Browsing by Author "Negussie Taffa"

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    Does Community-Based Distribution (CBD) of Pills increase the Contraceptive Prevalence rate? A Comparative Study Between CBD and Non-CBD Areas in Central Tigray, Northern Ethiopia.
    (Addis Ababa University, 1997-12) Tsegay Legesse; Negussie Taffa; Yemane Berhane
    A retrospective cohort study was undertaken to assess the effectiveness of Community-Based Oistribution (CEO) of Family Planning services as a strategy to increase Contraceptive Prevalence rate (CPR) in Central Tigray. Thirty "Tabias" each from the CBO and the non-CEO areas were chosen; 683and 676 panicipants from CEO and non-CBO areas respectively were interviewed. Men and women panicipated in the study were 672 and 687respectively.The CPR was fOllnd to be [4.4% in CBO and 4.4% in non-CEO areas (OR = 3.67; 95% CI = 1.88/ 5.7). Eighty nine percent of the women in CBO and 82.7% in non-CBO areas (OR = 1.70; 95 % CI = 1.07, 2.7), and 94.1 %of the men in CBO areas and 87.5 % in non-CBO area (OR = 2.26; 95 % CI= 1.26, 4. I) knew at least one method of modem contraception. Similarly,87.3% of women in CEO areas and 79.5% in non-CBO areas (OR = 1.77;95% CI = 1.15, 2.73), and 92.9% of the men in CBO area and 84.8% of men in non-CBO areas (OR= 2.33; 95% CI = 1.4, 4.0) approved the use of family planning. Among the current non-users who knew about modem contraceptives,86.4% of the women in CBO and 80.5% in non-CBO areas had a future intention to use them. Reasons for non-use in both groups were need for more children, lack or low knowledge, and naturally spacing. Reason for dis continuation of modem contraceptives use in CBO areas were need to get pregnant, lack of method choices, and health concerns. With these findings we coneiude that CBO was effective in raising knowledge, positive attitude towards FP and CPR. We recommend that the CBO program has to be strengthened and extended to other villages of the region. IEC with emphasis on mechanisms to encourage inter-spousal communication about FP should be expanded and adequate method mb: es must be available to CBO agents cognizant to their level of training.
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    Malaria in Pregnancy in Three Woredas of East Shoa.
    (Addis Abeba Universty, 1994-05) Negussie Taffa; Ahmed Ali
    A cross-sectional, community based study of malaria was conducted from September-December 1993 , in an un stable malaria endemic area in Eastern Shoa , Ethiopia, to determine the prevalence and document the clinical features and treatment responses in pregnant and non pregnant women. A total of 1,767 women were studied. Ninety (11.3%) pregnant and 63{6.6%) non pregnant women were found to have malaria parasitemia (P=O.OOl). The rate in primigravidae was higher than in multi gravidae, 212(12.24%) and 31 4{11 .4%) respectively, though the difference was not statistically significant. Over all Plasmodial prevalence showed 49.7% Plasmodium v i vax and 50.3% Plasmodium falciparum. Mean gestational age o f the pregnant women was 21.09± 10.2 weeks with Peak malaria parasitemia around mid pregnancy. Majority of cases were symptomatic during diagnosis and symptoms were not different between pregnant and non pregnant. Conjunctival pallor was more documented in pregnant than in non pregnant (OR = 3.04, 95% CI.1.47,6 . 33). Mean haematocritin the pregnant was 30.3± 4.6% and 33.4± 6.8% in the non pregnant (P= 0.000 1) . Primigravidae showed lower haematocrit values a nd higher mean parasite counts when compared to multigravidae (P =0.03 and 0.06 respectively). Mean asexual malaria parasite count was 6, 561± 5,259/micro litter of blood and 4,598± 4,275/micro litter of blood in pregnant and non pregnant respectively (P= 0.01). Clinical responses in both groups were not significantly different. Findings are discussed and recommendations made regarding future studies.