Abdominal obesity and associated factors among urban adults in Southwest Ethiopia: a community-based cross-sectional study.

Introduction: the obesity epidemic is growing faster in developing countries with no exception of Ethiopia. Currently, abdominal obesity is identified as a major risk factor for chronic diseases due to the accumulation of liable fat. However, despite the evidence of certain documented data, abdominal obesity has been on the rise in Ethiopia, especially in urban areas. Therefore, this study aimed to assess the prevalence and factors associated with abdominal obesity among adults in Jimma town, Southwest Ethiopia. Methods: a community-based cross-sectional study was employed on 845 adults selected using a multi-stage sampling technique. Data were collected using a pretested interviewer-administered questionnaire. Data were entered using Epi-data version 3.1 and exported to STATA version 14 for analysis. Simple linear regression was conducted to identify candidate variables. A multivariable linear regression model was fitted to identify factors associated with abdominal obesity. P-value<0.05 was used to declare statistical significance. Results: a total of 806 respondents participated in this study, making a response rate of 95.4%. The magnitude of abdominal obesity was found to be 24.6% (95% CI: 21.5, 27.5). Physical activity (ß= -2.053; 95%CI: -3.353, -0.454), alcohol consumption (ß=1.631; 95%CI: 0.176, 3.087), and age (ß=0.319; 95%CI: 0.250, 0.389) were significantly associated with abdominal obesity. Conclusion: the magnitude of abdominal obesity among adults in the study area was high compared to previous studies. Alcohol drinking, being physically inactive, and age were predictors of abdominal obesity. There is a need for intervention for adults with physical inactivity and alcohol consumption to reduce abdominal obesity.

Health Care Waste Management and Associated Factors During Covid-19 Pandemic Among Public Health Facilities in Hadiya Zone, Southern Ethiopia: A Cross-Sectional Study.

Background: During the SARS-CoV-2 epidemic, also known as the COVID-19 pandemic, developing and poor African countries face severe challenges in controlling infectious trash. As a result, the goal of this report is to assist decision-makers in determining the waste management approach accessible during the COVID-19 epidemic. Objective: To assess health-care waste management and associated variables in public health institutions in Hadiya Zone, Southern Ethiopia, during the covid-19 pandemic. Methods: A facility-based cross-sectional study was undertaken at public health facilities in the Hadiya zone from March 15 to March 30, 2021. The information gathered was entered into EpiData software (version 3.1). SPSS software was used to conduct the analysis (version 20). We computed descriptive statistics. At 95% confidence intervals, a p-value of 0.05 was considered statistically significant for health care waste management. Results: A total of 411 people participated, with a response rate of 97.8%. The overall proportion of acceptable health care waste management was 231% (56.2%). In multivariable logistic regression, study participants with 5 years of service were 1.59 times more likely than their counterparts to handle health care waste appropriately (AOR 95% CI=1.59(1.02-2.48)). Those who received waste management training were 1.94 times more likely than their counterparts. Those who had enough PPE were 2.14 times more likely than those who did not to handle health care waste appropriately (AOR 95% CI=2.14(1.35-3.34)). Conclusions and Recommendation: The proportion of acceptable health care waste management was found to be low in the study. Service year, waste management training, the availability of suitable personal protective equipment (PPE), and prior waste-related injury experience are all required. It is advised that health-care facility administration offer training and personal protection equipment for healthcare workers.

Depression and Associated Factors Among Adult HIV/AIDS Patients Attending Antiretroviral Therapy at Wolaita Sodo University Teaching and Referral Hospital, Southern Ethiopia.

BACKGROUND: Nearly, 350 million people in the world are currently living with depression. Depression happening in PLHIV leads to alteration of economic productivity, decrease of working abilities, social isolation, physical decline and difficulties in solving problems. This study investigates the burden of depression and associated factors on HIV/AIDS patients attending an ART clinic. METHODS: An institution-based cross-sectional study was implemented from April 1 to May 30, 2019 on a total of 417 HIV-positive patients. Systematic random sampling technique was used to access the study participants. Interviewer-administered structured questionnaire was used for data collection. Data were entered in to EpiData 3.1 and then were exported into Statistical Package for the Social Sciences (SPSS window version 20) for analysis. RESULTS: Four hundred ten (410) respondents participated in the study with a response rate of 98.3%. The burden of depression was 50.5% in this study. Male (AOR=1.53; 95%CI: 1.016-2.311), people living in urban (AOR=2.20; 95%CI: 1.29-3.75), patients who had opportunistic infection (AOR=1.98; 95%CI: 1.27-3.11), poor medication adherence (AOR=1.79; 95%CI: 1.13-2.85) and high HIV-related perceived stigma (AOR=1.66; 95%CI: 1.04- 2.67) were more likely depressed compared to their counterparts. CONCLUSION: In this study, male sex, those patients living in urban areas, having opportunistic infections, poor medication adherence, and high HIV-related perceived stigma were significantly associated with depression. Hence, organizations working on HIV programs should address these factors to prevent and manage depression among HIV-positive patients.

Dietary Practice and Associated Factors among Pregnant Women in Misha Woreda, South Ethiopia: A Community-Based Cross-Sectional Study.

BACKGROUND: Proper food and good nutrition are essential for survival, physical growth, mental development, performance and productivity, and health and well-being. Pregnancy is a critical phase in a woman's life. The aim of this study is to assess the dietary practice and associated factors among pregnant women in Misha woreda, south Ethiopia. METHODS: A cross-sectional study was conducted in Misha woreda, South Ethiopia, on pregnant women. Data were collected by using a structured interviewer-administered questionnaire. The data were entered in EpiData V-3.1 and analyzed using SPSS version 21. Binary logistic regression analysis was also employed to examine the association between dependent and independent variables. A P value of <0.05 was considered as the cutoff point to declare statistical significance. RESULT: Out of 618 pregnant women, almost all of them 618 interviewed with the response rate of 100%. The mean age of pregnant women was 27.31 years (±5.622). From total study participants, 54.1% of the respondents were followers of protestant religion and 80.2% of husband occupation were farmers and 78.7% pregnant women occupation were house wives. From the total participants, 43.6% had illness on the current pregnancy. Almost two third 66.2% of the pregnant women travel ≥ 1 hr to reach HF. Majority of the participants (62%) had moderate knowledge about dietary practice in pregnancy, and 29.5% practiced good dietary practice. Educational status (AOR = 4.07 [2.13, 9.18]), occupation (AOR = 5.32 [1.08, 13.95]), dietary knowledge (AOR = 7.2 [3.9, 17.09]), and food craving (AOR = 2.07 [1.41, 5.5]) were variables having a significant association with dietary practice. CONCLUSION: The prevalence of good dietary practice among pregnant women in Misha district was low when compared to other studies. According to the study result, educational status, occupation, dietary knowledge, and food craving were factors that affect dietary practice.

Compliance with standard precaution practices and associated factors among health care workers in Dawuro Zone, South West Ethiopia, cross sectional study.

BACKGROUND: Infection in healthcare facilities is a major public health problem in most developing countries like Ethiopia. Currently the overall incidence of health care associated infection has been increased and burden of these infections is staggering. This study aimed to assess health care workers compliance with standard precaution practices and associated factors in public health institutions of Dawuro zone, south west Ethiopia, 2016. METHODS: An institution based cross sectional study was conducted from February1-30/ 2016 in 17 health institutions found in Dawuro zone. Data were collected using a pre-tested questionnaire on 250 health care workers selected by simple random sampling technique. Collected data was checked, coded and analyzed by using SPSS version 20. A P-value less than 0.05 was considered as statistically significant. RESULT: Two hundred fifty health care workers were participated in the study. Out of the total respondents, 162(65.0%) of respondents had complied with standard precaution practices. Service year less than or equal to 5 years, training on standard precaution, having good hand hygiene and availability of personal protective equipment were independently associated with compliance to standard precaution practices. CONCLUSION: Significant numbers of health care workers were not complied with standard precaution practices in this study. Therefore strategies targeted in fulfilling health institutions with supplies like hand hygiene material, Personal Protective equipment and training on standard precaution will improve compliance with standard precaution practice.