Motuma Getachew | Wollega University (original) (raw)
Papers by Motuma Getachew
Contraception and Reproductive Medicine, Oct 31, 2023
BMJ Open
ObjectiveGlobally, around one-third of the population has at least one long-term health condition... more ObjectiveGlobally, around one-third of the population has at least one long-term health condition that could be affected by the COVID-19 pandemic. Despite the fact that studies have revealed the direct impact of COVID-19 on healthcare provision and utilisation, the impact of the pandemic on the cost of chronic disease treatment and care from a patient perspective was scanty. So, the study aimed to determine the impact of the COVID-19 pandemic on cost of chronic diseases treatment and care at public hospitals in Wallaga zones, Oromia Regional State, Ethiopia, from 1 August to 31 August 2020.MethodsAn institutional-based cross-sectional study design was used, and the sample size for the study (n=642) was determined using a single population mean formula. Data were collected using interviews and analysed using SPSS V.25. Descriptive statistics were performed, and the cost of follow-up care before and after the pandemic was compared using a related-samples Wilcoxon signed-rank test, dec...
BMC Women's Health
Background Cervical cancer is the leading cause of cancer death in adult women in the developing ... more Background Cervical cancer is the leading cause of cancer death in adult women in the developing world including Ethiopia. To combat cervical cancer, the World Health Organization (WHO) recommends that girls aged 9–14 years have to take the human papillomavirus vaccine. However, there is a lack of information regarding the uptake of human papillomavirus vaccine in the study area. Therefore, this study aimed to assess the Human Papilloma Virus vaccine uptake and associated factors among adolescent girls in high schools of Nekemte City, Western Ethiopia, 2020. Methods A cross-sectional study design was employed among adolescent girls attending grade 9 and age 15 enrolled at schools in Nekemte City from July 15–30, 2020. Six hundred twenty-six (626) randomly selected adolescent girls were interviewed. The data were entered into Epi Info 7 and analyzed by SPSS 25. Multivariable analysis was computed and a P-value < 0.05 was taken as a cut-off point to declare the statistically signif...
The Lancet Public Health
Background Unintentional carbon monoxide poisoning is a largely preventable cause of death that h... more Background Unintentional carbon monoxide poisoning is a largely preventable cause of death that has received insufficient attention. We aimed to conduct a comprehensive global analysis of the demographic, temporal, and geographical patterns of fatal unintentional carbon monoxide poisoning from 2000 to 2021. Methods As part of the latest Global Burden of Diseases, Injuries, and Risk Factors Study (GBD), unintentional carbon monoxide poisoning mortality was quantified using the GBD cause of death ensemble modelling strategy. Vital registration data and covariates with an epidemiological link to unintentional carbon monoxide poisoning informed the estimates of death counts and mortality rates for all locations, sexes, ages, and years included in the GBD. Years of life lost (YLLs) were estimated by multiplying deaths by remaining standard life expectancy at age of death. Population attributable fractions (PAFs) for unintentional carbon monoxide poisoning deaths due to occupational injuries and high alcohol use were estimated. Findings In 2021, the global mortality rate due to unintentional carbon monoxide poisoning was 0•366 per 100 000 (95% uncertainty interval 0•276-0•415), with 28 900 deaths (21 700-32 800) and 1•18 million YLLs (0•886-1•35) across all ages. Nearly 70% of deaths occurred in males (20 100 [15 800-24 000]), and the 50-54-year age group had the largest number of deaths (2210 [1660-2590]). The highest mortality rate was in those aged 85 years or older with 1•96 deaths (1•38-2•32) per 100 000. Eastern Europe had the highest age-standardised mortality rate at 2•12 deaths (1•98-2•30) per 100 000. Globally, there was a 53•5% (46•2-63•7) decrease in the age-standardised mortality rate from 2000 to 2021, although this decline was not uniform across regions. The overall PAFs for occupational injuries and high alcohol use were 13•6% (11•9-16•0) and 3•5% (1•4-6•2), respectively. Interpretation Improvements in unintentional carbon monoxide poisoning mortality rates have been inconsistent across regions and over time since 2000. Given that unintentional carbon monoxide poisoning is almost entirely preventable, policy-level interventions that lower the risk of carbon monoxide poisoning events should be prioritised, such as those that increase access to improved heating and cooking devices, reduce carbon monoxide emissions from generators, and mandate use of carbon monoxide alarms. Funding Bill & Melinda Gates Foundation.
Maternal and Child Health Journal, 2016
Background Low back pain is highly prevalent and the main cause of years lived with disability (Y... more Background Low back pain is highly prevalent and the main cause of years lived with disability (YLDs). We present the most up-to-date global, regional, and national data on prevalence and YLDs for low back pain from the Global Burden of Diseases, Injuries, and Risk Factors Study 2021. Methods Population-based studies from 1980 to 2019 identified in a systematic review, international surveys, US medical claims data, and dataset contributions by collaborators were used to estimate the prevalence and YLDs for low back pain from 1990 to 2020, for 204 countries and territories. Low back pain was defined as pain between the 12th ribs and the gluteal folds that lasted a day or more; input data using alternative definitions were adjusted in a network meta-regression analysis. Nested Bayesian meta-regression models were used to estimate prevalence and YLDs by age, sex, year, and location. Prevalence was projected to 2050 by running a regression on prevalence rates using Socio-demographic Index as a predictor, then multiplying them by projected population estimates. Findings In 2020, low back pain affected 619 million (95% uncertainty interval 554-694) people globally, with a projection of 843 million (759-933) prevalent cases by 2050. In 2020, the global age-standardised rate of YLDs was 832 per 100 000 (578-1070). Between 1990 and 2020, age-standardised rates of prevalence and YLDs decreased by 10•4% (10•9-10•0) and 10•5% (11•1-10•0), respectively. A total of 38•8% (28•7-47•0) of YLDs were attributed to occupational factors, smoking, and high BMI. Interpretation Low back pain remains the leading cause of YLDs globally, and in 2020, there were more than half a billion prevalent cases of low back pain worldwide. While age-standardised rates have decreased modestly over the past three decades, it is projected that globally in 2050, more than 800 million people will have low back pain. Challenges persist in obtaining primary country-level data on low back pain, and there is an urgent need for more high-quality, primary, country-level data on both prevalence and severity distributions to improve accuracy and monitor change.
The Lancet Neurology, 2018
The Lancet Healthy Longevity
Health Services Insights
Objectives: The use of youth sexual and reproductive health (YSRH) services is low in poor nation... more Objectives: The use of youth sexual and reproductive health (YSRH) services is low in poor nations like Ethiopia. This puts individuals at risk for a variety of sexual and reproductive health issues. Thus, the goal of this study is to evaluate how young people in East Wollega, Western Ethiopia, perceive and use YSRH services. Methods: A community-based cross-sectional quantitative study mixed with a qualitative inquiry was conducted among 771 participants from February 1 to 28, 2020. Data were collected through face-to-face interviews using pretested structured questionnaires adopted from reviewed works of literature on YSRH services. Data were entered using Epi Info version 7.0 and analyzed by SPSS version 20. The qualitative data was collected using interview guides and checklists. These data were analyzed using a thematic framework approach. Results: In this study, 48.2% of teens felt that the YSRH service units’ location within the medical facilities was inconvenient and difficu...
Archives of Public Health, 2022
Background Despite Ethiopia’s efforts to avail postpartum family planning (PPFP) services, the un... more Background Despite Ethiopia’s efforts to avail postpartum family planning (PPFP) services, the unmet need for family planning among postpartum women remains high. Therefore, this study is aimed to assess barriers and determinants of postpartum family-planning uptake among women visiting Maternal, Neonatal, and Child Health (MNCH) services in public health facilities of western Ethiopia. Methods A facility-based cross-sectional study design with a quantitative method was conducted on 989 postpartum women in Western Ethiopia from September 1 to October 30, 2020. Data were collected through face-to-face interviews using pretested structured questionnaires, entered using EPI-INFO version 7.0, and analyzed by SPSS version 25. Descriptive analysis and logistic regressions were performed. The adjusted odds ratio with a 95% confidence interval was used and statistical significance was declared at P-value
Background: Premarital sexual practice is a sexual intercourse performed before formal marriage. ... more Background: Premarital sexual practice is a sexual intercourse performed before formal marriage. Premarital sexual practice increases adolescents risk for having multiple sexual partner, infection with (Human Immuno Deficiency Virus) HIV, other (sexually transmitted desease) STDs and unintended pregnancy.Objectives: Was to assess the prevalence of premarital sexual practice and associated factors among secondary school (9-12 grade) students in Jimma Arjo district. Methods: Inistitutional based cross-sectional study design was conducted among adolescent students from may 1st to 15th using a pre-tested and structured questionnaire. Systematic random sampling technique was employed to select study participants. The collected data was cleaned and entered into(statistical package for social science) SPSS version 20. Factors associated with pre marital sexual practice were identified by multiple logistic regression analysis.Resulst: Over all premarital sexual practice was 24.4%. Being alc...
Background: Ante natal care is a key entry point for a pregnant woman to receive abroad range of ... more Background: Ante natal care is a key entry point for a pregnant woman to receive abroad range of promotion and preventive health services. Objective: was to assess the quality of antenatal care services at public health facilities of western Ethiopia. Methods: Facility-based cross-sectional study was conducted from May 30th to June 30th, 2016. All public health facilities in the zone were audited, 316 medical records were reviewed, and 316 pregnant women were interviewed. The data was entered using EPI Data version 3.1 and analyzed using SPSS version 20.0. Descriptive statistics, binary, and multiple logistic regressions were conducted. Variables with a P-value of <0.05 were considered as statistically significant predictors of the outcome variable.Results: A total of 316 pregnant women were enrolled in the study. All facilities were categorized as “good” by the possession of necessary equipment, 3/4 by basic amenities and 87.34% by general and gynecologic examination. The inform...
Additional file 1: Figure S1. Prevalence of isolated bacteria among pregnant women (nâ =â 169) vi... more Additional file 1: Figure S1. Prevalence of isolated bacteria among pregnant women (nâ =â 169) visiting health institutions in Goba and Sinana Woredas, Southeast Ethiopia, 2014.
Additional file 2: Table S1. Antibiotic susceptibility pattern of bacterial isolates from pregnan... more Additional file 2: Table S1. Antibiotic susceptibility pattern of bacterial isolates from pregnant women (nâ =â 169) visiting health institutions in Goba and Sinana Woredas, Southeast Ethiopia, 2014.
Contraception and Reproductive Medicine
Background Premarital sexual practice is sexual intercourse performed before formal marriage. Pre... more Background Premarital sexual practice is sexual intercourse performed before formal marriage. Pre-marital sexual practice increases adolescents’ risk for having multiple sexual partners, (sexually transmitted disease) STDs, and unintended pregnancy. Objective The study aimed to assess the prevalence of premarital sexual practice and associated factors among secondary school (9–12 grade) students in the Jima Arjo district. Methods Institutional-based cross-sectional study design was conducted among adolescent students from May 1st to 15th using a pre-tested and structured questionnaire. A systematic random sampling technique was employed to select study participants. The collected data was cleaned and entered into(statistical package for social science) SPSS version 20. Factors associated with the pre-marital sexual practice were identified by multiple logistic regression analyses. Results The over all premarital sexual practice in this study area was 24.4%. Being alcoholdrinker(AOR[...
Reproductive Health, 2021
Background Despite Ethiopia's enormous effort in youth-friendly service provision, little was... more Background Despite Ethiopia's enormous effort in youth-friendly service provision, little was investigated about the challenges of accessing sexual and reproductive health services in Western Ethiopia. Thus, this study aimed to assess factors associated with the utilization of adolescent and youth sexual and reproductive health services in this area. Methods A community-based cross-sectional quantitative method mixed with the qualitative inquiry was conducted among 771 adolescents and youth aged 15 to 24 years from February 1 to 28, 2020. Data were collected through face-to-face interviews using pretested structured questionaries. Data were entered using EPI-INFO version 7.0 and analyzed by SPSS version 25. Descriptive analysis and logistic regressions were performed. The adjusted odds ratio with a 95% confidence interval was used and statistical significance was declared at P-value < 0.05. The qualitative inquiry was collected through in-depth interviews with service provide...
Contraception and Reproductive Medicine, Oct 31, 2023
BMJ Open
ObjectiveGlobally, around one-third of the population has at least one long-term health condition... more ObjectiveGlobally, around one-third of the population has at least one long-term health condition that could be affected by the COVID-19 pandemic. Despite the fact that studies have revealed the direct impact of COVID-19 on healthcare provision and utilisation, the impact of the pandemic on the cost of chronic disease treatment and care from a patient perspective was scanty. So, the study aimed to determine the impact of the COVID-19 pandemic on cost of chronic diseases treatment and care at public hospitals in Wallaga zones, Oromia Regional State, Ethiopia, from 1 August to 31 August 2020.MethodsAn institutional-based cross-sectional study design was used, and the sample size for the study (n=642) was determined using a single population mean formula. Data were collected using interviews and analysed using SPSS V.25. Descriptive statistics were performed, and the cost of follow-up care before and after the pandemic was compared using a related-samples Wilcoxon signed-rank test, dec...
BMC Women's Health
Background Cervical cancer is the leading cause of cancer death in adult women in the developing ... more Background Cervical cancer is the leading cause of cancer death in adult women in the developing world including Ethiopia. To combat cervical cancer, the World Health Organization (WHO) recommends that girls aged 9–14 years have to take the human papillomavirus vaccine. However, there is a lack of information regarding the uptake of human papillomavirus vaccine in the study area. Therefore, this study aimed to assess the Human Papilloma Virus vaccine uptake and associated factors among adolescent girls in high schools of Nekemte City, Western Ethiopia, 2020. Methods A cross-sectional study design was employed among adolescent girls attending grade 9 and age 15 enrolled at schools in Nekemte City from July 15–30, 2020. Six hundred twenty-six (626) randomly selected adolescent girls were interviewed. The data were entered into Epi Info 7 and analyzed by SPSS 25. Multivariable analysis was computed and a P-value < 0.05 was taken as a cut-off point to declare the statistically signif...
The Lancet Public Health
Background Unintentional carbon monoxide poisoning is a largely preventable cause of death that h... more Background Unintentional carbon monoxide poisoning is a largely preventable cause of death that has received insufficient attention. We aimed to conduct a comprehensive global analysis of the demographic, temporal, and geographical patterns of fatal unintentional carbon monoxide poisoning from 2000 to 2021. Methods As part of the latest Global Burden of Diseases, Injuries, and Risk Factors Study (GBD), unintentional carbon monoxide poisoning mortality was quantified using the GBD cause of death ensemble modelling strategy. Vital registration data and covariates with an epidemiological link to unintentional carbon monoxide poisoning informed the estimates of death counts and mortality rates for all locations, sexes, ages, and years included in the GBD. Years of life lost (YLLs) were estimated by multiplying deaths by remaining standard life expectancy at age of death. Population attributable fractions (PAFs) for unintentional carbon monoxide poisoning deaths due to occupational injuries and high alcohol use were estimated. Findings In 2021, the global mortality rate due to unintentional carbon monoxide poisoning was 0•366 per 100 000 (95% uncertainty interval 0•276-0•415), with 28 900 deaths (21 700-32 800) and 1•18 million YLLs (0•886-1•35) across all ages. Nearly 70% of deaths occurred in males (20 100 [15 800-24 000]), and the 50-54-year age group had the largest number of deaths (2210 [1660-2590]). The highest mortality rate was in those aged 85 years or older with 1•96 deaths (1•38-2•32) per 100 000. Eastern Europe had the highest age-standardised mortality rate at 2•12 deaths (1•98-2•30) per 100 000. Globally, there was a 53•5% (46•2-63•7) decrease in the age-standardised mortality rate from 2000 to 2021, although this decline was not uniform across regions. The overall PAFs for occupational injuries and high alcohol use were 13•6% (11•9-16•0) and 3•5% (1•4-6•2), respectively. Interpretation Improvements in unintentional carbon monoxide poisoning mortality rates have been inconsistent across regions and over time since 2000. Given that unintentional carbon monoxide poisoning is almost entirely preventable, policy-level interventions that lower the risk of carbon monoxide poisoning events should be prioritised, such as those that increase access to improved heating and cooking devices, reduce carbon monoxide emissions from generators, and mandate use of carbon monoxide alarms. Funding Bill & Melinda Gates Foundation.
Maternal and Child Health Journal, 2016
Background Low back pain is highly prevalent and the main cause of years lived with disability (Y... more Background Low back pain is highly prevalent and the main cause of years lived with disability (YLDs). We present the most up-to-date global, regional, and national data on prevalence and YLDs for low back pain from the Global Burden of Diseases, Injuries, and Risk Factors Study 2021. Methods Population-based studies from 1980 to 2019 identified in a systematic review, international surveys, US medical claims data, and dataset contributions by collaborators were used to estimate the prevalence and YLDs for low back pain from 1990 to 2020, for 204 countries and territories. Low back pain was defined as pain between the 12th ribs and the gluteal folds that lasted a day or more; input data using alternative definitions were adjusted in a network meta-regression analysis. Nested Bayesian meta-regression models were used to estimate prevalence and YLDs by age, sex, year, and location. Prevalence was projected to 2050 by running a regression on prevalence rates using Socio-demographic Index as a predictor, then multiplying them by projected population estimates. Findings In 2020, low back pain affected 619 million (95% uncertainty interval 554-694) people globally, with a projection of 843 million (759-933) prevalent cases by 2050. In 2020, the global age-standardised rate of YLDs was 832 per 100 000 (578-1070). Between 1990 and 2020, age-standardised rates of prevalence and YLDs decreased by 10•4% (10•9-10•0) and 10•5% (11•1-10•0), respectively. A total of 38•8% (28•7-47•0) of YLDs were attributed to occupational factors, smoking, and high BMI. Interpretation Low back pain remains the leading cause of YLDs globally, and in 2020, there were more than half a billion prevalent cases of low back pain worldwide. While age-standardised rates have decreased modestly over the past three decades, it is projected that globally in 2050, more than 800 million people will have low back pain. Challenges persist in obtaining primary country-level data on low back pain, and there is an urgent need for more high-quality, primary, country-level data on both prevalence and severity distributions to improve accuracy and monitor change.
The Lancet Neurology, 2018
The Lancet Healthy Longevity
Health Services Insights
Objectives: The use of youth sexual and reproductive health (YSRH) services is low in poor nation... more Objectives: The use of youth sexual and reproductive health (YSRH) services is low in poor nations like Ethiopia. This puts individuals at risk for a variety of sexual and reproductive health issues. Thus, the goal of this study is to evaluate how young people in East Wollega, Western Ethiopia, perceive and use YSRH services. Methods: A community-based cross-sectional quantitative study mixed with a qualitative inquiry was conducted among 771 participants from February 1 to 28, 2020. Data were collected through face-to-face interviews using pretested structured questionnaires adopted from reviewed works of literature on YSRH services. Data were entered using Epi Info version 7.0 and analyzed by SPSS version 20. The qualitative data was collected using interview guides and checklists. These data were analyzed using a thematic framework approach. Results: In this study, 48.2% of teens felt that the YSRH service units’ location within the medical facilities was inconvenient and difficu...
Archives of Public Health, 2022
Background Despite Ethiopia’s efforts to avail postpartum family planning (PPFP) services, the un... more Background Despite Ethiopia’s efforts to avail postpartum family planning (PPFP) services, the unmet need for family planning among postpartum women remains high. Therefore, this study is aimed to assess barriers and determinants of postpartum family-planning uptake among women visiting Maternal, Neonatal, and Child Health (MNCH) services in public health facilities of western Ethiopia. Methods A facility-based cross-sectional study design with a quantitative method was conducted on 989 postpartum women in Western Ethiopia from September 1 to October 30, 2020. Data were collected through face-to-face interviews using pretested structured questionnaires, entered using EPI-INFO version 7.0, and analyzed by SPSS version 25. Descriptive analysis and logistic regressions were performed. The adjusted odds ratio with a 95% confidence interval was used and statistical significance was declared at P-value
Background: Premarital sexual practice is a sexual intercourse performed before formal marriage. ... more Background: Premarital sexual practice is a sexual intercourse performed before formal marriage. Premarital sexual practice increases adolescents risk for having multiple sexual partner, infection with (Human Immuno Deficiency Virus) HIV, other (sexually transmitted desease) STDs and unintended pregnancy.Objectives: Was to assess the prevalence of premarital sexual practice and associated factors among secondary school (9-12 grade) students in Jimma Arjo district. Methods: Inistitutional based cross-sectional study design was conducted among adolescent students from may 1st to 15th using a pre-tested and structured questionnaire. Systematic random sampling technique was employed to select study participants. The collected data was cleaned and entered into(statistical package for social science) SPSS version 20. Factors associated with pre marital sexual practice were identified by multiple logistic regression analysis.Resulst: Over all premarital sexual practice was 24.4%. Being alc...
Background: Ante natal care is a key entry point for a pregnant woman to receive abroad range of ... more Background: Ante natal care is a key entry point for a pregnant woman to receive abroad range of promotion and preventive health services. Objective: was to assess the quality of antenatal care services at public health facilities of western Ethiopia. Methods: Facility-based cross-sectional study was conducted from May 30th to June 30th, 2016. All public health facilities in the zone were audited, 316 medical records were reviewed, and 316 pregnant women were interviewed. The data was entered using EPI Data version 3.1 and analyzed using SPSS version 20.0. Descriptive statistics, binary, and multiple logistic regressions were conducted. Variables with a P-value of <0.05 were considered as statistically significant predictors of the outcome variable.Results: A total of 316 pregnant women were enrolled in the study. All facilities were categorized as “good” by the possession of necessary equipment, 3/4 by basic amenities and 87.34% by general and gynecologic examination. The inform...
Additional file 1: Figure S1. Prevalence of isolated bacteria among pregnant women (nâ =â 169) vi... more Additional file 1: Figure S1. Prevalence of isolated bacteria among pregnant women (nâ =â 169) visiting health institutions in Goba and Sinana Woredas, Southeast Ethiopia, 2014.
Additional file 2: Table S1. Antibiotic susceptibility pattern of bacterial isolates from pregnan... more Additional file 2: Table S1. Antibiotic susceptibility pattern of bacterial isolates from pregnant women (nâ =â 169) visiting health institutions in Goba and Sinana Woredas, Southeast Ethiopia, 2014.
Contraception and Reproductive Medicine
Background Premarital sexual practice is sexual intercourse performed before formal marriage. Pre... more Background Premarital sexual practice is sexual intercourse performed before formal marriage. Pre-marital sexual practice increases adolescents’ risk for having multiple sexual partners, (sexually transmitted disease) STDs, and unintended pregnancy. Objective The study aimed to assess the prevalence of premarital sexual practice and associated factors among secondary school (9–12 grade) students in the Jima Arjo district. Methods Institutional-based cross-sectional study design was conducted among adolescent students from May 1st to 15th using a pre-tested and structured questionnaire. A systematic random sampling technique was employed to select study participants. The collected data was cleaned and entered into(statistical package for social science) SPSS version 20. Factors associated with the pre-marital sexual practice were identified by multiple logistic regression analyses. Results The over all premarital sexual practice in this study area was 24.4%. Being alcoholdrinker(AOR[...
Reproductive Health, 2021
Background Despite Ethiopia's enormous effort in youth-friendly service provision, little was... more Background Despite Ethiopia's enormous effort in youth-friendly service provision, little was investigated about the challenges of accessing sexual and reproductive health services in Western Ethiopia. Thus, this study aimed to assess factors associated with the utilization of adolescent and youth sexual and reproductive health services in this area. Methods A community-based cross-sectional quantitative method mixed with the qualitative inquiry was conducted among 771 adolescents and youth aged 15 to 24 years from February 1 to 28, 2020. Data were collected through face-to-face interviews using pretested structured questionaries. Data were entered using EPI-INFO version 7.0 and analyzed by SPSS version 25. Descriptive analysis and logistic regressions were performed. The adjusted odds ratio with a 95% confidence interval was used and statistical significance was declared at P-value < 0.05. The qualitative inquiry was collected through in-depth interviews with service provide...