feeding was contributing factors for practicing of pre-lacteal feeding. Coordination and sustaining the existing strategies and approaches are recommended to give emphasis on the nutritional value of colostrum and anti-natal care follow up.

PLOS ONE, 2022

Background Modern contraceptive method is a product or medical procedure that interferes with rep... more Background Modern contraceptive method is a product or medical procedure that interferes with reproduction from acts of sexual intercourse. Globally in 2019, 44% of women of reproductive age were using a modern method of contraception but it was 29% in sub-Saharan Africa. Therefore, the main aim of this analysis was to assess the prevalence of modern contraceptive utilization and associated factors among married women in Ethiopia. Method The current study used the 2019 Ethiopia mini demographic and health survey dataset. Both descriptive and multilevel mixed-effect logistic regression analysis were done using STATA version 14. A p-value of less than 0.05 and an adjusted odds ratio with a 95% confidence interval were used to report statistically significant factors with modern contraceptive utilization. Result The overall modern contraceptive utilization among married women in Ethiopia was 38.7% (95% CI: 37.3% to 40.0%). Among the modern contraceptive methods, injectables were the mo...

PLOS ONE

Background Peripheral neuropathy is a leading cause of morbidity and increased mortality among di... more Background Peripheral neuropathy is a leading cause of morbidity and increased mortality among diabetic patients. It is characterized by significant deficits in vibration and tactile sensation. With an annual incidence of 2%, it affects as many as 110 million people worldwide. The aim of this study was to assess factors associated with peripheral neuropathy among diabetic patients in chronic care clinic in Gamo and Gofa zone, South Ethiopia. Methods An institution- based unmatched case control study was employed among 528 randomly selected participants using a pre-tested, interviewer-administered, and structured questionnaire. Bivariate and multivariable logistic regression analysis was conducted to identifiy determinants of peripheral neuropathy using IBM SPSS version 25. Result The odds of being an urban dweller was 2.67 times higher among cases than controls [AOR = 2.67 (1.27, 5.63)]. The likelihood of fasting blood glucose level between 203 and 282 and 282 and above was 2.55 and...

Advances in public health, Sep 19, 2022

Introduction. Human activities create waste, and the improper ways that waste is handled, stored,... more Introduction. Human activities create waste, and the improper ways that waste is handled, stored, collected, and disposed of can pose risks to public health. e highest proportion of households practice their solid waste improperly in many developing countries, and the household's status of solid waste management practices and its association with sociodemographic, knowledge, and institutional-related factors have never been clearly understood in Ethiopia, particularly in the study area. erefore, this study aimed to assess the status of solid waste management practice and its associated factors among households in Gessa town, Dawro Zone, Southwest Ethiopia. Methods. A community-based cross-sectional study was conducted among 686 study participants from April 30 to June 15, 2021. Study participants were selected by using a computer-generated simple random sampling technique. e interviewer administered a semistructured questionnaire that comprised sociodemographic, household-related, and institutional-related factors were used for data collection. All collected data were entered into epi data version 4.6 and then exported to STATA version 14.0 for further analysis. Each independent variable with a p value <0.25 in the bivariable logistic regression was included in the multivariable logistic regression model. In multivariable logistic regression, variables having a p value <0.05 were considered statistically signi cant. Result. In this study, improper solid waste management practice was 86.2%. Unpracticed solid waste reduction at source (AOR = 5, 95% CI 2.9-8.9), householders' poor knowledge about solid waste management (AOR = 5.2, 95% CI 2.6-10.3), and distance to the municipality disposal site greater than 30 minutes to one hour from householders' (AOR = 2.6, 95% CI 1.3-5.0) were found to be statistically signi cant associated factors for improper solid waste management practices of the households. Conclusions and Recommendations. e magnitude of improper solid waste management practices was high. Unpracticed solid waste reduction at source, householders' poor knowledge about solid waste management, and distance from home to the waste disposal site were signi cantly associated factors. erefore, policymakers, local government, and Gessa town health work units have to teach the community about solid waste management and solid waste generation minimization at the source and prepare standardized near-distance waste disposal sites to tackle contributing factors of improper solid waste management practice.

Scientific Reports, Nov 9, 2022

Introducing complementary feeding either early or later than 6 months is associated with future n... more Introducing complementary feeding either early or later than 6 months is associated with future negative health outcomes. However, many women in Ethiopia do not follow WHO standard time to feed their children, which might be due to various demographic, economic, access, and availability of services. Thus, we aimed to identify factors attributing to the problems to assist future interventions. We used cross-sectional EMDHS 2019 for this analysis. We cleaned the data and 4061 women with under 2 years children were identified. We applied multilevel binary logistic regression in Stata v.15. Model comparison was based on log-likelihood ratio, deviance, and other criteria. We presented data using mean, percent, 95% CI, and adjusted odds ratio (AOR). The timely complementary feeding was 36.44% (34.93-37.92%). Factors like preceding birth intervals (AOR = 1.97 95% CI 1.62-1.39), primary education (AOR = 2.26 95% CI 1.40-3.62), secondary above education (AOR = 1.62 95% CI 1.10-2.38), and rich wealth index (AOR = 1.25 95% CI 1.03-1.52) were some of the associated factors. The magnitude of timely initiation of complementary feeding was diminutive. Authors suggest that interventions considering maternal education, empowering mothers economically, equity access to health services, and birth planning a good remedy.

Scientific Reports

Introducing complementary feeding either early or later than 6 months is associated with future n... more Introducing complementary feeding either early or later than 6 months is associated with future negative health outcomes. However, many women in Ethiopia do not follow WHO standard time to feed their children, which might be due to various demographic, economic, access, and availability of services. Thus, we aimed to identify factors attributing to the problems to assist future interventions. We used cross-sectional EMDHS 2019 for this analysis. We cleaned the data and 4061 women with under 2 years children were identified. We applied multilevel binary logistic regression in Stata v.15. Model comparison was based on log-likelihood ratio, deviance, and other criteria. We presented data using mean, percent, 95% CI, and adjusted odds ratio (AOR). The timely complementary feeding was 36.44% (34.93–37.92%). Factors like preceding birth intervals (AOR = 1.97 95% CI 1.62–1.39), primary education (AOR = 2.26 95% CI 1.40–3.62), secondary above education (AOR = 1.62 95% CI 1.10–2.38), and ric...

BMC Health Services Research

Background The importance of the health information system faces multiple challenges such as supp... more Background The importance of the health information system faces multiple challenges such as supply, acceptance, and pressure from other professions in Ethiopia. Work-related challenges might cause low professional satisfaction and hinder service provision. There is a paucity of evidence for policy decisions to improve these challenges. Therefore, this study aims to assess Health Informatics professional satisfaction in the Ethiopian health system and associated factors to provide evidence for future improvements. Methods We conducted an institutions-based cross-sectional study on health informatics professionals in three zones in Southern Ethiopia in 2020. We used a simple random sampling technique to select 215 participants. The local health officials were contacted regarding the research questions, and letters of permission were collected for data collection. Results Out of 211(98%) Health Informatics professionals who accepted the interview, 50.8% (95%CI: 47.74%-53.86%) were sat...

BMC Health Services Research

Background The importance of the health information system faces multiple challenges such as supp... more Background The importance of the health information system faces multiple challenges such as supply, acceptance, and pressure from other professions in Ethiopia. Work-related challenges might cause low professional satisfaction and hinder service provision. There is a paucity of evidence for policy decisions to improve these challenges. Therefore, this study aims to assess Health Informatics professional satisfaction in the Ethiopian health system and associated factors to provide evidence for future improvements. Methods We conducted an institutions-based cross-sectional study on health informatics professionals in three zones in Southern Ethiopia in 2020. We used a simple random sampling technique to select 215 participants. The local health officials were contacted regarding the research questions, and letters of permission were collected for data collection. Results Out of 211(98%) Health Informatics professionals who accepted the interview, 50.8% (95%CI: 47.74%-53.86%) were sat...

Journal of Maternal-fetal & Neonatal Medicine, Mar 1, 2023

BMJ Open

ObjectiveChildhood vaccination is a cost-effective, essential service to reach a larger populatio... more ObjectiveChildhood vaccination is a cost-effective, essential service to reach a larger population globally. Due to unclear reasons, new emergence and resurgence of vaccine-preventable diseases increase. Thus, the aim of this study is to identify prevalence and determinants of childhood vaccination in Ethiopia.DesignCommunity-based cross-sectional study.SettingWe used data from 2019 Ethiopia Mini Demographic and Health Survey. The survey included all the nine regional states and two city administrations of Ethiopia.ParticipantsA weighted sample of 1008 children 12–23 months of age was included in the analysis.Main outcome measuresA multilevel proportional odds model was fitted to identify determinants of childhood vaccination status. In the final model, variables with a p value of less than 5% and an adjusted OR (AOR) with a 95% CI were reported.ResultThe full childhood vaccination coverage of Ethiopia was 39.09% (95% CI: 36.06%–42.28%). Mothers who attended primary (AOR=2.16; 95% C...

Ecology of Food and Nutrition, Aug 8, 2022

Ethiopian journal of health sciences, 2022

Background According to the world health organization, the COVID-19 outbreak has currently affect... more Background According to the world health organization, the COVID-19 outbreak has currently affected millions of people worldwide. Since the start of the pandemic in China, everything countries have thrown at the virus turned unsuccessful. As there is no established vaccine to halt the virus transmission, it might be very difficult for developing countries like Ethiopia even after vaccine development. Thus, focusing on improving knowledge, perception, and preparedness related to the virus might be very vital. Methods A community-based cross-sectional survey was conducted using the questionnaire applied in most countries which is suitable to apply in the Konso zone in South Nations Nationalities Region (SNNPR) from April.2020 to July 2020. Data were collected, cleaned, coded, checked, and entered into Epi Info and then exported and analyzed in STATA 15. We fitted a binary logistic regression model. Categorical variables were presented using figure tables, and proportion and for continuous variables, mean and standard deviation were used. The results were also presented using Adjusted Odds Ratio (AOR) with 95% CI. Results From 636 respondents expected, 615(97%) were participated and possessed the knowledge of 39%, and 64% perception and preparedness each. Measurements related to the policy and interventions like restrictions to movement, self-isolation, wearing a face mask, & the need for more tests was not supported by most participants. Conclusion The poor knowledge, perception, and preparedness were correlated with the unavailability of water and electricity, less education, and informal source of information which could be improved through area appropriate health education interventions.

JMIR Public Health and Surveillance

Scientific Reports

Introducing complementary feeding either early or later than 6 months is associated with future n... more Introducing complementary feeding either early or later than 6 months is associated with future negative health outcomes. However, many women in Ethiopia do not follow WHO standard time to feed their children, which might be due to various demographic, economic, access, and availability of services. Thus, we aimed to identify factors attributing to the problems to assist future interventions. We used cross-sectional EMDHS 2019 for this analysis. We cleaned the data and 4061 women with under 2 years children were identified. We applied multilevel binary logistic regression in Stata v.15. Model comparison was based on log-likelihood ratio, deviance, and other criteria. We presented data using mean, percent, 95% CI, and adjusted odds ratio (AOR). The timely complementary feeding was 36.44% (34.93–37.92%). Factors like preceding birth intervals (AOR = 1.97 95% CI 1.62–1.39), primary education (AOR = 2.26 95% CI 1.40–3.62), secondary above education (AOR = 1.62 95% CI 1.10–2.38), and ric...

Ecology of Food and Nutrition, Aug 8, 2022

Advances in Public Health

Introduction. Human activities create waste, and the improper ways that waste is handled, stored,... more Introduction. Human activities create waste, and the improper ways that waste is handled, stored, collected, and disposed of can pose risks to public health. The highest proportion of households practice their solid waste improperly in many developing countries, and the household’s status of solid waste management practices and its association with sociodemographic, knowledge, and institutional-related factors have never been clearly understood in Ethiopia, particularly in the study area. Therefore, this study aimed to assess the status of solid waste management practice and its associated factors among households in Gessa town, Dawro Zone, Southwest Ethiopia. Methods. A community-based cross-sectional study was conducted among 686 study participants from April 30 to June 15, 2021. Study participants were selected by using a computer-generated simple random sampling technique. The interviewer administered a semistructured questionnaire that comprised sociodemographic, household-rela...

Ethiopian journal of health sciences, 2022

Background According to the world health organization, the COVID-19 outbreak has currently affect... more Background According to the world health organization, the COVID-19 outbreak has currently affected millions of people worldwide. Since the start of the pandemic in China, everything countries have thrown at the virus turned unsuccessful. As there is no established vaccine to halt the virus transmission, it might be very difficult for developing countries like Ethiopia even after vaccine development. Thus, focusing on improving knowledge, perception, and preparedness related to the virus might be very vital. Methods A community-based cross-sectional survey was conducted using the questionnaire applied in most countries which is suitable to apply in the Konso zone in South Nations Nationalities Region (SNNPR) from April.2020 to July 2020. Data were collected, cleaned, coded, checked, and entered into Epi Info and then exported and analyzed in STATA 15. We fitted a binary logistic regression model. Categorical variables were presented using figure tables, and proportion and for continuous variables, mean and standard deviation were used. The results were also presented using Adjusted Odds Ratio (AOR) with 95% CI. Results From 636 respondents expected, 615(97%) were participated and possessed the knowledge of 39%, and 64% perception and preparedness each. Measurements related to the policy and interventions like restrictions to movement, self-isolation, wearing a face mask, & the need for more tests was not supported by most participants. Conclusion The poor knowledge, perception, and preparedness were correlated with the unavailability of water and electricity, less education, and informal source of information which could be improved through area appropriate health education interventions.

Journal of Health, Population and Nutrition, Dec 7, 2023

Introduction Poor child feeding practice is a public health problem in Africa. Mobile health (mHe... more Introduction Poor child feeding practice is a public health problem in Africa. Mobile health (mHealth) is a supportive intervention to improve this problem; however, the evidence available in the current literature is inconsistent and inconclusive in Africa. Some studies state that exclusive breastfeeding is not different between controls and mHealth interventions in the first month. Other studies state that health providers need additional training for the success of mHealth interventions. Objective This systematic review and meta-analysis aims to provide the summarized effect of mHealth on childfeeding practices in Africa to improve future planning and decisions. Method We conducted a systematic review and meta-analysis based on the published and unpublished evidence gathered from PubMed, Web of Science, Cochrane Library, and Embase databases between January 1, 2000, and March 1, 2022. Studies included were randomized control trials and experimental studies that compared mHealth to standards of care among postpartum women. Preferred Reporting Items for Systematic Review and Meta-analysis guidelines followed for the reporting. Results After screening 1188 studies, we identified six studies that fulfilled the study criteria. These studies had 2913 participants with the number of total intervention groups 1627 [1627/2913 = 56%]. Five studies were completed within 24 weeks while one required 12 weeks. We included two RCTs, two cluster RCTs, and two quasi-experimental studies all used mHealth as the major intervention and usual care as controls. We found significant improvement in child-feeding practices among intervention groups. Conclusion This systematic review and meta-analysis showed that the application of mHealth improved child-feeding practices in Africa. Although the finding is compelling, the authors recommend high-quality studies and mHealth interventions that consider sample size, design, regional differences, and environmental constraints to enhance policy decisions. The place of residence, access, low socioeconomic development, poor socio-demographic characteristics, low women empowerment, and low women's education might cause high heterogeneity in the included regions and need consideration during interventions.

Archives of public health, Nov 22, 2021

Background: Optimal nutrition in early child's life plays a vital role in improving mental and mo... more Background: Optimal nutrition in early child's life plays a vital role in improving mental and motor development, reduces the possibility of contracting various infectious diseases and related deaths, decreases the risk of obesity, and fosters better overall development. However, 45% of deaths in children under five years of age that occur globally is attributed to nutrition-related factors and the majority of these deaths occur in low-and middle-income countries. Therefore, this study aims to assess complementary feeding practices and associated factors among mothers of children aged 6-23 months in Ethiopia. Method: The study used the Ethiopian mini demographic and health survey 2019 data. A two-stage stratified cluster sampling technique was used to select 1465 mothers of children aged 6-23 months in Ethiopia. Two-level multilevel mixed-effects logistic regression model analysis was computed, and variables with p-value of less than 5% and an adjusted odds ratio with a 95% confidence interval in the final model were reported as statistically significant factors with appropriate complementary feeding practice. Result: The overall prevalence of appropriate complementary feeding practice among mothers of children aged 6-23 months was 9.76%. In our study, mothers who attended primary[AOR = 2.72; 95%CI: 1.47-5.01], secondary[AOR = 2.64; 95%CI: 1.18-5.92] and higher school[AOR = 5.39; 95%CI: 2.29-12.64], being from medium income household[AOR = 2.89; 95%CI: 1.41-5.92], attended 1-3 times ANC visits in index pregnancy[AOR = 0.41; 95%CI: 0.18-0.89], mothers who have 12-17 months[AOR = 1.96; 95%CI: 1.16-3.33] and 18-23 months old children[AOR = 2.61; 95%CI: 1.49-4.54], currently breastfeeding mothers[AOR = 3.69; 95%CI: 1.73-7.91], mothers from pastoralist contextual regions[AOR = 0.29; 95%CI: 0.09-0.91], and mothers who have resided in rural areas[AOR = 0.49; 95%CI: 0.25-0.97] were factors significantly associated with appropriate complementary feeding practice.

Heliyon, Apr 1, 2022

Background: Pre-lacteal feeding has continued as a deep-rooted nutritional malpractice in develop... more Background: Pre-lacteal feeding has continued as a deep-rooted nutritional malpractice in developing countries. Pre-lacteal feeding is a barrier to the implementation of optimal breastfeeding practices and increases the risk of neonatal early-life diseases and mortality. Therefore, the aim of this study was to assess pre-lacteal feeding practice and associated factors among mothers having children less than 2 years of age in Aksum town, central Tigray, Ethiopia. Methods: A community-based cross-sectional study was conducted to interview 477 mother-child pairs by systematic random sampling technique. Data were collected through interviewer-administered semi-structured questionnaires. Data were coded, entered, cleaned and edited using EPIDATA version 3.1 and export to SPSS Version 22.0 for analysis. To identify the significant variables binary logistic regression were employed. Variables with p-value < 0.05 at 95% CI in multivariate logistic regression were considered statistically significant. Result: The prevalence of pre-lacteal feeding in Aksum town was 10.1% (95% CI: 7.3%, 13%). Mothers with no previous birth (AOR: 2.93(95% CI:1.21,7.09)), birth spacing less than 24 (AOR: 2.88(95% CI: 1.15,7.25)), colostrum discarding (AOR: 6.72 (95% CI: 2.49,18.12)), less than four anti natal care follow up (AOR: 10.55 (95% CI: 4.78,23.40)), those who underwent cesarean section (AOR: 4.38 (95% CI:1.72,11.12)) and maternal believe on purported advantage of pre-lacteal feeding (AOR: 3.36 (95%CI: 1.62,6.96)) were more likely to practice pre-lacteal feeding to their infants. Conclusions: Pre-lacteal feeding is still practiced in the study area. Childbirth spacing, colostrum discarding, antenatal Care follow up, maternal belief in pre-lacteal feeding was contributing factors for practicing of pre-lacteal feeding. Coordination and sustaining the existing strategies and approaches are recommended to give emphasis on the nutritional value of colostrum and anti-natal care follow up.

PLOS ONE, 2022

Background Modern contraceptive method is a product or medical procedure that interferes with rep... more Background Modern contraceptive method is a product or medical procedure that interferes with reproduction from acts of sexual intercourse. Globally in 2019, 44% of women of reproductive age were using a modern method of contraception but it was 29% in sub-Saharan Africa. Therefore, the main aim of this analysis was to assess the prevalence of modern contraceptive utilization and associated factors among married women in Ethiopia. Method The current study used the 2019 Ethiopia mini demographic and health survey dataset. Both descriptive and multilevel mixed-effect logistic regression analysis were done using STATA version 14. A p-value of less than 0.05 and an adjusted odds ratio with a 95% confidence interval were used to report statistically significant factors with modern contraceptive utilization. Result The overall modern contraceptive utilization among married women in Ethiopia was 38.7% (95% CI: 37.3% to 40.0%). Among the modern contraceptive methods, injectables were the mo...

PLOS ONE

Background Peripheral neuropathy is a leading cause of morbidity and increased mortality among di... more Background Peripheral neuropathy is a leading cause of morbidity and increased mortality among diabetic patients. It is characterized by significant deficits in vibration and tactile sensation. With an annual incidence of 2%, it affects as many as 110 million people worldwide. The aim of this study was to assess factors associated with peripheral neuropathy among diabetic patients in chronic care clinic in Gamo and Gofa zone, South Ethiopia. Methods An institution- based unmatched case control study was employed among 528 randomly selected participants using a pre-tested, interviewer-administered, and structured questionnaire. Bivariate and multivariable logistic regression analysis was conducted to identifiy determinants of peripheral neuropathy using IBM SPSS version 25. Result The odds of being an urban dweller was 2.67 times higher among cases than controls [AOR = 2.67 (1.27, 5.63)]. The likelihood of fasting blood glucose level between 203 and 282 and 282 and above was 2.55 and...

Advances in public health, Sep 19, 2022

Introduction. Human activities create waste, and the improper ways that waste is handled, stored,... more Introduction. Human activities create waste, and the improper ways that waste is handled, stored, collected, and disposed of can pose risks to public health. e highest proportion of households practice their solid waste improperly in many developing countries, and the household's status of solid waste management practices and its association with sociodemographic, knowledge, and institutional-related factors have never been clearly understood in Ethiopia, particularly in the study area. erefore, this study aimed to assess the status of solid waste management practice and its associated factors among households in Gessa town, Dawro Zone, Southwest Ethiopia. Methods. A community-based cross-sectional study was conducted among 686 study participants from April 30 to June 15, 2021. Study participants were selected by using a computer-generated simple random sampling technique. e interviewer administered a semistructured questionnaire that comprised sociodemographic, household-related, and institutional-related factors were used for data collection. All collected data were entered into epi data version 4.6 and then exported to STATA version 14.0 for further analysis. Each independent variable with a p value <0.25 in the bivariable logistic regression was included in the multivariable logistic regression model. In multivariable logistic regression, variables having a p value <0.05 were considered statistically signi cant. Result. In this study, improper solid waste management practice was 86.2%. Unpracticed solid waste reduction at source (AOR = 5, 95% CI 2.9-8.9), householders' poor knowledge about solid waste management (AOR = 5.2, 95% CI 2.6-10.3), and distance to the municipality disposal site greater than 30 minutes to one hour from householders' (AOR = 2.6, 95% CI 1.3-5.0) were found to be statistically signi cant associated factors for improper solid waste management practices of the households. Conclusions and Recommendations. e magnitude of improper solid waste management practices was high. Unpracticed solid waste reduction at source, householders' poor knowledge about solid waste management, and distance from home to the waste disposal site were signi cantly associated factors. erefore, policymakers, local government, and Gessa town health work units have to teach the community about solid waste management and solid waste generation minimization at the source and prepare standardized near-distance waste disposal sites to tackle contributing factors of improper solid waste management practice.

Scientific Reports, Nov 9, 2022

Introducing complementary feeding either early or later than 6 months is associated with future n... more Introducing complementary feeding either early or later than 6 months is associated with future negative health outcomes. However, many women in Ethiopia do not follow WHO standard time to feed their children, which might be due to various demographic, economic, access, and availability of services. Thus, we aimed to identify factors attributing to the problems to assist future interventions. We used cross-sectional EMDHS 2019 for this analysis. We cleaned the data and 4061 women with under 2 years children were identified. We applied multilevel binary logistic regression in Stata v.15. Model comparison was based on log-likelihood ratio, deviance, and other criteria. We presented data using mean, percent, 95% CI, and adjusted odds ratio (AOR). The timely complementary feeding was 36.44% (34.93-37.92%). Factors like preceding birth intervals (AOR = 1.97 95% CI 1.62-1.39), primary education (AOR = 2.26 95% CI 1.40-3.62), secondary above education (AOR = 1.62 95% CI 1.10-2.38), and rich wealth index (AOR = 1.25 95% CI 1.03-1.52) were some of the associated factors. The magnitude of timely initiation of complementary feeding was diminutive. Authors suggest that interventions considering maternal education, empowering mothers economically, equity access to health services, and birth planning a good remedy.

Scientific Reports

Introducing complementary feeding either early or later than 6 months is associated with future n... more Introducing complementary feeding either early or later than 6 months is associated with future negative health outcomes. However, many women in Ethiopia do not follow WHO standard time to feed their children, which might be due to various demographic, economic, access, and availability of services. Thus, we aimed to identify factors attributing to the problems to assist future interventions. We used cross-sectional EMDHS 2019 for this analysis. We cleaned the data and 4061 women with under 2 years children were identified. We applied multilevel binary logistic regression in Stata v.15. Model comparison was based on log-likelihood ratio, deviance, and other criteria. We presented data using mean, percent, 95% CI, and adjusted odds ratio (AOR). The timely complementary feeding was 36.44% (34.93–37.92%). Factors like preceding birth intervals (AOR = 1.97 95% CI 1.62–1.39), primary education (AOR = 2.26 95% CI 1.40–3.62), secondary above education (AOR = 1.62 95% CI 1.10–2.38), and ric...

BMC Health Services Research

Background The importance of the health information system faces multiple challenges such as supp... more Background The importance of the health information system faces multiple challenges such as supply, acceptance, and pressure from other professions in Ethiopia. Work-related challenges might cause low professional satisfaction and hinder service provision. There is a paucity of evidence for policy decisions to improve these challenges. Therefore, this study aims to assess Health Informatics professional satisfaction in the Ethiopian health system and associated factors to provide evidence for future improvements. Methods We conducted an institutions-based cross-sectional study on health informatics professionals in three zones in Southern Ethiopia in 2020. We used a simple random sampling technique to select 215 participants. The local health officials were contacted regarding the research questions, and letters of permission were collected for data collection. Results Out of 211(98%) Health Informatics professionals who accepted the interview, 50.8% (95%CI: 47.74%-53.86%) were sat...

BMC Health Services Research

Background The importance of the health information system faces multiple challenges such as supp... more Background The importance of the health information system faces multiple challenges such as supply, acceptance, and pressure from other professions in Ethiopia. Work-related challenges might cause low professional satisfaction and hinder service provision. There is a paucity of evidence for policy decisions to improve these challenges. Therefore, this study aims to assess Health Informatics professional satisfaction in the Ethiopian health system and associated factors to provide evidence for future improvements. Methods We conducted an institutions-based cross-sectional study on health informatics professionals in three zones in Southern Ethiopia in 2020. We used a simple random sampling technique to select 215 participants. The local health officials were contacted regarding the research questions, and letters of permission were collected for data collection. Results Out of 211(98%) Health Informatics professionals who accepted the interview, 50.8% (95%CI: 47.74%-53.86%) were sat...

Journal of Maternal-fetal & Neonatal Medicine, Mar 1, 2023

BMJ Open

ObjectiveChildhood vaccination is a cost-effective, essential service to reach a larger populatio... more ObjectiveChildhood vaccination is a cost-effective, essential service to reach a larger population globally. Due to unclear reasons, new emergence and resurgence of vaccine-preventable diseases increase. Thus, the aim of this study is to identify prevalence and determinants of childhood vaccination in Ethiopia.DesignCommunity-based cross-sectional study.SettingWe used data from 2019 Ethiopia Mini Demographic and Health Survey. The survey included all the nine regional states and two city administrations of Ethiopia.ParticipantsA weighted sample of 1008 children 12–23 months of age was included in the analysis.Main outcome measuresA multilevel proportional odds model was fitted to identify determinants of childhood vaccination status. In the final model, variables with a p value of less than 5% and an adjusted OR (AOR) with a 95% CI were reported.ResultThe full childhood vaccination coverage of Ethiopia was 39.09% (95% CI: 36.06%–42.28%). Mothers who attended primary (AOR=2.16; 95% C...

Ecology of Food and Nutrition, Aug 8, 2022

Ethiopian journal of health sciences, 2022

Background According to the world health organization, the COVID-19 outbreak has currently affect... more Background According to the world health organization, the COVID-19 outbreak has currently affected millions of people worldwide. Since the start of the pandemic in China, everything countries have thrown at the virus turned unsuccessful. As there is no established vaccine to halt the virus transmission, it might be very difficult for developing countries like Ethiopia even after vaccine development. Thus, focusing on improving knowledge, perception, and preparedness related to the virus might be very vital. Methods A community-based cross-sectional survey was conducted using the questionnaire applied in most countries which is suitable to apply in the Konso zone in South Nations Nationalities Region (SNNPR) from April.2020 to July 2020. Data were collected, cleaned, coded, checked, and entered into Epi Info and then exported and analyzed in STATA 15. We fitted a binary logistic regression model. Categorical variables were presented using figure tables, and proportion and for continuous variables, mean and standard deviation were used. The results were also presented using Adjusted Odds Ratio (AOR) with 95% CI. Results From 636 respondents expected, 615(97%) were participated and possessed the knowledge of 39%, and 64% perception and preparedness each. Measurements related to the policy and interventions like restrictions to movement, self-isolation, wearing a face mask, & the need for more tests was not supported by most participants. Conclusion The poor knowledge, perception, and preparedness were correlated with the unavailability of water and electricity, less education, and informal source of information which could be improved through area appropriate health education interventions.

JMIR Public Health and Surveillance

Scientific Reports

Introducing complementary feeding either early or later than 6 months is associated with future n... more Introducing complementary feeding either early or later than 6 months is associated with future negative health outcomes. However, many women in Ethiopia do not follow WHO standard time to feed their children, which might be due to various demographic, economic, access, and availability of services. Thus, we aimed to identify factors attributing to the problems to assist future interventions. We used cross-sectional EMDHS 2019 for this analysis. We cleaned the data and 4061 women with under 2 years children were identified. We applied multilevel binary logistic regression in Stata v.15. Model comparison was based on log-likelihood ratio, deviance, and other criteria. We presented data using mean, percent, 95% CI, and adjusted odds ratio (AOR). The timely complementary feeding was 36.44% (34.93–37.92%). Factors like preceding birth intervals (AOR = 1.97 95% CI 1.62–1.39), primary education (AOR = 2.26 95% CI 1.40–3.62), secondary above education (AOR = 1.62 95% CI 1.10–2.38), and ric...

Ecology of Food and Nutrition, Aug 8, 2022

Advances in Public Health

Introduction. Human activities create waste, and the improper ways that waste is handled, stored,... more Introduction. Human activities create waste, and the improper ways that waste is handled, stored, collected, and disposed of can pose risks to public health. The highest proportion of households practice their solid waste improperly in many developing countries, and the household’s status of solid waste management practices and its association with sociodemographic, knowledge, and institutional-related factors have never been clearly understood in Ethiopia, particularly in the study area. Therefore, this study aimed to assess the status of solid waste management practice and its associated factors among households in Gessa town, Dawro Zone, Southwest Ethiopia. Methods. A community-based cross-sectional study was conducted among 686 study participants from April 30 to June 15, 2021. Study participants were selected by using a computer-generated simple random sampling technique. The interviewer administered a semistructured questionnaire that comprised sociodemographic, household-rela...

Ethiopian journal of health sciences, 2022

Background According to the world health organization, the COVID-19 outbreak has currently affect... more Background According to the world health organization, the COVID-19 outbreak has currently affected millions of people worldwide. Since the start of the pandemic in China, everything countries have thrown at the virus turned unsuccessful. As there is no established vaccine to halt the virus transmission, it might be very difficult for developing countries like Ethiopia even after vaccine development. Thus, focusing on improving knowledge, perception, and preparedness related to the virus might be very vital. Methods A community-based cross-sectional survey was conducted using the questionnaire applied in most countries which is suitable to apply in the Konso zone in South Nations Nationalities Region (SNNPR) from April.2020 to July 2020. Data were collected, cleaned, coded, checked, and entered into Epi Info and then exported and analyzed in STATA 15. We fitted a binary logistic regression model. Categorical variables were presented using figure tables, and proportion and for continuous variables, mean and standard deviation were used. The results were also presented using Adjusted Odds Ratio (AOR) with 95% CI. Results From 636 respondents expected, 615(97%) were participated and possessed the knowledge of 39%, and 64% perception and preparedness each. Measurements related to the policy and interventions like restrictions to movement, self-isolation, wearing a face mask, & the need for more tests was not supported by most participants. Conclusion The poor knowledge, perception, and preparedness were correlated with the unavailability of water and electricity, less education, and informal source of information which could be improved through area appropriate health education interventions.