Browsing by Author "Mandesh, Alemnesh(PhD)"

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    Assessment of Exclusive Breastfeeding Practice and Associated Factors Among Mothers in Motta Town, East Gojjam Zone, Amhara Regional State, Ethiopia, 2015
    (Addis Ababa University, 2015-06) Tewabe, Tilahun; Mandesh, Alemnesh(PhD)
    Background: Exclusive breastfeeding is the best and cost effective intervention to prevent childhood morbidities and mortalities. It prevents 13% of childhood mortality; i.e, at least 1.2 million children worldwide would be saved every year. Globally not more than 35% of infants are exclusively breastfed. In developing countries 38% of infants less than 6 months old are exclusively breastfeed. While in Ethiopia approximately half (52 %) of infants less than six month old are exclusively breastfeed. Objective: The objective of this study was to assess exclusive breastfeeding practice and associated factors among mothers who have infants less than six months of age in Motta town, East Gojjam, Amhara Regional State, Ethiopia, 2015. Method: Community based quantitative cross-sectional study was conducted from April 7, 2015 to May 7, 2015. Simple random sampling technique was applied after taking all registered mothers who have infants less than 6 months old from local health extension workers of each kebele. A total of 423 mothers with infant less than six month old were included in this study. The data was collected from all four Kebeles using interviewer admistered questioaire. Descriptive and inferential statistics were used to present the data. Both bivariate and multivariate logistic regression analyses were used to identify factors associated with exclusive breastfeeding practice. Result: Prevalence of exclusive breastfeeding was 50.1% [95% CL: 45.22%- 54.98%]. Mothers with young infant (0-1month) [AOR=3.858(1.642, 9.067)], unemployed [AOR=3.008(1.459, 6.2 02)], low income [AOR= 3.605(1.745, 7.451)], got breastfeeding counseling during pregnancy [AOR= 2.764 (1.522, 4.998)], fed colostrum [AOR=3.503(1.451, 8.452)], didn't give prelactal food [AOR=4.4832(1.823, 11.028)] and supported by husband [AOR=2.686 (1.037, 6.953)] were more likely to practice EBF than their counterparts. Conclusion and recommendations: Prevalence of exclusive breastfeeding practice in study area was 50.1%. Age of the child, maternal occupation, income, breastfeeding counseling during ANC, husband support of breastfeeding and colostrum feeding were independent predictors of exclusive breastfeeding practice. Recommendations to increase exclusive breastfeeding practice are revising post partum maternity leave, increasing health professional's habit of breast feeding counseling through training, involving husband during counseling, educating mothers and community as a whole to avoid traditional practices that hinder EBFup to six months. Key words: Exclusive Breastfeeding, Prevalence, Associated Factors, Motta, Ethiopia.
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    Assessment of Knowledge, Practice and Utilaization of Oral Rehayderation Therapy for Acute Watery Diarrhoeal Disease Case Management Among Mothers (CAREGIVERS’) of Under-Five Children in Assela Town, Ethiopia
    (Addis Ababa University, 2015-06) Eshete, Adanech; Mandesh, Alemnesh(PhD)
    Rehydration therapy was a critical intervention to save the lives of children during the episodes of diarrhea. However, millions of children die every year due to failure to replace fluid effectively. Globally, diarrheal diseases remain a leading cause of death. It estimates 1.87 million each year, accounting for approximately 19% among children of under- five. Most of these deaths are due to dehydration and mismanagement or delayed management of the disease. Therefore the mothers’ knowledge in management of diarrhea is likely related to its mortality and morbidity. Nearly all dehydration-related deaths can be preventable by prompt administration of rehydration therapy. ORT is simple, inexpensive and the most effective way to treat dehydration. It can be easily administered at home by the mother /care givers as soon as diarrhea episode begins. Universal use of oral rehydration therapy (ORT) for diarrhea could prevent almost 1.5 million deaths per year, or 15% of all under-five deaths. Objective: to assess the knowledge, practice of mothers (caregivers) towards ORS utilization for under-five children with acute diarrheal disease in Assela town. Method: Community based quantitative cross-sectional study were conducted from March to April, 2015. A convenient sampling technique was used to select 390 households that had under- five children with acute watery diarrhea two weeks prior to study. Data were collected using pre- tested structured questionnaire by trained data collectors. The data were entered and analyzed using SPSS version 20. Descriptive statistics (frequencies and proportion) were used to describe the study population in relation to relevant variables Sample size – Data were obtained from 390 care givers yielding a response rate 100% Sampling Result The study finding revealed that out of 390 caregivers 182 (46.7%) had good knowledge about ORS utilization for acute watery diarrheal disease case management while, 208 (53.3%) of care givers had poor knowledge. In other hand 41 (10.5%) of care givers had good practice on case management while, 349 (89.5%) of care givers had poor practice to manage the disease. Conclusion: The present study concludes that mothers had knowledge in the management of diarrhea. However, several gap existed between knowledge and practice of mothers in managing the disease. The high knowledge revealed in this study had not influenced the practice of mothers in managing the disease. Thus, there is a need for public health educational interventions. Keywords: Knowledge; Practice; ORS; Mother; Under-five Children; Manageme
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    A Comparative Study on Nurses and Midwives Job Satisfaction Between Functional and Business Processing Re-Engineering (BPR) Method of Organization in Hawassa University Teaching Hospitals, Snnpr, Ethiopia
    (Addis Ababa University, 2011-05) Kassa, Abdu; Mandesh, Alemnesh(PhD)
    Background: Job satisfaction is the affective orientation that an employee has towards their work. What makes a job satisfying or unsatisfying does not depend only on the nature of the job, but also on the expectations that individuals have of what their job should provide. Objectives: The main objective of this study is to compare levels of professional nurses and midwives job satisfaction and its determinants between functional and business processing re- engineering (BPR) method of organization in Hawassa university teaching hospitals, SNNPR, Ethiopia. Methods: Institutional based cross- sectional descriptive data was collected by using self- administered questioners complimented by focus group discussions from 122 nurses and midwives full time workers who were randomly selected via simple random sampling technique. Results: The analysis and interpretation of data was made using simple percentage count, mean score, and crude and adjusted odds ratio. Narrations of some qualitative data were also used. Concerning the findings of overall job satisfaction on both methods of organization almost half by half result were found, means the new method (BPR) couldn’t bring a significant change on nurses and midwives job satisfaction. Also half of the respondents were planned to learn out of nursing science in the coming five years because of hate of organizational affiliation towards nurses. This may cause shortage of experienced nurses and midwives which is a global problem nowadays. Conclusion: The study in this regard showed that a lot has to be done in the future to avert this situation. To this end, it should receive special managerial attention by finding out possible strategies, to strengthen predictors of intention to remain employed and upgrading their knowledge in nursing sciences, like employment practices that reflect moral integrity, incorporate clear communication systems, maximize employee involvement in decision-making, cohesive working relationships (cooperation with medical staff), appropriateness of the system for nursing, promote praise and recognition, and establish a shared vision and goals
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    Prevalence of Childhood Overweight, Obesity and its Associated Factors in Elementary School Children in Dire Dawa Town, Eastern Ethiopia 2016
    (Addis Ababa University, 2016-06) Desalew, Assefa; Mandesh, Alemnesh(PhD)
    Introduction: The double burden of malnutrition in developing countries is a challenge to people health. Childhood obesity is related to an increased risk of high blood pressure, diabetes, respiratory disease and orthopedic disorders during childhood as well as its adverse effects in adulthood. Obesity in children is increasing worldwide. More than 10 percent children 5 to 17 years of age is obese. Objective: The overall purpose of this study was to determine the prevalence of childhood overweight, obesity and its associated factors in elementary school children of Dire Dawa town Eastern Ethiopia. Methods: The study was conducted in Dire Dawa town of Eastern Ethiopia from March 1st to 30th, 2016. School based cross-sectional study design was applied. Participants were selected by multistage sampling. Data was collected using pre-tested self-administered questionnaires, face to face interview and weight and height measurements through trained eight data collectors. Data were coded and entered in epi-data version 3.1 and exported and analyzed using SPSS version 21. Bivariate and multivariate logistic regression models were used to identify factors associated with childhood overweight and obesity. Statistical significance declared at p-value less than 0.05. Result: A total of 448 children and parents pairs were included in the study. The prevalence of overweight and obesity was (14.7% with 95% CI: 11.70, 18.02) and (5.8% with 95% CI: 3.61, 8.00) respectively. Significant association with overweight and obesity was observed among private school (AOR= 3.44, 95% CI: 1.39, 8.49), high family socioeconomic class (AOR=16.88, 95%CI: 6.48, 23.97), sweet foods preference (AOR = 2.31, 95%CI: 1.04, 5.12), physical inactivity or not engaging in vigirous sport exercise (AOR=3.83, 95%CI: 1.50, 9.80) , sedentary life style like spent free time in viewing television (AOR=3.57, 95%CI: 1.62, 7.86) and play computer game (AOR=4.59, 95%CI: 1.37, 15.37) for more than 6 hours, sleeping habit in afternoon (AOR= 2.58, 95%CI: 1.00, 6.66) and not having close friends(AOR=2.98, 95%CI: 1.43, 6.24). Conclusion and Recommendations: One out of seven children were overweight and one out of seventeen were obese.Therefore more attention should be given to this childhood problem at each level of stakeholder. Collaboration of the health, education and NGO sectors should be initiated. Creating awareness of the community on healthy diet, physical activates and reducing sedentary behavior through school and public media and other methods should be given emphasis. Keywords: Obesity, Overweight, Children, Dire Dawa, Ethiopia