Tezera Moshago Berheto - Academia.edu (original) (raw)
Papers by Tezera Moshago Berheto
Frontiers in Public Health, May 22, 2023
Background: The 2030 agenda for sustainable development goals has given injury prevention new att... more Background: The 2030 agenda for sustainable development goals has given injury prevention new attention, including halving road traffic injuries. This study compiled the best available evidence on injury from the global burden of diseases study for Ethiopia from 1990 to 2019. Methods: Injury data on incidence, prevalence, mortality, disability-adjusted life years lost, years lived with disability, and years of life lost were extracted from the 2019 global burden of diseases study for regions and chartered cities in Ethiopia from 1990 to 2019. Rates were estimated per 100,000 population.
International journal of gynaecology and obstetrics, Jun 20, 2023
ObjectiveTo assess the magnitude and factors associated with birth preparedness and complication ... more ObjectiveTo assess the magnitude and factors associated with birth preparedness and complication readiness (BPCR) among pregnant women in Humbo district, Wolaita Zone, Ethiopia.MethodsA community‐based cross‐sectional study was conducted from August 1 to 30, 2020. A total of 506 pregnant women were randomly selected and interviewed using a questionnaire. Data were entered using EpiData version 4.6.0, and analysis was made using SPSS version 24. An adjusted odds ratio (aOR) with a 95% confidence interval (CI) was calculated.ResultsThe magnitude of BPCR in the Humbo district was 26.0%. The odds of being prepared for birth and its complications were higher among women who had a history of obstetric complications (aOR 2.77; 95% CI 1.18–6.52), participated in pregnant women's conferences (aOR 3.84; 95% CI 2.13–6.93), received advice on BPCR (aOR 2.39; 95% CI 1.36–4.22), and were knowledgeable on labor and childbirth danger signs (aOR 2.64; 95% CI 1.55–4.49).ConclusionThe magnitude of birth preparedness and complication readiness was low in the study area. The healthcare provider should encourage the women to participate in conferences and provide continuous counseling during their prenatal care visits.
Rural and Remote Health, Jul 30, 2015
Introduction: Malnutrition that occurs during adolescence has important consequences for the futu... more Introduction: Malnutrition that occurs during adolescence has important consequences for the future growth and development of the individual, particularly in girls in developing countries. Besides limiting growth, adolescent malnutrition has important consequences for society. Despite this, there is a lack of information on the nutritional status of adolescent girls in Ethiopia. This study was therefore performed to help redress this lack of data and to provide information for future improvements by health planners and policy makers. Methods: A comparative cross-sectional study design was employed to determine the urban-rural disparity in nutritional status of adolescent school girls in the Mizan district in southwestern Ethiopia. A two-stage sampling procedure was used to randomly select 622 adolescent girls, 311 each from urban and rural locations. Trained field workers used structured questionnaires to obtain the desired information from the respondents. Anthropometric measurements of height and weight were collected using standard procedures and appropriate quality control measures. Height-forage Z-scores and body mass index (BMI)-forage Z-scores were generated using AnthroPlus software. The independent sample t-test and χ 2 test were used to determine statistical significance. Results: There were no significant differences in the ages or physical activities of the two populations of girls studied. Consumption of cereal, vegetables, sweets, sugars, fats, meat, and eggs was similar between the two groups, although slight © TM Berheto, WK Mikitie, A Argaw, 2015. A licence to publish this material has been given to James Cook University, http://www.rrh.org.au 2 differences were found with regard to legumes, milk, and fruit consumption. No significant differences were found in the prevalence of mild underweight girls and overweight girls in the urban and rural groups (26.5% vs 22.3% and 7.5% vs 5.2%, respectively). Significant stunting was, however, present in the rural population (40.9% vs. 17.8% in the urban group). Although overall lower than the reference data provided by WHO, the mean BMI-forage Z-scores and height-forage Z-scores were significantly higher in the urban girls than in their rural counterparts, with mean differences of 0.18 (95% confidence interval (CI) 0.02-0.34) and 0.58 (95% CI 0.45-0.72), respectively. Conclusions: Malnutrition was present in both urban and rural adolescent girls. The most obvious disparity between the two populations was significant stunting in the rural population. There is therefore an urgent need for strategies to address severe nutritional problems in rural adolescent girls and to improve the nutrition of adolescent girls within the urban environment.
PLOS global public health, Jun 21, 2023
The under-5 mortality rate is a commonly used indicator of population health and socioeconomic st... more The under-5 mortality rate is a commonly used indicator of population health and socioeconomic status worldwide. However, as in most low-and middle-income countries settings, deaths among children under-5 and in any age group in Ethiopia remain underreported and fragmented. We aimed to systematically estimate neonatal, infant, and under-5 mortality trends, identify underlying causes, and make subnational (regional and chartered cities) comparisons between 1990 and 2019. We used the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD 2019) to estimate three key under-5 mortality indicators-the probability of death between the date of birth and 28 days (neonatal mortality rate, NMR), the date of birth and 1 year (infant mortality rate, IMR), and the date of birth and 5 years (under-5 mortality rate, U5MR). The causes of death by age groups, sex, and year were estimated using Cause of Death Ensemble modelling (CODEm). Specifically, this involved a multi-stage process that includes a non-linear mixed-effects model, source bias correction, spatiotemporal smoothing, and a Gaussian process regression to synthesise mortality estimates by age, sex, location, and year. In 2019, an estimated 190,173 (95% uncertainty interval 149,789-242,575) under-5 deaths occurred in Ethiopia. Nearly three-quarters (74%) of under-5 deaths in 2019 were within the first year of life, and over half (52%) in the first 28 days. The overall U5MR, IMR, and NMR in the country were estimated to be 52.4 (44.7-62.4), 41.5 (35.2-50.0), and 26.6 (22.6-31.5) deaths per 1000 livebirths, respectively, with substantial variations between administrative regions. Over three-quarters of under-5 deaths in 2019 were due to five leading causes, namely neonatal disorders (40.7%),
Population medicine, Apr 27, 2023
Population Medicine considers the following types of articles: • Research Papers-reports of data ... more Population Medicine considers the following types of articles: • Research Papers-reports of data from original research or secondary dataset analyses. • Review Papers-comprehensive, authoritative, reviews within the journal's scope. These include both systematic reviews and narrative reviews. • Short Reports-brief reports of data from original research. • Policy Case Studies-brief articles on policy development at a regional or national level. • Study Protocols-articles describing a research protocol of a study. • Methodology Papers-papers that present different methodological approaches that can be used to investigate problems in a relevant scientific field and to encourage innovation. • Methodology Papers-papers that present different methodological approaches that can be used to investigate problems in a relevant scientific field and to encourage innovation. • Letters to the Editor-a response to authors of an original publication, or a very small article that may be relevant to readers. • Editorials-articles written by the Editorial Board or by invited experts on a specific topic. Research Papers Articles reporting research may be full length or brief reports. These should report original research findings within the journal's scope. Papers should generally be a maximum of 4000 words in length, excluding tables, references, and abstract and key points of the article, whilst it is recommended that the number of references should not exceed 36.
PLOS ONE, Oct 29, 2020
Background Blood transfusion is a therapeutic procedure that has proven to be effective in saving... more Background Blood transfusion is a therapeutic procedure that has proven to be effective in saving millions of lives. However, its safety is still a crucial issue that needs due attention. Unsafe blood transfusion is one of the sources of transmission for infectious agents. Therefore, the objective of this study was to assess the sero-prevalence of Transfusion Transmittable Infections (TTIs) such as Human immunodeficiency virus (HIV), Hepatitis B Virus (HBV), Hepatitis C virus (HCV), Treponema pallidum, and associated factors among blood donors in Ethiopia. Methods A retrospective cross-sectional study design was used to measure the prevalence of transfusion transmittable infections using data collected from 2014 to 2019 in fourteen blood bank facilities in Ethiopia. Screening of HIV, HBV and HCV was done by using the Enzyme-Linked Immunosorbent Assay (ELISA). Presence of Treponema pallidum infection was assessed using rapid plasma reagin (RPR). Records of blood donors were collected using a checklist from Central Blood Bank Laboratory (BBL) electronic database and reviewed. Data was entered, cleaned and analyzed using SPSS version 23. Logistic regression was fitted to identify factors associated with cumulative TTIs positivity, and for each of the transfusion transmittable infection. P value < 0.05 was considered statistically significant. Result A total of 554,954 blood donors in the fourteen blood bank facilities from 2014-2019 was included in the study. The overall sero-prevalence of HBV, Treponema pallidum, HIV and HCV, was 2.4%, 0.9%, 0.4% and 0.4% respectively. The prevalence of TTIs was
BMC Research Notes, May 29, 2019
The aim of this study was to investigate nasopharyngeal carriage rate and antibiotic susceptibili... more The aim of this study was to investigate nasopharyngeal carriage rate and antibiotic susceptibility patterns of Streptococcus pneumoniae among school children. Results: Three hundred eleven (43.8%) became culture positive for S. pneumoniae. The carriage rate among children, 3-5 years old was 62.5%, which was higher than the carriage rate of 38.6% among 6-13 years old children. Age ≤ 5 years and co-sleeping with siblings remained significantly associated with S. pneumoniae carriage. 155 (49.8%) of the isolates were resistant to co-trimoxazole, 152 (48.9%) of the isolates were resistant to tetracycline, and 88 (28.3%) of isolates were resistant to oxacillin. Multi drug resistant S. pneumoniae was observed in 90 (28.9%) of isolates. There is high prevalence of S. pneumoniae in primary school children in our study area. Relatively high carriage rate of resistance to oxacillin, tetracycline and co-trimoxazole were observed. These findings provide baseline data for future studies to further compare pneumococcal carriage rates and antibiotic resistance patterns.
BMC Health Services Research, Apr 16, 2015
Background: The urban health extension program (UHEP) is an innovative government plan to ensure ... more Background: The urban health extension program (UHEP) is an innovative government plan to ensure health equity by creating demand for essential health services through the provision of appropriate health information at a household level. It aims to improve the overall health of a community through active participation and utilization of services, which depends on satisfaction and acceptance of the program. However, there is no study on community satisfaction with the services provided by the UHEP in Ethiopia. This study was aimed to assess the level of community satisfaction with the UHEP in Hadiya Zone, South Ethiopia, and the associated factors with it. Methods: A community based cross-sectional study, using quantitative and qualitative methods of data collection, was employed. Quantitative data were collected from 407 respondents using a structured questionnaire. Descriptive statistics, bivariate and multiple regression analyses were performed. P-value less than 0.05 and 95% confidence intervals were used to determine an association between independent and dependent variables. Qualitative data were collected through focus group discussions with village health committee members and model families in Hadiya Zone. Results: The majority (67.4%) of respondents were satisfied with the services provided by the UHEP. The communities' perceptions of technical competency (ß = 0.425; 95% CIs 0.084, 0.34), interpersonal relationships (ß = 0.506; 95% CIs 0.216, 0.797), and perceived accessibility of services (ß = 0.752; 95% CIs 0.064, 0.86) were independent predictors of satisfaction (P < 0.05). In addition, the marital status, knowledge, and attitudes of the respondents were associated with community satisfaction. Conclusion: A community's satisfaction with UHEP has supposed to have a significant influence on the community's utilization of the services and implementation of the program. The present study have clearly shown that majority of the respondents were satisfied with the services provided by urban health extension program.
International Journal of Nutrition and Metabolism, Jan 31, 2017
Total nutrient needs of adolescents are higher than any other time in the Lifecycle making suscep... more Total nutrient needs of adolescents are higher than any other time in the Lifecycle making susceptible to malnutrition. Any nutritional deficiency experienced during this critical period of life can have long lasting effect on the future health of the individual and also her offspring. Hence this study was to assess nutritional status and predictors of malnutrition among adolescent school girls, in south west Ethiopia. A cross sectional study was conducted using a multistage sampling technique and eight hundred and twenty school going adolescent girls were selected from southwest zones of Ethiopia, Southern Nation Nationality People Region (SNNPR). Twelve schools were randomly selected and allocation of study participant was made proportional to number of student in the classes. The selected subjects were classified into three groups based on the grades such as primary (grades 5 and 6), junior (grades 7 and 8) and high school (grades 9 and 10) according to educational system of Ethiopia. Using sampling frame schools roster, girls between the age of 10 and 19 were selected. Interviewer administered pre-tested structured questionnaire was used to collect the data. An UNICEF Seca Electronic weight Scale and portable plastic height measuring instrument was used for obtaining anthropometric data immediately after face-to-face interview. The data were analyzed using SPSS version 20. An anthropometric measure was converted to the indices of nutritional status, Z-scores of height for age and BMI for age using WHO AnthroPlus version 1.0.3 software. All statistical significances were declared at p-value less than 0.05. The mean (±SD) of height-forage z scores (HAZ) and body mass index for age z-score (BAZ) of the participants were-0.62 (±0.88), and-0.41(±0.99) respectively. Residence, regularity of breakfast, no episode of illness in the preceding one month to interview, fuels used for cooking in the household, hand-washing habit after toilet use, time spent on sedentary activities, consumption of sweet food items, consumption of cereal, mothers' occupation were significant predictors (p<0.05). From the study it was obvious that over nutrition and obesity is not the major problem of female adolescent student .It is therefore relevant to focus on enhancement of the eating practices of adolescents. Strengthened Health education focusing on regular consumption of breakfast, washing hand after toilet use and preparing separate kitchen for cooking should be there. Though sweet foods and drinks consumption may be discouraged; in this community it is necessary to maintain healthy eating practices to achieve desired nutritional status of the adolescents by increasing their sweet food consumption.
Heliyon, Dec 1, 2020
The World Health Organization recommends the utilization of partograph for all laboring mothers. ... more The World Health Organization recommends the utilization of partograph for all laboring mothers. Partograph is a cost-effective, single sheet of paper that is used to follow maternal and fetal condition and progress of labour. Obstructed and prolonged labours are major causes of maternal deaths. These causes can be minimized by routine utilization of partograph. However, several maternal and fetal deaths occur in health facilities due to poor quality of labour follow-up. Therefore, this study aims to assess the utilization of partograph and associated factors among obstetric care providers working in Wolaita zone health facilities, Southern Ethiopia. An institution-based cross-sectional survey was conducted from April to May 2016. A pretested and structured self-administered questionnaire was used to collect the data. Data entry and analysis was conducted using SPSS Version 21.0. Logistic regression was used to identify associations. A P value <0.2 in binary logistic regression were transferred to multiple logistic regressions. Odds ratio with 95% CI, P-value <0.05 were considered as statistically significant. Of a total of 442 participants, 73.6% utilize partograph routinely. From the total variables in the study, a midwifery profession showed a significant association with the dependent variable (AOR ¼ 4.7,95% CI:1.8-12). The utilization of partograph in the study area was low as per the World Health Organization recommendation. This study recommends that assigning midwives in the obstetric ward other than other health professionals will increase the routine utilization of partograph.
BMC Research Notes, Aug 20, 2018
Objectives: The study aims to elucidate the spectrum, magnitude and determining factors of the ma... more Objectives: The study aims to elucidate the spectrum, magnitude and determining factors of the major opportunistic infections in PLHIV patients currently receiving HAART. Results: A retrospective cross-sectional study was conducted at Tercha Hospital from 744 patient cards. The overall all prevalence of opportunistic infection was 658 (88.4%) developed OIs. Pulmonary tuberculosis, 118 (18%), severe community acquired pneumonia 107 (16.3%) and oral candidiasis 103 (15.6%) were the most common opportunistic infections. Disease stage [AOR = 3.22:95% CI 1.76-5.66], CD4 level [AOR = 2.53:95% CI 1.19-5.37], drug adherence [AOR = 3.02:95% CI 1.57-5.77] and hemoglobin [AOR = 2.49:95% CI 1.34-4.62] showed significant association with OIs. Higher magnitude of opportunistic infection with considerable proportion of AIDS defining illness was detected. So empowerment of skilled man power, health education and provision of antimicrobials is mandatory.
BMJ Open
ObjectiveThis analysis is to present the burden and trends of morbidity and mortality due to lowe... more ObjectiveThis analysis is to present the burden and trends of morbidity and mortality due to lower respiratory infections (LRIs), their contributing risk factors, and the disparity across administrative regions and cities from 1990 to 2019.DesignThis analysis used Global Burden of Disease 2019 framework to estimate morbidity and mortality outcomes of LRI and its contributing risk factors. The Global Burden of Disease study uses all available data sources and Cause of Death Ensemble model to estimate deaths from LRI and a meta-regression disease modelling technique to estimate LRI non-fatal outcomes with 95% uncertainty intervals (UI).Study settingThe study includes nine region states and two chartered cities of Ethiopia.Outcome measuresWe calculated incidence, death and years of life lost (YLLs) due to LRIs and contributing risk factors using all accessible data sources. We calculated 95% UIs for the point estimates.ResultsIn 2019, LRIs incidence, death and YLLs among all age groups...
PLOS Global Public Health
The under-5 mortality rate is a commonly used indicator of population health and socioeconomic st... more The under-5 mortality rate is a commonly used indicator of population health and socioeconomic status worldwide. However, as in most low- and middle-income countries settings, deaths among children under-5 and in any age group in Ethiopia remain underreported and fragmented. We aimed to systematically estimate neonatal, infant, and under-5 mortality trends, identify underlying causes, and make subnational (regional and chartered cities) comparisons between 1990 and 2019. We used the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD 2019) to estimate three key under-5 mortality indicators—the probability of death between the date of birth and 28 days (neonatal mortality rate, NMR), the date of birth and 1 year (infant mortality rate, IMR), and the date of birth and 5 years (under-5 mortality rate, U5MR). The causes of death by age groups, sex, and year were estimated using Cause of Death Ensemble modelling (CODEm). Specifically, this involved a multi-stage process that...
Frontiers in Public Health
BackgroundThe 2030 agenda for sustainable development goals has given injury prevention new atten... more BackgroundThe 2030 agenda for sustainable development goals has given injury prevention new attention, including halving road traffic injuries. This study compiled the best available evidence on injury from the global burden of diseases study for Ethiopia from 1990 to 2019.MethodsInjury data on incidence, prevalence, mortality, disability-adjusted life years lost, years lived with disability, and years of life lost were extracted from the 2019 global burden of diseases study for regions and chartered cities in Ethiopia from 1990 to 2019. Rates were estimated per 100,000 population.ResultsIn 2019, the age-standardized rate of incidence was 7,118 (95% UI: 6,621–7,678), prevalence was 21,735 (95% UI: 19,251–26,302), death was 72 (95% UI: 61–83), disability-adjusted life years lost was 3,265 (95% UI: 2,826–3,783), years of live lost was 2,417 (95% UI: 2,043–2,860), and years lived with disability was 848 [95% UI: (620–1,153)]. Since 1990, there has been a reduction in the age-standardiz...
International Journal of Gynecology & Obstetrics
HIV/AIDS - Research and Palliative Care, 2019
Purpose: Genetic diversities in different countries affect the performance of HIV test kits. Ther... more Purpose: Genetic diversities in different countries affect the performance of HIV test kits. Therefore, WHO recommends evaluation of every HIV test kit in countries' context before its use. Therefore, this study aimed to evaluate the performance of Genscreen ULTRA HIV Ag-Ab and Bioelisa. Materials and methods: The study had used 400 characterized plasma samples obtained from CDC Atlanta bio-bank derived from Africa, USA, and Thailand. Results: Diagnostic performance of both test kits under evaluation was assessed at 95% CI. Genscreen ULTRA HIV Ag-Ab had sensitivity and negative predictive value of 99.5% [95% CI, 97.2-99.9] and the specificity and positive predictive value of 98.5% [95% CI, 95.7-99.7]. Bioelisa HIV test kit had exhibited sensitivity and negative predictive value of 99% [95% CI, 96.4-99.7] and specificity and positive predictive value of 98.5% [95% CI, 95.7-99.7]. Both test kits were able to detect almost all samples with HIV-2, dual infections, and seroconversion. Conclusion: Both the test kits were highly sensitive and specific in detecting HIV. However, there are still few samples containing HIV antibody which were not identified by both kits. Therefore, additional screening measures should be done in using these assays for blood transfusion and organ transplantation. In addition, the study can be used as a reference by other African countries.
<p>Summary statistics of the total and subscales of psychological wellbeing for orphaned an... more <p>Summary statistics of the total and subscales of psychological wellbeing for orphaned and non-orphaned children in Jimma town 2014.</p
<p>The status of psychological wellbeing of orphaned and non-orphaned children.</p
<p>Comparison of psychological wellbeing scores between orphaned and non-orphaned children,... more <p>Comparison of psychological wellbeing scores between orphaned and non-orphaned children, Jima 2014.</p
Frontiers in Public Health, May 22, 2023
Background: The 2030 agenda for sustainable development goals has given injury prevention new att... more Background: The 2030 agenda for sustainable development goals has given injury prevention new attention, including halving road traffic injuries. This study compiled the best available evidence on injury from the global burden of diseases study for Ethiopia from 1990 to 2019. Methods: Injury data on incidence, prevalence, mortality, disability-adjusted life years lost, years lived with disability, and years of life lost were extracted from the 2019 global burden of diseases study for regions and chartered cities in Ethiopia from 1990 to 2019. Rates were estimated per 100,000 population.
International journal of gynaecology and obstetrics, Jun 20, 2023
ObjectiveTo assess the magnitude and factors associated with birth preparedness and complication ... more ObjectiveTo assess the magnitude and factors associated with birth preparedness and complication readiness (BPCR) among pregnant women in Humbo district, Wolaita Zone, Ethiopia.MethodsA community‐based cross‐sectional study was conducted from August 1 to 30, 2020. A total of 506 pregnant women were randomly selected and interviewed using a questionnaire. Data were entered using EpiData version 4.6.0, and analysis was made using SPSS version 24. An adjusted odds ratio (aOR) with a 95% confidence interval (CI) was calculated.ResultsThe magnitude of BPCR in the Humbo district was 26.0%. The odds of being prepared for birth and its complications were higher among women who had a history of obstetric complications (aOR 2.77; 95% CI 1.18–6.52), participated in pregnant women's conferences (aOR 3.84; 95% CI 2.13–6.93), received advice on BPCR (aOR 2.39; 95% CI 1.36–4.22), and were knowledgeable on labor and childbirth danger signs (aOR 2.64; 95% CI 1.55–4.49).ConclusionThe magnitude of birth preparedness and complication readiness was low in the study area. The healthcare provider should encourage the women to participate in conferences and provide continuous counseling during their prenatal care visits.
Rural and Remote Health, Jul 30, 2015
Introduction: Malnutrition that occurs during adolescence has important consequences for the futu... more Introduction: Malnutrition that occurs during adolescence has important consequences for the future growth and development of the individual, particularly in girls in developing countries. Besides limiting growth, adolescent malnutrition has important consequences for society. Despite this, there is a lack of information on the nutritional status of adolescent girls in Ethiopia. This study was therefore performed to help redress this lack of data and to provide information for future improvements by health planners and policy makers. Methods: A comparative cross-sectional study design was employed to determine the urban-rural disparity in nutritional status of adolescent school girls in the Mizan district in southwestern Ethiopia. A two-stage sampling procedure was used to randomly select 622 adolescent girls, 311 each from urban and rural locations. Trained field workers used structured questionnaires to obtain the desired information from the respondents. Anthropometric measurements of height and weight were collected using standard procedures and appropriate quality control measures. Height-forage Z-scores and body mass index (BMI)-forage Z-scores were generated using AnthroPlus software. The independent sample t-test and χ 2 test were used to determine statistical significance. Results: There were no significant differences in the ages or physical activities of the two populations of girls studied. Consumption of cereal, vegetables, sweets, sugars, fats, meat, and eggs was similar between the two groups, although slight © TM Berheto, WK Mikitie, A Argaw, 2015. A licence to publish this material has been given to James Cook University, http://www.rrh.org.au 2 differences were found with regard to legumes, milk, and fruit consumption. No significant differences were found in the prevalence of mild underweight girls and overweight girls in the urban and rural groups (26.5% vs 22.3% and 7.5% vs 5.2%, respectively). Significant stunting was, however, present in the rural population (40.9% vs. 17.8% in the urban group). Although overall lower than the reference data provided by WHO, the mean BMI-forage Z-scores and height-forage Z-scores were significantly higher in the urban girls than in their rural counterparts, with mean differences of 0.18 (95% confidence interval (CI) 0.02-0.34) and 0.58 (95% CI 0.45-0.72), respectively. Conclusions: Malnutrition was present in both urban and rural adolescent girls. The most obvious disparity between the two populations was significant stunting in the rural population. There is therefore an urgent need for strategies to address severe nutritional problems in rural adolescent girls and to improve the nutrition of adolescent girls within the urban environment.
PLOS global public health, Jun 21, 2023
The under-5 mortality rate is a commonly used indicator of population health and socioeconomic st... more The under-5 mortality rate is a commonly used indicator of population health and socioeconomic status worldwide. However, as in most low-and middle-income countries settings, deaths among children under-5 and in any age group in Ethiopia remain underreported and fragmented. We aimed to systematically estimate neonatal, infant, and under-5 mortality trends, identify underlying causes, and make subnational (regional and chartered cities) comparisons between 1990 and 2019. We used the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD 2019) to estimate three key under-5 mortality indicators-the probability of death between the date of birth and 28 days (neonatal mortality rate, NMR), the date of birth and 1 year (infant mortality rate, IMR), and the date of birth and 5 years (under-5 mortality rate, U5MR). The causes of death by age groups, sex, and year were estimated using Cause of Death Ensemble modelling (CODEm). Specifically, this involved a multi-stage process that includes a non-linear mixed-effects model, source bias correction, spatiotemporal smoothing, and a Gaussian process regression to synthesise mortality estimates by age, sex, location, and year. In 2019, an estimated 190,173 (95% uncertainty interval 149,789-242,575) under-5 deaths occurred in Ethiopia. Nearly three-quarters (74%) of under-5 deaths in 2019 were within the first year of life, and over half (52%) in the first 28 days. The overall U5MR, IMR, and NMR in the country were estimated to be 52.4 (44.7-62.4), 41.5 (35.2-50.0), and 26.6 (22.6-31.5) deaths per 1000 livebirths, respectively, with substantial variations between administrative regions. Over three-quarters of under-5 deaths in 2019 were due to five leading causes, namely neonatal disorders (40.7%),
Population medicine, Apr 27, 2023
Population Medicine considers the following types of articles: • Research Papers-reports of data ... more Population Medicine considers the following types of articles: • Research Papers-reports of data from original research or secondary dataset analyses. • Review Papers-comprehensive, authoritative, reviews within the journal's scope. These include both systematic reviews and narrative reviews. • Short Reports-brief reports of data from original research. • Policy Case Studies-brief articles on policy development at a regional or national level. • Study Protocols-articles describing a research protocol of a study. • Methodology Papers-papers that present different methodological approaches that can be used to investigate problems in a relevant scientific field and to encourage innovation. • Methodology Papers-papers that present different methodological approaches that can be used to investigate problems in a relevant scientific field and to encourage innovation. • Letters to the Editor-a response to authors of an original publication, or a very small article that may be relevant to readers. • Editorials-articles written by the Editorial Board or by invited experts on a specific topic. Research Papers Articles reporting research may be full length or brief reports. These should report original research findings within the journal's scope. Papers should generally be a maximum of 4000 words in length, excluding tables, references, and abstract and key points of the article, whilst it is recommended that the number of references should not exceed 36.
PLOS ONE, Oct 29, 2020
Background Blood transfusion is a therapeutic procedure that has proven to be effective in saving... more Background Blood transfusion is a therapeutic procedure that has proven to be effective in saving millions of lives. However, its safety is still a crucial issue that needs due attention. Unsafe blood transfusion is one of the sources of transmission for infectious agents. Therefore, the objective of this study was to assess the sero-prevalence of Transfusion Transmittable Infections (TTIs) such as Human immunodeficiency virus (HIV), Hepatitis B Virus (HBV), Hepatitis C virus (HCV), Treponema pallidum, and associated factors among blood donors in Ethiopia. Methods A retrospective cross-sectional study design was used to measure the prevalence of transfusion transmittable infections using data collected from 2014 to 2019 in fourteen blood bank facilities in Ethiopia. Screening of HIV, HBV and HCV was done by using the Enzyme-Linked Immunosorbent Assay (ELISA). Presence of Treponema pallidum infection was assessed using rapid plasma reagin (RPR). Records of blood donors were collected using a checklist from Central Blood Bank Laboratory (BBL) electronic database and reviewed. Data was entered, cleaned and analyzed using SPSS version 23. Logistic regression was fitted to identify factors associated with cumulative TTIs positivity, and for each of the transfusion transmittable infection. P value < 0.05 was considered statistically significant. Result A total of 554,954 blood donors in the fourteen blood bank facilities from 2014-2019 was included in the study. The overall sero-prevalence of HBV, Treponema pallidum, HIV and HCV, was 2.4%, 0.9%, 0.4% and 0.4% respectively. The prevalence of TTIs was
BMC Research Notes, May 29, 2019
The aim of this study was to investigate nasopharyngeal carriage rate and antibiotic susceptibili... more The aim of this study was to investigate nasopharyngeal carriage rate and antibiotic susceptibility patterns of Streptococcus pneumoniae among school children. Results: Three hundred eleven (43.8%) became culture positive for S. pneumoniae. The carriage rate among children, 3-5 years old was 62.5%, which was higher than the carriage rate of 38.6% among 6-13 years old children. Age ≤ 5 years and co-sleeping with siblings remained significantly associated with S. pneumoniae carriage. 155 (49.8%) of the isolates were resistant to co-trimoxazole, 152 (48.9%) of the isolates were resistant to tetracycline, and 88 (28.3%) of isolates were resistant to oxacillin. Multi drug resistant S. pneumoniae was observed in 90 (28.9%) of isolates. There is high prevalence of S. pneumoniae in primary school children in our study area. Relatively high carriage rate of resistance to oxacillin, tetracycline and co-trimoxazole were observed. These findings provide baseline data for future studies to further compare pneumococcal carriage rates and antibiotic resistance patterns.
BMC Health Services Research, Apr 16, 2015
Background: The urban health extension program (UHEP) is an innovative government plan to ensure ... more Background: The urban health extension program (UHEP) is an innovative government plan to ensure health equity by creating demand for essential health services through the provision of appropriate health information at a household level. It aims to improve the overall health of a community through active participation and utilization of services, which depends on satisfaction and acceptance of the program. However, there is no study on community satisfaction with the services provided by the UHEP in Ethiopia. This study was aimed to assess the level of community satisfaction with the UHEP in Hadiya Zone, South Ethiopia, and the associated factors with it. Methods: A community based cross-sectional study, using quantitative and qualitative methods of data collection, was employed. Quantitative data were collected from 407 respondents using a structured questionnaire. Descriptive statistics, bivariate and multiple regression analyses were performed. P-value less than 0.05 and 95% confidence intervals were used to determine an association between independent and dependent variables. Qualitative data were collected through focus group discussions with village health committee members and model families in Hadiya Zone. Results: The majority (67.4%) of respondents were satisfied with the services provided by the UHEP. The communities' perceptions of technical competency (ß = 0.425; 95% CIs 0.084, 0.34), interpersonal relationships (ß = 0.506; 95% CIs 0.216, 0.797), and perceived accessibility of services (ß = 0.752; 95% CIs 0.064, 0.86) were independent predictors of satisfaction (P < 0.05). In addition, the marital status, knowledge, and attitudes of the respondents were associated with community satisfaction. Conclusion: A community's satisfaction with UHEP has supposed to have a significant influence on the community's utilization of the services and implementation of the program. The present study have clearly shown that majority of the respondents were satisfied with the services provided by urban health extension program.
International Journal of Nutrition and Metabolism, Jan 31, 2017
Total nutrient needs of adolescents are higher than any other time in the Lifecycle making suscep... more Total nutrient needs of adolescents are higher than any other time in the Lifecycle making susceptible to malnutrition. Any nutritional deficiency experienced during this critical period of life can have long lasting effect on the future health of the individual and also her offspring. Hence this study was to assess nutritional status and predictors of malnutrition among adolescent school girls, in south west Ethiopia. A cross sectional study was conducted using a multistage sampling technique and eight hundred and twenty school going adolescent girls were selected from southwest zones of Ethiopia, Southern Nation Nationality People Region (SNNPR). Twelve schools were randomly selected and allocation of study participant was made proportional to number of student in the classes. The selected subjects were classified into three groups based on the grades such as primary (grades 5 and 6), junior (grades 7 and 8) and high school (grades 9 and 10) according to educational system of Ethiopia. Using sampling frame schools roster, girls between the age of 10 and 19 were selected. Interviewer administered pre-tested structured questionnaire was used to collect the data. An UNICEF Seca Electronic weight Scale and portable plastic height measuring instrument was used for obtaining anthropometric data immediately after face-to-face interview. The data were analyzed using SPSS version 20. An anthropometric measure was converted to the indices of nutritional status, Z-scores of height for age and BMI for age using WHO AnthroPlus version 1.0.3 software. All statistical significances were declared at p-value less than 0.05. The mean (±SD) of height-forage z scores (HAZ) and body mass index for age z-score (BAZ) of the participants were-0.62 (±0.88), and-0.41(±0.99) respectively. Residence, regularity of breakfast, no episode of illness in the preceding one month to interview, fuels used for cooking in the household, hand-washing habit after toilet use, time spent on sedentary activities, consumption of sweet food items, consumption of cereal, mothers' occupation were significant predictors (p<0.05). From the study it was obvious that over nutrition and obesity is not the major problem of female adolescent student .It is therefore relevant to focus on enhancement of the eating practices of adolescents. Strengthened Health education focusing on regular consumption of breakfast, washing hand after toilet use and preparing separate kitchen for cooking should be there. Though sweet foods and drinks consumption may be discouraged; in this community it is necessary to maintain healthy eating practices to achieve desired nutritional status of the adolescents by increasing their sweet food consumption.
Heliyon, Dec 1, 2020
The World Health Organization recommends the utilization of partograph for all laboring mothers. ... more The World Health Organization recommends the utilization of partograph for all laboring mothers. Partograph is a cost-effective, single sheet of paper that is used to follow maternal and fetal condition and progress of labour. Obstructed and prolonged labours are major causes of maternal deaths. These causes can be minimized by routine utilization of partograph. However, several maternal and fetal deaths occur in health facilities due to poor quality of labour follow-up. Therefore, this study aims to assess the utilization of partograph and associated factors among obstetric care providers working in Wolaita zone health facilities, Southern Ethiopia. An institution-based cross-sectional survey was conducted from April to May 2016. A pretested and structured self-administered questionnaire was used to collect the data. Data entry and analysis was conducted using SPSS Version 21.0. Logistic regression was used to identify associations. A P value <0.2 in binary logistic regression were transferred to multiple logistic regressions. Odds ratio with 95% CI, P-value <0.05 were considered as statistically significant. Of a total of 442 participants, 73.6% utilize partograph routinely. From the total variables in the study, a midwifery profession showed a significant association with the dependent variable (AOR ¼ 4.7,95% CI:1.8-12). The utilization of partograph in the study area was low as per the World Health Organization recommendation. This study recommends that assigning midwives in the obstetric ward other than other health professionals will increase the routine utilization of partograph.
BMC Research Notes, Aug 20, 2018
Objectives: The study aims to elucidate the spectrum, magnitude and determining factors of the ma... more Objectives: The study aims to elucidate the spectrum, magnitude and determining factors of the major opportunistic infections in PLHIV patients currently receiving HAART. Results: A retrospective cross-sectional study was conducted at Tercha Hospital from 744 patient cards. The overall all prevalence of opportunistic infection was 658 (88.4%) developed OIs. Pulmonary tuberculosis, 118 (18%), severe community acquired pneumonia 107 (16.3%) and oral candidiasis 103 (15.6%) were the most common opportunistic infections. Disease stage [AOR = 3.22:95% CI 1.76-5.66], CD4 level [AOR = 2.53:95% CI 1.19-5.37], drug adherence [AOR = 3.02:95% CI 1.57-5.77] and hemoglobin [AOR = 2.49:95% CI 1.34-4.62] showed significant association with OIs. Higher magnitude of opportunistic infection with considerable proportion of AIDS defining illness was detected. So empowerment of skilled man power, health education and provision of antimicrobials is mandatory.
BMJ Open
ObjectiveThis analysis is to present the burden and trends of morbidity and mortality due to lowe... more ObjectiveThis analysis is to present the burden and trends of morbidity and mortality due to lower respiratory infections (LRIs), their contributing risk factors, and the disparity across administrative regions and cities from 1990 to 2019.DesignThis analysis used Global Burden of Disease 2019 framework to estimate morbidity and mortality outcomes of LRI and its contributing risk factors. The Global Burden of Disease study uses all available data sources and Cause of Death Ensemble model to estimate deaths from LRI and a meta-regression disease modelling technique to estimate LRI non-fatal outcomes with 95% uncertainty intervals (UI).Study settingThe study includes nine region states and two chartered cities of Ethiopia.Outcome measuresWe calculated incidence, death and years of life lost (YLLs) due to LRIs and contributing risk factors using all accessible data sources. We calculated 95% UIs for the point estimates.ResultsIn 2019, LRIs incidence, death and YLLs among all age groups...
PLOS Global Public Health
The under-5 mortality rate is a commonly used indicator of population health and socioeconomic st... more The under-5 mortality rate is a commonly used indicator of population health and socioeconomic status worldwide. However, as in most low- and middle-income countries settings, deaths among children under-5 and in any age group in Ethiopia remain underreported and fragmented. We aimed to systematically estimate neonatal, infant, and under-5 mortality trends, identify underlying causes, and make subnational (regional and chartered cities) comparisons between 1990 and 2019. We used the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD 2019) to estimate three key under-5 mortality indicators—the probability of death between the date of birth and 28 days (neonatal mortality rate, NMR), the date of birth and 1 year (infant mortality rate, IMR), and the date of birth and 5 years (under-5 mortality rate, U5MR). The causes of death by age groups, sex, and year were estimated using Cause of Death Ensemble modelling (CODEm). Specifically, this involved a multi-stage process that...
Frontiers in Public Health
BackgroundThe 2030 agenda for sustainable development goals has given injury prevention new atten... more BackgroundThe 2030 agenda for sustainable development goals has given injury prevention new attention, including halving road traffic injuries. This study compiled the best available evidence on injury from the global burden of diseases study for Ethiopia from 1990 to 2019.MethodsInjury data on incidence, prevalence, mortality, disability-adjusted life years lost, years lived with disability, and years of life lost were extracted from the 2019 global burden of diseases study for regions and chartered cities in Ethiopia from 1990 to 2019. Rates were estimated per 100,000 population.ResultsIn 2019, the age-standardized rate of incidence was 7,118 (95% UI: 6,621–7,678), prevalence was 21,735 (95% UI: 19,251–26,302), death was 72 (95% UI: 61–83), disability-adjusted life years lost was 3,265 (95% UI: 2,826–3,783), years of live lost was 2,417 (95% UI: 2,043–2,860), and years lived with disability was 848 [95% UI: (620–1,153)]. Since 1990, there has been a reduction in the age-standardiz...
International Journal of Gynecology & Obstetrics
HIV/AIDS - Research and Palliative Care, 2019
Purpose: Genetic diversities in different countries affect the performance of HIV test kits. Ther... more Purpose: Genetic diversities in different countries affect the performance of HIV test kits. Therefore, WHO recommends evaluation of every HIV test kit in countries' context before its use. Therefore, this study aimed to evaluate the performance of Genscreen ULTRA HIV Ag-Ab and Bioelisa. Materials and methods: The study had used 400 characterized plasma samples obtained from CDC Atlanta bio-bank derived from Africa, USA, and Thailand. Results: Diagnostic performance of both test kits under evaluation was assessed at 95% CI. Genscreen ULTRA HIV Ag-Ab had sensitivity and negative predictive value of 99.5% [95% CI, 97.2-99.9] and the specificity and positive predictive value of 98.5% [95% CI, 95.7-99.7]. Bioelisa HIV test kit had exhibited sensitivity and negative predictive value of 99% [95% CI, 96.4-99.7] and specificity and positive predictive value of 98.5% [95% CI, 95.7-99.7]. Both test kits were able to detect almost all samples with HIV-2, dual infections, and seroconversion. Conclusion: Both the test kits were highly sensitive and specific in detecting HIV. However, there are still few samples containing HIV antibody which were not identified by both kits. Therefore, additional screening measures should be done in using these assays for blood transfusion and organ transplantation. In addition, the study can be used as a reference by other African countries.
<p>Summary statistics of the total and subscales of psychological wellbeing for orphaned an... more <p>Summary statistics of the total and subscales of psychological wellbeing for orphaned and non-orphaned children in Jimma town 2014.</p
<p>The status of psychological wellbeing of orphaned and non-orphaned children.</p
<p>Comparison of psychological wellbeing scores between orphaned and non-orphaned children,... more <p>Comparison of psychological wellbeing scores between orphaned and non-orphaned children, Jima 2014.</p