Browsing by Author "Shiferaw, Solomon( MD,Mph, Ph.D)"

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    Assessment of suboptimal breast-feeding practice and associated factors, among mothers employed in the public sector, in Nefas silk lafto sub-city Addis Ababa,Ethiopia.
    (Addis Abeba University, 2020-10) Kebere, Asnake; Shiferaw, Solomon( MD,Mph, Ph.D); Getnet, Yalemwork(BSC, MPH)
    Background Suboptimal breast-feeding is among the main general medical issues around the world. It represents about more than 1million infant mortality every year, 10% of worldwide disease trouble, and 11.6% under five mortality. Breast-feeding moms faces numerous impediments to practice exclusive breast-feeding and work is one of the major factors. Objective To evaluate Suboptimal breast-feeding practice among mothers employed in the public sector with youngsters under a half year, in Nefas Silk Lafto sub-city, Addis Ababa, Ethiopia. Methods The study was conducted in Nefas silk Lafto sub city, in Addis Ababa. A total of 265 mothers working in public service with children less than 6 month were selected by using sampling probability proportional to number of women public servant in each sector and mothers with children less than 6months were selected purposively until reaching at required number of mothers assigned for the sector. Data were collected using self-administered structured questionnaire designed according to 24 hours nutritional recall method. Data were entered into Epi-info version7, cleaned and exported to SPSS version 25 for analysis. Frequency, mean and standard deviation were performed for continues variables and categorical variables were assessed by computing frequency and percentage. Statistical association and Significance were assessed by crude and adjusted OR with 95% C.I respectively, the associations between dependent and independent variables were assessed by using binary logistic and multivariable regression. Result: Two hundred sixty five (95%) mothers of children have agreed to participate in the study, Mean maternal and infant’s age were 29.19 (SD ± 4.36) years and 4.86 (SD ± 1.07) months respectively, the magnitude of sub optimal breast-feeding practice was 58.1% 95% c.i (53.2,62.9). Mothers with breast feeding frequency <8 times/24 hrs [AOR 4.39(1.8, 10.5)], occupation being Health care provider [AOR 6.87 (1.45, 32.57)], returning from maternity leave and mode of delivery Spontaneous vaginal delivery [AOR 0.22 (0.06, 0.83)] were associated with suboptimal breast feeding. Conclusion and recommendation: The magnitude of suboptimal breast-feeding practice is high among public segment moms. Maternal occupation, getting back from maternal leave, and breast-feeding of < 8times/24hrs were among factors which increment suboptimal breast-feeding practice. SVD was found to decrease suboptimal breast-feeding practice. Measures ought to be made to improve work environment condition by benefiting on onsite breast feeding center and particular flexibility of work place for breast feeding moms after they get back from maternity leave. Health education about Spontaneous Vaginal Delivery for moms ought to be advanced.
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    Sedentary behavior and central obesity among adults working in public offices in Addis Ababa,Ethiopia
    (Addis Abeba University, 2020-06) Yifrashewa, Fitsum; Shiferaw, Solomon( MD,Mph, Ph.D); Getnet, Yalemwork( MPH, Ph.D. Candidate)
    Background: As a result of modernization, prolonged time spent in sedentary behaviors has emerged as an important behavioral risk factor for chronic diseases, independent of leisure-time physical activity. Sedentary lifestyles are prevalent among office workers and little is known whether they are being predisposed to central obesity, which is an independent risk factor for cardiovascular and metabolic disorders. Understanding the domains of sedentary behavior, which are prevalent among office workers, is also important for targeted interventions. Objective: To assess the domains of sedentary behavior, and its association with central obesity among adults working in public offices in Addis Ababa, Ethiopia. Methods: Institution-based cross-sectional study was conducted among a sample of 1230 working adults. A two-stage random sampling technique was employed. Data was collected by interviewer-administered questionnaire while central obesity was measured based on WHO recommendation for waist circumference measurement. Data was entered and cleaned using EPI INFO version 7 and exported to STATA version 15.1 for analysis. Descriptive statistics was used to present the study results while binary and then, multivariable logistic regression were employed to examine the association between sedentary behavior and central obesity, adjusting for confounders. Adjusted odds ratio with 95% Confidence Interval was computed to evaluate the association and p-value <0.05 was used to declare statistical significance. Results: The overall magnitude of central obesity among adults working in public offices of Addis Ababa was 49.4%. The proportion of workers who did not meet the WHO recommendation of physical activity for health was 71.4%. Workers who spent sitting at least 5 hours at work had 4.9-times higher odds of central obesity than those who sat for less than 5 hours, AOR (95% CI) = 4.9 (3.0, 8.1). Those who spent at least 2 hours sedentary while watching televisions and during other leisure activities also had 3.5- and 6.8-times higher odds of central obesity than those who sat for less than 2 hours, AOR (95% CI) = 3.5 (2.3, 5.5) and 6.8 (4.1, 11.4), respectively, after adjusting for observed covariates including age and sex. Conclusions and recommendations: The magnitude of central obesity is substantially high among office workers in Addis Ababa. Workers who spent significant time sitting at work are more likely to have central obesity, while time spent sedentary while watching televisions and during other leisure activities are important contributors to central obesity. Hence, interventions should target those who spend significant time sedentary at work and during their leisure time, mainly through watching televisions.