Tadele Yohannes - Academia.edu (original) (raw)

Papers by Tadele Yohannes

Research paper thumbnail of Determinants of low Apgar score among newborns delivered by Cesarean section in Nigist Eleni Mohammed memorial specialized hospital, Southern Ethiopia

Scientific reports, May 30, 2024

A variety of factors can predispose newborns to have a low Apgar score after delivery. Identifica... more A variety of factors can predispose newborns to have a low Apgar score after delivery. Identification of the determinants of low Apgar scores is an important first step to take to apply the necessary precautions. This study aimed to identify the determinants of low fifth-minute Apgar score after a Cesarean section. An institutional-based case-control study was conducted among mothers who deliver their newborns by Cesarean section in Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Ethiopia, from July 1, 2022, to September 30, 2022. Data were collected from 70 cases and 140 controls using a semi-structured checklist. A systematic random sampling technique was used to select both charts of mothers with cases and controls. Charts of mothers with newborns Apgar score less than 7 were considered as cases; whereas a similar group of charts of mothers with newborns with fifth-minute Apgar score greater than or equal to 7 were categorized as control. Descriptive statistics and bivariable and multivariable binary logistic regression analyses were conducted to describe the mothers and newborns and identify determinants of the fifth-minute low Apgar score, respectively. Adjusted odds ratios (AOR) with their respective 95% confidence interval (CI) were used to declare the determinant factors, and the statistical significance was set at P < 0.05. In total, 140 controls and 70 cases of mothers charts were enrolled in this study. The Mean ± SD age of mothers of cases and controls were 26.9 ± 4.9 and 27.06 ± 4.1 years, respectively. General anaesthesia (AOR = 4.2; 95% CI: 1.9-9.3), rural residence (AOR = 3.7, 95% CI, 1.7-8.1), low birth weight (AOR = 3.2, 95% CI, 1.3-7.8), and emergency Cesarean section (AOR = 2.6; 95% CI: 1.2-5.8) were identified determinant factors of low fifth minute Apgar score. A fifth-minute low Apgar score was significantly associated with newborns delivered through emergency Cesarean section, low birth weight, rural residence, and delivered from mothers who had undergone Cesarean section under general anaesthesia.

Research paper thumbnail of Determinants of preterm birth among mothers who gave birth in East Africa: systematic review and meta-analysis

Italian Journal of Pediatrics, Jan 28, 2020

Research paper thumbnail of Household food insecurity and coping strategies among rural households in Kedida Gamela District, Kembata-Tembaro zone, Southern Ethiopia: mixed-methods concurrent triangulation design

BMC Nutrition

Background Household food insecurity is a state in which household members experienced limited or... more Background Household food insecurity is a state in which household members experienced limited or uncertain physical and economic access to safe, plenty, and healthy food to meet the dietary needs for a fruitful, healthy, and active life. Food insecurity continues to be a major development and public health problem across the globe, having adverse consequences. This study was done to assess household food insecurity and to explore coping strategies in Kedida Gamela District, Southern Ethiopia. Method A cross-sectional study complemented with the qualitative inquiry was carried-out from August to November 2020. Multistage sampling was used to select study subjects. A total sample of 597 households was selected randomly using up to date family folder list in the district as a sampling frame. For the qualitative study, 16 food-insecure households were selected randomly from food in secured households. Quantitative data were entered using Ep-Data 3.1 and exported to SPSS 20 for analysis...

Research paper thumbnail of Availability of improved sanitation facilities and associated factors among rural communiteis in Lemo woreda, Hadiya zone, Southern Ethiopia

Jimma University, Jun 30, 2014

Research paper thumbnail of A thesis submitted to deprtment of epidemioloy College of public health and medical sciences jimma University in partial fulfilment of the requirements For degree of master of public health in epidemiology

Research paper thumbnail of Youth friendly services utilization and associated factors among school youths in North Shewa Zone, Amhara Region, Ethiopia: A mixed-method study

SAGE Open Medicine

Objective: To assess youth friendly services utilization and associated factors among school yout... more Objective: To assess youth friendly services utilization and associated factors among school youths in North Shewa zone, Ethiopia, 2020. Methods: Institution-based cross-sectional study complemented with qualitative inquiry was conducted from 25 February to 20 March 2020. Multistage and purposive sampling technique was used. A total of 605 randomly selected students were recruited. Seven in-depth interviews and four focus group discussions were conducted for qualitative study. p-value < 0.05 and adjusted odds ratio with 95% confidence interval were computed to measure the strength of associations between variables. Qualitative data were transcribed verbatim, analyzed manually, and presented in narration. Result: One hundred ninety-five (32.7%, 95% confidence interval: 29.0%, 36.6%) respondents had used youth friendly services during the survey. Educational level of father (can read and write) (adjusted odds ratio = 3.12, 95% confidence interval: (1.47, 6.65)), being knowledgeable...

Research paper thumbnail of Parent–adolescent discussion on sexual and reproductive health issues and its associated factors among parents in Sawla town, Gofa zone, Ethiopia

Reproductive Health, May 2, 2022

Research paper thumbnail of Parent-Adolescent Discussion on Sexual and Reproductive Health Issues and Its Associated Factors Among Parents in Sawla Town, Gofa Zone, Ethiopia

Background: Parent-adolescent discussion on sexual and reproductive health (SRH) issues leads to ... more Background: Parent-adolescent discussion on sexual and reproductive health (SRH) issues leads to increased awareness on reproductive health matters and reduces risky behaviors among adolescents and also is the base to reduce depraved reproductive health outcomes. The aim of this study was to assess parent-adolescent discussion on SRH issues and its associated factors in Sawla town, Southern Ethiopia, 2020. Methods: A community based cross sectional study was conducted among parents in Sawla town from March to April 2020. A simple random sampling technique was employed to select 697 study subjects. Data were entered in to Epi-data version 3.1 and exported to SPSS version 21 for analysis. Variables with p-value less than 0.25 in bivariate analysis were entered into multiple logistic regression models to test for association with the dependent variable at 95 % confidence level (CI). P-value less than 0.05 and 95 % CI for adjusted odds ratios (AOR) were used to declare the significance ...

Research paper thumbnail of Additional file 1: of The association between malaria and malnutrition among under-five children in Shashogo District, Southern Ethiopia: a case-control study

Multilingual abstracts in the five official working languages of the United Nations. (PDF 849 kb)

Research paper thumbnail of Prevalence of Depression and Associated Factors among Adults on Antiretroviral Therapy In Public Hospitals of Kembata Tembaro Zone, South Ethiopia

BackgroundCurrently, people living with Human Immunodeficiency Virus have longer life expectancie... more BackgroundCurrently, people living with Human Immunodeficiency Virus have longer life expectancies with the use of antiretroviral therapy. However; depression is the most common in these patients, which has markedly resulted to poor health outcomes due to reduced adherence to treatment and deterioration of medical outcomes, including treatment resistance, increase the demand for the utilization of medical resources and increase the morbidity and mortality. The aim of this study was to assess the prevalence and associated factors of depression among adult people living with HIV attending antiretroviral therapy clinic in public hospitals at KembataTembaro Zone, South Ethiopia,2020.MethodAn institution based cross sectional study was conducted in public Hospitals of KembataTembaro Zone from March 1/2020-April30/2020. Systematic random sampling technique was used to select the study participants. Data were collected using a pretested and structured questionnaire. Multivariable Logistic ...

Research paper thumbnail of Risky Sexual Behavior and Associated Factors among Reproductive Age Group High School Students: Institution Based Cross Sectional Study

Epidemiology: Open Access

Research paper thumbnail of Health-Care Workers’ Compliance with Infection Prevention Guidelines and Associated Factors in Hadiya Zone, Southern Ethiopia: Hospital Based Cross Sectional Study

Epidemiology International Journal

Research paper thumbnail of Determinants of preterm birth among mothers who gave birth in East Africa: systematic review and meta-analysis

Italian Journal of Pediatrics

Background Preterm birth (PTB) can be caused by different factors. The factors can be classified ... more Background Preterm birth (PTB) can be caused by different factors. The factors can be classified into different categories: socio demographic, obstetric, reproductive health, medical, behavioral and nutritional related. The objective of this review was identifying determinants of PTB among mothers who gave birth in East African countries. Methods We have searched the following electronic bibliographic databases: PubMed, Google scholar, Cochrane library, AJOL (African journal online). Cross sectional, case control and cohort study published in English were included. There was no restriction on publication period. Studies with no abstracts and or full texts, editorials, and qualitative in design were excluded. Funnel plot was used to check publication bias. I-squared statistic was used to check heterogeneity. Pooled analysis was done by using fixed and random effect model. The Joanna Briggs Critical Appraisal Tools for review and meta-analysis was used to check the study quality. Resu...

Research paper thumbnail of Magnitude of Antenatal Depression and Associated Factors among Pregnant Women in West Badewacho Woreda, Hadiyya Zone, South Ethiopia: Community Based Cross Sectional Study

Depression Research and Treatment

Background. Antenatal depression is prevalent and serious problems that is associated with psycho... more Background. Antenatal depression is prevalent and serious problems that is associated with psychosocial factors, obstetric history, and history of psychiatric illness. Evidence on prevalence and factors associated with antenatal depression at community level is limited in Ethiopia. The aim of this study was assessing the prevalence of antenatal depression and associated factors among pregnant women in West Badewacho Woreda, Hadiyya Zone, South Ethiopia, 2018. Methods. A community based cross sectional study was conducted from March 15 to April 12, 2018. To draw a total sample size of 541 pregnant women, multistage sampling technique was used. Pretested semi-structured questionnaire and standardized scale was used to collect data from each study subject. Data were entered and cleaned using Epi-Data version 3.1 and exported to SPSS version 23 for analysis. Bivariate analysis was carried out to see crude association between each independent variable and outcome variable. Odds ratios at...

Research paper thumbnail of Mortality and morbidity trends and predictors of mortality in under-five children with severe acute malnutrition in Hadiya zone, South Ethiopia: a four-year retrospective review of hospital-based records (2012–2015)

BMC Nutrition

Background: Severe acute malnutrition remains one of the most common causes of morbidity and mort... more Background: Severe acute malnutrition remains one of the most common causes of morbidity and mortality in Sub-Saharan Africa. The objective of this study was to investigate morbidity and mortality trends and factors associated with mortality of under-five children admitted and managed for severe acute malnutrition in NEMMH. Methods: Four years retrospective cohort study was conducted on 500 under-five children admitted with the diagnosis of severe acute malnutrition. The study population was all under-five children admitted to the inpatient nutrition unit between 2012 and 2015. Data was entered using Epi-Data version 3.1 and exported to SPSS version 16 for analysis. A Kaplan-Meier curve was also used to estimate survival probability of different types of severe acute malnutrition. Cox proportional hazards regression was used to predict the risk of death among predictor while adjusting for other variables. A P-value less than 0.05 was considered as statistically significant. Result: A total of 500 children were enrolled into the study. Kwashiorkor was the most frequently recorded morbidity accounting for 43.0%. Pneumonia was seen the commonest form of comorbid disease. It was the most common co-morbidity across all morbidity groups. (27.6% in kwashiorkor, 37.5% in marasmus and 37.7% in marasmic-kwashiorkor). The average length of stay in the hospital was 11 days. Children with new admission were 86% less likely to die than repeated admission given that the children were admitted to paediatric ward (HR: 0.14, 95% CI: (0.06, 0.35). Kaplan Meier survival curves also showed children with marasmus and those with repeated admission had reduced survival rates. The overall mortality rate was 7%. The mortality trends vary irregularly in each year but morbidity trend increased with admission from 2014 to 2015. Conclusion: Mortality trends of SAM vary irregularly across the years but morbidity trends increased with admission from 2014 to 2015. An admission type was significantly associated with mortality. Morbidity and co-morbid diseases did not show significant effect on mortality of the children. Health extension workers and stakeholders should give due concern on promotion of proper nutrition in a community.

Research paper thumbnail of Association between malaria and malnutrition among children aged under-five years in Adami Tulu District, south-central Ethiopia: a case–control study

BMC Public Health, 2016

Background: Malaria and malnutrition are the major causes of morbidity and mortality in under-fiv... more Background: Malaria and malnutrition are the major causes of morbidity and mortality in under-five children in developing countries such as Ethiopia. Malnutrition is the associated cause for about half of the deaths that occur among under-five children in developing countries. However, the relationship between malnutrition and malaria is controversial still, and it has also not been well documented in Ethiopia. The aim of this study was to assess whether malnutrition is associated with malaria among under-five children. Methods: A case-control study was conducted in Adami Tulu District of East Shewa Zone in Oromia Regional State, Ethiopia. Cases were all under-five children who are diagnosed with malaria at health posts and health centres. The diagnosis was made using either rapid diagnostic tests or microscopy. Controls were apparently healthy under-five children recruited from the community where cases resided. The selection of the controls was based on World Health Organization (WHO) cluster sampling method. A total of 428 children were included. Mothers/caretakers of under-five children were interviewed using pre-tested structured questionnaire prepared for this purpose. The nutritional status of the children was assessed using an anthropometric method and analyzed using WHO Anthro software. A multivariate logistic analysis model was used to determine predictors of malaria. Results: Four hundred twenty eight under-five children comprising 107 cases and 321 controls were included in this study. Prevalence of wasting was higher among cases (17.8 %) than the controls (9.3 %). Similarly, the prevalence of stunting was 50.5 % and 45.2 % among cases and controls, respectively. Severe wasting [Adjusted Odds Ratio (AOR) =2.9, 95 % CI (1.14, 7.61)] and caretakers who had no education [AOR = 3, 95 % CI (1.27, 7.10)] were independently associated with malarial attack among under-five children. Conclusion: Children who were severely wasted and had uneducated caretakers had higher odds of malarial attack. Therefore, special attention should be given for severely wasted children in the prevention and control of malaria.

Research paper thumbnail of Prevalence of herbal medicine use and associated factors among pregnant women attending antenatal care at public health facilities in Hossana Town, Southern Ethiopia: facility based cross sectional study

Archives of Public Health, 2016

Background: The use of herbal medicine has been on increase in many developing and industrialized... more Background: The use of herbal medicine has been on increase in many developing and industrialized countries. More pregnant women use herbal remedies to treat pregnancy related problems due to cost-effectiveness of therapy and easy access of these products. We sought to assess the prevalence of herbal medicine use and associated factors among pregnant women attending antenatal clinics of public health facilities. Methods: Facility based cross sectional study was conducted among 363 pregnant women attending antenatal clinics from May to June 2015 at public health facilities in Hossana town, Hadiya zone, Southern Ethiopia. Pretested structured questionnaire was used to collect data from each study subject. Bivariate logistic regression analysis was used to see significance of association between the outcome and independent variables. Odds ratios at 95 % CI were computed to measure the strength of the association between the outcome and the independent variables. P-value <0.05 was considered as a statistically significant in multivariate analysis. Result: Two hundred fifty eight (73.1 %) of pregnant women used herbal medicine during current pregnancy. The herbal medicines commonly taken during current pregnancy were ginger (55.8 %), garlic (69.8 %), eucalyptus (11.6 %), tenaadam (rutachalenssis) (26.4 %), damakesse (ocimumlamiifolium) (22.8 %), feto (3.5 %) and omore (3.1 %).

Research paper thumbnail of A Cross Sectional Study: Availability of Improved Sanitation Facilities and Associated Factors among Rural Communities in Lemo Woreda, Hadiya Zone, Southern Ethiopia

OALib, 2014

Background: Faecal-oral diseases represent the largest health burden associated with a lack of im... more Background: Faecal-oral diseases represent the largest health burden associated with a lack of improved sanitation. Diarrhea is the most burdensome of these and accounting for over millions of deaths each year. Access to improved household sanitary facilities have great health benefits ranging from reductions in diarrhea, helmenth infections and trachoma through reduced risk of accidents and enhanced psycho-social well-being. Objective: This study was aimed at assessing the availability of improved sanitation facilities and factors affecting it among rural communities in Lemo Woreda of Hadiya zone in 2014. Methods: Community based cross-sectional study was conducted from March to April, 2014 in Lemo Woreda, Hadiya Zone. To draw a total sample of size 515, a multistage sampling technique was used. Heads of the households or their spouses were interviewed to collect data using structured, pretested questionnaire. Data were entered using Epi-Data version 3.1 and exported to SPSS version 16 for analysis. Binary logistic regression was used to predict variables which have independent association with outcome variables. Results: The findings of this study showed that 35.9% (95%CI: 30.9%, 40.9%) of the households included in the study had improved sanitation facilities. The likelihood of improved sanitation facility was 2.3 fold higher in households that had a higher income than those with lower income (AOR: 2.346 (1.483, 3.714)). The odds of having improved sanitation facilities was 6.5 folds higher in households headed by government employers/students as compared to households headed by farmers (AOR: 6.521, 95%CI: (2.216, 19.188)). Respondents who had sufficient knowledge on improved sanitation facilities were 1.6 times more likely to have improved sanitation facilities as those who had insufficient knowledge on improved sanitation facilities (AOR: 1.606, 95%CI: (1.022, 2.253)). Respondents who had positive attitude towards improved sanitation facilities were 2 times more likely to had improved sanitation facilities as those who had negative attitude towards improved T. Yohannes et al.

Research paper thumbnail of Determinants of low Apgar score among newborns delivered by Cesarean section in Nigist Eleni Mohammed memorial specialized hospital, Southern Ethiopia

Scientific reports, May 30, 2024

A variety of factors can predispose newborns to have a low Apgar score after delivery. Identifica... more A variety of factors can predispose newborns to have a low Apgar score after delivery. Identification of the determinants of low Apgar scores is an important first step to take to apply the necessary precautions. This study aimed to identify the determinants of low fifth-minute Apgar score after a Cesarean section. An institutional-based case-control study was conducted among mothers who deliver their newborns by Cesarean section in Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Ethiopia, from July 1, 2022, to September 30, 2022. Data were collected from 70 cases and 140 controls using a semi-structured checklist. A systematic random sampling technique was used to select both charts of mothers with cases and controls. Charts of mothers with newborns Apgar score less than 7 were considered as cases; whereas a similar group of charts of mothers with newborns with fifth-minute Apgar score greater than or equal to 7 were categorized as control. Descriptive statistics and bivariable and multivariable binary logistic regression analyses were conducted to describe the mothers and newborns and identify determinants of the fifth-minute low Apgar score, respectively. Adjusted odds ratios (AOR) with their respective 95% confidence interval (CI) were used to declare the determinant factors, and the statistical significance was set at P < 0.05. In total, 140 controls and 70 cases of mothers charts were enrolled in this study. The Mean ± SD age of mothers of cases and controls were 26.9 ± 4.9 and 27.06 ± 4.1 years, respectively. General anaesthesia (AOR = 4.2; 95% CI: 1.9-9.3), rural residence (AOR = 3.7, 95% CI, 1.7-8.1), low birth weight (AOR = 3.2, 95% CI, 1.3-7.8), and emergency Cesarean section (AOR = 2.6; 95% CI: 1.2-5.8) were identified determinant factors of low fifth minute Apgar score. A fifth-minute low Apgar score was significantly associated with newborns delivered through emergency Cesarean section, low birth weight, rural residence, and delivered from mothers who had undergone Cesarean section under general anaesthesia.

Research paper thumbnail of Determinants of preterm birth among mothers who gave birth in East Africa: systematic review and meta-analysis

Italian Journal of Pediatrics, Jan 28, 2020

Research paper thumbnail of Household food insecurity and coping strategies among rural households in Kedida Gamela District, Kembata-Tembaro zone, Southern Ethiopia: mixed-methods concurrent triangulation design

BMC Nutrition

Background Household food insecurity is a state in which household members experienced limited or... more Background Household food insecurity is a state in which household members experienced limited or uncertain physical and economic access to safe, plenty, and healthy food to meet the dietary needs for a fruitful, healthy, and active life. Food insecurity continues to be a major development and public health problem across the globe, having adverse consequences. This study was done to assess household food insecurity and to explore coping strategies in Kedida Gamela District, Southern Ethiopia. Method A cross-sectional study complemented with the qualitative inquiry was carried-out from August to November 2020. Multistage sampling was used to select study subjects. A total sample of 597 households was selected randomly using up to date family folder list in the district as a sampling frame. For the qualitative study, 16 food-insecure households were selected randomly from food in secured households. Quantitative data were entered using Ep-Data 3.1 and exported to SPSS 20 for analysis...

Research paper thumbnail of Availability of improved sanitation facilities and associated factors among rural communiteis in Lemo woreda, Hadiya zone, Southern Ethiopia

Jimma University, Jun 30, 2014

Research paper thumbnail of A thesis submitted to deprtment of epidemioloy College of public health and medical sciences jimma University in partial fulfilment of the requirements For degree of master of public health in epidemiology

Research paper thumbnail of Youth friendly services utilization and associated factors among school youths in North Shewa Zone, Amhara Region, Ethiopia: A mixed-method study

SAGE Open Medicine

Objective: To assess youth friendly services utilization and associated factors among school yout... more Objective: To assess youth friendly services utilization and associated factors among school youths in North Shewa zone, Ethiopia, 2020. Methods: Institution-based cross-sectional study complemented with qualitative inquiry was conducted from 25 February to 20 March 2020. Multistage and purposive sampling technique was used. A total of 605 randomly selected students were recruited. Seven in-depth interviews and four focus group discussions were conducted for qualitative study. p-value < 0.05 and adjusted odds ratio with 95% confidence interval were computed to measure the strength of associations between variables. Qualitative data were transcribed verbatim, analyzed manually, and presented in narration. Result: One hundred ninety-five (32.7%, 95% confidence interval: 29.0%, 36.6%) respondents had used youth friendly services during the survey. Educational level of father (can read and write) (adjusted odds ratio = 3.12, 95% confidence interval: (1.47, 6.65)), being knowledgeable...

Research paper thumbnail of Parent–adolescent discussion on sexual and reproductive health issues and its associated factors among parents in Sawla town, Gofa zone, Ethiopia

Reproductive Health, May 2, 2022

Research paper thumbnail of Parent-Adolescent Discussion on Sexual and Reproductive Health Issues and Its Associated Factors Among Parents in Sawla Town, Gofa Zone, Ethiopia

Background: Parent-adolescent discussion on sexual and reproductive health (SRH) issues leads to ... more Background: Parent-adolescent discussion on sexual and reproductive health (SRH) issues leads to increased awareness on reproductive health matters and reduces risky behaviors among adolescents and also is the base to reduce depraved reproductive health outcomes. The aim of this study was to assess parent-adolescent discussion on SRH issues and its associated factors in Sawla town, Southern Ethiopia, 2020. Methods: A community based cross sectional study was conducted among parents in Sawla town from March to April 2020. A simple random sampling technique was employed to select 697 study subjects. Data were entered in to Epi-data version 3.1 and exported to SPSS version 21 for analysis. Variables with p-value less than 0.25 in bivariate analysis were entered into multiple logistic regression models to test for association with the dependent variable at 95 % confidence level (CI). P-value less than 0.05 and 95 % CI for adjusted odds ratios (AOR) were used to declare the significance ...

Research paper thumbnail of Additional file 1: of The association between malaria and malnutrition among under-five children in Shashogo District, Southern Ethiopia: a case-control study

Multilingual abstracts in the five official working languages of the United Nations. (PDF 849 kb)

Research paper thumbnail of Prevalence of Depression and Associated Factors among Adults on Antiretroviral Therapy In Public Hospitals of Kembata Tembaro Zone, South Ethiopia

BackgroundCurrently, people living with Human Immunodeficiency Virus have longer life expectancie... more BackgroundCurrently, people living with Human Immunodeficiency Virus have longer life expectancies with the use of antiretroviral therapy. However; depression is the most common in these patients, which has markedly resulted to poor health outcomes due to reduced adherence to treatment and deterioration of medical outcomes, including treatment resistance, increase the demand for the utilization of medical resources and increase the morbidity and mortality. The aim of this study was to assess the prevalence and associated factors of depression among adult people living with HIV attending antiretroviral therapy clinic in public hospitals at KembataTembaro Zone, South Ethiopia,2020.MethodAn institution based cross sectional study was conducted in public Hospitals of KembataTembaro Zone from March 1/2020-April30/2020. Systematic random sampling technique was used to select the study participants. Data were collected using a pretested and structured questionnaire. Multivariable Logistic ...

Research paper thumbnail of Risky Sexual Behavior and Associated Factors among Reproductive Age Group High School Students: Institution Based Cross Sectional Study

Epidemiology: Open Access

Research paper thumbnail of Health-Care Workers’ Compliance with Infection Prevention Guidelines and Associated Factors in Hadiya Zone, Southern Ethiopia: Hospital Based Cross Sectional Study

Epidemiology International Journal

Research paper thumbnail of Determinants of preterm birth among mothers who gave birth in East Africa: systematic review and meta-analysis

Italian Journal of Pediatrics

Background Preterm birth (PTB) can be caused by different factors. The factors can be classified ... more Background Preterm birth (PTB) can be caused by different factors. The factors can be classified into different categories: socio demographic, obstetric, reproductive health, medical, behavioral and nutritional related. The objective of this review was identifying determinants of PTB among mothers who gave birth in East African countries. Methods We have searched the following electronic bibliographic databases: PubMed, Google scholar, Cochrane library, AJOL (African journal online). Cross sectional, case control and cohort study published in English were included. There was no restriction on publication period. Studies with no abstracts and or full texts, editorials, and qualitative in design were excluded. Funnel plot was used to check publication bias. I-squared statistic was used to check heterogeneity. Pooled analysis was done by using fixed and random effect model. The Joanna Briggs Critical Appraisal Tools for review and meta-analysis was used to check the study quality. Resu...

Research paper thumbnail of Magnitude of Antenatal Depression and Associated Factors among Pregnant Women in West Badewacho Woreda, Hadiyya Zone, South Ethiopia: Community Based Cross Sectional Study

Depression Research and Treatment

Background. Antenatal depression is prevalent and serious problems that is associated with psycho... more Background. Antenatal depression is prevalent and serious problems that is associated with psychosocial factors, obstetric history, and history of psychiatric illness. Evidence on prevalence and factors associated with antenatal depression at community level is limited in Ethiopia. The aim of this study was assessing the prevalence of antenatal depression and associated factors among pregnant women in West Badewacho Woreda, Hadiyya Zone, South Ethiopia, 2018. Methods. A community based cross sectional study was conducted from March 15 to April 12, 2018. To draw a total sample size of 541 pregnant women, multistage sampling technique was used. Pretested semi-structured questionnaire and standardized scale was used to collect data from each study subject. Data were entered and cleaned using Epi-Data version 3.1 and exported to SPSS version 23 for analysis. Bivariate analysis was carried out to see crude association between each independent variable and outcome variable. Odds ratios at...

Research paper thumbnail of Mortality and morbidity trends and predictors of mortality in under-five children with severe acute malnutrition in Hadiya zone, South Ethiopia: a four-year retrospective review of hospital-based records (2012–2015)

BMC Nutrition

Background: Severe acute malnutrition remains one of the most common causes of morbidity and mort... more Background: Severe acute malnutrition remains one of the most common causes of morbidity and mortality in Sub-Saharan Africa. The objective of this study was to investigate morbidity and mortality trends and factors associated with mortality of under-five children admitted and managed for severe acute malnutrition in NEMMH. Methods: Four years retrospective cohort study was conducted on 500 under-five children admitted with the diagnosis of severe acute malnutrition. The study population was all under-five children admitted to the inpatient nutrition unit between 2012 and 2015. Data was entered using Epi-Data version 3.1 and exported to SPSS version 16 for analysis. A Kaplan-Meier curve was also used to estimate survival probability of different types of severe acute malnutrition. Cox proportional hazards regression was used to predict the risk of death among predictor while adjusting for other variables. A P-value less than 0.05 was considered as statistically significant. Result: A total of 500 children were enrolled into the study. Kwashiorkor was the most frequently recorded morbidity accounting for 43.0%. Pneumonia was seen the commonest form of comorbid disease. It was the most common co-morbidity across all morbidity groups. (27.6% in kwashiorkor, 37.5% in marasmus and 37.7% in marasmic-kwashiorkor). The average length of stay in the hospital was 11 days. Children with new admission were 86% less likely to die than repeated admission given that the children were admitted to paediatric ward (HR: 0.14, 95% CI: (0.06, 0.35). Kaplan Meier survival curves also showed children with marasmus and those with repeated admission had reduced survival rates. The overall mortality rate was 7%. The mortality trends vary irregularly in each year but morbidity trend increased with admission from 2014 to 2015. Conclusion: Mortality trends of SAM vary irregularly across the years but morbidity trends increased with admission from 2014 to 2015. An admission type was significantly associated with mortality. Morbidity and co-morbid diseases did not show significant effect on mortality of the children. Health extension workers and stakeholders should give due concern on promotion of proper nutrition in a community.

Research paper thumbnail of Association between malaria and malnutrition among children aged under-five years in Adami Tulu District, south-central Ethiopia: a case–control study

BMC Public Health, 2016

Background: Malaria and malnutrition are the major causes of morbidity and mortality in under-fiv... more Background: Malaria and malnutrition are the major causes of morbidity and mortality in under-five children in developing countries such as Ethiopia. Malnutrition is the associated cause for about half of the deaths that occur among under-five children in developing countries. However, the relationship between malnutrition and malaria is controversial still, and it has also not been well documented in Ethiopia. The aim of this study was to assess whether malnutrition is associated with malaria among under-five children. Methods: A case-control study was conducted in Adami Tulu District of East Shewa Zone in Oromia Regional State, Ethiopia. Cases were all under-five children who are diagnosed with malaria at health posts and health centres. The diagnosis was made using either rapid diagnostic tests or microscopy. Controls were apparently healthy under-five children recruited from the community where cases resided. The selection of the controls was based on World Health Organization (WHO) cluster sampling method. A total of 428 children were included. Mothers/caretakers of under-five children were interviewed using pre-tested structured questionnaire prepared for this purpose. The nutritional status of the children was assessed using an anthropometric method and analyzed using WHO Anthro software. A multivariate logistic analysis model was used to determine predictors of malaria. Results: Four hundred twenty eight under-five children comprising 107 cases and 321 controls were included in this study. Prevalence of wasting was higher among cases (17.8 %) than the controls (9.3 %). Similarly, the prevalence of stunting was 50.5 % and 45.2 % among cases and controls, respectively. Severe wasting [Adjusted Odds Ratio (AOR) =2.9, 95 % CI (1.14, 7.61)] and caretakers who had no education [AOR = 3, 95 % CI (1.27, 7.10)] were independently associated with malarial attack among under-five children. Conclusion: Children who were severely wasted and had uneducated caretakers had higher odds of malarial attack. Therefore, special attention should be given for severely wasted children in the prevention and control of malaria.

Research paper thumbnail of Prevalence of herbal medicine use and associated factors among pregnant women attending antenatal care at public health facilities in Hossana Town, Southern Ethiopia: facility based cross sectional study

Archives of Public Health, 2016

Background: The use of herbal medicine has been on increase in many developing and industrialized... more Background: The use of herbal medicine has been on increase in many developing and industrialized countries. More pregnant women use herbal remedies to treat pregnancy related problems due to cost-effectiveness of therapy and easy access of these products. We sought to assess the prevalence of herbal medicine use and associated factors among pregnant women attending antenatal clinics of public health facilities. Methods: Facility based cross sectional study was conducted among 363 pregnant women attending antenatal clinics from May to June 2015 at public health facilities in Hossana town, Hadiya zone, Southern Ethiopia. Pretested structured questionnaire was used to collect data from each study subject. Bivariate logistic regression analysis was used to see significance of association between the outcome and independent variables. Odds ratios at 95 % CI were computed to measure the strength of the association between the outcome and the independent variables. P-value <0.05 was considered as a statistically significant in multivariate analysis. Result: Two hundred fifty eight (73.1 %) of pregnant women used herbal medicine during current pregnancy. The herbal medicines commonly taken during current pregnancy were ginger (55.8 %), garlic (69.8 %), eucalyptus (11.6 %), tenaadam (rutachalenssis) (26.4 %), damakesse (ocimumlamiifolium) (22.8 %), feto (3.5 %) and omore (3.1 %).

Research paper thumbnail of A Cross Sectional Study: Availability of Improved Sanitation Facilities and Associated Factors among Rural Communities in Lemo Woreda, Hadiya Zone, Southern Ethiopia

OALib, 2014

Background: Faecal-oral diseases represent the largest health burden associated with a lack of im... more Background: Faecal-oral diseases represent the largest health burden associated with a lack of improved sanitation. Diarrhea is the most burdensome of these and accounting for over millions of deaths each year. Access to improved household sanitary facilities have great health benefits ranging from reductions in diarrhea, helmenth infections and trachoma through reduced risk of accidents and enhanced psycho-social well-being. Objective: This study was aimed at assessing the availability of improved sanitation facilities and factors affecting it among rural communities in Lemo Woreda of Hadiya zone in 2014. Methods: Community based cross-sectional study was conducted from March to April, 2014 in Lemo Woreda, Hadiya Zone. To draw a total sample of size 515, a multistage sampling technique was used. Heads of the households or their spouses were interviewed to collect data using structured, pretested questionnaire. Data were entered using Epi-Data version 3.1 and exported to SPSS version 16 for analysis. Binary logistic regression was used to predict variables which have independent association with outcome variables. Results: The findings of this study showed that 35.9% (95%CI: 30.9%, 40.9%) of the households included in the study had improved sanitation facilities. The likelihood of improved sanitation facility was 2.3 fold higher in households that had a higher income than those with lower income (AOR: 2.346 (1.483, 3.714)). The odds of having improved sanitation facilities was 6.5 folds higher in households headed by government employers/students as compared to households headed by farmers (AOR: 6.521, 95%CI: (2.216, 19.188)). Respondents who had sufficient knowledge on improved sanitation facilities were 1.6 times more likely to have improved sanitation facilities as those who had insufficient knowledge on improved sanitation facilities (AOR: 1.606, 95%CI: (1.022, 2.253)). Respondents who had positive attitude towards improved sanitation facilities were 2 times more likely to had improved sanitation facilities as those who had negative attitude towards improved T. Yohannes et al.