Browsing by Author "Tadesse, Mekonnen (Ass. Prof.)"
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Item Factors Affecting Weight-for-age Status Children in Ethiopia(Addis Ababa University, 2013-06) Tadesse, Getachew; Tadesse, Mekonnen (Ass. Prof.)Weight-for-age is a nutritional status indicator of malnutrition (acute or chronic) based on the principle that a chi ld has an expected weight for hi s/her age and measures the general nutritional status of chi ldren. According to the 20 II EDHS repOit by the Central CSA of Ethiopia, nationally, 29 percent of chi ldren under the age of five are underweight, and 9 percent of children are severely underweight. The main objective of this study was to identify and describe factors affecting the weight-for-age status of children in Ethiopia. The study was based on the 20 11 EDHS conducted by CSA. Descriptive, standard logistic regression and multilevel logistic regression analyses were used. The logistic regression analysis was carried out to investigate the effect of predicator variables on the weight-for-age status of a child. Accordingly, Age of child, Source of drinking water, Types of toilet facilities, Mother's educational level, Employment status of mothers, Wealth index, Place of residence, experiencing diarrhea, Fever and Cough in the two weeks before the survey, Educational level of partner and Geographical region were found to be important determinants of weight-for-age status of under-five chi ldren in Ethiopia. Moreover, the variab les that were reported to be significant in the ordinary logi stic regression analysis were also found to be significant in the multilevel logistic regression analysis. The effect of most of these significant variables was the same for each region in Ethiopia but the effect of Employment status of mothers and economic status (wealth index) was not the same for all regions in Ethiopia.Item Factors Influencing the Utilization of Antenatal Care Services in Ethiopia: Application of Zero-inflated Negative Binomial Model(Addis Ababa University, 2013-06) Assefa, Enyew; Tadesse, Mekonnen (Ass. Prof.)Pregnancy and delivery are still the leading causes of maternal mortality and morbidity among women of reproductive age in developing countries. Antenatal care is an important determinant of high maternal mortality and one of the basic components of maternal care on which the life of mothers and babies depend. The objective of this study was to identify and examine factors that affect utilization of antenatal care services using the 2011 Ethiopia Demographic and Health Survey data. The study analyzed the number of antenatal care utilization of mothers aged 15 to 49 years who have used antenatal care in their last pregnancy period. Zero-inflated negative binomial model was used to explore the major factors influencing utilization of antenatal care services in Ethiopia. More than 55% of the mothers did not use antenatal care services; more than 77% of the women utilized antenatal care less than four times. More than half of the women (52%) who had access of health services used at least four antenatal care visits. For such data the zero- inflated negative binomial model is more appropriate, and it was used to analyze the data. Place of residence was found to be significantly associated with use of antenatal care services. Also age of mothers, woman's educational level, employment status, mass media exposure, religion and access of health services were all significant predictors for the use of antenatal care. Accordingly, all possible efforts must be made to increase women's educational level. Tn addition, it is necessary to initiate programs to promote pregnant women to start receiving antenatal care early.Item Identification and Statistical Analysis of Factors Affecting Use of Contraceptive Methods among Ethiopian Women(Addis Ababa University, 2011-06) Mekonnen, Bezarede; Tadesse, Mekonnen (Ass. Prof.)The fertility rate in Ethiopia is very high. According to the 2000 Ethiopian Demographic and Health Survey (EDHS) an Ethiopian woman gives birth on average to 5.9 children. Problems posed by high fertility rates and population growth have sparked studies of the factors determining contraceptive usage since contraceptive is used for birth control. The major objective of this study is to determine the factors that affect the use of contraceptive methods for Ethiopian women. , " The study is based on data from the 2005 EDHS with a total of 14,070 women in the age group 15-49 years. Binary logistic regression and descriptive statistical measures are used for the analysis. The binary logistic regression analysis is applied to examine the association between contraceptive usage status and women's demographic, socio-economic, and cultural characteristics. Binary logistic regression analysis revealed that the age of a woman, place of residence, religion, partner's education level, woman's education, information about family planning (FP) on radio, frequency of listening to radio, visit by FP worker, region and wealth index were the most important variables that explained the variability in contraceptive usage. Women who had higher education and higher parb1er's education, righer wealth status, were exposed to radio, resided in urban areas, catholic women, exposed to FP message on the radio, were visited by FP worker, aged from 25-29, and especially those who lived in Addis Ababa were more likely to use contraceptive methods. ,Item Prevalence of ARV-related Adverse Drug Reactions among Children Taking HAART at Hosanna Hospital(Addis Ababa University, 2013-06) Yoseph, Eshetu; Tadesse, Mekonnen (Ass. Prof.)In Ethiopia approximately 1.2 million people were living with HIVIAIDS in 2010. It is known that 134,586 children live with HIVIAIDS. Out of these, more than 67, 000 are estimated to be eligible for Anti Retroviral Treatment (ART) but only 4863 were taking HIVIAIDS Anti Retroviral Treatment by March 2008. Although Antiretroviral Treatment (ART) has decreased HIV-associated mortality and morbidity, a number of patients still die after the start of ART The objective of this study was to assess prevalence of some adverse drug reactions among HIVinfected children under ART The patients were those on ART follow-up at Hosanna H05pital. A sample of 1 05 patients has been collected among patients on ART !i'OII! May 2005 to April; 2013. The analysis of the data using the binOlY logistic regression showed that AZT-associated anemia, d4T-associated peripheral neuropathy and NVP-associated skin rash had influence on the survival of patients. i. e. Children HIV patients under ART follow up have developed AZT-associated anemia, d4T-associated peripheral neuropathy and NVP-associated skin rash. The results of the study indicated that adverse drug reaction has relation with age, baseline weight, baseline CD4 counts, WHO clinical stages and ART regimen Health workers should take into account the relationship between clinical parameters and that of complete blood group count, chemistry tests and enzyme tests to decide the overall situation for all HIVinfected patients under ART And the Drug Administration and Control Authority should strengthen the regular monitoring of ADRs especially those associated with ARVs.