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Search Results: 1 - 10 of 462003 matches for " A Kumie "
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Book Review: "Water Resources Management in Ethiopia: Implications for the Nile Basin."
A Kumie
Ethiopian Journal of Health Development , 2010,
Abstract: Water Resources Management in Ethiopia: Implications for the Nile Basin. Edited by: Helmut Kloos and Worku Legesse (With 17 contributors) Cambria Press: Amherst: New York; 2010 Hard Cover, 415 pages (with 14 chapters and Index)
Assessment of the impact of latrine utilization on diarrhoeal diseases in the rural community of Hulet Ejju Enessie Woreda, East Gojjam Zone, Amhara Region
A Anteneh, A Kumie
Ethiopian Journal of Health Development , 2010,
Abstract: Background: The construction of latrine is a relatively simple technology that is used to prevent the spread of infectious diseases. While household access is important, community sanitation coverage is even more important to improve health through the regular use of well-maintained sanitation facilities. Objective: Assessing the impact of latrine utilization on diarrhoeal diseases in the rural community in the district of Hulet Ejju Enessie Woreda, East Gojam. Method: A community based descriptive cross-sectional study was conducted in a randomly selected 824 households that had 90% latrine coverage at the time data collection in 2006. A structured and pre-tested questionnaire complemented with observation was used to collect data. The study area is found in one of the districts of East Gojjam where the health services extension program was actively underway. Trained data collectors and supervisors were involved in the study. Data entry and cleaning was done using EPI INFO 6.04d, while SPSS version 11 was used for data analysis. Results: Most (61%) households with traditional pit latrines had latrine utilization. In a bivaraite analysis, the extent of latrine utilization was significantly associated with presence of primary or secondary school children in the house [AOR: 1.47, 95% CI: (1.04-2.06)], perceived reasons for latrine construction [AOR: 2.89, 95% CI: (1.24-6.72)] and learning from neighborhoods [AOR: 10.07, 95% CI: (1.97-51.56)], ecology of ‘Kolla’ [AOR: 0.47, 95% CI: (0.29-0.74) and ‘Woyna-Dega’ [AOR: 0.55, 95% CI: (0.38-0.81), and owning latrines for >2 years [AOR: 2.13, 95% CI: (1.57-2.89)]. The occurrence of childhood diarrhoea was not statistically associated with the extent of latrine utilization [AOR: 0.63, 95% CI: (0.22-1.81)]; however, only owning latrines for >2 years remained significant in a multivariate analysis [AOR: 0.28, 95% CI: (0.12-0.66)]. Conclusion: Utilization of latrine facilities was common among the majority of households. The duration of having latrines had impacted the occurrence of childhood diarrhea. [Ethiop. J. Health Dev. 2010;24(2);110-118]
Healthcare waste generation and its management system: the case of health centers in West Gojjam Zone, Amhara Region, Ethiopia
M Azage, A Kumie
Ethiopian Journal of Health Development , 2010,
Abstract: Background: Healthcare service providers generally aim at controlling and preventing diseases such as communicable ones. However, in the course of activities, the generation of hazardous and non hazardous waste is a concern of an environmental risk to health care workers, the public and the environment at large. Objective: To assess healthcare waste type, generation rate, and its management system in health centers in West Gojjam Zone. Methods: Cross-sectional study was employed to estimate waste generation rate and evaluate its management system in ten public health centers from March 2007 to April 2007. Observational checklist, key informant interview guide and weighing scale were data collection tools that were used to characterize waste generation. Weighing of healthcare waste was done for eight consecutive days in each health center. Data were entered and analyzed using EPI Info version 6.04d and SPSS version 13.0. Results: The daily mean ( ± SD) healthcare waste-generation rate was 1.79 ± 0.54 kg, which was equivalent to 0.035 ± 0.05 kg/outpatient/day. About 0.93 ± 0.3 kg/day (52.0%) was general and 0.86 ± 0.33 kg/day (48.0%) was hazardous waste. The mean healthcare waste generation rate among health centers did not significantly vary. Segregation of wastes and pre treatment of infectious wastes were not properly practiced by any of the health centers. Only four out of ten health centers used local type of incinerators, while others used open burning for the final handling of healthcare wastes. Biological wastes such as placenta were generally disposed and buried in nonwatertight disposal pits. Operational guidelines were not found in all assessed health centers. Nine out 70 (13%) interviewed healthcare workers had needle injuries during the last 12 months prior this study. Conclusion: The unit generation rate was relatively small in magnitude when compared with similar health facilities that are found in developing countries. The indiscriminate handling and disposal of biological wastes is a concern. [Ethiop. J. Health Dev. 2010;24(2):119-126]
Prevalence and factors affecting work-related injury among workers engaged in Small and Medium-scale industries in Gondar wereda, North Gondor zone, Amhara Regional State, Ethiopia
T Tadesse, A Kumie
Ethiopian Journal of Health Development , 2007,
Sanitary conditions of food establishments in Mekelle town, Tigray, North Ethiopia
A Kumie, K Zeru
Ethiopian Journal of Health Development , 2007,
Assessment of occupational injuries in Tendaho Agricultural Development S.C, Afar Regional State
O Yiha, A Kumie
Ethiopian Journal of Health Development , 2010,
Abstract: Background: The status of occupational injuries in workplaces in general and agriculture sectors in particular is ill defined in Ethiopia. Pocket studies in developing countries indicate that occupational injury due to an unsafe working environment is increasing. Objectives: To determine the magnitude of occupational injury and describe factors affecting its happening among workers of Tendaho State Farm located in Afar Region. Methods: Cross-sectional study design was employed to assess occupational injuries among randomly selected 810 workers in August, 2006. A structured questionnaire based interviews, work environment observation, physical examination of study subjects for injury, and reviewing medical records for injury were used to collect the data. Results: The overall occupational injury prevalence rate was 783 per 1000 exposed workers per year. Seventy (11%) injured workers were hospitalized. Most (90%) of hospitalization was for more than 24 hours. Only one death was reported in the preceding 12 months prior to the study. A total of 6153 work-days were lost, at an average of 11.4 days per an injured worker per year. Working more than 48 hours per week [AOR: 8.27, 95% CI:(4.96-13.79)], absence of health and safety training [AOR: 2.87, 95% CI: (1.02-8.06)], sleeping disorder [AOR: 1.64, 95% CI: (1.12-2.41)], alcohol consumption [AOR: 1.72, 95% CI: (1.06-2.80)], job dissatisfaction [OR: 1.83, 95% CI: (1.30-2.58)] and absence of protective devices [OR: 3.18, (1.40-7.23)] were significant factors that contributed to the prevailing occupational injuries. Conclusion: Multiple factors related to the work organization and employee’s behavior increased the risk of occupational injuries. Continued on the job training, sustained work place inspections and proving occupational health and safety services should get emphasis in work places.
Predictors of under-five childhood diarrhea: Mecha District, West Gojam, Ethiopia
M Dessalegn, A Kumie, W Tefera
Ethiopian Journal of Health Development , 2012,
Abstract: Background: Diarrheal disease is widely recognized as a major cause of child morbidity and mortality in developing countries, particularly in sub-Saharan Africa including Ethiopia. There exist variations in explanatory variables of diarrhea depending on the context of the study. Objective: To examine the effects of selected environmental, socio-economic and behavioral factors on childhood diarrhea in Mecha District, West Gojjam, Ethiopia. Methods: A community based cross-sectional study was carried out in February 2009. A proportionate stratified random sampling technique was used to select 768 households that had at least one under-five child. Data was collected using a pre-tested structured questionnaire by trained data collectors. Bivariate and multivariate logistic regression analyses were undertaken to identify predictors of childhood diarrhea. Results: The prevalence of diarrhea among mothers and under-five children was 8.2% and 18.0%, respectively. Maternal education (AOR=5.6, 95% CI: 1.5 - 19.4), maternal history of recent diarrhea (AOR, 5.5; 95% CI, 2.9 - 9.8), availability of latrine facility (AOR, 1.9; 95% CI, 1.1-3.4), duration of breast feeding (AOR=2.7, 95% CI: 1.1- 7.3), and age of the child (AOR=2.8; 95% CI: 1.3 - 5.9) had a significant association. Conclusion: From this study, variation in the level of diarrheal morbidity is well explained by maternal factors and presence of latrine facility. Educating mothers focusing on sustained behavioral changes in the use of latrine integrated with personal hygiene is an important intervention for the prevention and control of diarrhea among children. [Ethiop. J. Health Dev. 2011;25;(3):192-200]
Byssinosis and other respiratory symptoms among factory workers in Akaki textile factory, Ethiopia
K Alemu, A Kumie, G Davey
Ethiopian Journal of Health Development , 2010,
Abstract: Background: Textile cotton workers are at risk for occupational lung disease, including Byssinosis and chronic Bronchitis. Byssinosis is primarily associated with exposure to cotton dust. Objectives: To determine the prevalence of and factors associated with byssinosis and respiratory symptoms among workers in cotton mills of Akaki textile factory. Methods: A cross-sectional study was conducted among 417 randomly selected factory workers. Information was collected through interview using the modified American Thoracic Society standard respiratory symptoms questionnaires. Forced expiratory volume in 1 sec (FEV1), forced vital capacity (FVC) and FEV1/FVC ratio were measured using portable medical spirometers. Area sampling for cotton dust concentration in the work environment was measured using Data RAM 4 real time measurement for 8 hours during a day shift. Results: The highest prevalence of respiratory symptoms was found in the carding section - cough 77%, phlegm 62%, chest tightness 46% and dyspnea 62%. The Overall prevalence of chronic bronchitis was 32%. Those working in the carding section appeared 13 times more likely to have chronic bronchitis compared to other sections (Adjusted OR=13.4, 95% CI 3.43-52.6). The prevalence of byssinosis was 38%; the highest being recorded in the carding section at 84.6%. High exposure to cotton dust was noted among those in the blowing and carding section at mean dust levels of 32.2 mg/m3 and 8 mg/m3, respectively. About 11% of byssinotics developed severe chronic FEV1 changes. Conclusion: This study provides evidence of a strong relationship between exposure to cotton dust and byssinosis and other respiratory impairments, which is mediated through chronic ventilator impairments. Preventive measures are warranted in order to reduce the high prevalence of byssinosis and other respiratory disorders in textile manufacturing. [Ethiop. J .Health Dev. 2010;24(2):133-139]
The sanitary condition of food and drink establisment in Awash-Sebat Kilo town, Afar region, Ethiopia
A Kumie, A Mezene, A Amsalu, A Tizazu, B Bikila
Ethiopian Journal of Health Development , 2006,
Crowding in a traditional rural housing (Tukul) in Ethiopia
Abera Kumie
Ethiopian Journal of Health Development , 2002,
Abstract: Background: Poor housing condition is one of the major public health concerns in many developing nations due to its association with the health status. Objectives: To determine the size of traditional Tukul by altitudinal zone in rural communities. Methods: During a census enumeration 5113 rural housing units were physically assessed. Axis, radius, and wall height were measured to the nearest centimeter by trained enumerators using a tape meter. Results: The mean (SD) values of axis, radius, and wall height were found to be as 537.92cm (84.88), 329.43cm (64.81), and 236.38cm (22.65), respectively. The mean (SD) space for floor area was 35.43 (13.72)m2 and space by indoor volume was 123.42 (60.26)m3 per habitable Tukul. According to the WHO literatures for a dwelling units, about 85% of the Tukuls in a rural area are crowded and far behind to satisfy the physiological needs of a resident. Nearly 95% of housing units had only one room. Conclusions and Recommendations: The high magnitude of overcrowding in rural housing units indicates the poor living and sanitation conditions. As this predisposes to many adverse health conditions, appropriate interventions need to be done with out delay. [Ethiop.J.Health Dev. 2002;16(3):303-308]
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