scholarly journals Knowledge of Neonatal Danger Signs and Its Associated Factors among Mothers Attending Child Vaccination Centers at Sheko District in Southwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Tewodros Yosef ◽  
Tadesse Nigussie ◽  
Adane Asefa
Keyword(s):  
Associated Factors ◽  
Educational Status ◽  
Sub Saharan Africa ◽  
Good Knowledge ◽  
Health Seeking ◽  
Public Health Importance ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Danger Signs ◽  
Child Vaccination

Background. Even though a great improvement in the last twenty years, the problem of newborn deaths is still remaining. In 2017 alone, an estimated 2.5 million neonatal deaths occurred worldwide, around 39 percent of all deaths in sub-Saharan Africa. Early detection of neonatal illness is an important step towards improving newborn survival. If mothers know the appropriate manifestations of the causes of death in newborns (neonatal danger signs), it is possible to avert related mortality, because of the health-seeking behavior of mothers highly relies on their knowledge of neonatal danger signs. Objective. To assess knowledge of neonatal danger signs and its associated factors among mothers attending child vaccination centers at Sheko District in Southwest Ethiopia. Methods. A facility-based cross-sectional study was conducted among 351 mothers who attended health centers for child vaccination in Sheko District from March 17 to April 30, 2018. A consecutive sampling method was used to select study participants. Data were collected by using structured questionnaires through face-to-face interviews. Data were entered using EPI-DATA version 3.1 and analysed using SPSS version 21. Results. Of the 351 mothers interviewed, 39% (137) had good knowledge of neonatal danger signs. The study also found that mothers aged 29-40 years (AOR=2.37, 95% CI [1.35-4.17], P=0.003), educational status of primary and above (AOR=2.68, 95% CI [1.48-4.88], P=0.001), attending ≥ 4 antenatal care visits during pregnancy (AOR=3.57, 95% CI [2.10-6.06], P<0.001), and history of postnatal attendance after birth (AOR=2.33, 95% CI [1.16-4.65], P=0.017) were significantly associated with good knowledge of neonatal danger signs. Conclusion. The proportion of mothers with good knowledge of neonatal danger signs was remarkably low. Since the problem is a public health importance in developing countries, particularly in Ethiopia, which determines future generations. Great efforts are needed to create awareness for mothers on the importance of the early identifying neonatal danger signs plus to avert the high magnitude of neonatal mortality.

scholarly journals Married Women Decision-Making Autonomy on Maternal and Neonatal Healthcare Utilization and Associated Factors in Debretabor, Northwest Ethiopia

2020 ◽  
Author(s):  
Azmeraw Ambachew Kebede ◽  
Getachew Azeze Eriku ◽  
Birhan Tsegaw Taye ◽  
Wagaye Fentahun Chanie
Keyword(s):  
Decision Making ◽  
Healthcare Utilization ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Married Women ◽  
Neonatal Health ◽  
Health Seeking ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Danger Signs

Background: Women decision-making autonomy is very crucial for the improvement of maternal, neonatal, and child healthcare utilization. However, there is limited evidence on women decision-making autonomy on maternal and neonatal health in the study area. Therefore, this study assessed married women decision-making autonomy on maternal and neonatal healthcare utilization and associated factors in Debretabor, Northwest Ethiopia. Methods: A community-based cross-sectional study was conducted from October 1st to 30th, 2019. A multi-stage sampling technique was used to select 730 married women. A structured, pretested, and interviewer-administered questionnaire was employed. Data were entered into epi info 7 and analyzed by SPSS version 23. Multivariable logistic regression model was fitted to identify factors associated with women decision-making autonomy on maternal and neonatal healthcare utilization. Odds ratio with 95 % confidence interval was computed to determine the level of significance. Result: Three-fourths (75.1%) of women had higher decision-making autonomy regarding their health, neonatal health, and other social and economic aspects. Besides, the proportion of at least four antenatal visits, delivery at a health facility, postnatal checkup, knowledge of neonatal danger signs, and appropriate health-seeking practices for sick newborns among autonomous women were 52.1%, 56.1%, 71.4%, 32%, and 80% respectively. Age greater than 35 years (AOR=2.08; 95%CI: 1.19, 3.62), monthly income of 5000 ETB and above (AOR=3.1; 95%CI: 1.36, 7.07), husband involvement (AOR=2.36; 95%CI: 1.55, 3.43) and knowledge of neonatal danger signs (AOR=2.11; 95%CI: 1.4, 3.2) were factors independently associated with women decision-making autonomy on maternal and neonatal healthcare utilization. Conclusion: Our findings show that women decision-making autonomy on maternal and neonatal healthcare utilization was optimal. Increasing the household income level through different means, the promotion of husbands involvement, and increasing women knowledge of maternal and neonatal danger signs will have a great role in the improvement of women decision-making autonomy.

scholarly journals Knowledge about Neonatal Danger Signs and Associated Factors among Mothers Attending Immunization Clinic at Arba Minch General Hospital, Southern Ethiopia: A Cross-Sectional Study

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Nega Degefa ◽  
Ketema Diriba ◽  
Tekeste Girma ◽  
Amelework Kebede ◽  
Ayano Senbeto ◽  
...  
Keyword(s):  
General Hospital ◽  
Neonatal Mortality ◽  
Associated Factors ◽  
Multivariable Analysis ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Sectional Study ◽  
Cross Sectional ◽  
Danger Signs ◽  
Sub Saharan

Background. The first 28 days of life (the neonatal period) constitute the most vulnerable time for a child’s survival. Overall 2.7 million neonatal deaths were stated by the 2015 global report of neonatal mortality and they account for 45% of under-five deaths. Sub-Saharan Africa remains the region with the highest risk of death in the first month of life and is among the regions showing the least progress in reducing neonatal mortality in the world. Ethiopia, as part of sub-Saharan Africa, also shares the greatest risk of neonatal death. A recent report in Ethiopia showed that neonatal mortality was 29 deaths per 1,000 live births. Therefore, the signs that suggest the onset of severe illness which leads to death and their contributing factors should be identified. The aim of the study was to assess knowledge about neonatal danger signs and associated factors among mothers attending immunization clinic at Arba Minch General Hospital. Method. Institution-based cross-sectional study design was employed from Feb to April 2018. Systematic sampling technique was used to select a total of 345 mother-child pairs. A pretested, structured, and interviewer-administered questionnaire was used to collect data. Data were entered using Epidata version 3.1 and analyzed using SPSS version 20. Bivariate and multivariable analysis were carried out using binary logistic regression to check and test the association between dependent and explanatory variables. Model fitness was checked by Hosmer-Lemeshow goodness of fit test. Result. Nearly two-fifths (40.9%) of all mothers had good knowledge about neonatal danger signs (95% CI; 35.7, 46.4). Close to thirty-three percent of mothers identified child’s body hotness (fever) as a neonatal danger sign. Maternal educational status (AOR: 5.64; 95% CI: 1.68, 18.95) and attendance of postnatal care (AOR: 2.64; 95% CI: 1.36, 5.15) were significantly associated with maternal knowledge about neonatal danger signs in multivariable analysis. Conclusion. Even though considerable improvement has been achieved over the past decades as a result of expanded coverage of maternal and childcare services, still there are a significant number of mothers who have limited knowledge about neonatal danger signs. Therefore, interventional strategies that stress strengthening maternal education and ANC follow-up should be extended.

scholarly journals Assessment of Knowledge, Attitude and Associated Factors toward COVID-19 among Nurses Who Work in South Gondar Zone, Hospitals, Northwest Ethiopia 2020, Institution-based cross-sectional Study

2020 ◽  
Author(s):  
Dejen Getaneh Feleke ◽  
Sheganew Fetene Tassew ◽  
Ermiase Sisay Chanie
Keyword(s):  
Associated Factors ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sub Saharan Africa ◽  
Favorable Attitude ◽  
Good Knowledge ◽  
Sectional Study ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
South Gondar

Abstract BackgroundCoronavirus disease 2019 is an emerging respiratory disease that is caused by a novel coronavirus and was first detected in December 2019 in Wuhan, China. The world is affected by the Corona Virus Disease in 2019. In sub-Saharan Africa Including Ethiopia there is no study conducted on level of Knowledge, Attitude and Associated Factors toward Coronavirus disease in 2019 among Health care workers Specifically Nurses.ObjectiveThis study aims to assess the level of Knowledge, Attitude and Associated Factors toward Coronavirus disease in 2019 among Nurses Who Work in South Gondar Zone, Hospitals, Northwest Ethiopia, 2020.MethodsAn Institution-based cross-sectional study was conducted among 166 Nurses in South Gondar Zone, Ethiopia, From June 1st -30/2020. To select study participants after proportional allocation of study subjects to each Hospital, simple random sampling technique were to be used. The Data was entered into Epi info version 7.2.0.1, and exported to Statistical Package for Social Sciences window version 24 for analysis. Binary and Multivariable logistic regression wasl used to see the association between dependent and independent variables. Adjusted odds ratio with 95% confidence interval was computed. P-value < 0.05 was used to declare association. Finally; the result is presented in the form of texts, tables, and graphs.ResultsOf 166 Nurses, 166 (100% response rate) responded to the online interview questionnaire. From 166 nurses, 57.2% of the participants were Females and 42.8% were males, 41.6 % of the respondents were between the ages of 20 and 29 years. About 84.9 % had good knowledge and 63.3% favorable attitude of COVID-19. Wearing general medical masks can prevent one from acquiring infection by the co vid-19 virus (AOR = 0.44, 95% CI =0.005-0.362 were factors of knowledge about COVID-19. Whereas, strongly agree Medical staffs are ready to participate in antiepidemic in the community (AOR =0.08, 95% CI = (0.003-1.76 Were factors of attitude about COVID-19.ConclusionIn this study, most of the nurses had good knowledge and favorable attitude regarding COVID-19. Wearing general medical masks can prevent one from acquiring infection by the covid-19 virus were the factors in association with knowledge OF nurses on COVID-19. Similarly, Medical staffs are ready to participate in antiepidemic in the community factors association with attitudes of nurses on COVID-19.

scholarly journals Prevalence and Determinants of Occupational Injuries among Solid Waste Collectors of Zoomlion Ghana Limited

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Patrick Ephraim ◽  
Judith Koryo Stephens ◽  
Gustavus A. Myers-Hansen ◽  
Richard Y. Otwey ◽  
Samuel Amon ◽  
...  
Keyword(s):  
Municipal Solid Waste ◽  
Solid Waste ◽  
Associated Factors ◽  
Occupational Injury ◽  
Occupational Injuries ◽  
The Body ◽  
Sub Saharan Africa ◽  
Occupational Accidents ◽  
Health Seeking ◽  
Cross Sectional

Background. Globally, occupational injuries account for 15% of the mortalities associated with occupational accidents. The work of the solid waste collectors exposes them to numerous occupational hazards, which results in injuries. Increasing rates of occupational injuries from 43.7% to 63.9% among solid waste collectors in sub-Saharan Africa opens room for more research to be done. The study assessed the magnitude of occupational injuries and associated factors among solid waste collectors of Zoomlion Ghana Limited in the Accra Metropolis. Methods. A cross-sectional quantitative study was carried out among the solid waste collectors. The occupational injuries and their associated factors among the solid waste collectors were assessed using questionnaires. Multistage sampling approach was used to select study respondents. Data were collected through the administration of questionnaires. Bivariate and multivariable logistic regression was used to assess the association between the dependent and independent variables. Results. In this study, 21.79% (78/358) with 95% CI (0.1749, 0.2608) among the solid waste collectors reported having at least one work-related injury in the last 6 months. The factors that were significantly associated with at least one occupational injury among the solid waste collectors in the Accra Metropolis were work duty (collection and transportation), the zone of assignment for respondents, and lack of personal protective equipment (PPE). Conclusion. This study showed that the prevalence of occupational injuries among municipal solid waste collectors in the Accra Metropolis was lower as compared to similar research conducted in Ethiopia, Egypt, and India. Working in the collection and transportation category and lack of PPE for use at work were significantly and positively associated with occupational injury among the solid waste collectors. Again, working in the La Dade Kotopon zone had reduced odds of sustaining injuries as compared to those in the Ablekuma South zone. The result of the study demonstrated that cuts/puncture was the injury that was mostly sustained by the municipal solid waste workers, while the leg was the body part that was mostly injured followed by the hands. Public health education in the municipality should target solid waste collectors with the aim of improving their health-seeking behaviour.

scholarly journals Knowledge of breastfeeding practice and associated factors among fathers whose wife delivered in last one year in Gurage Zone, Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254824
Author(s):  
Solomon Shitu ◽  
Daniel Adane ◽  
Haimanot Abebe ◽  
Ayenew Mose ◽  
Alex Yeshaneh ◽  
...  
Keyword(s):  
Associated Factors ◽  
Multivariate Logistic Regression Analysis ◽  
Sampling Technique ◽  
Educational Status ◽  
P Value ◽  
Cluster Sampling ◽  
Health Seeking ◽  
Cross Sectional ◽  
Breastfeeding Practice ◽  
At Home

Background Breastfeeding is the feeding of an infant or young child with breast milk directly from female human breasts. It confers short-term and long-term benefits for both child and mother, including helping to protect children against a variety of acute and chronic disorders. In mothers, breastfeeding (BF) reduces postpartum bleeding, enhances accelerated involution of the uterus, and plays a crucial role in child spacing. Fathers have an important but often neglected role in the promotion of healthy breastfeeding practices. Evidence shows that mothers who have a supportive and encouraging partner are more likely to plan to breastfeed for a longer duration. So, this study was aimed to assess knowledge and associated factors towards breastfeeding practice among fathers. Methods A community-based cross-sectional study was conducted in Gurage Zone among 597 fathers. One stage cluster sampling technique was used to select study participants. An interviewer-administered questionnaire was used to collect the data and it was checked for consistency and completeness and entered into epi data and exported to SPSS for analysis. Bivariate and multivariate logistic regression analysis was done to identify independent predictors. P-value < 0.05 was considered to declare a result as statistically significant. Result In this study, a total of 585 participants were involved making a response rate of 98%. The overall knowledge status of participants was 341 (58.3%). The mean age of participants was 29.5 (SD±4.5). Urban residence, educational status, exposure to media, having more than one baby at home, and accompany his wife during health-seeking were independent predictors of knowledge status. Conclusion This study has shown the level of knowledge of fathers towards breastfeeding in the study area was low (58.3%). Residence, two or more babies at home, accompany during ANC, and indexed infant illness was independent predictors of knowledge status of fathers towards breastfeeding. Policymakers and possible stack holders should better focus on the improvement of knowledge because the knowledge determines the overall condition of the family including the psychological development of the children that affect their life especially in a country like Ethiopia in which most of the decisions are made by them. Other researchers focus on the interaction of parents and the child and feeding disorders.

scholarly journals Attitude towards diabetes mellitus among adult communities in Gondar city, Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251777
Author(s):  
Abiy Maru Alemayehu ◽  
Malede Mequanent Sisay
Keyword(s):  
Diabetes Mellitus ◽  
Odds Ratio ◽  
Associated Factors ◽  
Adjusted Odds Ratio ◽  
Educational Status ◽  
Favorable Attitude ◽  
Good Knowledge ◽  
Limited Information ◽  
Cross Sectional ◽  
Higher Educational

Background Diabetes mellitus is a metabolic disorder characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Diabetes and its complications can be reduced by enhancing the attitude of the community. However, there is limited information regarding attitude towards diabetes in northwest Ethiopia. Therefore, this study determined the attitude and associated factors of diabetes mellitus among adult non-diabetic participants in Gondar city. Methods A community-based cross-sectional study was conducted in Gondar city. Systematic random sampling was employed to select 626 non-diabetic participants. The data were collected using a pre-tested structured questionnaire. Descriptive statistics, processing, and analysis were done using STATA version 14. Both bivariable and multivariable binary logistic regressions were used to identify the associated factors. An adjusted odds ratio with a 95% confidence interval was used to calculate a level of significance. Results Of 626 participants, 572 (91.37%) study subjects heard about diabetes mellitus. Three hundred and fifteen participants (55.07%) (95% CI: 50.9% - 59.1%) had a favorable attitude towards diabetes mellitus. Having good knowledge about diabetes (adjusted odds ratio = 2.69, 95% CI: 1.88, 3.87), and higher educational status (adjusted odds ratio = 1.69, 95% CI: 1.04, 2.78) were positively associated with a favorable attitude towards diabetes mellitus. Female gender (adjusted odds ratio = 0.68, 95% CI: 0.47, 0.98), on the other hand, had poor attitude towards diabetes mellitus. Conclusion In this study, a favorable attitude towards diabetes was low among adult non-diabetic participants. Good knowledge, higher educational status, and being male were the factors associated with a favorable attitude towards diabetes.

scholarly journals Adherence with COVID-19 Preventive Measures and Associated Factors Among Residents of Shashemane, Central Ethiopia

2021 ◽  
Author(s):  
Adane Tesfaye ◽  
Banchiwosen Asefa ◽  
Girum Gebremeskel ◽  
Asefa Washo ◽  
Temesgen Muche
Keyword(s):  
Associated Factors ◽  
Preventive Measures ◽  
Statistical Significance ◽  
Educational Status ◽  
Favorable Attitude ◽  
Good Knowledge ◽  
P Value ◽  
Good Adherence ◽  
Cross Sectional ◽  
Preventive Practices

Abstract Introduction:Covid 19 pandemic can seriously affect African nations because of the weak health care system, crowding, poor hygiene in the cities, and the random mobility of people. Hospital-based interventions are not a good choice for resource-scarce countries which have shortages of hospital beds, ventilators, and oxygen; rather practicing preventive measures at a community level is the best strategy. There is a shortage of evidence about current public adherence with COVID-19 preventive strategies in Ethiopia, therefore this study helps to target health education messages to groups of populations with poor compliance to specific prevention measures, which also contribute to decreasing the magnitude and duration of the pandemic.Methods:A Community based cross-sectional study was done on 405 participants selected by systematic random sampling in Shashemane. Data was collected using A pretested structured tool comprising socio-demographic characteristics, knowledge, attitude, and adherence with COVID-19 prevention practice. Participants who practiced ≥ 75% of the COVID-19 preventive practices were labeled as having “good adherence”. Bivariate and multivariable logistic regression was used to determine the associated variables. Odds ratios along with 95%CI were estimated to identify associated factors and a level of statistical significance was decided at p -value less than 0.05.Result:The practice of COVID-19 preventive measures was 19.5%, (95% CI: 15–24.5%). Having a favorable attitude (AOR = 5, 95% CI: 3.3–8.41), having good knowledge of the disease (AOR = 3, 95% CI: 2.74– 9.3) and educational status (Diploma and above) (AOR = 5.5, 95% CI: 2– 9.39) were significantly associated factors with the practice of COVID-19 preventive measures.Conclusion:The Adherence to COVID-19 preventive practices was very low, educational status above Diploma, good knowledge, and Favorable attitude were the factors positively and independently associated with good adherence to Covid-19 prevention practices. Behavioral change communication and Strict government law and implementing it are highly required.

scholarly journals Married women’s decision-making autonomy in the household and maternal and neonatal healthcare utilization and associated factors in Debretabor, northwest Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0255021
Author(s):  
Azmeraw Ambachew Kebede ◽  
Endeshaw Admasu Cherkos ◽  
Eden Bishaw Taye ◽  
Getachew Azeze Eriku ◽  
Birhan Tsegaw Taye ◽  
...  
Keyword(s):  
Decision Making ◽  
Healthcare Utilization ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Married Women ◽  
P Value ◽  
Health Seeking ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Danger Signs

Background Women’s decision-making autonomy is very crucial for the improvement of women empowerment, and maternal, neonatal, and child healthcare utilization. As time immemorial, Ethiopian culture is largely gender stratified, and the position of women is subordinate to men in various household and health-seeking decision-making matters. However, there is a dearth of empirical evidence on women’s decision-making autonomy, especially in the household and on maternal and newborn healthcare utilization. Therefore, this study assessed married women’s decision-making autonomy in the household and on maternal and neonatal healthcare utilization and associated factors in Debretabor, Northwest Ethiopia. Methods A community-based cross-sectional study was conducted from October 1st to 30th, 2019. A two-stage sampling technique was used to select 730 married women. Data were collected using a structured, pretested, and interviewer-administered questionnaire. Data were entered into EPI INFO 7 and analyzed by SPSS version 23. Multivariable logistic regression model was fitted to identify factors associated with women’s decision-making autonomy in the household and maternal and neonatal healthcare utilization. The adjusted odds ratio with its 95% confidence interval was computed to determine the level of significance at a p-value of ≤ 0.05. Results A total of 730 married women were included in the analysis. Thus, three-fourths (75.1%) of women had higher decision-making autonomy on their health, neonatal health, and other socio-economic aspects. Besides, the proportion of four and above antenatal visits, delivery at a health facility, postnatal checkup, knowledge of neonatal danger signs, and appropriate health-seeking practices for sick newborns among autonomous women were 52.1%, 56.1%, 71.4%, 32%, and 80% respectively. Age greater than 35 years old (AOR = 2.08; 95% CI: 1.19, 3.62), monthly income of > 5000 ETB (AOR = 3.1; 95% CI: 1.36, 7.07), husband involvement (AOR = 2.36; 95% CI: 1.55, 3.43), and adequate knowledge of neonatal danger signs (AOR = 2.11; 95% CI: 1.4, 3.2) were factors independently associated with women’s decision-making autonomy on maternal and neonatal healthcare utilization and other socio-economic affairs. Conclusion Our findings show that women’s decision-making autonomy in the household and maternal and neonatal healthcare utilization was optimal. Increasing household income level, promotion of husband’s involvement starting from the prenatal period, and increasing women’s knowledge of maternal and neonatal danger signs will have a great role in the improvement of women’s decision-making autonomy.

Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Rural Areas ◽  
Geographic Location ◽  
Sub Saharan Africa ◽  
World Health ◽  
Cross Sectional ◽  
Danger Signs ◽  
In Pregnancy

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.

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