Uptake of appointment spacing model of care and associated factors among stable adult HIV clients on antiretroviral treatment Northwest Ethiopia.

INTRODUCTION: Ethiopia launched an Appointment Spacing Model in 2017, which involved a six-month clinical visit and medication refill cycle. This study aimed to assess the uptake of the Appointment Spacing Model of care and associated factors among stable adult HIV clients on ART in Ethiopia. METHODS: A cross-sectional study was conducted from October 3 to November 30, 2020 among 415 stable adult ART clients. EpiData version 4.2 was used for data entry and SPSS version 25 was used for cleaning and analysis. A multivariable logistic regression model was fitted to identify associated factors, with CI at 95% with AOR being reported to show the strength of association. RESULTS: The uptake of the appointment spacing model was 50.1%. Residence [AOR: 2.33 (95% CI: 1.27, 4.26)], monthly income [AOR: 2.65 (95% CI: 1.13, 6.24)], social support [AOR: 2.21 (95% CI: 1.03, 4.71)], duration on ART [AOR: 2.41 (95% CI: 1.48, 3.92)], baseline regimen change [AOR: 2.20 (95% CI: 1.02, 4.78)], viral load [AOR: 2.80 (95% CI: 1.06, 7.35)], and alcohol abstinence [AOR: 2.02 (95% CI: 1.21, 3.37)] were statistically significant. CONCLUSIONS: The uptake of the ASM was low. Behavioral change communication, engaging income-generating activities, and facility-level service providers' training may improve the uptake.

Occupational injury and associated factors among construction workers in Ethiopia: a systematic and meta-analysis.

BACKGROUND: Occupational injury is any personal injury, disease or death resulting from an occupational accident sustained on worker in connection with the performance of his or her work. Studies conducted in Ethiopia indicated variable findings ranging from 30% to 84.7% prevalence of occupational injury among construction workers. Therefore, the main aim of this systematic and meta-analysis was to pool the estimates and find the reasons for variability of the findings. METHODS: The review has been registered at PROSPERO with registration identification number CRD42020222785. PubMed, Advanced Google search and Google Scholar databases were searched up to June 20, 2020 to identify relevant articles. Stata v14 (StataCorp, College Station, Texas, USA) was used for meta-analysis. Publication bias was assessed by the funnel plot and more objectively by Egger's regression test. I-squared statistics was used to check the heterogeneity of the studies. RESULT: This research searched a total of, 1241articles, from these articles 1189 from PubMed, 21 from advanced Google search and 31 from Google scholar databases. A total of 12 studies were included in the analysis and all of them were institutional based cross-sectional studies. All studies were conducted from 2004 to 2018 but published from 2007 to 2019. The prevalence of occupational injury among included studies ranges from 30% to 84.7% while the pooled prevalence of occupational injury among construction workers was 45.64% with 95%CI (33.54-57.74). The effect of each variables against occupational injury was pooled and PPE use [AOR = 1.75, 95%CI (1.46, 2.1)], occupational safety training [AOR = 1.63, 95%CI (1.13, 2.34)] and existence of regular supervision [AOR = 1.4, 95%CI (1.16, 1.68)] were significantly associated to occupational injury among construction workers at p-value ≤ 0.05 with 95% CI. CONCLUSION: The prevalence of occupational injury among construction workers is still very high and variables such as PPE use, occupational safety training and existence of regular supervision were factors affecting occupational injury among construction workers. Supply and use of PPE, provision of occupational safety training and regular supervision of workers has to be in place in order to reduce or remove occupational injury among construction workers in Ethiopia.

Assessment of Occupational Injury among Industrial Workers in the Bahir Dar City of Northwest Ethiopia: Institution-Based Cross-Sectional Study.

Background: Ethiopia is one of the economically fastest growing countries in the world. Industries in Ethiopia are booming, and Bahir Dar is one of the industrial zones in the country. The city administration is planning to recruit the majority of the workforce in these industries. However, injuries related to occupations in the industries are not that much studied yet. Therefore, this study aimed to assess the prevalence of occupational injury and its associated factors among industrial workers in the Bahir Dar city of Northwest Ethiopia. Methods and Materials: Institution-based cross-sectional study design was used. Multistage stratified random sampling technique was employed to select 846 study participants from each stratum (small-, medium-, and large-scale industries). Data were analyzed using Statistical Package for Social Sciences (SPSS), version 21. Binary logistic regression was employed to determine the existence of an association between dependent and independent variables. Result: A total of 803 participants were included in the study with a response rate of 95%. The mean age of respondents was 28.9 years (SD ± 8 years). Five hundred nine (63.4%) were occupationally injured in the last 12 months. Sex (AOR = 3.66, 95% CI = (2.53-5.29)), employment status (AOR = 7.33, 95% CI = (3.31-16.22)), regular health and safety supervision (AOR = 2.66, 95% CI= (1.79-3.96)), training prior to entry to actual work (AOR = 3.18, 95% CI= (2.14-4.74)), and use of personal protective equipment (PPE) (AOR = 2.48, 95% CI= (1.74-3.56)) were significantly associated with occupational injury. Conclusion: The prevalence of occupational injury in this research is found to be very high. It is advisable to provide sustainable training and regular occupational health and safety supervision for industrial workers in the city. Moreover, research has to be conducted to know the reasons for the difference in the prevalence of occupational injury between large-, medium-, and small-scale industries.

Determinants of pneumonia among 2-59 months old children at Debre Markos referral hospital, Northwest Ethiopia: a case-control study.

BACKGROUND: Pneumonia is a significant public health problem globally. The early identification and management of the determinants of pneumonia demands clear evidence. But, there is a limited data on this issue in the current study area. Thus, this study aimed to identify the determinants of pneumonia among 2-59 months old children at Debre Markos Referral Hospital, Northwest Ethiopia. METHODS: A Hospital based unmatched case-control study was conducted among 334 (167 Cases and 167 Controls) children at Debre Markos Referral Hospital from February 1 to March 30, 2018. Consecutive sampling technique was employed and data were collected with a pre-tested interviewer administered questionnaire. Data were entered into Epi-Data version 4.2, and analyzed using SPSS version 25 software. Bi-variable and multi-variable logistic regression analyses were fitted. Variables having p-value < 0.05 were considered as statistically significant. RESULTS: A total of 328(164 cases and 164 controls) 2-59 months old children were included in this study. Not opening windows daily [AOR:6.15(2.55,14.83)], household near to the street [AOR:4.23(1.56,11.44)], child care by the house workers and relatives [AOR:2.97 (1.11,7.93)], using only water for hand washing before child feeding [AOR:3.81 (1.51, 9.66)], mixed feeding practice from birth to six months [AOR: 7.62 (2.97, 19.55)], having upper respiratory tract infection in the last 2 weeks for the child [AOR: 5.33 (2.16, 13.19)] and children with history of co- residence with URTI family [AOR: 6.17 (2.36,16.15)] were found to be determinants of pneumonia. CONCLUSIONS: The main contributing factors for pneumonia in this study are preventable with no or minimal cost. Therefore, we recommend appropriate and adequate health education regarding pneumonia prevention and control.

Incidence and Predictors of Pregnancy among Women on ART in Debre Markos Referral Hospital, Northwest Ethiopia: A Five-Year Retrospective Cohort Study.

Globally, death of women due to HIV/AIDS related causes during pregnancy or within 42 days after pregnancy was estimated to be 37,000. In Ethiopia, 42,900 pregnant women living with HIV gave birth in the year 2011. This study was aimed to assess incidence and predictors of pregnancy among women on ART in Debre Markos Referral Hospital, Northwest Ethiopia. A retrospective cohort study was conducted using data recorded from September 2011 to August 2015. Data was extracted from February to March, 2016, from 1,239 records and analyzed using SPSS version 16. A Kaplan-Meier survival analysis was used to estimate the probabilities of being pregnant. The Cox proportional hazards model was done and results were expressed using hazard ratios with 95% CI. A total of 1,239 women on ART were included in the study. The incidence of pregnancy was 49.2 per 1,000 person-years. Living in rural, being married, being widowed, being unemployed, and having <2 children at enrollment were found to be positively associated with being pregnant. The incidence of pregnancy among women on ART was found to be considerable. Provision of family planning and other reproductive health interventions have to be coupled with the ART service to address the problem.