scholarly journals Coverage, Opportunity and Challenges of expanded Program on Immunization among 12-23 Months old Children in Woldia Town, Northeast, Ethiopia, 2018: Mixed cross sectional study

2018 ◽  
Author(s):  
Ayele Mamo Abebe ◽  
Mesfin Wudu Kassaw ◽  
Alemu Birara

AbstractObjectiveThe purpose of this is to assess coverage, opportunity and challenges of EPI among children age 12-23 month in Woldia town, Amhara region, Ethiopia.ResultA total of 389 mothers/caretakers were interviewed. Based on vaccination card and mothers/caretakers’ recall, 385 (99%) of the children took at least a single dose of vaccine. About 343 (87.7%) children were fully immunized. Dropout rate was 9% for BCG to measles. Qualitative study revealed that workload, shortage of vaccine and non-compliance of mother/care taker for next schedule date was the major challenge faced by health professionals. In this study, vaccination coverage was low compared to the Millennium Development Goals target. Thus the town health office and concerned stakeholders need to work more to improve performance of the expanded program on immunization in this area.

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Ayele Mamo Abebe ◽  
Mesfin Wudu Kassaw ◽  
Alemu Birara Zemariam ◽  
Nathan Estifanos Shewangashaw

Background. Each year, immunization averts an estimated 2–3 million deaths from diphtheria, tetanus, pertussis, and measles. In 2011, nearly 107 million infants (83%) worldwide received at least 3 doses of DTP vaccine; however, approximately 22.4 million failed to receive 3 doses, and this causes large numbers of children susceptible to vaccine-preventable diseases and death. Nearly 8.4 million received at least 1 DTP dose. The aim of this was to assess coverage, opportunity, and challenges of EPI among children of age 12–23 months in Woldia town, Amhara region, Northeast Ethiopia. Method. In this mixed community-based cross-sectional study, 389 study subjects were selected by using a multistage sampling method. Interviewer-administered structured questioners were used. Data were entered and analyzed using SPSS Version 20 and presented by using tables and figures. Documented/recorded file from the qualitative data were transcribed into word narrative. Finally, it was presented by thematic analysis. Result. A total of 389 mothers/caretakers were interviewed. Based on vaccination card and mothers/caretakers’ recall, 385 (99%) of the children took at least a single dose of vaccine. From total children, 4 (1%) were not immunized at all, 44 (11.3%) were partially immunized, and 343 (87.7%) were fully immunized. The dropout rate was 9% for BCG to measles, 2.4% for Penta1 to Penta3, 8.3% for penta1 to measles, and 1.6% for pcv1 to Pcv3. A qualitative study revealed that workload, shortage of vaccine, and noncompliance of the mother/caretaker for the next scheduled date was the major challenge faced by health professionals and health extension workers. Conclusion. Vaccination coverage was low compared with the Millennium Development Goals target. It is important to increase and maintain the immunization level to the intended target. Thus, the town health office and concerned stakeholders need to work more to improve the performance of the expanded program on immunization in this area.


2020 ◽  
Vol 15 (2) ◽  
pp. 105-110
Author(s):  
Haile Kassahun ◽  
Dugessa Tesfaye

Background: Disposal of pharmaceutical waste among patients is a global challenge especially in developing countries like Ethiopia. Improper medication disposal can lead to health problems and environmental contaminations. Therefore, the present study aimed to assess disposal practices of unused medications among patients in public health centers of Dessie town, Northeast Ethiopia. Methods: A descriptive cross-sectional study was conducted among 263 patients in four public health centers of Dessie town, Ethiopia from March to June, 2019. Face-to-face interviews using structured questionnaires were used to collect data from each study subject. Results: The majority of the respondents, 224 (85.17%) had unused medications at their home during the study period. The most commonly reported disposal method in the present study was flushing down into a toilet 66 (25.09%). None of the respondents practiced returning unused medications to Pharmacy. Moreover, 85 (32.31%) of the respondents reported never disposing their medications and believed that it is acceptable to store medications at home for future use. Conclusion: In the present study, there was a high practice of keeping medications at home and most of the disposal practices were not recommended methods. In addition, most of the respondents did not get advice from pharmacists and other health care professionals on how to dispose off unused medications. Hence, there is a need for proper education and guidance of patients regarding disposal practices of unused medications.


2017 ◽  
Vol 28 (2) ◽  
pp. 53-57
Author(s):  
Md Zahir Uddin ◽  
Muhammad Zillur Rahman Khan ◽  
Mumita Jerin Nilav ◽  
Md Faruq Alam ◽  
Md Abdul Mohit

Psychotherapy for child and adolescent with psychiatric disorder is relatively a newer concept in Bangladesh. This cross sectional study was done to determine the pattern of psychotherapy provided by the psychotherapy department for children and adolescents with psychiatric disorder in National Institute of Mental Health (NIMH) from June 2010 to November 2014. Total 121 samples were taken purposefully from the records of psychotherapy department where data were collected retrospectively using check list. Results showed that among respondents more were boys than girls (64.5% vs. 35.5%) whereas their mean (±SD) age was 12.1 (±3.2) years. Majority (47.9%) of them were within class six to class ten. Most of the respondents (89%) were referred from the outpatient department and 11% were referred by inpatient department. Conduct disorder (27.3%), conversion disorder (13.2%), attention deficit hyperactivity disorder (12.4%) and intellectual developmental disorder (9.1%) were common diagnoses of the respondents. It was found that 74.4% respondents attended up to one to five psychotherapy sessions and cognitive behavior therapy (38%) and behavior therapy (25.6%) were most commonly used psychotherapy. Though 60.3% of the respondents improved to certain extent in psychotherapy sessions, patient’s dropout rate was found as 55.4%.Bang J Psychiatry Dec 2014; 28(2): 53-57


Author(s):  
Birhan Tsegaw Taye ◽  
Fetene Kasahun Amogne ◽  
Tesfanesh Lemma Demssie ◽  
Mulualem Sileshi Zerihun ◽  
Tebabere Moltot Kitaw ◽  
...  

2021 ◽  
Author(s):  
Eyayu Kasseye Bayu ◽  
Getaneh Bizuayehu Demeke

Abstract Background: The aims of this study was to assess knowledge and attitudes of reproductive women (15-49) towards alcohol consumption during pregnancy in West Gojjam of Amhara region.Methods: Community based cross sectional study design was employed. The structured questionnaires were used to assess the knowledge and attitude of alcohol consumption among reproductive women during pregnancy. The sample size was calculated by using a single population proportion formula. Accordingly, the calculated sample size was 380 after adding 10% for non-response rate.Descriptive statistics, binary and multivariable logistic regressions was employed. Adjusted Odds Ratios together with corresponding 95% confidence intervals was used to interpret the findings.Results: The majority of women 308(82.4%) were know the problems of drinking alcohol during pregnancy from 374 total study participants. Knowledge of women with regard to problems of drinking alcohol during pregnancy were associated literate women (AOR=0.416; 95%CI=0.207-0.836) and risk of alcohol consumption during pregnancy low (AOR=9.468; 95% CI=3.466-25.868).Addationally,attitude of women for consumption of alcohol have significant effect on health associated with occupation status a housewife ((AOR=4.620; 95% CI= (1.255-17.012), had own business(AOR=17.344;95% CI=1.821165.148), alcohol consumption for 3-4 days a week(AOR=11.278;95%CI =1.231-103.287),relative encourage diriking alcohol (AOR=0.309;95%=0.110-0.868), Women who had previously health problems (AOR=0.330;95% CI=0.152-0.717), women who perceive the risk of alcohol consumption have beneficial effect on health is medium(AOR=7.112; 95% CI =3.108-16.270), attitudes of women towards alcohol consumption have beneficial effect on health is high (AOR= 4.902;95% CI =1.474-16.297),women who agree on the consumption of alcohol during pregnancy is valuable(AOR=0.082;95% CI =0.023-0.287).Conclusion: The study revealed that, the knowledge of women on the health effect of alcohol consumption during pregnancy high. Their attitude also towards alcohol consumption is low and medium. Interventions focused on creating awareness about the harmful effects of alcohol consumption on pregnancy should implemented.


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Douglas Mugarura ◽  
Herbert Izo Ninsiima ◽  
Hellen Kinyi ◽  
Ejike Daniel Eze ◽  
Sam Tumwesigire ◽  
...  

The prevalence of stunting among children in Uganda and Sub-Saharan Africa is still high, and if Uganda is to achieve the food-related Sustainable Development Goals (SDGs), it must urgently invest in improving nutrition and sanitation. In a food rich area like Bushenyi, chronic undernutrition could be due to several other factors than mere scarcity of food. The Objective(s). This study was carried out to determine the prevalence and socioclinical factors responsible for chronic undernutrition (stunting) among preschool children aged 1–5 years in selected Health facilities in Bushenyi district. Methodology. This was a cross-sectional study assessing the prevalence of stunting and its associated factors among children aged 1–5 years attending selected health centers in Bushenyi District. Data was collected using a pretested questionnaire, taking anthropometric measurements (height/length), and stool analysis for eggs of soil-transmitted helminthes. Prevalence of stunting was presented as percentages. Logistic regression with adjusted prevalence ratio was performed to test the association between the sociodemographic and clinical factors and stunting at bivariate levels of analysis. Results. Most of the children were female, with a median age of 2.1 years and resided in semiurban areas of Bushenyi with their parents. Prevalence of stunting was 89.3%. Only 10.7% of the children were infested with soil-transmitted helminthes. Children likely to be stunted were those who drank unboiled water and were exclusively breastfed. Conclusion. There is a high prevalence of chronic malnutrition in Bushenyi district associated with parents’/care takers’ low level of knowledge.


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