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  • 1
    Online Resource
    Online Resource
    Nexus between postpartum depression and exclusive breastfeeding practices among lactating mothers in Assosa Town, West Ethiopia
    Frontiers Media SA ; 2024
    In:  Frontiers in Nutrition Vol. 11 ( 2024-4-23)
    Details
    In: Frontiers in Nutrition, Frontiers Media SA, Vol. 11 ( 2024-4-23)
    Abstract: Across the globe, breastfeeding stands out as a highly effective strategy for reducing infant and child morbidity and mortality. Concurrently, postpartum depression (PPD) emerges as a notable public health issue, adversely affecting both exclusive breastfeeding (EBF) practices for infants and the fulfillment of parenting roles. Despite the lack of substantial evidence in Ethiopia and the specific study areas, indicating the association between PPD and EBF practices, this study endeavors to fill this gap. The primary objective is to examine the correlation between PPD and EBF practices, along with exploring other pertinent factors, in Assosa Town, West Ethiopia. Methods A community-based cross-sectional study was carried out from 7 March to 5 April 2019. The study involved the recruitment of 462 participants through a systematic random sampling method. Data collection was facilitated by conducting a structured and pre-tested questionnaire. To screen for PPD, we used the Edinburgh Postnatal Depression Scale (EPDS) tool. This tool, EPDS, was used solely as a screening tool and not for diagnostic purposes. The collected data were entered into Epi-Data version 3.1 and subsequently exported to SPSS version 24 for comprehensive statistical analysis. Bivariate and multivariate logistic regression analyses were performed to assess the association between independent variables and dependent variables. Odds ratios, along with their 95% confidence intervals (CIs), were calculated to ascertain the presence and strength of any associations. Statistical significance was acknowledged at a p -value of & lt;0.05. Results The overall prevalence of EBF practices was found to be 58.2% (95% CI: 51.4–65.7), while the prevalence of PPD was 18.7% (95% CI: 15.94–26.7). Among mothers without PPD, the prevalence of EBF practices was notably higher at 62.4% (95% CI: 55.9–65.2%) compared to mothers experiencing PPD, where the prevalence was 31.3% (95% CI: 24.7–32.5%). Mothers who experienced PPD exhibited 51% reduced odds of practicing EBF compared to their counterparts (AOR = 0.49. 95% CI: 0.25–0.8). Furthermore, factors such as having a higher family monthly income (AOR = 8.7, 95% CI: 4.2–17.2), being multiparous (AOR = 5.8, 95% CI 4.9–10.8), attending antenatal care (ANC) visits (AOR = 4.9, 95% CI: 3.4–14.1), opting for vaginal delivery (AOR = 9.8, 95% CI: 5.6–17.4), and receiving husband’s support (AOR = 5.3, 95% CI: 4.6–12.7) demonstrated a statistically significant positive association with EBF practices. Conclusion In this study, a substantial number of mothers demonstrated suboptimal EBF practices during the first 6 months of their infants’ lives. Consequently, the findings underscore a clear association between PPD and EBF. Thus, it is imperative to intensify efforts in the early detection and treatment of PPD, enhance household income, advocate for ANC, and encourage active husband involvement to bolster EBF practices.
    Type of Medium: Online Resource
    ISSN: 2296-861X
    URL: Article
    DOI: 10.3389/fnut.2024.1357264
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2024
    detail.hit.zdb_id: 2776676-7
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  • 2
    Online Resource
    Online Resource
    Magnitude and predictors of antenatal care (ANC) completion among mothers attending delivery and post-natal service in Jimma town, Oromia Region, South West Ethiopia
    Academic Journals ; 2017
    In:  Journal of Public Health and Epidemiology Vol. 9, No. 9 ( 2017-09-30), p. 251-259
    Details
    In: Journal of Public Health and Epidemiology, Academic Journals, Vol. 9, No. 9 ( 2017-09-30), p. 251-259
    Type of Medium: Online Resource
    ISSN: 2141-2316
    Uniform Title: English
    URL: Journal
    URL: Article
    DOI: 10.5897/JPHE
    DOI: 10.5897/JPHE2017.0944
    Language: Unknown
    Publisher: Academic Journals
    Publication Date: 2017
    detail.hit.zdb_id: 2520309-5
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  • 3
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    Online Resource
    Effect of school feeding program on body mass index of primary school adolescents in Addis Ababa, Ethiopia: A prospective cohort study
    Frontiers Media SA ; 2023
    In:  Frontiers in Nutrition Vol. 9 ( 2023-1-9)
    Details
    In: Frontiers in Nutrition, Frontiers Media SA, Vol. 9 ( 2023-1-9)
    Abstract: Governments and developmental organizations are encouraged to devote adequate resources to the establishment of free school meals to low-income children in developing countries. In Ethiopia, the school feeding program (SFP) is implemented in a few regions including the capital, Addis Ababa. However, the nutritional benefit of the program was not monitored and reported thus far. In this study, we evaluated the effect of the SFP on the body mass index (BMI) of primary school adolescents in Addis Ababa, Central Ethiopia. Method A prospective cohort study was employed to collect data from 644 SFP-beneficiary adolescents ( n = 322) and non-SFP ( n = 322). Nutritional outcomes were measured following 6 months of follow-up. WHO Anthroplus were used to convert anthropometric data into body-mass-index-for-age Z scores. The independent effect of school feeding is analyzed through a multivariable linear regression model. Result In linear regression, unadjusted model (Model 1), compared with the non-school-fed adolescents, the mean difference in difference of BAZ-score of school-fed adolescent was higher by 0.36 (β 0.36, 95% CI 0.17, 0.55). The beta coefficient remained positive after adjusted for age and sex (Model 2: β 0.35, 95% CI 0.16, 0.54) and sociodemographic variable (Model 3: β 0.35, 95% CI 0.16, 0.54). In the final model, adjusted for model four, lifestyle and health status there was a significant difference in favor of school-fed adolescents on BAZ-score indices (Model 4: β 0.4, 95% CI 0.18–0.62). On the contrary, for a unit increase in family size, the BAZ score will decrease by 0.06 (β 0.06, 95% CI −0.12–−0.01). Similarly, adolescents with a middle tertile wealth index decreased their BAZ score by 0.30 (β 0.30, 95% CI −0.55–−0.05) as compared to the higher tertile wealth index. Conclusion School feeding was positively associated with a change in BAZ score whereas family size and middle tertile wealth index were negatively associated. This implies that school feeding can serve as an optimal strategy for addressing the nutrition needs of adolescents.
    Type of Medium: Online Resource
    ISSN: 2296-861X
    URL: Article
    DOI: 10.3389/fnut.2022.1026436
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2023
    detail.hit.zdb_id: 2776676-7
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  • 4
    Online Resource
    Online Resource
    Chronic Malnutrition Among Under Five Children of Ethiopia May Not Be Economic. A Systematic Review and Meta-Analysis
    African Journals Online (AJOL) ; 1970
    In:  Ethiopian Journal of Health Sciences Vol. 29, No. 2 ( 1970-01-01)
    Details
    In: Ethiopian Journal of Health Sciences, African Journals Online (AJOL), Vol. 29, No. 2 ( 1970-01-01)
    Abstract: Background: Ethiopia is one of the four low income countries in achieving MDG4, however, minimizing child undernutrition became critical undertaking thus far. This review aimed at identifying the predictors of under-5 children nutrition in Ethiopia.Methods: Databases searched were Med Line, HINARY, MedNar and Embase. Furthermore, gray literatures were also sought. All papers selected for inclusion in the review were subjected to a rigorous critical appraisal using standardized critical appraisal instruments from the Joanna Briggs Institute. Quantitative papers were pooled for statistical analysis and narrative synthesis. Odds ratios and their 95% confidence intervals were calculated for analysis. Papers of optimal quality but without optimal data set for meta-analysis were subjected for narrative synthesisResults: Nonadherence towards Optimal feeding recommendations was the most reported predictor of stunting and wasting, while, maternal education and ‘Water, Sanitation and Hygiene’ factors were the second. The findings of the Meta-analysis showed no evidence of association between household income/wealth and stunting of children in Ethiopia (OR=1.14, 95% CI= 0.97, 1.34), heterogeneity test:i2 = 92%, df = 20, (P 〈 0.00001). On the other hand, children in low income/wealth group were 1.73 times more likely to have wasting compared to children of the higher income/wealth households (OR=1.73, 95% C I= 1.51, 1.97) heterogeneity test: i2 = 71%, df = 20, (P 〈 0.00001).Conclusion: An over-reliance on macroeconomic growth as a solitary factor towards undernutrition should not be the way forward. Supplementary and more focused nutrition specific and sensitive interventions are needed in Ethiopia.
    Type of Medium: Online Resource
    ISSN: 1029-1857 , 1029-1857
    URL: Article
    DOI: 10.4314/ejhs.v29i2.14
    Language: Unknown
    Publisher: African Journals Online (AJOL)
    Publication Date: 1970
    detail.hit.zdb_id: 2705970-4
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  • 5
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    Online Resource
    Maternal dietary and nutritional characteristics as predictor of newborn birth weight in Jimma Town, Southwest Ethiopia, 2017
    Academic Journals ; 2018
    In:  Journal of Public Health and Epidemiology Vol. 10, No. 5 ( 2018-05-31), p. 155-164
    Details
    In: Journal of Public Health and Epidemiology, Academic Journals, Vol. 10, No. 5 ( 2018-05-31), p. 155-164
    Type of Medium: Online Resource
    ISSN: 2141-2316
    Uniform Title: English
    URL: Journal
    URL: Article
    DOI: 10.5897/JPHE
    DOI: 10.5897/JPHE2017.0977
    Language: Unknown
    Publisher: Academic Journals
    Publication Date: 2018
    detail.hit.zdb_id: 2520309-5
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  • 6
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    Impact of weekly iron-folic acid supplementation on nutritional status and parasitic reinfection among school-age children and adolescents in Sub-Saharan Africa: a systematic review and meta-analysis
    Frontiers Media SA ; 2024
    In:  Frontiers in Pediatrics Vol. 12 ( 2024-6-17)
    Details
    In: Frontiers in Pediatrics, Frontiers Media SA, Vol. 12 ( 2024-6-17)
    Abstract: Two significant etiological factors contributing to iron deficiency anemia, and undernutrition posing substantial public health challenges in Sub-Saharan Africa, are soil-transmitted helminths and malaria. This study carried out the effect of weekly iron-folic acid supplementation (WIFAS) on the nutrition and general health of school-age children and adolescents in Sub-Saharan Africa, a systematic review and meta-analysis have been conducted. Methods To find pertinent publications for this study, a thorough search was carried out on May 20, 2023, across five databases: Pubmed (MEDLINE), Web of Science, Scopus, Cochrane Library, and Google Scholar. In addition, a search was conducted on August 23, 2023, to capture any new records. The inclusion criteria for the studies were based on school-age children and adolescent populations, randomized controlled trials, and investigations into the effects of WIFAS. The outcomes of interest were measured through anthropometric changes, malaria, and helminthic reinfection . Results A systematic review of 11 articles revealed that WIFAS significantly decreased the risk of schistosomiasis reinfection by 21% among adolescents (risk ratio = 0.79, 95%CI: 0.66, 0.97; heterogeneity I 2 = 0.00%, P = 0.02). However, no significant impact was observed on the risk of malaria reinfection (risk ratio = 1.02, 95%CI: 0.92, 1.13; heterogeneity I 2 = 0.00%, P = 0.67) or A. Lumbricoides reinfection (risk ratio = 0.95, 95%CI: 0.75, 1.19; heterogeneity I 2 = 0.00%, P = 0.65). Moreover, the analysis demonstrated that there is no significant effect of iron-folic acid supplementation in measured height and height for age Z -score (HAZ) of the school-age children (Hedge's g −0.05, 95%CI: −0.3, 0.2; test for heterogeneity I 2 = 0.00%, P = 0.7) and (Hedge's g 0.12, 95%CI: −0.13, 0.37; test for heterogeneity I 2 = 0.00%, P = 0.36) respectively. Conclusion The effectiveness of WIFAS in reducing the risk of schistosomiasis reinfection in adolescents has been demonstrated to be greater than that of a placebo or no intervention. Additionally, the narrative synthesis of iron-folic acid supplementation has emerged as a potential public health intervention for promoting weight change. However, there was no significant association between WIFAS and Ascariasis, trichuriasis, and hookworm. Moreover, the certainty of the evidence for the effects of WIFAS on height and malaria is low and therefore inconclusive. Whereas, the certainty of the evidence for the effectiveness of WIFAS on Schistosomiasis is moderate. Even though the mechanisms need further research WIFAS may be implemented as part of a comprehensive public health strategy to address schistosomiasis in adolescents. Systematic Review Registration https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023397898 , PROSPERO (CRD42023397898).
    Type of Medium: Online Resource
    ISSN: 2296-2360
    URL: Article
    DOI: 10.3389/fped.2024.1366540
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2024
    detail.hit.zdb_id: 2711999-3
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  • 7
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    Online Resource
    Optimization of a formula to develop iron-dense novel composite complementary flour with a reduced phytate/minerals molar ratio from dabi teff-field pea-based blends using a D-optimal mixture design
    Frontiers Media SA ; 2023
    In:  Frontiers in Nutrition Vol. 10 ( 2023-10-11)
    Details
    In: Frontiers in Nutrition, Frontiers Media SA, Vol. 10 ( 2023-10-11)
    Abstract: Iron deficiency anemia is one of the major public health problems in children associated with the inadequate intake of bioavailable iron. Thus, this research was aimed at incorporating dabi teff, an underutilized/forgotten crop, into other pre-processed local food crops, viz. , germinated maize, roasted barley, roasted field pea, dehulled oats, and linseed, to develop optimized iron-dense novel composite complementary flour with a reduced phytate/minerals molar ratio. Nutrisurvey software was employed to define ranges, and they were constrained at 20–35% dabi teff, 0–30% field pea, and 5–20% maize, while the remaining were kept constant at 25% barley, 15% oats, and 5% linseed. Eleven experimental runs were generated from the six mixture components using Stat-Ease Design Expert ® software version 11, D-optimal. Inductively coupled plasma-optical emission spectrometry was used to determine micronutrients. ‘Scheffe’ regression was used to fit and test the model’s adequacy, and numerical multi-response optimization was performed using the Design Expert ® to identify the optimal points. Dabi teff had a significantly higher ( p   & lt; 0.05) iron content at 86.5 mg/100 g, iron density at 24.53 mg/100 kcal, and calcium content at 123.59 mg/100 g. The new formulations had a significantly higher iron content (3.31–4.36 times), iron density (3.25–4.27 times), and calcium content (1.49–1.58 times), as compared to the control flour, and fulfilled FAO/WHO recommendations. The optimal formula was identified at 34.66% dabi teff, 25% barley, 15% oats, 15.34% field pea, 5% linseed, and 5% maize flour ratios, with response values at the overall optimization as 32.21 mg/100 g iron, 77.51 mg/100 g calcium, 2.59 mg/100 g zinc, 0.233 phytate/iron molar ratio (Ph:Fe), 0.067 phytate/calcium molar ratio (Ph:Ca), 3.43 phytate/zinc molar ratio (Ph:Zn), and 6.63 phytate by calcium to zinc molar ratio (Ph*Ca:Zn). Furthermore, it contained iron at a level that is 2.01 times higher than the standard and 4.44 times higher than the control, as well as an iron density of 8.47 mg/100 kcal, which was 4.39 times higher than that of the control. These findings showed that the optimized dabi teff-field pea based iron-dense novel composite complementary flour with enhanced bioavailability can be developed and used as a sustainable food-based strategy to combat iron deficiency anemia among children in less developed countries, such as Ethiopia.
    Type of Medium: Online Resource
    ISSN: 2296-861X
    URL: Article
    DOI: 10.3389/fnut.2023.1244571
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2023
    detail.hit.zdb_id: 2776676-7
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  • 8
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    Online Resource
    Exposure to occupational dust and changes in pulmonary function among cobblestone paving workers of Jimma, Ethiopia
    Instituto de Pesquisas Ambientais em Bacias Hidrograficas (IPABHi) ; 2014
    In:  Ambiente e Agua - An Interdisciplinary Journal of Applied Science Vol. 9, No. 1 ( 2014-03-26)
    Details
    In: Ambiente e Agua - An Interdisciplinary Journal of Applied Science, Instituto de Pesquisas Ambientais em Bacias Hidrograficas (IPABHi), Vol. 9, No. 1 ( 2014-03-26)
    Type of Medium: Online Resource
    ISSN: 1980-993X
    URL: Article
    DOI: 10.4136/ambi-agua.1227
    Language: Unknown
    Publisher: Instituto de Pesquisas Ambientais em Bacias Hidrograficas (IPABHi)
    Publication Date: 2014
    detail.hit.zdb_id: 2389901-3
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