Browsing by Author "Tefera, Worku (MPH, PhD Fellow)"

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    The Magnitude and Determinants of intestinal parasites among students, who use three of Addis Ababa University campus clinics in Addis Ababa, Ethiopia.
    (Addis Abeba University, 2013-11) Neda, Emnet; Tefera, Worku (MPH, PhD Fellow)
    Background: In Ethiopia, intestinal parasitic diseases are one of the major causes of morbidity nationwide. In addition to that, intestinal parasites have significant socioeconomic problem in terms of productivity, school performance and cost for diagnosis and treatment. Intestinal parasitosis is one of the major problems among student of Addis Ababa University who visited student clinics. Objective: The purpose of this study is to assess the magnitude and determinants of intestinal parasitosis among Addis Ababa University students who utilize AAU student clinic service, Addis Ababa, Ethiopia. Methods: Health facility based cross-sectional study design was employed. Total of 556 students were selected by systematical cluster sampling from the three campuses (Main, North technology, Science). Self- administered, close and open ended coded questionnaire was prepared to assess their knowledge attitude and practice towards intestinal parasite, personal hygiene and sanitation. Finally the stool samples was diagnosed using direct wet mount and concentrated technique then the data was analyzed using Crude and adjusted Odds ratio with 95% confidence interval at P < 0.05 to check whether there were significant association between dependent and independent variables. Result: A total of 556 study subjects were participated, of which 424(76.3 %) were males. Out of total, 134 of them had at least one parasitic infestation with an overall prevalence of 24.1%, of which 108(80.6%) were males. Out of total study subjects, 326(58.6%) had abdominal pain or discomfort during two weeks before the survey. Cafeteria usage and eating street food were significantly associated with intestinal parasitosis [AOR: 2.1, 95% CI (1.2, 5.0)] and [AOR: 2.6, 95% CI (1.45, 3.51)], respectively. Technology campus fulfilled nearly 2/3 of sanitary requirements while, Main and Science campus fulfilled less than half of the requirement. Conclusion and recommendation: There was high prevalence of intestinal parasitosis and presence of abdominal pain or discomfort among the university students. The amount of water and toilet availability in cafeteria and student dormitory did not met the required sanitary standards. Sanitary building codes and enforcement needs to be in place for the current and newly built dormitories and cafeteria services.
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    Male Partners Involvement in Spousal Skilled Birth Attendance Utilization and Factors Affecting it in Berbere District, Bale Zone, Oromia, Southeast, Ethiopia.
    (Addis Abeba University, 2013-11) Gonfa, Tadesse; Tefera, Worku (MPH, PhD Fellow)
    Background: Each year, more than 500,000 women worldwide die from complications related to childbirth. With good quality obstetric care, approximately 90% of these deaths could be averted. The assistance of a skilled birth attendant during labor, delivery, and the immediate postpartum period is one important component of quality obstetric care. In most locality around the world, whether in developing or developed countries, men are little involved in their partners’ health care during pregnancy and delivery. Reproductive health has long been viewed as solely a woman’s issue. Objectives: To assess male partner involvement in spousal skilled birth attendance utilization and factors affecting it in Berbere District of Bale, Ethiopia in 2013. Methods: A community based cross-sectional study using quantitative data collection method and supported by qualitative were conducted in rural area of Berbere Woreda, Bale zone, Oromiya, South East Ethiopia. Multistage sampling technique was used to randomly select 605 households/ fathers of under-one children from 4 kebeles. Data was collected from 605 male partners using structured questionnaire. The completed data were processed using EPi-Info software and exported to SPSS for analysis. Logistic regression analyses were conducted to assess factors associated with skilled birth attendance utilizations and male partner’s involvement in spousal skilled birth attendance utilizations. Results: Approximately, about one out of ten women delivered assisted by skilled birth attendant in the study area though 72.9% of the mothers attended at least one ANC services during their last pregnancy. Only 24.7% of male partners were involved in spousal skilled birth attendance utilizations. In multivariate logistic regression analysis, male partners that discussed on the place of delivery with his wife and educational status of male partners showed significant association with male partners’ involvement in spousal SBA utilization. Male partners who completed at least primary school were more than eight times as likely involved in their wives use of skilled birth attendant than those with non formal education [AOR=8.14, 95% CI= 4.14, 16.00] Conclusion: Both skilled birth attendance utilization and male partner’s involvement in spousal skilled birth attendance utilizations in the District were low. Educational status, discuss with their wives about place of delivery and level of male partner’s involvement were significantly associated with SBAs utilization. To increase male partners’ involvement in spousal SBAs utilizations requires commitments at all levels, in the family, in the community, at the national and at the country level. Therefore, male partners involvement should be encouraged by health educations during the antenatal period at health facilities and at community level though HEW and health developmental army.