Browsing by Author "Fantahun, Addishiwet"

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    Assessment of Health Related Quality of Life and Associated Factors Among Adult Patients With Epilepsy in Gamo Zone, Southern Ethiopia, 2023.
    (Addis Ababa University, 2023-12) Zewdu, Frehiywot; Alemu, Wudma; Fantahun, Addishiwet
    Background: Epilepsy has significant negative effects on a person's physical, psychological, and social well-being (Health Related Quality of Life). Education level, seizure type, seizure frequency, stigma, living situation, monthly income, medication adherence, side effects of antiepileptic drugs, and co-morbidity of mental disorders all significantly affect the quality of life of epilepsy patients, according to different studies. Objective: To assess Health Related Quality Of Life and associated factors among adult patients with Epilepsy in Gamo Zone, Southern, Ethiopia, 2023. Method: Institution based quantitative cross sectional study conducted on 252 participants from Feb 27 to Mar 27, 2023, at selected public hospitals. A simple random sampling technique was employed to select the required number of epileptic patients attending public hospitals in the Gamo Zone. Logistic regression model was used to identify the predictor’s health-related quality of life. The significant cut point was set to p-value < 0.05 at 95% CI. Result: From 259, a total of 252 epileptic patients participated in this study with the response rate of 97.2%. The mean total score of QOLIE-31 was 59.56 (SD=16.70). The highest mean (SD) score was the Cognitive function, 70.32 (SD=20.49) and the lowest was Seizure worry subscale, 42.2 (SD=23.95). 114 (45.2%) of the respondents scored below the mean in overall HRQOL. Factors associated with poor quality of life includes taking medications once per day [AOR=0.04; 95%CI (0.00-0.91)], having comorbid mental disorders [AOR: 4.53; 95% C.I (1.89- 10.86)] and encountering side effect of medications [AOR: 3.63; 95% C.I (1.74-7.55)]. Conclusion and Recommendation: HRQOL mean score of people living with epilepsy in Gamo Zone is low. Taking medications once per day, having comorbid mental disorders and experiencing adverse effect of medications associated with quality of life. This study recommends for health professionals, to improve the quality of life for epileptic patients, early detection of co-morbid mental disorders like depression and anxiety in those with epilepsy should be of utmost importance.
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    Prevalence and Associated Factors of Postpartum Depression Among Mothers Attending Public Health Centers Of Addis Ababa, Ethiopia, 2016
    (Addis Ababa University, 2016-05) Fantahun, Addishiwet; Cherie, Amsale (PhD)
    Background: Mental health problems in mothers can lead to increased maternal mortality and morbidity. Postpartum depression (PPD) explains a various groups of depressive symptoms and syndromes that take place during the first year following birth. Objective: To assess the prevalence and associated factors of postpartum depression among mothers attending public health centers of Addis Ababa, Ethiopia, March 2016 –April 2016. Methods: Facility based cross sectional study design was conducted among 633postpartum women. Simple random sampling technique was used to select four sub cities from the 10 sub cities of Addis Ababa. Secondly, 10 Health centers were selected by a lottery method. The numbers of women included in the study were determined using proportion to size allocation technique. Then the study participants from each health center were selected by simple random sampling. The Edinburgh Postnatal Depression Scale (EPDS) was used at a cutoff point >13 to detect depression. Descriptive statistics and logistic regression were used. Result: 144(23.3%) of participants had postpartum depression .Those respondents who had previous history of postpartum depression [AOR=4.41(95% C.I: 2.4-8.3)], domestic violence [AOR=3.1 (95% C.I: 1.6-5.9)], and unplanned pregnancy [AOR=3.0 (95% C.I: 1.7-5.2)] had a higher odds of postpartum depression compared to their counterparts. Unmarried [AOR=2.8(CI: 1.4-5.4)], who had problem in income, [AOR=2.3 (95% C.I: 1.3-4.0)], who had previous history of child death [AOR=3.5(95% C.I: 1.4-8.8)] and who used substance during pregnancy [AOR=4.9(95% C.I: 1.1-21.3)] were more likely to be depressed. Dissatisfaction in marriage [AOR=2.9(95% C.I: 1.5-5.6)] and delivery without the presence of any relatives in the health facility [AOR=3.5(95% C.I: 1.5-8.0)] had association with postpartum depression. Conclusion and Recommendations: Postpartum depression is a common mental health problem at the postpartum period. By revealing the prevalence and factors that determine postpartum depression this study recommended interventions like Integration of mental health service with existing maternal health care and Inter sector collaboration between women’s affair and health institutions to prevent Postpartum depression in Addis Ababa Public Health Centers. Key words: - Depression, Maternal mental health and Postpartum Depression