Browsing by Author "Mandesh Alemnesh"

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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
    Background: Exclusive breastfeeding is the best and cost effective intervention to preventchildhood morbidities and mortalities. It prevents 13% of childhood mortality; i.e, at least1.2 million children worldwide would be saved every year. Globally not more than 35% ofinfants are exclusively breastfed. In developing countries 38% of infants less than 6 months oldare exclusively breastfeed. While in Ethiopia approximately half (52 %) of infants less than sixmonth old are exclusively breastfeed. Objective: The objective of this study was to assess exclusive breastfeeding practice andassociated 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, 2015to May 7, 2015. Simple random sampling technique was applied after taking all registeredmothers who have infants less than 6 months old from local health extension workers of eachkebele. 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 multivariatelogistic regression analyses were used to identify factors associated with exclusive breastfeedingpractice. Result: Prevalence of exclusive breastfeeding was 50.1% [95% CL: 45.22%- 54.98%]. Motherswith young infant (0-1month) [AOR=3.858(1.642, 9.067)], unemployed [AOR=3.008(1.459, 6.202)], 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 prelactalfood [AOR=4.4832(1.823, 11.028)] and supported by husband [AOR=2.686 (1.037, 6.953)] weremore likely to practice EBF than their counterparts. Conclusion and recommendations: Prevalence of exclusive breastfeeding practice in study areawas 50.1%. Age of the child, maternal occupation, income, breastfeeding counseling duringANC, husband support of breastfeeding and colostrum feeding were independent predictors ofexclusive breastfeeding practice. Recommendations to increase exclusive breastfeeding practiceare revising post partum maternity leave, increasing health professional's habit of breast feedingcounseling through training, involving husband during counseling, educating mothers andcommunity 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
    Rehydration therapy was a critical intervention to save the lives of children during the episodesof diarrhea. However, millions of children die every year due to failure to replace fluideffectively.Globally, diarrheal diseases remain a leading cause of death. It estimates 1.87million each year,accounting for approximately 19% among children of under- five. Most of these deaths are dueto dehydration and mismanagement or delayed management of the disease.Therefore the mothers’ knowledge in management of diarrhea is likely related to its mortalityand morbidity. Nearly all dehydration-related deaths can be preventable by promptadministration of rehydration therapy. ORT is simple, inexpensive and the most effective way totreat dehydration. It can be easily administered at home by the mother /care givers as soon asdiarrhea episode begins.Universal use of oral rehydration therapy (ORT) for diarrhea could prevent almost 1.5 milliondeaths per year, or 15% of all under-five deaths. Objective: to assess the knowledge, practice of mothers (caregivers) towards ORS utilization forunder-five children with acute diarrheal disease in Assela town. Method: Community based quantitative cross-sectional study were conducted from March toApril, 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 analyzedusing SPSS version 20. Descriptive statistics(frequencies and proportion) were used to describethe study population in relation to relevant variables Sample size – Data were obtained from 390 care givers yielding a response rate 100%Sampling ResultThe study finding revealed that out of 390 caregivers 182 (46.7%) had good knowledge aboutORS utilization for acute watery diarrheal disease case management while, 208 (53.3%) of caregivers had poor knowledge. In other hand 41 (10.5%) of care givers had good practice on casemanagement 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 ofdiarrhea. However, several gap existed between knowledge and practice of mothers in managingthe disease. The high knowledge revealed in this study had not influenced the practice of mothersin 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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    Assessment of Nurses Knowledge Practice and Associated Factors Towards Pediatrics Palliative Care of Nurses Working at Selected Hospitals in Addis Ababa, Ethiopia
    (Addis Ababa University, 2014-06) Mandesh Alemnesh; Gebre Kida
    To provide quality pediatric palliative care at the end of life or with life threatening illness,nurse must have good knowledge and practice about pediatric palliative care . Palliative care isapproach that improves the quality of life for children and their families facing the problem.Palliative care is new and specialized field for nurses, very little is known about the type ofservices offered and the readiness of the nurse to provide palliative care. Knowledge andcompetences of optimal pain assessment and management at the end – of life enhances nurse’spractical knowledge. Knowledge of palliative care is essential for nurses, especially inpediatrics’, where palliative care is less common than with adults. Objectives: Assessment of nurses’ knowledge practice and associated factors towards pediatricspalliative care of nurses working at selected Hospitals in Addis Ababa, Ethiopia. Material and methods: A cross sectional quantitative study design was carried out on 252nurses working in selected hospitals of Addis Ababa. For qualitative study FGD was conductedin three groups, one group contains 6-8members. The study was conducted from November toJune 2014. Five governmental and two nongovernmental hospitals was selected. These hospitalsselected because they admit children of different age for care and treatment. Palliative Care Quizfor Nursing (PCQN) and practical questions tools from African palliative care Association/palliative outcome scale for Africa was used. EPI-INFO and SPSS soft ware statistical packagewere applied for data entry and analysis .P-value less than 0.05 were considered as statisticallysignificant Result: The response rate was 252 (98.8%) of the total 249 respondents. Out of total studyparticipants only 37(14.8%) had good knowledge toward pediatric palliative care. Bachelor andMaster level of education were significantly associated with knowledge of pediatric palliativecare. Training on palliative was significantly associated with knowledge of nurses towardspalliative care. Concerning their knowledge aspect practice more than half 243(97.5 %) of therespondent had poor knowledge aspect of practicetowardspediatricpalliative care and 190 (76.3%) initiatepediatricpalliativecarediscussiontothefamilyduringdiagnosis.148(59.4%), inform to the family their child’s terminal stage illness. Age, sex year ofworking experience pediatric ward had significant association with knowledge aspect practice ofpediatric palliative care. Conclusion and RecommendationThe finding of this study show nurses participated in this study had poorknowledge (85.2 %) andknowledge aspect practice (97.5%) had poor towards pediatric palliative care. Therefore pediatricpalliative should be integrated in to the national health policy and incorporate in nursingcurriculum .Training should also be delivered in this field to nurses in hospital. Key words: Addis Ababa, knowledge, nurse, palliative care, pediatrics and pract
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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
    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 andmidwives 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 andmidwives 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, meanscore, 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 halfby half result were found, means the new method (BPR) couldn’t bring a significant change onnurses and midwives job satisfaction. Also half of the respondents were planned to learn out ofnursing science in the coming five years because of hate of organizational affiliation towardsnurses. This may cause shortage of experienced nurses and midwives which is a global problemnowadays. Conclusion: The study in this regard showed that a lot has to be done in the future to avert thissituation. To this end, it should receive special managerial attention by finding out possiblestrategies, to strengthen predictors of intention to remain employed and upgrading theirknowledge 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 systemfor 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
    Introduction: The double burden of malnutrition in developing countries is a challenge to peoplehealth. 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 inadulthood. Obesity in children is increasing worldwide. More than 10 percent children 5 to 17years of age is obese. Objective: The overall purpose of this study was to determine the prevalence of childhoodoverweight, obesity and its associated factors in elementary school children of Dire Dawa townEastern 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 bymultistage sampling. Data was collected using pre-tested self-administered questionnaires, face toface 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 withchildhood 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 ofoverweight 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 amongprivate 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 inactivityor not engaging in vigirous sport exercise (AOR=3.83, 95%CI: 1.50, 9.80) , sedentary life stylelike 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 closefriends(AOR=2.98, 95%CI: 1.43, 6.24). Conclusion and Recommendations: One out of seven children were overweight and one out ofseventeen were obese.Therefore more attention should be given to this childhood problem at eachlevel 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 sedentarybehavior through school and public media and other methods should be given emphasis. Keywords: Obesity, Overweight, Children, Dire Dawa, Ethiopia