Browsing by Author "Ayalew, Yohannes( PhD)"

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    Challenge of Exclusive Breast Feeding Among Female Nurses and Mid-Wives in Government and Private Hospitals of Addis Ababa, Ethiopia, 2015
    (Addis Ababa University, 2015-06) Tafesse, Misrak; Ayalew, Yohannes( PhD)
    Background: Health care workers are important in the promotion, protection and support of breast feeding. Their ability to do this may be influenced by their knowledge, personal experiences and work. This study was to examine challenge of exclusive breast feeding among female nurses and mid-wives in government and private hospitals, Addis Ababa city. Objective: The main objective is to identify challenges for exclusive breast feeding among female nurses and mid-wives in selected government and private hospitals, Addis Ababa. Methodology: A hospital based cross-sectional study design used on a sample of 349 female nurses and mid-wives from April 13-May 11, 2015. Descriptive statistics and Bivariate and multivariate logistic regression were performed for possible association among variables. Odds ratios with 95% confidence interval were computed to determine the level of significance. Results: Exclusive breastfeeding among participant was found to be 23.5% being mid-wife (AOR=3.48 95% CI (1.22, 9.89), a women who gave birth through vaginal delivery AOR=0.289, 95%, CI (.09, 0.84) and resumption of work after 3 month (AOR=8.98 95% CI (4.00, 20.73) were independents associated with exclusive breastfeeding. Conclusion and recommendation: Though respondents had adequate knowledge on breast feeding, the practice of exclusive breastfeeding was low. Maternal profession, mode of delivery, the time before resuming work were factors associated with exclusive breast feeding. Appropriate education concerning breastfeeding, organizational support, directed at nurses and midwives is required to enhance EBF and duration of breastfeeding. Keywords: Exclusive breastfeeding, nurse and midwives, in Addis Ababa city
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    Prevalence and Factors Associated with Parental Traditional Medicine Use for Children in Motta Town, Amhara Regional State, Ethiopia, 2014
    (Addis Ababa University, 2014-06) Gualu, Tenaw; Ayalew, Yohannes( PhD)
    Background: Traditional medicine (TM) is the ancient and culture bound medical practice which existed in human societies before the application of modern science to health. Around 80% of Ethiopians relies on traditional medicines. Although some traditional medical practices in children are useful and contributing positively and need to be strengthen, some are harmful from the perspective of health. In Ethiopia, studies conducted so far are very limited and focused on adult TMPs. As a result, this study was conducted to assess the prevalence and factors associated with parental TM practice for children. Objective: The aim of this study was to assess prevalence and factors associated with parental traditional medicine use for children in Motta Town. Methods: Community based cross sectional study design was used. Data was collected using structured interviewer administered questionnaire. The study was conducted among 423 households selected using systematic random sampling method. Both descriptive and inferential statistics were used to present the data. Odds ratio, binary and multiple logistic regression were used to assess the relationship between dependent and independent variables. Result: It was found that 88.2% of parents had used TM for their children. The top therapies used were herbs 255(66.9%), religious therapies 201(52.8%), massage 87(22.8%), bone settler 83(21.8%) and TBA 50(13.1). Female sex [AOR= 2.66(1.11- 6.400)], educational level, easily accessibility of TM [AOR=2.97(1.42-6.18)], cheap price [AOR= 2.41(1.10-5.43)] and perceived effectiveness of TM [AOR= 2.48(1.21-5.08)] were associated with parental TM use for children. Conclusion and recommendation: There was high parental TM practice for children in this study (88.2%). Sex of the parents, educational status of parents, easily accessibility of TM, cheap in price and perceived effectiveness were associated with parental TM use. The integration of TM as part of modern medicine and controlling mechanism should be strengthen. Community education and further research on efficacy and safety of TM should also be done Key words: Predisposing Factors, Enabling Factors, Need Factors, Health Care Experience, Traditional medicine, Complementary and Alternative medicine, Motta, Ethiopia.
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    Prevalence of Timely Initiation of Breastfeeding And Associated Factors in First Time Mothers in Bahirdar,Amhara Regional State , North West,Ethiopia, 2016.
    (Addis Ababa University, 2016-05) Ayalew, Tilkisew; Ayalew, Yohannes( PhD)
    Introduction: Breastfeeding is recommended as proper infant and young child feeding practice that should be initiated within the first hour after birth. Early initiation of breastfeeding protects newborns from early neonatal mortality. Timely initiation of breastfeeding also known as early initiation of breastfeeding means babies are put on breast within one hour following delivery and ensuring that the infant receives the colostrums or ― first milk‖. It is one important intervention preventing childhood morbidities and mortalities. Globally, not more than 35% of infants are initiated with breastfeeding. In developing countries 39% of infants are initiated with breastfeeding early. In Ethiopia only 52% of the mothers practiced early initiation of breastfeeding. Prevalence of TIBF in Amhara Regional State in which Bahir Dar is the capital city is the lowest (38%) one compared to other regions of Ethiopia. Objective: The objective of this study to assess timely initiation of breastfeeding practices and associated factors among first time mothers who have infants less than six months of age in Bahir Dar city, Amhara Regional State, North West Ethiopia. Method: Community based quantitative cross-sectional study was conducted from March20, 2016 to April, 2016. Systematic random sampling technique was applied. A total of 400 mothers who have infant less than six month old were included in this study. The data was collected from all 9 sub cities using interviewer administered questionnaire. Descriptive and inferential statistics were used to present the data. Both bivariate and multivariate logistic regression analyses were carried out to identify factors associated with timely initiation of breastfeeding practice. Result: prevalence of timely initiation of breast feeding was 65%. On multivariate logistic regression, gender of infant being male, got breastfeeding counseling during ANC, place of delivery, mode delivery and supported by religious father of mothers were found to be associated with TIBF. Male babies were 2 times benefited than female babies [AOR 2.148(1.232, 3.745)] and mothers who got breastfeeding counseling during were also 2 times more initiate breastfeeding [AOR 2.163(1.187, 3.942) ] than those who didn‘t get. On the other hand mothers who gave birth at health institution were 8.6 times more to practice timely initiation of breastfeeding [AOR 8.639(2.089, 5.720)] than those of gave birth at home. Similarly mothers who were delivered by vaginal delivery were 4 times more practice timely initiation of breastfeeding [AOR 4.094(1.414, 8.728] than those who were delivered by C/s. Finally mothers who got religious father support were almost 2 times more practice timely initiation of breastfeeding[AOR 1.962(1.113, 3.458)] than those who were not supported. Conclusion and recommendations: prevalence of timely initiation of breastfeeding in the study area was 65%. Gender of infant, breastfeeding counseling during ANC, Birth place, mode of delivery and religious father support were independent predictors of timely initiation of breastfeeding practice. Strengthening timely initiation of breastfeeding and provision of antenatal care service to mothers specially those delivered by C/S is recommended. In addition, educating mothers both at community and institutional levels as well as strengthening health professionals‘ knowledge and skills on breastfeeding counseling through training could be the most important actions to be undertaken by concerned stakeholders. Keywords: Timely initiation Breastfeeding, First time mother.