Browsing by Author "Gebremichael, Bereket(MSc, Ass’t Professor)"

Now showing 1 - 2 of 2
  • No Thumbnail Available
    Item
    Prevalence of Neonatal Hypothermia and Associated Factors at Delivery Ward in Public Hospitals of Addis Ababa, Ethiopia 2020.
    (Addis Abeba University, 2020-06) Alemayehu, Mahelet; Gebremichael, Bereket(MSc, Ass’t Professor); Mulugeta, Feven (MSc)
    Background: Globally the prevalence of hypothermia at hospital level ranges from 32% to 85% even in tropical environments. Hypothermia is associated with a nearly fivefold increase in mortality during the first 7 days of newborn life. For that reason, addressing neonatal hypothermia might bridge achievement of the 2030 development agenda, which is reducing neonatal mortality to at least as low as 12 deaths per 1000 live births by ending preventable neonatal death. Objective: The main aim of this study was to assess the prevalence of neonatal hypothermia and associated factors in public hospitals of Addis Ababa, Ethiopia 2020. Methodology: Institutional based cross sectional study was conducted among 377 new born with in six hours of delivery at labor ward, in representative randomly selected public hospitals from April 1 st 2020 to May 12, 2020 in Addis Ababa, Ethiopia. Simple random sampling technique was used to select four public hospitals. To select study participants systematic random sampling techniques were utilized. Data were collected by using pretested, structured questionnaire through face to face interview with the mother. Additional data were collected by direct observation and from mother chart review by using checklist. The collected data was entered using Epi data version 4.6 and exported to SPSS version 24 for analysis. Variables that have P-value <0.25 were entered in to multivariable logistic regression model to control for confounder. Statistical significance was declared at p-value ≤0.05. Odds ratio with 95% CI is used to determine the direction and strength of association. Result: The prevalence of neonatal hypothermia in the study area was 63.4% [95% CI:58.6%, 68.2%]. Temperature of the delivery room <=24 o c (AOR=5.5, 95%CI: 2.4,12.55), night time delivery (AOR=4.07, 95%CI: 2.02, 8.2), drying by non-pre-warmed towel (AOR=6.9, 95%CI: 2.09,22.9), newborn head not covered by hat (AOR=3.6, 95%CI: 1.62, 8.01), number of ANC <=4 visits (AOR=2.08, 95%CI: 1.03, 4.2), not initiate breast feeding within one hour of birth (AOR=3.11, 95%CI: 1.39, 6.98) and age of the newborn <=2:59hr (AOR=3.58,95%CI: 1.57, 8.13) were factors associated with neonatal hypothermia. Conclusion and recommendation: Prevalence of neonatal hypothermia in Addis Ababa public hospitals is high. Therefore, implementing low cost and easy warm chain interlinked procedure for every delivery will have a paramount effect in reducing the problem.
  • No Thumbnail Available
    Item
    Survival status and predictors of mortality among under-five children with severe acute malnutrition admitted to stabilization center at Jinka general hospital, Southern Ethiopia.
    (Addis Abeba University, 2020-06) Chonka, Tamiru; Gebremichael, Bereket(MSc, Ass’t Professor); Wondwossen, Kalkidan(MSc )
    Background: Globally, nearly 49 million under-five children were wasted and 17 million were severely wasted in 2018.In Africa, about 13.8 million and 4 million children were wasted and severely wasted respectively. Severe acute malnutrition contributes to one million under five deaths each year which is about 45 percent of deaths in this particular age group. With the existence of functional Stabilization centers following standard protocol many developing countries continue to experience high mortality of children with severe acute malnutrition. Objective: To determine survival status and identify predictors of mortality among under-5 children with severe acute malnutrition admitted to Stabilization Center. Methods: A retrospective cohort study was employed among 388 under-five children with Sever Acute Malnutrition admitted to stabilization center at Jinka General Hospital between January 2017 and December 2019. The data was collected from randomly selected records from each year. Data was entered to Epi-Data and exported to SPSS Version 25 for analysis. The Kaplan Meier survival curve is used to estimate the cumulative survival time. Log rank tests were used to compare probability of hazard among variables. Bi-varaite and multivariate Cox proportional hazards models were used to identify predictor variables and variables having p value < 0.05 were considered as statistically significant. Result: Findings of this study showed that the overall survival times at 1st, 7th, 14th, 21st and 28th days were; 99.2%, 97.9%, 90.5%, 87.9%, and 86.6% respectively with mean length of stay of 12 days. Adjusting other variables children with edema were AHR 2.38, Tuberculosis (AHR 2.39), malaria (AHR 4) and anemia (AHR 3.12) times more likely to die than their counterparts. On the other hand, children treated with amoxicillin were 59% and mebendazole 84% more likely to survive than not treated. Conclusion: Death rate while being on treatment is high in this study area. But recovery rate, default rate and transfer rate are acceptable according pre-existing standard. Children having edema, malaria, anemia, Tuberculosis and being treated with amoxicillin and mebendazole were independent predictors of mortality.