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  • 1
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    Determinants of Malnutrition and its associated factors among pregnant and lactating women under armed conflict areas in North Gondar Zone, Northwest Ethiopia: a community-based study
    Springer Science and Business Media LLC ; 2023
    In:  BMC Nutrition Vol. 9, No. 1 ( 2023-09-04)
    Details
    In: BMC Nutrition, Springer Science and Business Media LLC, Vol. 9, No. 1 ( 2023-09-04)
    Abstract: Maternal malnutrition remains a major public health problem, particularly in low and middle-income countries and war-affected areas like Ethiopia. Malnourished pregnant and lactating women with low nutrient stores have babies with poor mental and physical development, increasing the risk of poor birth outcomes. Despite the fact that the majority of Ethiopian mothers are malnourished, there is little evidence in war-affected areas. Therefore, the objective of this study was to assess the prevalence of undernutrition and associated factors among pregnant and lactating mothers in the war affected area of North Gondar Zone, northwest Ethiopia. Methods A community-based cross-sectional study was conducted from April 10 to May 25, 2022. A multistage random sampling technique was used to select 1560 pregnant and lactating mothers. MUAC was to ascertain the outcome variable. Data was entered and analyzed by using EPI INFO version 3.5.3 and SPSS version 24, respectively. A multivariable logistic regression analysis was employed to identify the factors associated with acute malnutrition. An adjusted odds ratio (AOR) with a 95% confidence interval was used to show the strength of the association, while a P-value of 0.05 was used to declare the significance of the association. Results The prevalence of acute malnutrition among pregnant and lactating women was 34.3% at the 95% CI (31.9–36.8). The age of the mothers (AOR = 0.73; 95% CI: 0.54, 0.99), family size 6–8 (AOR = 1.21; 95% CI: 1.03, 1.82), and greater than or equal to 9 family sizes (AOR = 0.44; 95% CI: 0.19, 0.97), were significantly associated with acute malnutrition. Conclusions In the current study, the prevalence of acute malnutrition among pregnant and lactating mothers is high in the study area. Mother’s age and family size were factors associated with acute malnutrition in war-affected areas. As a result, mothers with large families will require special assistance to reduce the impact of malnutrition.
    Type of Medium: Online Resource
    ISSN: 2055-0928
    URL: Article
    DOI: 10.1186/s40795-023-00758-1
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2809847-X
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  • 2
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    Adherence to TB treatment remains low during continuation phase among adult patients in Northwest Ethiopia
    Springer Science and Business Media LLC ; 2021
    In:  BMC Infectious Diseases Vol. 21, No. 1 ( 2021-12)
    Details
    In: BMC Infectious Diseases, Springer Science and Business Media LLC, Vol. 21, No. 1 ( 2021-12)
    Abstract: Patients’ failure to adhere to TB treatment was a major challenge that leads to poor treatment outcomes. In Ethiopia, TB treatment success was low as compared with the global threshold. Despite various studies done in TB treatment adherence, little was known specifically in continuation phase where TB treatment is mainly patient-centered. This study aimed to determine adherence to TB treatment and its determinants among adult patients during continuation phase. Methods We deployed a facility-based cross-sectional study design supplemented with qualitative data to explore perspectives of focal healthcare providers. The study population was all adult (≥18 years) TB patients enrolled in the continuation phase and focal healthcare workers in TB clinics. The study included 307 TB patients from 22 health facilities and nine TB focal healthcare providers purposively selected as key-informant. A short (11 questions) version Adherence to Refill and Medication Scale (ARMS) was used for measuring adherence. Data was collected using an interviewer-administered questionnaire and in-depth interview for qualitative data. Binary logistic regression was applied to identify factors associated with patient adherence. We followed a thematic analysis for the qualitative data. The audio data was transcribed, coded and categorized into themes using OpenCode software. Results Among 307 participants, 64.2% (95% CI (58.6–69.4%) were adherent to TB treatment during continuation phase. A multi-variable analysis shown that secondary education (AOR = 4.138, 95% CI; 1.594–10.74); good provider-patient relationship (AOR = 1.863, 95% CI; 1.014–3.423); good knowledge on TB treatment (AOR = 1.845, 95% CI; 1.012–3.362) and middle family wealth (AOR = 2.646, 95% CI; 1.360–5.148) were significantly associated with adherence to TB treatment. The majority (58%) of patients mentioned forgetfulness, and followed by 17.3% of them traveling away from home without pills as major reasons for non-adherence to TB treatment. Conclusions The study indicated that patients’ adherence to TB treatment remains low during continuation phase. The patient’s education level, knowledge, family wealth, and provider-patient relationship were found positively associated with patient adherence. Forgetfulness, traveling away, and feeling sick were major reasons for non-adherence to TB treatment. Interventional studies are needed on those factors to improve patient adherence to TB treatment during continuation phase.
    Type of Medium: Online Resource
    ISSN: 1471-2334
    URL: Article
    DOI: 10.1186/s12879-021-06428-6
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
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  • 3
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    Combined effect of pill refilling and self-medication reminder system on patients’ adherence to tuberculosis treatment during continuation phase in Northwest Ethiopia: a study protocol for randomised controlled trial
    BMJ ; 2019
    In:  BMJ Health & Care Informatics Vol. 26, No. 1 ( 2019-08), p. e100050-
    Details
    In: BMJ Health & Care Informatics, BMJ, Vol. 26, No. 1 ( 2019-08), p. e100050-
    Abstract: Patients’ failure to adhere on tuberculosis (TB) treatment leads to drug resistance, relapse and death. Non-adherence to TB treatment is higher during continuation treatment phase. The study aimed to evaluate effectiveness of combined pill refilling and medication reminders on adherence to TB treatment. Methods and analysis A two-arm randomised controlled trial on adult patients with TB was used during continuation treatment phase. In the first arm, in addition to usual care, participants will receive cellphone-based daily medication and weekly pill refilling reminders. In the control arm, participants will receive only usual care. The study will use a covariate adaptive randomisation technique to balance covariates during allocation. The primary outcome is patients’ adherence to TB treatment and secondary outcomes are attendance to clinic and treatment outcomes. We apply intention to treat with generalised linear mixed model. Ethics and dissemination Ethical approval was obtained from Institutional Review Board of University of Gondar. Written informed consent was applied during enrolment. We will publish findings in peer-reviewed, scientific journals and conferences. Trial registration number PACTR201901552202539.
    Type of Medium: Online Resource
    ISSN: 2632-1009
    URL: Article
    DOI: 10.1136/bmjhci-2019-100050
    Language: English
    Publisher: BMJ
    Publication Date: 2019
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  • 4
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    Household food insecurity predisposes to undiversified diet in northwest Ethiopia: finding from the baseline survey of nutrition project, 2016
    Springer Science and Business Media LLC ; 2019
    In:  BMC Research Notes Vol. 12, No. 1 ( 2019-12)
    Details
    In: BMC Research Notes, Springer Science and Business Media LLC, Vol. 12, No. 1 ( 2019-12)
    Type of Medium: Online Resource
    ISSN: 1756-0500
    URL: Article
    DOI: 10.1186/s13104-019-4083-9
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2019
    detail.hit.zdb_id: 2413336-X
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  • 5
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    Effect of mobile text message reminders on routine childhood vaccination: a systematic review and meta-analysis
    Springer Science and Business Media LLC ; 2019
    In:  Systematic Reviews Vol. 8, No. 1 ( 2019-12)
    Details
    In: Systematic Reviews, Springer Science and Business Media LLC, Vol. 8, No. 1 ( 2019-12)
    Type of Medium: Online Resource
    ISSN: 2046-4053
    URL: Article
    DOI: 10.1186/s13643-019-1054-0
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2019
    detail.hit.zdb_id: 2662257-9
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  • 6
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    Does phone messaging improves tuberculosis treatment success? A systematic review and meta-analysis
    Springer Science and Business Media LLC ; 2020
    In:  BMC Infectious Diseases Vol. 20, No. 1 ( 2020-12)
    Details
    In: BMC Infectious Diseases, Springer Science and Business Media LLC, Vol. 20, No. 1 ( 2020-12)
    Abstract: Compliance to anti-TB treatment is crucial in achieving cure and avoiding the emergence of drug resistance. Electronic health (eHealth) interventions are included in the strategy to end the global Tuberculosis (TB) epidemic by 2035. Evidences showed that mobile messaging systems could improve patient adherence to clinic appointment for diagnosis and treatment. This review aimed to assess the effect of mobile-phone messaging on anti-TB treatment success. Methods All randomized controlled trial (RCT) and quasi-experimental studies done prior to August 26, 2019 were included in the review. Studies were retrieved from PubMed, EMBASE, Cochrane and ScienceDirect databases including, grey and non-indexed literatures from Google and Google scholar. Quality of studies were independently assessed using Cochrane Risk of Bias Assessment Tool. A qualitative synthesis and quantitative pooled estimation were used to measure the effect of phone messaging on TB treatment success rate. PRISMA flow diagrams were used to summarize article selection process. Results A total of 1237 articles were identified, with 14 meeting the eligibility criteria for qualitative synthesis. Eight studies with a total of 5680 TB patients (2733 in intervention and 2947 in control groups) were included in meta-analysis. The pooled effect of mobile-phone messaging revealed a small increase in treatment success compared to standard of care (RR 1.04, 95% CI 1.02 to 1.06), with low heterogeneity (I 2  = 7%, p   〈  0.0002). In the review, performance, detection and attrition biases were reported as major risk of biases. Conclusions Mobile-phone messaging showed a modest effect in improving anti-TB treatment success; however, the quality of evidence was low. Further controlled studies are needed to increase the evidence-base on the role of mHealth interventions to improve TB care. Protocol registration number CRD420170744339. http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42017074439
    Type of Medium: Online Resource
    ISSN: 1471-2334
    URL: Article
    DOI: 10.1186/s12879-020-4765-x
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2041550-3
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  • 7
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    Spatial patterns and determinants of postnatal care use in Ethiopia: findings from the 2016 demographic and health survey
    BMJ ; 2019
    In:  BMJ Open Vol. 9, No. 6 ( 2019-06), p. e025066-
    Details
    In: BMJ Open, BMJ, Vol. 9, No. 6 ( 2019-06), p. e025066-
    Abstract: Postnatal care (PNC) is essential for preventing maternal and newborn deaths; however, it still remains less well recognised in low-income and middle-income countries. This study was aimed to explore geographical patterns and identify the determinants of PNC usage among women aged 15–49 years in Ethiopia. Methods A secondary data analysis was conducted using the 2016 Ethiopian demographic and health survey data. A total of 7193 women were included in this analysis. We employed spatial scan statistics to detect spatial inequalities of PNC usage among women. A multilevel binary logistic regression model was fitted to identify factors associated with women’s PNC. Results The prevalence of PNC usage among women was 6.9% (95% CI 6.3% to 7.5%). The SaTScan spatial analysis identified three most likely clusters with low rates of PNC use namely southwestern Ethiopia (log likelihood ratio (LLR)=18.07, p 〈 0.0001), southeast Ethiopia (LLR=14.29, p 〈 0.001) and eastern Ethiopia (LLR=10.18, p=0.024). Women with no education (Adjusted Odd Ratio (AOR)=0.55, 95% CI 0.37 to 0.84) and in the poorest wealth quantile (AOR=0.55, 95% CI 0.39 to 0.78) were less likely to use PNC, while women aged 35–49 years (AOR: 1.75, 95% CI 1.01 to 3.04) and with at least four antenatal care (ANC) visits (AOR=2.37, 95% CI 1.71 to 3.29) were more likely to use PNC. Conclusion PNC usage remains a public health problem and has spatial variations at regional levels in the country. Low prevalence of PNC was detected in the Somali, Oromia, Gambella and Southern Nations, Nationalities, and People’s Region (SNNPR) regions. Women with low educational status, old age, being in poorest wealth quantile and history of ANC visits were significantly associated with PNC usage. Hence, it is better to strengthen maternal health programmes that give special emphasis on health promotion with a continuum of care during pregnancy.
    Type of Medium: Online Resource
    ISSN: 2044-6055 , 2044-6055
    URL: Article
    DOI: 10.1136/bmjopen-2018-025066
    Language: English
    Publisher: BMJ
    Publication Date: 2019
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  • 8
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    Determinants of Early Initiation of Breastfeeding in West Belessa District, Northwest Ethiopia
    SAGE Publications ; 2022
    In:  Nutrition and Metabolic Insights Vol. 15 ( 2022-01), p. 117863882110652-
    Details
    In: Nutrition and Metabolic Insights, SAGE Publications, Vol. 15 ( 2022-01), p. 117863882110652-
    Abstract: The world is now suffering from malnutrition and remains one of the leading causes of death for under 5 children. Children from developing countries, including Ethiopia also suffer from undernutrition due to suboptimal breastfeeding practice. Therefore, the aim of this study was to assess the EIBF practices and determinants among children aged less than 24 months in West Belessa district, Northwest Ethiopia, 2019. Methods: A community-based cross-sectional study was conducted from January 2 to February 28, 2019 in the West Belessa district. A total of 569 mother-children pairs were participated in the study. Study particnapants were selected by using simple random sampling technique. The data were collected by an interviewer-administered structured questionnaire. Data were entered and analyzed by using Epi-Info version 7 and SPPS version 20, respectively. Bi-variable and Multivariable logistic regression analysis were done. Odds ratio with 95% confidence was done to determine the level of significance value less than .05 considered as significant with the outcome variable. Result: The prevalence of early initiation of breastfeeding (EIBF) was found to be 77.7 % (95%CI, 74.3-81.0). Age of the mother (AOR = 2.76, 95%CI [1.21, 6.27]), antenatal care (ANC) (AOR = 3.79, 95%CI [2.58, 9.94] ), and number of antenatal care visit (AOR = 1.85, 95%CI [1.03, 3.85]) were significantly associated with early initiation of breastfeeding. Conclusion and Recommendation: In this study, more than three fourth of children were received early initiation of breastfeeding within 1 hour after delivery. Age of the mother, antenatal, and number of antenatal care were associated with EIBF. Therefore, during this contact period, improve antenatal services by increasing accessibility and providing counseling is important to improve EIBF utilization.
    Type of Medium: Online Resource
    ISSN: 1178-6388 , 1178-6388
    URL: Article
    DOI: 10.1177/11786388211065221
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
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  • 9
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    Stunting and Its Determinants among Adolescent Girls: Findings from the Nutrition Surveillance Project, Northwest Ethiopia
    Informa UK Limited ; 2019
    In:  Ecology of Food and Nutrition Vol. 58, No. 5 ( 2019-09-03), p. 481-494
    Details
    In: Ecology of Food and Nutrition, Informa UK Limited, Vol. 58, No. 5 ( 2019-09-03), p. 481-494
    Type of Medium: Online Resource
    ISSN: 0367-0244 , 1543-5237
    URL: Article
    DOI: 10.1080/03670244.2019.1636793
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2019
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  • 10
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    Functionality of nutrition steering and technical committees and quality of child growth monitoring program in northwest Ethiopia
    Springer Science and Business Media LLC ; 2023
    In:  Discover Food Vol. 3, No. 1 ( 2023-05-25)
    Details
    In: Discover Food, Springer Science and Business Media LLC, Vol. 3, No. 1 ( 2023-05-25)
    Abstract: Malnutrition in Ethiopia is still a major public health problem. Effective growth monitoring activities are difficult to integrate with local circumstances and a national program and are also given less weight. Therefore, this study aimed to assess the functionality of the nutrition steering and technical committees on the quality of the growth monitoring program in the central Gondar zone of northwest Ethiopia. A mixed-methods study was employed among 51 committee members using purposive sampling and 8 months data. The participation rate and the proportion of faltering rates were computed. A data extraction sheet and an in-depth interview guide were prepared, respectively. The overall participation rate was 44.94% in Gondar Zuria and 50.62% in East Demiba districts, respectively. Similarly, the percentage of children faltering was significantly higher in Gondar Zuria district (2.85%) than in East Dembia district (0.48%). Neither the nutrition steering committee nor the technical committee were fully functional to support the program. In addition, a lack of materials, knowledge, and skills in data analysis and interpretation, as well as refresher training, are barriers to program implementation. The overall participation rate is very low in the study area. Program materials were not available, and the technical and steering committees are not fully functional. As a result, preparing working documents, assigning a specific task to strengthen the existing steering and technical committees, providing refresher training, and ensuring the availability of important program materials are very crucial.
    Type of Medium: Online Resource
    ISSN: 2731-4286
    URL: Article
    DOI: 10.1007/s44187-023-00049-5
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 3109407-7
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