scholarly journals Health extension service utilization and associated factors in East Gojjam zone, Northwest Ethiopia: A community-based cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256418
Author(s):  
Bewket Yeserah Aynalem ◽  
Misganaw Fikrie Melesse
Keyword(s):  
Logistic Regression ◽  
Service Utilization ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Extension Service ◽  
P Value ◽  
Community Based ◽  
Cross Sectional ◽  
Extension Package ◽  
Model Family

Introduction Health Extension Program is a preventive, promotive, and basic curative service targeting households to improve the health status of families with the effective implementation of 16 health extension packages. We, therefore, did this study to assess health extension package utilization and associated factors in the East Gojjam zone, Northwest Ethiopia. Methods A community-based mixed cross-sectional study was conducted on households of East Gojjam Zone, from January 1 to April 30, 2020. A multistage sampling procedure was used to select 806 study participants in this study. We used EPI info version 7 for data entry and SPSS version 24 software for cleaning and analysis. Variables having a P-value of less than 0.25 in the bivariate logistic regression analysis were fitted into the multivariable logistic regression model. The 95% confidence interval of odds ratio was computed and a variable having P-value less than 0.05 in the multivariable logistic regression analysis was considered as statistically significant. Results The study showed that 119 (14.8%) respondents have utilized health extension packages. Knowledge health extension package (AOR = 1.84, 95% CI: 1.22, 2.79), residence (AOR = 3.55, 95% CI: 1.99,6.33),visited health post(AOR = 1.63, 95% CI: 1.054,2.50), home visited by health extension worker (AOR = 1,68, 95% CI: 1.025,2.74) and involving in model family training(AOR = 2.10, 95% CI: 1.38,3.215) were significant factors for health extension service utilization. Conclusion The magnitude of health extension service utilization was low since the Ethiopian government recommends 100% health extension service utilization coverage. Knowledge of health extension package, residence, health post-visit, home visit, and model family training were significant factors for health extension service utilization. So expanding the model family training and strict home-to-home visit especially in rural areas may increase the health extension package utilization.

scholarly journals Complementary feeding hygiene practice and associated factors among mothers with children aged 6–24 months in tegedie district, Northwest Ethiopia: Community-based cross-sectional study

2021 ◽  
Author(s):  
Habtam ayenew Teshome ◽  
Walelegn Worku Yallew ◽  
Jember Azanaw ◽  
Gardew ayanew Tadege ◽  
Agerie Mengistie zeleke
Keyword(s):  
Logistic Regression ◽  
Associated Factors ◽  
Complementary Feeding ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Hygiene Practice ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional

Abstract IntroductionThe hygienic practices of mothers during complementary feeding are crucial in the protection of vulnerable infants and children aged 6–24 months from childhood communicable diseases like diarrhea and malnutrition. However, sufficient evidence on the hygienic practices of mothers during complementary feeding and their associated factors is limited.ObjectiveTo determine the levels of complementary feeding hygiene practice and its associated factors among mothers of children aged 6–24 months in the Tegedie district, northwest Ethiopia.MethodsA community-based cross-sectional study was conducted from March 17 to April 17, 2021, among 576 mothers with children aged 6–24 months in the Tegedie district, northwest Ethiopia. A multistage sampling technique was used to select the study participants. Data were collected using a structured questionnaire administered by an interviewer and entered into Epi-data version 4.6 before being exported to SPSS version 20.0 for data cleaning and further analysis. Bivariate and multivariable binary logistic regression analyses were employed to identify predictors of complementary feeding hygiene practice with p-value < 0.25 that entered into the multivariable logistic regression model. Then variables with a p-value of 0.05 in multivariable logistic regressions were considered statistically significant.ResultsThe prevalence of hygienic practice during complementary feeding of their children aged 6–24 months was 33.6%, with 95% CI 29.7–37.6%) of them had good practice. Living in an urban area [AOR=7.02, 95% CI: (4.14, 11.88)], the presence of a handwashing facility near the latrine [AOR = 3.02, 95% CI: (1.18, 7.70)], the presence of a separate area to store raw and cooked foods [AOR = 5.87, 95% CI: (2.84, 12.13)], and the presence of a three-compartment dish washing system [AOR = 5.70,Conclusion and recommendationThe prevalence of good hygienic practices during complementary feeding among mothers is still low; the district health office and health extension workers should work to improve maternal hygienic practices during complementary feeding.

scholarly journals Prevalence of violence and associated factors among Youth in Northwest Ethiopia: Community-based Cross-sectional study.

2020 ◽  
Author(s):  
Alehegn Bishaw Geremew ◽  
Abebaw Addis Gelagay ◽  
Telake Azale Bisetegn ◽  
Yohannes Ayanaw Habitu ◽  
Solomon Mekonen Abebe ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
Associated Factors ◽  
Logistic Regression Model ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional

Abstract Background Violence as a known serious public health problem affects people in all stages of life, from childhood to the elderly. In society, one of the most visible forms of violence is young people violence, whereas they, adolescents and young adults, are the main victims of such violence. There was limited information on the burden of violence and factors among this age group. Therefore, this study aimed to determine the prevalence of violence and its associated factors among youth in Northwest, Ethiopia. Methods A community-based cross-sectional study design was conducted to estimate the magnitude of violence among youth in Northwest, Ethiopia. The calculated sample size was 1765. A structured and pretested interviewer administered questionnaire was used to collect the data. A multi-stage cluster sampling technique was employed to get the study participants. Data were entered using Epi Info version 7 and then exported to STATA 14 for data analysis. The bivariate logistic regression model was employed to identify associated factors. An adjusted odds ratio with a 95% confidence interval was used to determine factors associated with violence. Results From the total 1765 representatives of the youth population, 1597 (90.5%) youth participated in the study. Overall, the prevalence of violence among youth aged 15–24 years for the last 12 months was 21.5%. In the multivariate logistic regression model, factors significantly associated with violence were being married and divorced (AOR= 1.77, 95% CI: 1.13, 2.79) and (AOR=5.67, 95%CI: 2.93, 10.99), respectively, Living with mother’s only (AOR= 1.85, 95% CI: 1.28, 2.66) and father’s only (AOR=2.45, 95% CI: 1.30, 4.63), and substance use (AOR= 2.38, 95% CI: 1.56, 3.66). Conclusions The prevalence of violence among youth was high compared to other studies. Special emphasis should be given to reduce the burden of youth violence and preventing and controlling the identified factors by modifying the existing policies/strategies or developing new strategies and interventions program. Keywords: Violence, Youth, Physical violence, Sexual violence, Psychological violence

scholarly journals Initiation of Complementary Feeding Practice And Associated Factors Among Mothers Having Children 6-23 Month of Age, In Meket Woreda, North Wollo Ethiopia, 2020: A Multicenter Community -Based Cross-Sectional Study.

2021 ◽  
Author(s):  
Dejen Feleke ◽  
Abebu Yasin Tadesse ◽  
Ermias Sisay Chanie ◽  
Amare Kassaw Wolie ◽  
Sheganew Fetene Tassew ◽  
...  
Keyword(s):  
Young Child ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Feeding Practice ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Infant And Young Child

Abstract Introduction: improving the infant and young child feeding practices in children aged 0-23months is critical. It is necessary to improved infant and young child health, nutrition, and development. Infant and under five mortality rate in Ethiopia are 43/1,000 and 55/1,000 live births respectively. Objective: To assess Initiation of CF practice and associated factors among mothers with children aged 6−23months.Methods: a multicenter Community based cross sectional study was conducted among 416 mother-infant pairs of 6-23 months in Meket Woreda, Northwest Ethiopia from March 20-June 30, 2020. Bivariate and multivariable logistic regeration model was fitted to identify factors associated CF Practice. P-value less than 0.05 considered as significance.Result: Among 416 mothers with children aged 6–23 months, 76.4% mothers started giving CF timely at recommended age of 6 month of child age. Advised About CF during ANC follow up [AOR=0.03; 95%CI: 0.003-0.356], Child delivered place at a health facility [AOR=0.07; 95%CI: 0.0-0.619], mothers take family planning [AOR= 0.049; 95%CI: 0.011-0.23], give additional diet the 1st 6month [AOR = 0.035; 95% CI: 0.009-0.137] and BF makes appearance [AOR = 0.064; 95% CI: 0.003-0.687] were found to be independent predictors of CF practice.Conclusion and Recommendation: About 23.6% of mothers were not initiated CF practice their children at recommended age of 6month. This would have negative implication on the health of infants and young children. Health professionals should focus on advising and counseling mothers on appropriate CF during prenatal, delivery, post natal, and immunization services.

scholarly journals Complementary feeding hygiene practice and associated factors among mothers with children aged 6–24 months in tegedie district, Northwest Ethiopia: Community-based cross-sectional study

2021 ◽  
Author(s):  
Habtam AYENEW mersha ◽  
walelegn worku yallew ◽  
Jember azanaw ◽  
Gardew Tadege ◽  
Agerie mengistie zeleke
Keyword(s):  
Associated Factors ◽  
Complementary Feeding ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Hygiene Practice ◽  
Community Based ◽  
Cross Sectional ◽  
Hygienic Practice ◽  
Logistic Regressions

Abstract IntroductionHygienic practice of mothers during complementary feeding is crucial in the protection of vulnerable infants and children aged 6–24 months from childhood communicable diseases like diarrheal and malnutrition. However, sufficient evidence on hygienic practice of mothers during complementary feeding and its associated factors is limited.ObjectiveTo determine the levels of complementary feeding hygiene practice and its associated factors among mothers of children aged 6–24 months in Tegedie district, northwest Ethiopia.MethodsA community-based cross-sectional study was conducted from March 17 to April 17, 2021, among 576 mothers with children aged 6-24 months in Tegedie district northwest Ethiopia. A multistage sampling technique was used to select the study participants. Data were collected using an interviewer-administered structured questionnaire and it entered into Epi-data version 4.6, and exported to SPSS version 20.0 for data cleaning and further analysis. Bivariate and multivariable binary logistic regressions analysis were employed to identify predictors of complementary feeding hygiene practice with p-value < 0.25 enter into the multivariable logistic regression model. Then variables with p-value ≤ 0.05 in multivariable logistic regressions were considered as statistically significance.ResultsThe prevalence of hygienic practice during complementary feeding of their children aged 6-24 months was, 33.6% with 95% CI: (29.7%, 37.6%) of them had good practice. Living in urban areas [AOR= 7.02, 95% CI: (4.14, 11.88)], presence of hand washing facility near the latrine [AOR= 3.02, 95% CI: (1.18, 7.70)], presence of separate area to store raw and cooked foods [AOR= 5.87, 95% CI: (2.84, 12.13)] and presence of three-compartment dishwashing system [AOR= 5.70, 95% CI: (3.41, 9.54)] were significant predictors of hygienic complementary feeding practice.Conclusion and recommendationThe prevalence of good hygienic practice during complementary feeding among mothers was still low; the district health office and health extension workers should work to improve the maternal hygienic practices during complementary feeding practice.

scholarly journals Physical Violence Against Street Children and Its Associated Factors Among Street Children in Jimma Town, Southwest Ethiopia :- A Community Based Cross-Sectional

2020 ◽  
Author(s):  
Derese Bekele Daba ◽  
Kefyalew Taye Belete
Keyword(s):  
Logistic Regression ◽  
Associated Factors ◽  
Physical Violence ◽  
Street Children ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Jimma Town

Abstract Background: Violence against children is a major public health, human rights, and social problem, with potentially devastating and costly harming children in every country. Even though evidences showed that street children accumulate a range of experiences of violence from an early age, physical and sexual violence are the commonest among street children. Street children’s health is an area that is not well researched, especially the magnitude and forms of violence targeted to street children lack attention, in which only few qualitative studies have been done in different parts of Ethiopia in past remote years. Therefore, this study planned to determine the magnitude of physical violence and associated factors among street children, who were residing in Jimma town, March, 2019. Methods: A community based cross-sectional study was conducted among 312 street children. Pre tested Self-administered structured questioners were used for data collection. Data were entered to Epi data version 3.1 and exported to SPSS version 20 for statistical analysis. Principal Component Analysis (PCA) was used to create a dichotomous dependent variable. Independent variables with p-value ≤ 0.25 in bivariate analysis were included into multivariable logistic regression and variables with P-value < 0.05 in multivariable logistic regression were declared as statistically significant.Results: A community based cross-sectional study was conducted among 312 street children from March 1 st to 31 st 2019. The study found that the magnitude of low physical violence to be 52.9% (95% C.I: 47.1- 58.7%) and high physical violence 47.1% (95% C.I: 41.3-52.9%). Factors like sex (being males) (AOR: 2.70, 95% C.I: 1.00- 7.36), sleeping under bridge (AOR: 2.08, 95%C.I: 1.11-3.89), deliver message (AOR: 2.43, 95%C.I: 1.20- 4.93), attending/washing cars (AOR: 2.17, 95%C.I: 1.22- 3.93), and begging (AOR: 3.12: 95%C.I: 1.33- 7.27) as a means of income generation and those who were tensioned, anxious or feel insecure during their street life (AOR: 1.90, 95%C.I: 1.03- 3.51) had statistically significant association with low physical violence. Being female (AOR: 2.82, 95%C.I: 1.01- 8.06) was statistically associated with high physical violence whereas factors like spent night under plastic shelter (AOR: 2.36, 95%C.I: 1.02- 5.46), spent night under bridge (AOR: 0.47, 95%C.I: 0.25- 0.89), can read and write (AOR: 0.11, 95%C.I: 0.03- 0.41), Attended/ washed cars(AOR: 0.48, 95%C.I: 0.27- 0.88) and begging (AOR: 0.40, 95%C.I: 0.17-0.96) pose less risk of having high physical violence.Conclusion: Street children are experiencing low to high physical violence and a number of factors are contributing to this problem in the study setting. Intersectoral collaboration and efforts are needed to alleviate physical violence among street children. Policy formulation and law enforcement targeting to this street children and perpetrator is needed locally and nationally.

scholarly journals Prevalence of violence and associated factors among Youth in Northwest Ethiopia: Community-based Cross-sectional study.

2020 ◽  
Author(s):  
Alehegn Bishaw Geremew ◽  
Abebaw Addis Gelagay ◽  
Telake Azale Bisetegn ◽  
Yohannes Ayanaw Habitu ◽  
Solomon Mekonen Abebe ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
Associated Factors ◽  
Logistic Regression Model ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional

Abstract Background Violence as a known serious public health problem affects people in all stages of life, from childhood to the elderly. In society, one of the most visible forms of violence is young people violence, whereas they, adolescents and young adults, are the main victims of such violence. There was limited information on the burden of violence and factors among this age group. Therefore, this study aimed to determine the prevalence of violence and its associated factors among youth in Northwest, Ethiopia.Methods A community-based cross-sectional study design was conducted to estimate the magnitude of violence among youth in Northwest, Ethiopia. The calculated sample size was 1765. A structured and pretested interviewer administered questionnaire was used to collect the data. A multi-stage cluster sampling technique was employed to get the study participants. Data were entered using Epi Info version 7 and then exported to STATA 14 for data analysis. The bivariate logistic regression model was employed to identify associated factors. An adjusted odds ratio with a 95% confidence interval was used to determine factors associated with violence. Results From the total 1765 representatives of the youth population, 1597 (90.5%) youth participated in the study. Overall, the prevalence of violence among youth aged 15–24 years for the last 12 months was 21.5%. In the multivariate logistic regression model, factors significantly associated with violence were being married and divorced (AOR= 1.77, 95% CI: 1.13, 2.79) and (AOR=5.67, 95%CI: 2.93, 10.99), respectively, Living with mother’s only (AOR= 1.85, 95% CI: 1.28, 2.66) and father’s only (AOR=2.45, 95% CI: 1.30, 4.63), and substance use (AOR= 2.38, 95% CI: 1.56, 3.66).Conclusions The prevalence of violence among youth was high compared to other studies. Special emphasis should be given to reduce the burden of youth violence and preventing and controlling the identified factors by modifying the existing policies/strategies or developing new strategies and interventions program. Keywords: Violence, Youth, Physical violence, Sexual violence, Psychological violence

scholarly journals Health Institutional Delivery Service Utilization and Associated Factors Among Mothers Who Gave Birth in the Last Year in Dembecha Zaria Woreda, Northwest Ethiopia: A Community Based Cross-Sectional Study

2021 ◽  
Author(s):  
Misganaw Fikrie Melesse ◽  
Bewket Yeserah Aynalem
Keyword(s):  
Service Utilization ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Cross Sectional ◽  
Place Of Delivery ◽  
Health Institution ◽  
Delivery Service ◽  
Institutional Delivery Service

Abstract Background: The morbidity and mortality of women is a worldwide challenge and the current global maternal death is more than 800 per day; ninety-nine percent of maternal death occurs in developing countries and in Ethiopia about 30% of all ladies’ death is identified with pregnancy-related causes. We, therefore, did this study to assess the magnitude and associated factors of institutional delivery service utilization among mothers who gave birth in the last year in Dembecha Zuria woreda, Northwest Ethiopia.Methods: A community-based cross-sectional study design was employed, and multistage sampling technique was used. Data were collected through face-to-face interviews with pre-tested structured questionnaires among mothers who gave birth in the last year in Dembecha zuria woreda, Northwest Ethiopia from November 23, 2020 to January 16, 2021. After data collection, data were coded and entered using EPI info version 7 and analyzed using SPSS version 25 statistical software. Binary logistic regression analysis was used to ascertain the association between explanatory variables and the outcome variable. Variables with P value less than 0.25 in the Bivariable analysis and P-value < 0.05 in the multivariable analysis and corresponding 95% CI of odds ratio were considered to declare a result as statistically significant. Result: In this study, the magnitude of institution delivery service utilization among mothers who gave birth in the last year was 179 (42.4%) with 95% CI [37.7, 46.9]. type of pregnancy [AOR: 1.906, (95%CI: 1.017,3.57)]), gravidity [AOR: 1.899 (95% CI: 1.244, 2.898)], ANC follow up [AOR: 2.079 (95% CI: 1.242, 3.482)], husband preference on place of delivery [AOR: 2.036) (95% CI: 1.291. 3.211)] and decision-maker on place of delivery [AOR: 2.853 (95% CI: 1.321, 6.160)] were significantly associated with health institution delivery service utilization.Conclusion: In this study, the magnitude of health institution delivery service utilization was low as compared to the national expectation. The concerned bodies need to create awareness on the function of antenatal care follow-up and empower the mothers to decide on the place of delivery and give counseling for husbands about the importance of health institution delivery.

scholarly journals Knowledge On Neonatal Danger Signs And Associated Factors Among Mothers Who Gave Birth In The Last One Year Prior To This Study In Debre Markos Town, East Gojjam, Northwest Ethiopia 2017: A Community Based Cross Sectional Study.

2019 ◽  
Author(s):  
Birhanu Wubale Yirdaw ◽  
Marta Berta Badi ◽  
Temesgen Worku Gudayu ◽  
Animut Tagele Tamiru ◽  
Getie Lake Ayinalem ◽  
...  
Keyword(s):  
Postnatal Care ◽  
Tertiary Education ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
P Value ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Danger Signs ◽  
One Year

Abstract Abstract Background: Neonatal mortality is a concern for global population especially in developing countries. The majority of neonatal mortality occurs at home where only few families recognize key danger signs of neonatal illness. Thus, we assessed the knowledge on neonatal danger signs of illness and associated factors among mothers who gave birth in the last one year prior to this study in Debre Markos town, East Gojjam, northwest Ethiopia. Methods: A community-based, cross-sectional study was conducted among 521 mothers. Cluster sampling technique was used to select the study participants and interviewed using structured and pre-tested questionnaire. Data were entered to Epi Info and exported to SPSS for analysis. Variables in binary logistic regression with a P value <0.2 were fitted to multivariable logistic regression. Significant variables were declared at 95% CI and a P value <0.05. Results: A total 473 participants were interviewed by making a response of 91.0%. The proportion of knowledgeable mothers was found to be 26.2% (95% CI 22.2, 30.4). Mother’s secondary and tertiary education(AOR=3.64, 95% CI 1.14, 11.61 and AOR=3.80, 95% CI 1.25, 11.56), husband’s secondary and tertiary education(AOR=4.22, 95% CI 1.53, 11.60 and AOR=4.34, 95% CI 1.52, 12.37) respectively, antenatal care attendance(AOR = 3.54, 95% CI 1.62, 7.75), postnatal care attendance(AOR = 2.41, 95% CI 1.13, 5.14), getting prepared for birth(AOR =2.43, 95% CI 1.20, 4.89) and access for television(AOR = 2.06, 95% CI 1.01, 4.21) were found to be positively associated with being knowledgeable on neonatal danger signs. Conclusion: Mothers’ knowledge on neonatal danger signs was low. The finding showed that, intervention modalities to increase parental education, both antenatal and postnatal care attendance, mothers’ preparedness for birth and advocating the use of television might be helpful to improve mothers’ knowledge on neonatal danger signs. Key words: Neonatal Danger Signs, Mothers’ Knowledge, East Gojjam, Ethiopia

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