Browsing by Author "Ali, Ahmed(PhD)"

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    Assessment of Factors Associated With Unintended Pregnancy among Pregnant Women in Addis Ababa, Ethiopia
    (Addis Ababa University, 2015-07) Kassie, Tadele; Ali, Ahmed(PhD); Tefera, Worku
    Background: Unintended pregnancy is an important public health issue in both developing and developed countries because of its serious consequences for women and their families, which include the possibility of unsafe abortion, delayed prenatal care, poor maternal mental health and poor child health outcomes. Objective: The major objective of this study was to identify the magnitude and factors associated with unintended pregnancy among pregnant women attending antenatal care in Addis Ababa. Methods: A facility based cross-sectional study was conducted on 393 women attending antenatal care clinic at Addis Ababa in ten public health centers from February to May 2015. Simple random sampling technique was used to select health centers. Data were collected by trained data collectors using Pre-tested structured questionnaires. Data were checked for completeness, consistency, coded and entered in to SPSS version 20 software and analyzed. The association between variables were analyzed using bivariate analysis, multiple logistic regression models and the level of significance of association were determined at P- value <0.05. Results: The magnitude of unintended pregnancy was 36.4 95% CI;( 31%.8, 41.7%). The odds of unintended pregnancy among no Spousal communication were 4 times more likely than Spousal communication, Odds of unintended pregnancy among own business maker were 4 times more likely than unintended pregnancy compared to house wives. The odds of unintended pregnancy among inadequate awareness on Intra Uterine Device were 4 times more likely to be experience to unintended pregnancy than from those who have adequate awareness on Intra Uterine Device Conclusion: According to this study, women education, occupation, spousal communication and awareness of long term family planning were significantly associated with unintended pregnancy. Recommendation: There is an apparent need to design strategies of communication within couples on fertility and contraceptive issues through peer education and promote long term modern family planning methods
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    Retrospective Record Assessment of Visceral Leishmaniasis (VL) Patients in Kahsaye-Abera Hospital and Knowledge, Attitude and Practice Pertaining to Visceral Leishmaniasis Among the Indigenous People and Migrant Workers in Kafta- Humera District
    (Addis Ababa University, 2005-04) Fesseha, Tadesse; Hailemariam, Damen(PhD); Ali, Ahmed(PhD)
    According to a substantial body of evidence, leishmaniasis is posing burden on people of all ages living in different parts of the world at varying degrees of morbidity and mortality. Visceral leishmaniasis (VL) is endemic in the south, southwest, north, North West and north east peripheral low lands of Ethiopia. K/Humera, in Tigray Region is VL endemic. Its proximity to the Sudan, economic attraction and a venue for several migrant workers further complicates the problem. With the objective of describing the magnitude of visceral leishmaniasis at Kahsaye-Abera Hospital, a study was conducted using a pre-tested questionnaire and a retrospective clinical records review. The knowledge and practice of both migrant workers and indigenous people was found to be 56.1%, 77.2% and 6.9%, 68% respectively. Out of the 931 migrant workers, 69% were familiar with the work kala azar compared to 85.8% of the indigenous population. A bit higher than 40% of both cohorts accessed the information from health facilities with only 4% of the labor migrant force and 14.7% of the local inhabitants from the media. A wide gap of behavioral practice was evidenced between the labor migrants and local residents, where 93.1% migrant workers and 29% indigenous people exhibited poor practice towards visceral leishmaniasis. Of the 882 retrospectively reviewed patients’ records, only 174 (19.7%) had no any inter-current infections whereas majority of the group 80.2% had atleast one concurrent infection with the highest rate of respiratory infections, 48.4% and the HIV/leishmania co-infection was as high as 25%. HIV co-infected VL cases were seven times more likely to relapse compared to HIV negative VL cases. Respondents were less familiar with the sandflies as the major players in the transmission of VL (kala azar) and had unsatisfactory perception and poor practice towards kala azar. Moreover, mortality and HIV/VL co-infection rate was among the highest. Health workers and other stake holders should join hands to adequately disseminate information to the community to actively participate in the sphere of prevention