Browsing by Author "Mekonnen, Hussen (PhD)"

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    Assesment of Gestational Weight Gain and Associated Factors Among Hiv Negative and Hiv Positive Women in Addis Ababa, Ethiopia, 2017
    (Addis Ababa University, 2017-06) Seifu, Benyam; Mekonnen, Hussen (PhD)
    Background: Gestational weight gain (GWG) is increase in weight of pregnant women from conception to delivery. It is an important factor that supports optimal outcome for mothers and their infant. The risk of inadequate GWG among HIV positive women is higher as HIV increases both energy requirements and the risk of under nutrition. Nonetheless, comparative data on gestational weight gain and its determinants among HIV negatives and HIVpositives are scarce. Objective: The objective of this study was to assess and compare gestational weight gain and its associated factors among HIV positive and HIV negative women in Addis Ababa.2017 Methods: Institutional based comparative cross-sectional study wasemployed from April 2 – March 31, 2017 GC in Addis Ababa Ethiopia.558 study participants (372 HIV negative and 186 HIV positive women) were selected.Data was entered into Epi Data version 3.1 and exported to SPSS version 22 for analysis. Binary and multiple logistic regressions used to identify associated factors with the outcome variable. Texts, tables and graphs were used for descriptive statics. Results: overall 549 eligible women participated in the study making 98.4% response rate. The study finding reviled that the prevalence of GWG among HIV negative and HIV positive women is low (30.7% and 26% respectively). This difference has no statically significance in chi-square analysis. Factors associated with GWG among HIV negative women are family monthlyincome in USD [AOR=4.35,95% CI(1.75-10.7)],Knowledge of fruits are main food type [AOR=2.84,95% CI(1.5-7.6)], hours engaged in typical activity for less than two hours and for three to four hours in typical day [AOR=1.32, 95% CI (1.06-3.49)],[AOR=4.65, 95% CI (1.76- 12.29)] and early pregnancy BMI [AOR=13.9,CI 95% (4.26-45.87)] while women who had no formal education[AOR=3.16 95% CI=(1.25-8.86)] andwomen whose family monthly income was less than 50USD. [AOR=3.91, 95% CI=(1.02-15.2)] were the associated factors to GWG among HIV positive women. Conclusion and recommendations: The prevalence of adequate GWG among HIV negative and HIV positive women is low, the probability of adequate GWG among HIV positive women is much lower. Associated factors among the two groups are different with the exception of monthly income. So the two groups should be treated differently and different measures should be taken in order to increase the prevalence of adequate GWG according to IOM. Key words: Gestational weight gain, HIV, Pregnancy
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    Assess Quality of Antenatal Care Services in Rural Health Centers in Bursa Woreda, Sidama Zone, Southern Nations Nationalities People’s Region, Ethiopia, 2014
    (Addis Ababa University, 2014-06) Tesfaye, Tamirat; Mekonnen, Hussen (PhD)
    BACKGROUND:-The maternal mortality ratio in Ethiopia is strikingly high. One of Key interventions to reduce maternal deaths is the promotion of ANC. ANC plays an important role in reducing maternal mortality and morbidity by detecting early risk factors in order to have an effective intervention in time and by linking the pregnant women to a planned delivery with a skilled birth attendant. However, studies have shown that there are many missed opportunities for care, both because of client and health system related factors. OBJECTIVE:-To assess the quality of antenatal care services in rural health centers in Bursa woreda from March-April, 2014. METHOD:-The facility based cross- sectional study was conducted in rural health centers in Bursa woreda. Antenatal follow up women’s was interviewed about perception on satisfaction towards quality of antenatal services, by using structured questionnaires (n= 290). Twenty-four antenatal care provider client sessions was observed by checklist. Simple observation using checklist was made for availability of resources necessary for antenatal care. Finally data was coded, cleaned, entered using EPI-6 and was analyzed using SPSS statistical software for windows. RESULTS: - The study showed that overall satisfaction of client was low as 33%. The likelihood of satisfaction from ANC service was lower among women secondary and above of education level [AOR = 0.14, 95% CI = (0.03-0.78)]. The study also illustrated that higher proportion of health providers did not provide danger sign counseling, advice and information related to complication of pregnancy. Although all the health centers have basic structural medical equipments, none of them has laboratory equipments and high-level disinfection process Conclusions and Recommendation:-Overall satisfaction of ANC is low. However, for all of them ANC clients were not performed likes (hemoglobin, blood grouping and Rhesus factor, VDRL for Syphilis and urine analysis) and harmful habits likes (smoking, drug abuse &alcoholism, side effects of medicines during pregnancy, breast-feeding, and baby vaccination). Satisfaction from the ANC service in the health centers is very low, and should be stressed health providers and woreda health office to do better for client’s satisfaction. Keywords: - Quality, Antenatal care, services, Bursa
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    Assessement of Knowledge, Attitude, Practice and Associated Factors Towards Hepatitis B Prevention Among Patients Coming To Public Hospitals in Addis Ababa, Ethiopia
    (Addis Ababa University, 2017-06) Seifu, SelamawitT; Mekonnen, Hussen (PhD)
    Background: Hepatitis B is the most common serious liver infection in the world. Hepatitis B infection is caused by the hepatitis B virus which attacks the liver and can cause both acute and chronic disease and puts people at high risk of death from cirrhosis and liver cancer. Hepatitis B infection is one of the major public health problems and is the tenth leading cause of death. Objectives: The aim of this study was to assess knowledge, attitude, practice and associated factors towards hepatitis B prevention among patients coming to public hospitals in Addis Ababa, Ethiopia, 2017. Method: Health Institution based, cross-sectional study design was conducted from March to April 2017. A total of 422 patients were selected by random sampling method from public hospitals in Addis Ababa, Ethiopia. Data was collected based on interview administered pre tested structured questionner. Descriptive analysis was done and level of knowledge, attitude and practice was determined based on the mean value of questions asked and bivariate and multivariate regression for analysis of relation between dependent and independent variables. The data was checked for its completeness manually and then entered in EPI DATA version 3.1.1 and analyzed using SPSS version 22 statistical software package. Confidence interval 95% and P-Value < 0.05 Result: From the total of 422 study participant the response rate was 396 (94%). Almost half of the respondents had a poor knowledge 197(49.7), negative attitude of 190(48%) and poor practice 266(67.2%). unemployment [AOR=0.236, [0.075,0.756] and housewife [AOR=0.284, [0.102,0.794] less likely associated with good knowledge, Monthly income [AOR=2.123, [1.022, 4.409] more likely and educational level less likely [AOR=0.235, [0.068, 0.812] with positive attitude and marital status more likely (AOR= 3.409, 95% CI [1.380,8.422] with good practice. Conclusion: Results from this study showed that poor knowlegdge, Negative attitude and poor practice of patients towards HB. nearly half of the respondents had poor knowledge and more than half are with poor practice. Therefore, extensive health educational campaign should be provided to general population and especially to patients coming to public hospitals. Key Words: Knowledge, Attitude, Practice, Hepatitis B, Patients, Prevention, Addis Ababa
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    Assessment Knowledge and Experience of Preconception Care Among Pregnant Mothers Attending Antenatal Care in West Shoa Zone Public Health Centers, 2016
    (Addis Ababa University, 2016-05) Gezahegn, Andualem; Mekonnen, Hussen (PhD)
    Introduction: Preconception care is <> or it could be described as the entire range of measures designed to promote the health of the expectant mother and her child prior to pregnancy. Methods: A cross-sectional study was conducted from march 1st to 31st 2016 in selected health facilities of West Shoa Zone, Oromia. Six hundred thirty four study participants were included in the study. The sample size was assigned to each health facility proportionally. Study subjects were selected by systematic random sampling technique. An interviewed structured questionnaire was used to collect information. Bivariate and Multivariate Logistic regression was used to identify factors associated with knowledge and experience pregnant mothers towards preconception care. P- value<0.05. Result: Six hundred thirty four participants with 100% response rate were involved in the study. Of these,232(36.6%) had poor knowledge and only 242(38.2%) had experience towards preconception care. having information on preconception care was associated with knowledge on prenatal screening (AOR=0.27 CI of 95% (0.17,0.42)). consideration of benefits of preconception care to couples was significantly associated with experience of preconception care AOR=2.308 CI of 95% (1.082, 4.923). Conclusion: More than one third of the study participants were not knowledgeable and more than half of them had low experience on preconception care utilization. The information to be provided to the pregnant mothers was a foundational step for improving delivery and uptake of PCC. Further study is recommended. Key words: Barrier, preconception care, under utilization, west shoa zone
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    Knowledge and Attitude of Nurses Towards Childhood Autism at Selected Governmental Hospitals Addis Ababa, Ethiopia, 2016
    (Addis Ababa University, 2016-06) Tasew, Salem; Mekonnen, Hussen (PhD)
    Background: Autism is a neuro developmental disorder which occur in early childhood period and it is characterized by altered social interaction, communication problem, repetitive, and stereotyped behavior. Objective: To assess knowledge and attitude of nurses towards childhood autism at selected governmental hospitals in Addis Ababa, Ethiopia, from March to June 2016. Methods: Hospital based cross-sectional study design was used. Sample size was calculated by using single population proportion sample formula and the final sample size was 360. Final study subjects were selected by using systematic random sampling method. Data were collected using structured self-administered questionnaires and it was coded and entered to Epi-data version 3.1and exported to SPSS version 21 for analysis. Descriptive statistics such as frequency and percent was carried out and analysis of variance was carried out to compute the association between the dependent and independent variables. P-value less than 0.05 at 95% CI was indicated presence of association between dependent and independent variables. Then turkey post-hoc testing was carried out to identify the significant of group mean difference. P-value less than 0.05 at 95% CI was indicated presence of significant mean difference between dependent and independent variables. Independent t test was also done to see the association between dependent variables and independent variable with two means Result- The mean score for knowledge related question was 8.79 ± 0.44. .In this study out of 331 nurses 180 [54.35 %] had good knowledge, Age of respondents [F-Ratio = 2.8, P-value = 0. 04], level of education [F-ratio = 13.97, P–value = 0.000] and work experience [F-Ratio = 3.07 P– value = 0.017] had significant association with knowledge of nurses towards childhood autism. Regarding attitude of nurses 178(53.8 %) and have favorable attitude. Conclusion and recommendation- knowledge deficiency was found in this study which could deprive the quality of care that is given for autistic children. This result can be taken as the predictor of the need to improve knowledge and attitude of nurses towards childhood autism, which could ultimately enhance the quality of care that is given to autistic children. Key word-Autism, knowledge and Attitude
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    Knowledge and Practice Assessment of Active Manegement Third Stage of Labor Among Obstetric Care Providers At Selected Government Hospitals in Addis Ababa, Ethiopia 2017
    (Addis Ababa University, 2017-06) Bezabih, Etagegn; Mekonnen, Hussen (PhD)
    Back ground: The third stage of labor is considered to be the most hazardous stage for the birthing woman due to the risk of profuse hemorrhage. Over 90% of women who die of postpartum hemorrhage, the most important cause is uterine atony, there is severe lack of knowledge, skill and practice among attendant at birth needs toward the third stage of labor, as well as access to required supplies and equipment Objective: To assess the Knowledge and Practice of Obstetric Care Providers on active management third stage of labor at selected government hospitals in Addis Ababa, Ethiopia 2017. Methods: Institution based cross sectional study design was conducted from March to April 2017 among Obstetric Care Providers at selected government hospital in Addis Ababa, Convenience sampling method were carried out. The questionnaires have closed ended questions and which covers socio demographic information, knowledge, and practice of obstetric care providers on active management of third stage of labor. It was in English language and completeness checked, coded and entered into Epi-Data version 3.1 and analyzed using SPSS version 22. Confidence interval 95% and P-Value 50% Result: From the total of 136 participants the response rate was 135(99.3%). 90(66.7%) had overall good knowledge. qualification of the respondents was significantly associated to knowledge; interns are 5.5 times more likely knowledgeable than residents. were as Sex is significantly associated with practice. Females are 2.56 times more likely associated than males Conclusion: Results from this study showed poor Knowledge and practice of obstetric care providers towards AMTSOL. Almost half of the respondents had poor knowledge and more than half are with poor practice. Therefore, extensive training and supervision should be provided to all obstetric care providers especially those who have done at labor and delivery unit to public hospital Key words: Active Management Third Stage of Labor, Knowledge, Practice, Obstetric Care Providers
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    The Prevalence of Stunting and Associated Factors Among Children Age 6-59 Months At Mizan-Aman Town, Bench Maji Zone, Snnpr Region, Ethiopia, 2015
    (Addis Ababa University, 2015-06) Ayalew, Ermias; Mekonnen, Hussen (PhD)
    Introduction:-Stunting remains a problem of greater magnitude than underweight or wasting, and it more accurately reflects nutritional deficiencies and illness that occur during the most critical periods for growth and development in early life. Stunting in early childhood results in diminished cognitive and physical development, which puts children at a disadvantage for the rest of their lives. Most studies indicated that stunting is associated with low socio-economic status, low educational level of parents, poor water supply and sanitation, and high infectious diseases burden. Stunting is one of the most important public health problems in Ethiopia. Objectives: - The study was aimed to assess the magnitude of stunting and associated factors among under five children in Mizan-Aman town, Bench Maji Zone, SNNPR Region, Ethiopia. Methods: - A community based cross-sectional study was conducted by simple random sampling technique with sample size of 734 6-59months children. Interviewer administered structured questionnaires was used to collect data. The data was entered using EPI INFO version 7.0.9.34 2014 and analysis was done by SPSS version 22 and ENA for SMART, 2011 software. Bivariate and multivariate logistic regression analysis was used. The variables which had significant association were identified on the bases of P value.≤0.05 and 95%CI Result: - In the study, 35.4% (34.6%-36.3%; 95% C.I) 6-59 month children were stunted. Of the total number of stunted children, 138 (53.1%) were male children. Children within age group 24-35 months (AOR=2 .29:95%Cl: 1 .10, 4.82), children whose mothers had no education (AOR=5.38; 95%CI: 2.27, 12.77), low income households (AOR=3.92; 95%Cl: 2.546.06), children who had small size at birth (AOR=2.1O; 95%Cl: 1.13, 3.93), having 4 and above birth order (AOR=2.32; 95%Cl: 1.28, 4.21), children who had breast feed for more than 24 months long (AOR=2.49; 95%Cl: 1.03, 6.00) and mothers not used cup to feed children (AOR=2.08; 95%CI1 05, 4.15) were more likely to be stunted. Conclusion: - Stunting was a highly prevalent problem ¡n the study area and child’s age. Mother’s education, household income, birth order, Size at birth, duration of breast feeding and cup feeding were found to be associated factors of stunting. There is need for linking nutrition interventions and social protection programm in Mizan-Aman town. Key Words: Stunting, Anthropometric index