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Introduction: The global neonatal death rate was predicted to be 18 per 1000 live births during the first 28 days of life. Ethiopia continues to have one of the highest neonatal mortality rates in the world. Essentially, over 70% of these deaths may have been averted or prevented if proper essential newborn care had been provided. The purpose of this study was to assess the practice of essential newborn care and associated factors among obstetric care providers in public hospitals in Sidama regional state, Ethiopia. Methods: This study was conducted from 1 to 30 July 2020, using an institutionally based cross-sectional study design. The study comprised 182 obstetric care professionals from six hospitals chosen at random. EpiData (version 3.1) was used to enter data, which was then exported to SPSS (version 20). Descriptive, bivariable, and multivariable logistic regression were used. Statistical significance of the explanatory variables was declared at p values <0.05. Results: The overall prevalence of good practice on essential newborn care was 56.6% (95% confidence interval = 49.4-63.7). Working in the delivery room (adjusted odds ratio = 3.53, 95% confidence interval = 2.04-10.06), having training in essential newborn care (adjusted odds ratio = 3.65, 95% confidence interval = 1.63-8.17), and access to established essential newborn care protocols (adjusted odds ratio = 6.88, 95% confidence interval = 3.10-15.26) were found to be statistically significant factors of essential newborn care practice. Conclusion: The study found that having necessary newborn care standards, being interested in working in the delivery room, and having essential newborn care training are all important factors in implementing essential newborn care practices. Important knowledge gaps were noted in key areas of essential newborn care.
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INTRODUCTION: A pregnancy that has been complicated with Hepatitis B virus (HBV) infection results in typical management problems for both the mother and the newborn. One of the universal efforts in tackling the impact of chronic HBV is the prevention of mother-to-child transmission during Antenatal care via prompt screening as the majority of chronic infections globally harbored during this period. Rewarding result have been achieved in reducing this problem at this period of life through maternal screening programs and universal vaccination of infants. This study was aimed at assessing the seroprevalence and associated risk factor of HBV among pregnant women attending Antenatal Care (ANC) in Dilla University Referral Hospital (DURH), Southern Ethiopia. METHOD: A facility- based cross- sectional study was conducted from December 01 to May 30, 2017 among pregnant women attending ANC. A total of 236 pregnant women were included in this study. All Pregnant women who were attending antenatal clinic and were volunteer during the study period were included, whereas those women who were unable to communicate due to any problem, and not volunteer to give informed consent were excluded. Volunteer participants were asked to complete a questionnaire and had offered to test for HBsAg infection. The data was analyzed using SPSS version 20 software. Logistic regression was used to determine the association between dependent and independent variables. RESULTS: From 215 pregnant women attending ANC, the prevalence of HBsAg by the rapid test was found to be 11 (5.1%). Among the study participants, 91.1% (215) were tested for HIV antibody during the ANC visit, with the positivity rate of 4.5%. The result showed 1.86% of the study participants who were tested for HIV were also positive for HBsAg. Among those factors affecting the transmission of HBV infection, multiple partners and HIV confection have significant association at P-value less than 0.05. CONCLUSION: The Seropositivity of Hepatitis B Virus among Pregnant Women was found to be significant and hence, routine screening of pregnant mother at Antenatal care for this virus, and subsequent management according to the guideline for both the mother and child is recommended.
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Hepatite B/epidemiologia , Adolescente , Adulto , Estudos Transversais , Etiópia/epidemiologia , Feminino , Infecções por HIV/complicações , Infecções por HIV/diagnóstico , Infecções por HIV/epidemiologia , Hepatite B/complicações , Hepatite B/diagnóstico , Hepatite B/virologia , Antígenos de Superfície da Hepatite B/sangue , Vírus da Hepatite B/isolamento & purificação , Vírus da Hepatite B/metabolismo , Hospitais Universitários , Humanos , Transmissão Vertical de Doenças Infecciosas , Gravidez , Gestantes , Cuidado Pré-Natal , Prevalência , Fatores de Risco , Centros de Atenção Terciária , Adulto JovemRESUMO
INTRODUCTION: The global prevalence of Diabetes Mellitus (DM) has increased alarmingly over the last two decades. On top of this, the issues of non-adherence to the prescribed medicines further fuel the DM- related complications to become one of the top causes of mortality and morbidity. Despite the considerable efforts in addressing the poor adherence issues, there are still plenty of problems ahead of us yet to be addressed. The objective of this study was to determine the extent of non-adherence and its contributing factors among diabetic patients attending the medical Referral clinic of Dilla University Referral Hospital. METHODS: The institutional-based descriptive cross-sectional study was carried out among patients with diabetes mellitus attending the medical referral clinic of Dilla University Referral Hospital. A systematic random sampling method was used to recruit study participants, and tool was adopted to assess for adherence. A pretested semi-structured questionnaire was used to collect information on factors influencing non-adherence to the diabetic medications, and in-depth interview questionnaire was used for key informant interviews for the qualitative part. Data analysis was carried out using SPSS-20. RESULTS: The overall prevalence of non-adherence to diabetic treatment regimen among the study participants was 34.0%. The study revealed that cost of transport to the hospital and taking alcohol were significantly associated with non-adherence to the diabetic treatment regimen with the (AOR = 6.252(13.56, 28.822); p < 0.000) and (AOR = 13.12(8.06, 44.73); p<0.002) respectively. CONCLUSIONS: The study revealed that significant numbers of participants were non-adherent to the Diabetes Mellitus treatment regimens. Intensive counseling, and health education on the importance of good adherence and negative consequences of poor adherence need to be discussed with the patients before starting the medications, and amidst follow up.
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Diabetes Mellitus/terapia , Cooperação do Paciente , Adulto , Estudos Transversais , Diabetes Mellitus/epidemiologia , Etiópia/epidemiologia , Feminino , Educação em Saúde , Hospitais Universitários , Humanos , Masculino , Pessoa de Meia-Idade , Pacientes Ambulatoriais , Encaminhamento e ConsultaRESUMO
Despite high numbers of cattle, milk production in many tropical countries such as Ethiopia is very low. Animals are managed traditionally, meaning they mostly depend on seasonal availability of natural pasture, grass, and crop residues with no supplementary feeds. Due to the lack of pasture management, there is overgrazing and soil erosion, and the land still must deal with extremely dry periods. All this has a negative effect on dairy cow productivity. Identification of the specific nutritional deficits would enable targeted interventions to improve milk yield performance, but nutrient and energy intakes are difficult to assess in ranging conditions. The aim of this research was, therefore, to evaluate the nutritional status of ranging dairy cows through blood metabolites, milk yield, and body condition in relation to environmental factors such as agro-ecology and season. The study was performed in a tropical region that is known to be exposed to the above-mentioned situation, the Arba Minch region in the southern Ethiopian Rift Valley. Blood samples were collected from 170 ranging dairy cows in 6 different districts, along a transect extending from the lowlands to the highlands, in both seasons (dry and rainy). Body condition score and milk yield of all cows were also determined for both seasons. Serum urea, creatinine, triglyceride, and nonesterified fatty acid concentrations were quantified spectrophotometrically. Dried serum spots were subject to quantitative electrospray tandem mass spectrometry to estimate changes in nutrient metabolism based on selected free AA and carnitine esters. Based on these measurements, nutritional status varied with season and geographical region. It can also be concluded that extensive metabolite analysis such as mass spectrometry can provide detailed insights, but the simpler spectrophotometric metabolite analysis can estimate the nutritional status of ranging animals.