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Search Results: 1 - 10 of 350 matches for " Ethiopia "
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Institutional delivery service utilization and associated factors in Banja District, Awie Zone, Amhara Regional Sate, Ethiopia  [PDF]
Alemaw Wolelie, Mekonnen Aychiluhm, Worku Awoke
Open Journal of Epidemiology (OJEpi) , 2014, DOI: 10.4236/ojepi.2014.41006
Abstract: Introduction: Many women lose their lives in the process of giving life. Maternal mortality remains high in the developing world. This study was conducted to assess institutional delivery service utilization and associated factors in Banja District, Amhara region, Ethiopia, 2013. Methods: A community-based cross-sectional study was conducted among mothers who gave birth in the last two years prior to the study in Banja District from June to July 2013. Multistage sampling technique was used to select the total of 394 study participants. Data were collected by means of a pretested standardized questionnaire. Analysis was carried out by using SPSS version 16. Crude and adjusted odds ratio with 95% confidence interval was calculated by using binary logistic regression. p-value less than 0.05 was considered as statistically significant. Results: The study indicated that only 15.7% of the respondents delivered in health institution. Age of mothers 15-24 years, educational status of the mothers with secondary and above, the existence of educated family members, mothers with previous experience with institutional delivery and mothers’ Knowledge on the danger signs of labor were significantly associated with institutional delivery service utilization at p-value less than 0.05. Conclusions: Institutional delivery service utilization in the study area was low (15.7%). Therefore, policy makers, health planers and programmers should recognize determinants of institutional delivery service utilization. More efforts should be given to educate mothers and families. Previous experience sharing and knowledge transfer will be crucial to bring expected institutional delivery utilization.
Satisfaction of Chronic Illness Patients at Felege Hiwot Referral Hospital, Bahir Dar City, Northwest Ethiopia  [PDF]
Molla Gedefaw, Fisseha Setargie, Worku Awoke
Open Journal of Epidemiology (OJEpi) , 2014, DOI: 10.4236/ojepi.2014.44028
Abstract: Introduction: Patient satisfaction is a popular way of evaluating quality of health care given in health facilities. This study was done to assess the level of chronic illness Patients’ Satisfaction in Felege Hiwot Referral Hospital, Bahir Dar City, Ethiopia. Method: Cross-sectional study was conducted by involving 415 patients using systematic sampling method at Felege Hiwot referral hospital, Bahir Dar City, Ethiopia from 1st September, 2012 to 2nd November, 2012. Structured questionnaire was data collection tool. The questionnaire was prepared in English. It was translated to Amharic and back to English. Discrepancies in the translation were resolved by mutual agreement with the research team. Pre-testing was done prior to the actual data collection process on a sample of 20 respondents and modified accordingly. The study was approved by ethics review board of Bahir Dar University. The collected data were checked for completeness and consistency before being coded, entered and analyzed using SPSS version 19. Result: The overall level of satisfaction of chronic illness patients in this hospital was 242 (58.3%) which is lower as compared to other local studies in Ethiopia. More than 40% of the patients were not satisfied with the service. Conclusion and Recommendations: The current level of patients’ satisfaction in the hospital is totally unacceptable care for a referral hospital situated in the capital city of a region in which more than 20 million people reside. Therefore, there is a need to revisit care given to chronic illness patients, and appropriate strategy should be designed to address the lifelong care needs of patients with chronic illness in our set up.
Maternal delays in utilizing institutional delivery services, Bahir Dar, Ethiopia  [PDF]
Worku Awoke, Kenie Seleshi
Health (Health) , 2013, DOI: 10.4236/health.2013.56137
Abstract:

Introduction: Timely referrals and access to appropriate health care had a great impact on reduction to maternal deaths and disabilities. Maternal delay is one of the contributing factors for high maternal mortality in developing countries. Maternal delays were categorized into three levels: delay in making the decision for seeking care, delay in arrival at a health facility, and delay in receiving adequate treatment. They have been named first, second, and third delay maternal delays; respectively. This study was aimed at assessing maternal delays in utilizing institutional delivery service sin Bahir Dar, North-Western Ethiopia. Methods: A cross sectional facility based study was conducted on a sample of 422 women attending at a public health facility for delivery services. The sample size was determined by using single population proportion formula and the study participants were selected by using a systematic random sampling method. Data were collected by means of a pre-tested, standardized questionnaire; analysis was carried out using SPSS version 16. Results: Data was collected from 410 laboring mothers. First delay, 155 (37.8%) of mothers was delayed in decision making for seeking care from the public health facility and the mean delay was 8 hours. Delay in seeking emergency obstetric care [EOC] was about seven fold among illiterate mothers (AOR, 6.71; 95%CI, 3.66 -12.29) than literate mothers; the odds of delay for EOC were three times more likely among mother were unable to make decisions by their own (AOR, 3.30; 95%CI, 1.25 -7.20) than those mothers who made the decisions of their own. Unemployed mothers were 4 times more likely to have the maternal delay in seeking EOC (AOR, 3.94; 95%CI, 2.36 -6.57) than employed mothers. Second delay, 130 (31.7%) of mothers had transportation problems in reaching health care facilities. Predictors in the first maternal delay were also the major

Prevalence of schistosomiasis and associated factors among students attending at elementary schools in Amibera District, Ethiopia  [PDF]
Worku Awoke, Melkamu Bedimo, Molalign Tarekegn
Open Journal of Preventive Medicine (OJPM) , 2013, DOI: 10.4236/ojpm.2013.32027
Abstract:

Introduction: Schistosomiasis is one of the most prevalent parasitic diseases and an important public health problem in many developing countries including Ethiopia. The study was aimed at assessing prevalence of schistosomiasis and associated factors among students attending at elementary schools in Amibera District, Ethiopia. Methods: A cross sectional school based study was carried out on sample of 840 students. First, all elementary schools around Amibera District were grouped in to strata based on their distance from the irrigation site as “Near” or “Far”. Then two schools were selected by simple random sampling method from each stratum. Finally, proportional allocation of the sample size was done according to the number of students in each stratum. From each grade level students were selected by simple random sampling techniques. A pre-tested structured questionnaire was used to collect data on socio demographic characteristics, water contact habit and toilet utilization. Stool and urine examination were done to determine prevalence. The analysis was carried out using SPSS version 16.0. Result and Conclusions: The overall prevalence of schis- tosomiasis in this study was 8.2%; among this Schisosoma haematobium was 7.4% and Schisosoma mansoni was 0.8%. Education level (p-value = 0.047, OR = 1.834), swimming habit (p-value = 0.0001, OR = 4.979) and source of water for domestic consumption (p-value = 0.0001, OR = 0.334) had shown significant association with the occurrence of S. haematobium infection. Conclusion and recommendations: The prevalence of schistosomiasis was not what to be neglected. It was significantly associated with educational level, swimming habit of children and source of water for domestic consumption. Therefore, provision of safe water supply and health

Utilization of Youth Reproductive Health Services and Associated Factors among High School Students in Bahir Dar, Amhara Regional State, Ethiopia  [PDF]
Meskerem Abebe, Worku Awoke
Open Journal of Epidemiology (OJEpi) , 2014, DOI: 10.4236/ojepi.2014.42012
Abstract: Introduction: Young people in Ethiopia face greater reproductive health risks than adults. Despite efforts that were made on youth to utilize reproductive health service, studies show that there is little information about the extent to which youth utilize available health services. For the proper planning of appropriate health services for youth, it is crucial to have knowledge on the pattern of their use and its associated factors. So this study was conducted from June to September 2013 to assess utilization of youth reproductive health and its associated factors among high school students in Bahir Dar town, Amhara region, Ethiopia, 2013. Methods: Institutional based cross-sectional study was conducted among High school student from June to September 2013. Multistage sampling technique was used to select the total of 818 study participants. Data were collected by means of a pretested standardized questionnaire; analysis was carried out using SPSS version 16. Crude and adjusted odds ratio with 95% confidence interval was calculated using binary logistic regression; p-value less than 0.05 was considered as statistically significant. Results: The study indicated that among 818 students, 480(58.7%) were females. The data indicates that, 32% of youth utilized youth reproductive health service. Barriers in utilizing reproductive health services, for 31% of the students were due to inconvenience hours and 28.5% were due to fear of being seen by parents or people whom they know. Among socio-demographic predictors, age and reproductive health problems showed a significant association with utilization of youth reproductive health services. Students with age 20-24 were 2.31 times more likely to utilize reproductive health service than age15-19 (AOR = 2.31, CI 95% (1.01, 5.28)). Similarly, students who had reproductive health problems were 1.54 times more likely to utilize reproductive health services than students who had no reproductive illness. Conclusions: The majority of youth were not utilizing reproductive health services. Age and reproductive health problems showed a significant association with utilization of youth reproductive health services.


The Impact of Training and Development on Employee Performance and Effectiveness: A Case Study of District Five Administration Office, Bole Sub-City, Addis Ababa, Ethiopia  [PDF]
Abeba Mitiku Asfaw, Mesele Damte Argaw, Lemessa Bayissa
Journal of Human Resource and Sustainability Studies (JHRSS) , 2015, DOI: 10.4236/jhrss.2015.34025
Abstract: The focus of this study was to determine the impact of training and development on the employees’ performance and effectiveness at District Five Administration Office, Addis Ababa, Ethiopia. In this study we employed cross sectional institutional based quantitative research method. Data were collected using Likert’s scale tool from 100 employees after selecting participants using systematic random sampling technique. Ninety-four complete questionnaires with a response rate of 94% were considered during analysis. Training and development had positively correlated and claimed statistically significant relationship with employee performance and effectiveness. It is recommended that District Five Administration Office shall maintain providing employee training and development activities and ensure the participation of employees in planning, need or skill deficit identification and evaluation of training and development programs.
High Fluoride, Modest Fluorosis: Investigation in Drinking Water Supply in Halaba (SNNPR, Ethiopia)  [PDF]
Frank van Steenbergen, Redda Tekle Haimanot, Aschalew Sidelil
Journal of Water Resource and Protection (JWARP) , 2011, DOI: 10.4236/jwarp.2011.32014
Abstract: In Halaba district in Southern Ethiopia fluoride levels from boreholes are high (2.6 to 7.0 mg/l), yet the incidence of fluorosis is modest. Drinking water users living in the vicinity of four drinking water systems that have been in operation for more than 35 years were surveyed. Out of 625 persons 5 percent had severe dental fluorosis and 42 percent had mild forms—which is considerably less than results of other areas with comparable fluoride levels. The incidence was highest in the older age groups. Possible explanations were explored. A likely reason may be the continued large dependence on rain water harvesting ponds for human consumption alongside the use of water from the public borehole systems, but more investigations would be required to confirm this proposition.
Knowledge and health seeking behavior for malaria among the local inhabitants in an endemic area of Ethiopia: implications for control  [PDF]
Kaliyaperumal Karunamoorthi, Abdi Kumera
Health (Health) , 2010, DOI: 10.4236/health.2010.26085
Abstract: This cross-sectional study was conducted to assess the knowledge and health seeking behavior for malaria among the local inhabitants in an endemic area of Ethiopia: Implications for control. 98.6% and 80.7% of respondents had awareness about malaria and the cause (‘mosquito bite’) of malaria, respectively. 186 (81.6%) respondents seek treatment for a febrile disease from health care facilities. Chi-square analysis revealed a strong association between the edu- cational status of respondents and the measures they take to prevent malaria (Х2 = 58.7; df = 16; p < 0.001). The findings clearly suggest that the majority of the respondents had adequate knowledge and enviable health seeking behaviour. However, still a sizable faction had misconception and undesirable health seeking behaviour. It’s a major barrier to implement effective malaria control strategies in the resource- limited settings particularly in country like Ethiopia. In this context, appropriate communication strategies apparently inevitable. Therefore, appropriate communication strategies should be designed to promote the knowledge and health seeking behaviour of vulnerable section of the society in this vicinity.
Prevalence of bovine hydatidosis in Kombolcha ELFORA abattoir, North Eastern Ethiopia  [PDF]
Fufa Abunna, Sisay Fentaye, Bekele Megersa, Alemayehu Regassa
Open Journal of Animal Sciences (OJAS) , 2012, DOI: 10.4236/ojas.2012.24038
Abstract: A study to determine the prevalence of bovine hydatidosis was conducted in Kombolcha ELFORA abattoir. A total of 400 cattle randomly sampled and examined after slaughter for the presence of hydatid cysts in the organs and viscera of the animals using the standard meat inspection procedures. Positive or suspected samples were taken to the parasitology laboratory at the Kombolcha regional laboratory and cyst identification, fertility and viability tests were performed. The statistical analysis showed that there was no difference (P > 0.05) between the prevalence of bovine hydatidosis and sex of animals, P > 0.05. The prevalence of hydatidosis was also found to be significant with the age and origin of the study animals (P < 0.05). Of 191 cysts examined, 154(80.63%) calcified, 1(0.51%) sterile, and 36(18.85%) fertile cysts. From the total fertile cysts, 24(72.22%) were found to be viable. Of 108 cysts recorded in the lung, 74(68.52%) calcified, 1(0.93%) sterile, 21(19.44%) viable and 12(11.11%) were non viable. Furthermore, of 70 cysts recorded in the liver, 67 (95.71%) were found to be calcified and 3(4.29%) viable. A total of 16,068 cattle were slaughtered from 2003 to August 2007 and the overall 1955 (12.17%) prevalence of hydatidosis was recorded. The results of this study showed that hydatidosis pose significant economic problems by causing condemnation of considerable numbers organs, rendering them unfit for market. Therefore, initiation and implementation of control measures is necessary in order to alleviate its economic impact as well as zoonotic risks to the human.
Birth outcome and correlates of low birth weight and preterm delivery among infants born to HIV-infected women in public hospitals of Northwest Ethiopia  [PDF]
Bekana Kebede, Gashaw Andargie, Abebaw Gebeyehu
Health (Health) , 2013, DOI: 10.4236/health.2013.57A4004
Abstract:

Background: HIV-positive pregnant women are at an increased risk of adverse pregnancy outcomes. However, data on birth outcome among HIV-infected women are limited in Ethiopia. This study was conducted to identify the adverse birth outcomes and associated factors of low birth weight (LBW) and preterm delivery (PD) among HIV-infected women. Methods: A hospital based retrospective cohort study was conducted. All deliveries from HIV-infected women from September 1, 2009 to April 30, 2012 were included in the study. Multivariate logistic regression was performed to explore the potential risk factors for LBW and PD. Result: Out of 416 singleton infants born to HIV-infected mothers, the prevalence of LBW and PD was 89 (21.4%) and 69 (16.6%), respectively. The baseline maternal CD4 counts below 200 cells/mm3, maternal body mass index (BMI) below 18.5, maternal anemia and maternal exposure to Highly Active Antiretroviral Treatment (HAART) were factors significantly associated with LBW. On the other hand, a baseline maternal CD4 level below 200/ mm3, having no Prevention of Mother-to-Child Transmission (PMTCT) intervention during pregnancy, maternal BMI less than 18.5, maternal Eclamsia during pregnancy, and mothers being on HAART before pregnancy were factors associated with preterm delivery. Conclusion: There was a significant prevalence of low birth weight and preterm delivery among infants born to HIV-positive mothers. The programme for PMTCT services should maximize the need for an early identification of those mothers with predicted complications.

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