Browsing by Author "Eyerusalem Getachew"

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    Comparative Analysis of Nutritional Status among 4 to 6 year old Preschool Children of Government and Private Schools in Lideta sub city, Addis Ababa
    (Addis Ababa University, 2023-10) Eyerusalem Getachew; Fantahun Admas
    The study aimed to assess the nutritional status of 4 to 6-year-old preschool children attending government and private preschools. Two schools were selected in Lideta sub-city by using simple random sampling technique and 30 students from government and 30 from private were also selected by using simple random sampling technique. Two data collection instruments; anthropometry measurement and questionnaire were used. Data, including height, weight, and BMI, were collected and processed using SPSS version 27. AnthroPlus software version 1.0.4, a user-friendly tool, assessed children's growth and nutritional status using standardized reference data. The analysis included descriptive stats (percentile and frequency) and inferential stats (regression and t-test), with the binary logistic model applied. Results from the anthropometry measurement reveals that more children in private schools fall within the normal weight category 25(83.3%) compared to government schools 21(70%). Private schools also have a more significant proportion of children with standard height 21(70%) than government schools 16 (53.3%). Similarly, more students in private schools have a normal BMI 28 (93.3%) compared to government school students 24 (80%). These findings indicate that children in private schools exhibit slightly better nutritional status concerning weight, height, and BMI when compared to their counterparts in government schools. Based on the data collected total monthly household income and fathers' employment status were identified as significant factors positively influencing nutritional status, particularly in weight-for-age, height-for-age, and BMI. However, it was observed that other variables, including the education level of mothers and fathers, the employment status of mothers, primary sources of parental nutrition knowledge, confidence regarding nutritional knowledge, and challenges related to providing a balanced diet, did not demonstrate a statistically significant impact on the nutritional status of children, as assessed by weight-for-age, height-for-age, and BMI measurements. On the other hand, there is no statistically difference in weight for age, height for age and body mass index (BMI) between governmental and private preschool. thus, it is recommended that future research focusing on nutritional status should incorporate a comprehensive analysis of nutrient intake. It would provide a more in-depth understanding of the factors influencing children's nutritional well-being, which can guide more targeted interventions and policies and should Conduct studies in a broader range of schools by Expanding the scope of research to encompass various school settings to conduct studies in a broader range of schools and expanding the scope of research to encompass various school settings.
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    Knowledge Attitude and Practice on Cervical Cancer and Screening among Reproductive health Service Clients, Addis Ababa, Ethiopia, 2015.
    (Addis Abeba Universty, 2015-06) Eyerusalem Getachew; Adamu Addisse
    Background: worldwide there is an estimated 493,000 annual cases of cervical cancer and273,500 annual deaths, women in developing countries account for about 85% of both its morbidity and mortality. To have early screening and early detection, having knowledge is important. Women with a better knowledge of cervical cancer were more likely to attend cervical cancer screenings. In Ethiopia practice of cervical cancer screening is below 1%. Objectives: The objective of this study was to assess the knowledge, Attitude and Practice on cervical cancer and screening among reproductive health service clients at health centers in Addis Ababa. Methodology: A facility based cross sectional study which contain quantitative and qualitative methods were conducted at 13 public health centers in Addis Ababa, from February toMarch2015. Totally 520 samples were taken For Quantitative study and a multi-stage sampling technique was employed to address the study subjects. Four focused group discussions were conducted among the clients in the qualitative part. Data was analyzed using descriptive statistics and logistic regression model was used to identify factors associated with the outcome variable and the result is presented using the OR with the corresponding 95% CI. The transcribed and translated qualitative data was coded using Open Code software. Then finally the codes were categorized and thematically described. Result: Over all knowledge of cervical cancer was 43.8% and knowledge of cervical cancer screening were 27% and 56% of participants had positive attitude towards cervical cancer screening. And over all practice of cervical cancer screening was 3.5%. Being knowledgeable of cervical cancer (AOR=5.0,95% CI;2.7-3.0) and source of information from health professionals (AOR= 1.8, 95% CI (1-3.2)) were found to be statistically significant towards knowledge of cervical cancer screening and Knowing someone diagnosed with cervical cancer (AOR= 2.1, 95 CI (1.2-3.4)) and being knowledgeable of cervical cancer (AOR=3, 95%CI (1.8-5.3)) were statistically significant predictors for positive attitude towards cervical cancer screening. Women who know someone diagnosed with cervical cancer (AOR= 3.2, 95% CI; 1.0-10.0) and source of information from health professionals (AOR =3.5, 95%CI; 1.2-10.2) were the significant determinants of cervical cancer screening practice. Conclusion and Recommendation: More than half of the participants were not knowledge able of cervical cancer and screening, however they had positive attitude. Cervical cancer screening practice was very low. Lack of knowledge, accessibility of services with affordable price and absence of gynecological signs were among common perceived barriers for not to under go cervical cancer screening practices. Service should be available and accessible with reasonable price to the clients and health education and awareness creation regarding cervical cancer should be in place.
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    The Provision of Maternal Health Service Accessibility for Women with Physical Disability: In the Case of EWDNA and Menelik Ⅱ Referral Hospital, Addis Ababa
    (Addis Ababa University, 2025-03-01) Eyerusalem Getachew; Adamnesh Bogale (PhD)
    This study explored the provision of maternal health services for WWPD, focusing on the challenges they encounter at EWDNA and Menelik II Referral Hospital. It assessed the experiences and perceptions of WWP, the quality of maternal healthcare, investigated the perceptions of ANC, PNC, and labor ward staff, and identified associated factors affecting maternal health service provision. Employing a qualitative research approach with a phenomenological design, the study utilized purposive sampling to select ten WWPD and five maternal healthcare providers. Data were collected through in-depth interviews, KII, and non participant observation, and subsequently analyzed using thematic analysis. The study revealed that the provision of maternal health services is hindered by infrastructural and facility-related barriers, including environmental inaccessibility, cramped examination and waiting rooms, a lack of accessible toilets, and the scarcity of mobility aids. Informational barriers, negatively impacting interactions between WWPD and healthcare professionals, and gaps in understanding disability rights were also identified. Furthermore, attitudinal barriers, including negative comments, the absence of formally structured postpartum maternity education, a lack of disability awareness among healthcare professionals, the absence of specialized equipment, and gaps in understanding the specific needs of WWPD were identified as factors affecting service provision. These findings suggest that healthcare professionals play a significant role in maternal health service provision. Therefore, disability awareness training should be conducted in conjunction with the provision of specialized equipment to address the specific needs of WWPD and improve service provision. Key words: Accessibility, Maternal health, Physical disability, Provision