Browsing by Author "Belachew, Ayele(MD, MPH )"

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    Assessment of Chronic Respiratory Symptoms and Lung Function Parameters among Large Scale Wood Factory Workers in Addis ,Abeba ,Ethiopia :A Comparative Cross-Sectional Study.
    (Addis Abeba University, 2019-10) Jabur, Belaynesh; Waluma, Samson(MSc, MPH, Ph.D); Belachew, Ayele(MD, MPH )
    Background: Occupational exposure to wood dust could cause numerous health problems including chronic respiratory symptoms and reduction of lung function parameters. However, information regarding prevalence of chronic respiratory symptoms and lung function parameters among large scale wood factory workers in Ethiopia is limited. Objective: The aim of this study was to assess prevalence of chronic respiratory symptoms, lung function parameters and associated factors among large scale wood factory workers in Addis Ababa, Ethiopia, 2019. Methods: An Institution based comparative cross-sectional study was conducted from February to April 2019. A total of 464 (232 wood workers and 232 Moha soft drink industry workers as control group) were included in the study. Chronic respiratory symptoms assessment was conducted in all participants from both groups while lung function test was conducted on 50 participants from each wood factory and soft drink industry. Stratified and simple random sampling was used to select wood workers and controls respectively.Chronic respiratory symptom was assessed using modified American Thoaracic Socity (ATS) questionnaire while lung function test was done using Easy on-pc spirometer. The data was entered in to a computer using Epi-data software version 4.4.2 then exported to SPSS version 23 and analyzed.Poisson regression, Multiple linear regressions and Multivariable logistic regression were performed. Results: In this study the prevalence ratio of overall chronic respiratory symptoms (PR = 2.17, 95% CI: 1.51–3.12) was significantly higher among wood workers (65.7%) compared to controls (23.3%).Moreover, sex, previous respiratory disease, not use of respiratory protective device and working department were associated with chronic respiratory symptoms. The wood workers had significantly lower FVC and FEV compared with controls. Conclusion: The wood workers had a higher prevalence of chronic respiratory symptoms and lower lung function parameters compared with controls, these reducing lung capacity.Therefore, respiratory protective devices should be provided to take preventive measures.
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    Relationship between postpartumdepression and infant feeding practice in kilte Awlaelo health and demographic surveillance site,eastern zone of Tigray, Ethiopia:2019.
    (Addis Abeba University, 2019-10) Weldu, Angesom; Belachew, Ayele(MD, MPH ); Yilma, Mengistu(MPH)
    Background: Optimal infant and young child feeding practices is a cornerstone of care for childhood physical and mental development and the most effective intervention to reduce infant morbidity and mortality. Infant feeding practice can be compromised by postpartum maternal mental health condition. Postpartum depression is a non-psychotic maternal mental disorder that occurs within one year of child birth. The aim of this study is to assess whether there is any difference in infant feeding practice among postpartum depressed and non-depressed mothers,the finding of which may help to design appropriate evidence based public health intervention. Objectives: To assess the association between postpartum depression and infant feeding practice in eastern zone of Tigray, Ethiopia, 2018/19. Methods: comparative cross-sectional study was conducted to examine the influence of postpartum depression on infant feeding practices among randomly selected 525 postpartum women and infants who resides in Kilite Awlaelo Health and Demographic Surveillance Site,northeast Tigray. Postpartum depression was assessed using self-reporting questionnaire-20 which was developed by World Health Organization and infant feeding practices was measured using modified questionnaire from United State Agency for International Development toolkit for monitoring and evaluation of breastfeeding practice based on 24hr recall and recall since birth method. A binary logistic regression analysis was carried out to determine the associations between postpartum depression and infant feeding practice by controlling potential confounders.Finally, variables with p-value ≤ 0.25 at bivariate analysis were included in the final model of multivariable logistic regression analysis. Results: Complete data from a total of 513 mothers was retrieved giving a response rate of 97.7%. The overall exclusive breast feeding rate was 160/293 54.6% (95% CI; 48.9%–60.3%).The overall of prevalence of appropriate complementary feeding practices was 14.1%(9.4%-18.6%).The overall odd of appropriate infant feeding was 1.7 times higher among mothers without postpartum depression (AOR= 1.71; 95% CI: 1.08-2.69). The odds of appropriate infant feeding among infants with birth order above three was 48% (AOR= 0.52; 95% CI: 0.28-0.97)less than those infants with birth order of three and below. Conclusion: low appropriate infant feeding practice was observed. Postpartum depression is an important contributor to appropriate infant feeding practice. Households with high monthly incomes and birth order above three were significantly associated with appropriate infant feeding practice. Recommendation: Based on the results of this study, routine screening of postnatal mothers and formulation of policies for integrating of postpartum depression into maternal and child health could mitigate the consequences of child undernutrition that could results from poor maternal mental health conditions.