scholarly journals Exploration of Barriers to the Uptake of Nutritional Services Among Adolescent Girls from the Rural Communities of Tigray Region, Northern Ethiopia: A Qualitative Study

2020 ◽  
Vol Volume 11 ◽  
pp. 157-171
Author(s):  
Amaha Kahsay ◽  
Hadush Gebregziabher ◽  
Znabu Hadush ◽  
Dejen Yemane ◽  
Abebe Hailemariam ◽  
...  
2020 ◽  
Author(s):  
Amaha Kahsay ◽  
Hadush Gebregziabher ◽  
Znabu Hadush ◽  
Dejen Yemane ◽  
Abebe Hailemariam ◽  
...  

Abstract Introduction : Adolescence is a time of tremendous physical growth and mental development, with high nutrient requirements. Ethiopia is among a country with high prevalence of nutritional deficiencies among the women of reproductive age group whilst adolescent girls from rural suffer from it disproportionally. However, there is dearth of evidence regarding the barriers that hinder adolescent girls to utilize the available nutritional interventions. Therefore, the current study aimed to qualitatively explore the range of barriers for the uptake of nutritional interventions among adolescent girls in rural communities of Tigrai, Northern Ethiopia. Methods and participants : An explorative qualitative study was employed among purposively selected adolescent girls and school teachers form rural districts of Tigrai region of Northern Ethiopian. Nine focused group discussions (FGDs) with adolescent girls (Five with in-school adolescents and four with out-school girls), thirteen in-depth interviews with adolescent girls (Seven in-school girls and six out-school girls) and in-depth interviews with six teachers were conducted using semi-structured guide. Data were audio-taped, transcribed verbatim in local language, translated into English and imported into ATLAS.ti version 7.5 qualitative data analysis software for coding and analysis. Results : Adolescents perceived that stunting, anemia and thinness are among the main nutritional problems in their community. Food insecurity, limited nutrition awareness in the community, limited access to water for drinking and gardening, high workload, service provider’s little attention for adolescents’ nutrition and food taboo were emerged as barriers for the uptake of adolescent girls nutritional interventions. Though limited in reach, available nutritional interventions include awareness creation, nutritional supplementation, and disease prevention. Conclusion : A range of barriers hinder adolescent girls to access nutritional interventions. Food insecurity poses a strong challenge to adolescent girls’ nutrition. As access to safe drinking water continues to be a considerable bottleneck for nutritional interventions, multi-sectoral response to integrate water, sanitation and hygiene (WASH) services is required. Bounded by food taboo, high burden of workload among the adolescent girls, women empowerment and nutritional status seem to be the unfinished agenda in resource limited settings such as the rural areas of Tigrai, Northern Ethiopia.


2020 ◽  
Author(s):  
Amaha Kahsay ◽  
Hadush Gebregziabher ◽  
Znabu Hadush ◽  
Dejen Yemane ◽  
Abebe Hailemariam ◽  
...  

Abstract Introduction:Adolescence is a time of tremendous physical growth and mental development, with high nutrient requirements. Ethiopia is among a country with high prevalence of nutritional deficiencies among the women of reproductive age group whilst adolescent girls from rural suffer from it disproportionally. However, there is dearth of evidence regarding the barriers that hinder adolescent girls to utilize the available nutritional interventions. Therefore, the current study aimed to qualitatively explore the range of barriers for the uptake of nutritional interventions among adolescent girls in rural communities of Tigrai, Northern Ethiopia. Methods and participants : An explorative qualitative study was employed among purposively selected adolescent girls and school teachers form rural districts of Tigrai region of Northern Ethiopian. Nine focused group discussions (FGDs) with adolescent girls (Five with in-school adolescents and four with out-school girls), thirteen in-depth interviews with adolescent girls (Seven in-school girls and six out-school girls) and in-depth interviews with six teachers were conducted using semi-structured guide. Data were audio-taped, transcribed verbatim in local language, translated into English and imported into ATLAS.ti version 7.5 qualitative data analysis software for coding and analysis. Results : Adolescents perceived that stunting, anemia and thinness are among the main nutritional problems in their community. Food insecurity, limited nutrition awareness in the community, limited access to water for drinking and gardening, high workload, service provider’s little attention for adolescents’ nutrition and food taboo were emerged as barriers for the uptake of adolescent girls nutritional interventions. Though limited in reach, available nutritional interventions include awareness creation, nutritional supplementation, and disease prevention. Conclusion : A range of barriers hinder adolescent girls to access nutritional interventions. Food insecurity poses a strong challenge to adolescent girls’ nutrition. As access to safe drinking water continues to be a considerable bottleneck for nutritional interventions, multi-sectoral response to integrate water, sanitation and hygiene (WASH) services is required. Bounded by food taboo, high burden of workload among the adolescent girls, women empowerment and nutritional status seem to be the unfinished agenda in resource limited settings such as the rural areas of Tigrai, Northern Ethiopia. Keywords : Adolescent girls, barriers, nutritional services, rural, Tigrai, Ethiopia.


PLoS ONE ◽  
2020 ◽  
Vol 15 (3) ◽  
pp. e0230527
Author(s):  
Mekonnen Haileselassie ◽  
Getachew Redae ◽  
Gebretsadik Berhe ◽  
Carol J. Henry ◽  
Michael T. Nickerson ◽  
...  

PLoS ONE ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. e0225707 ◽  
Author(s):  
Mekonnen Haileselassie ◽  
Getachew Redae ◽  
Gebretsadik Berhe ◽  
Carol J. Henry ◽  
Michael T. Nickerson ◽  
...  

Author(s):  
A Mulugeta ◽  
F Hagos ◽  
B Stoecker ◽  
G Kruseman ◽  
V Linderhof ◽  
...  

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Hailay Gebretnsae ◽  
Nega Mamo ◽  
Tesfay Teklemariam ◽  
Kiros Fenta ◽  
Tesfay Gebrehiwet ◽  
...  

Background. Trachoma is a neglected tropical disease which is the leading infectious cause of blindness in the world. Trachoma is one of the major health problems in Tigray Region, Northern Ethiopia. However, knowledge, attitudes, and practices about trachoma are not yet studied in depth. The objective of the study was to assess knowledge, attitudes, and practices on trachoma and its associated factors among rural communities in two districts of Tigay Region, Northern Ethiopia. Methods. A cross-sectional study was conducted in two districts of Tigray Region, Northern Ethiopia, from May 7–24, 2017. Data were collected on paper based, were entered into Epi Info version 3.5.1, and then exported to SPSS version 21 for analysis. Logistic regression analysis was done to identify factors associated with knowledge, attitudes, and practices. Results. In this study, a total of 194 respondents were included. The overall level of good knowledge, attitudes, and practices on trachoma was 51%, 49.5%, and 35.6%, respectively. Having ever received health education was significantly associated with good knowledge (adjusted odds ratio (AOR) = 4.10; 95% confidence interval (CI): 1.91–8.79) and attitudes (AOR = 2.10; 95% CI: 1.02–4.25). Moreover, good knowledge was associated with good practices on trachoma prevention and control (AOR = 2.86; 95% CI: 1.46–5.62). Conclusion. Our study implies that areas with high burden of trachoma need to improve communities’ knowledge, attitudes, and practices towards trachoma prevention and control in order to eliminate trachoma as a public health problem. Therefore, health education focused on SAFE strategy should be provided to increase knowledge and changing attitudes that contribute for good practices towards trachoma prevention and control among communities.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Bethelhem Legesse Debela ◽  
Gerald E. Shively ◽  
Stein T. Holden

AbstractFood-based transfer programs have the potential to change diets or alter basic crop mixes. This study empirically investigates the associations between participating in food-for-work (FFW) programs and the diversity of food consumption and production. Four waves of panel data from the Tigray Region of Northern Ethiopia, covering the period 2001–2010, are used to estimate a series of panel data regressions. A dose-response model is used to measure how the intensity of FFW participation aligns with dietary outcomes. Results show that FFW participants had greater household dietary diversity compared with non-participants, with an average magnitude equivalent to one-fifth of a standard deviation in the food variety score. When items directly provided by the FFW program are excluded from the variety score, the overall effect is statistically weaker, but similar in sign and magnitude, suggesting modest “crowding in” of dietary diversity from FFW participation. FFW participation was not correlated with changes in production diversity, suggesting that the labor demands of the program did not alter crop choice. Findings have relevance for interventions that aim to improve food security and promote dietary quality in low-income populations.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Rayan Korri ◽  
Sabine Hess ◽  
Guenter Froeschl ◽  
Olena Ivanova

Abstract Background The war in Syria caused the forced displacement of millions of Syrians to neighboring countries. Lebanon is the host country with the largest overall number of Syrian refugees per capita. Adolescent refugee girls experience a unique level of vulnerability during human emergencies and are at increased risk of suffering from poor sexual and reproductive health (SRH) outcomes. We conducted an exploratory qualitative study to learn about the SRH perceptions and experiences of refugee adolescent girls living in Bourj Hammoud, an urban setting in Lebanon. Methods We employed a qualitative design with eight focus group discussions (FGDs) conducted with 40 Syrian Arab and Syrian Kurdish adolescent girls between January and March 2020. Every FGD consisted of five participants aged 13 to 17 years. A semi-structured guide was used covering multiple themes: menstruation, puberty, SRH awareness, and sexual harassment. FGDs were transcribed and analyzed using thematic analysis. Findings The participants discussed adolescent girls’ health and named six elements of good health, such as healthy activities and self-protection. The majority of the FGD participants reported a lack of awareness about menstruation when they experienced it for the first time and the social stigma associated with menstruation. When defining puberty, they indicated its social link to a girl’s readiness for marriage and her need to become cautious about sexual harassment. Most FGD participants had very poor knowledge of the female reproductive system. Mothers were the most approached persons to receive information on SRH issues; however, the girls indicated a wish to receive advice from specialists in a comfortable and private atmosphere. All the girls reported that either they themselves, or an acquaintance, had experienced some type of sexual harassment. The girls rarely reported those incidents due to fear of being blamed or subjected to mobility restrictions, or forced to drop out of school. Conclusions The findings show the refugee girls need for satisfactory knowledge on SRH issues and interventions to prevent sexual and gender-based violence that take into consideration the complexity of urban settings.


2019 ◽  
Author(s):  
Mulugeta Woldu Abrha ◽  
Kiros Demoz Ghebremedhin ◽  
Tesfay Teklemariam Weldeslasie

Abstract Background Religious institutions found at the community, not only uphold belief and cultural values but also as a force for positive change and development. Improved sanitation and hygiene is crucial in these institutions to decrease preventable infections due to unsanitary conditions. However, there are no studies among religious institution on availability of latrine. So this study was conducted to assess the latrine availability and associated factors among religious institution in Tigray Region, Ethiopia.Method Institution based cross – sectional study design was conducted in Tigray Region, Northern Ethiopia. Multi-stage sampling was used to sample 385 religious institutions. Data was collected using pre tested, structured questionnaire and observation checklist. Logistic regression was fitted and odds ratio with 95% confidence interval (CI) with p-value less than 0.05 was used to determine the predictors of latrine availability. Analysis was carried out using SPSS 20 TM - software package.Results In this study latrine availability was 32.8%. And was significantly affected by currently saved money towards having a latrine (Adjusted Odds ratio (AOR): 0.32, 95% confidence interval (CI) [0.25, 0.42]), any messages seen, heard or received on sanitation and hygiene (AOR: 0.43, 95% CI [0.38, 0.51]) and place where messages seen, heard, received (AOR: 2.95, 95% CI [1.11, 5.55]).Conclusion Availability of latrine was very low when compared to the national target of 100% among the religious institution and was affected by the currently saved money towards having a latrine, any messages seen, heard or received on sanitation and hygiene and place where the messages receive. Information regarding latrine availability should be provided to the community visiting religious institutions through available channels and practical models promotion.


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