Browsing by Author "Yirgu, Robel (MPH)"

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    Could Week recall be accurate measurement of Exclusive Breastfeeding among infants less than 6 months of agein Butajira Ethiopia, 2018?
    (Addis Ababa Universty, 2018-10) Desalegn, Sewitemariam; Yirgu, Robel (MPH)
    Background:WHO has developed an indicator to measure exclusive breastfeeding using 24 hoursrecall. This single day indicator doesn‘t capture the usual feeding history which may lead to exaggeration of exclusive breastfeeding rateand misclassification of infants as being exclusively breastfed where infact the infant is not. This indicates the need to look for an indicator which could provide better information on the actual breastfeeding practice. Objective:To assess the validity ofweek recall in estimating exclusive breast feeding rate when compared to cumulative result of14repeated 24 hour recall among infants less than 6 months of age in Butajira, Ethiopia. Method: Community based cross sectional study was conducted among 408 mother infant pair less than 6 months of age in ButajiraHDSS. Data on Exclusive breastfeeding practice was collected using 24 hour recall, and short period recalls for 14 consecutive days. Short period recalls was conducted starting from the second day to the last day of interview. During short period recall interview, mother was asked to recall 48 hour feeding practice, 72 hour feeding practice, 96 hour feeding practice and so on until the last day of interview. Data was entered by using Epi data software version 3.2 and exported to STATA for analysis. Estimation of the prevalence of exclusive breastfeeding was done using the methods. McNemar test was done to assess if there was significant difference in EBF rate between the methods. P-value of <0.05 was considered to indicate a significant difference in prevalence. Sensitivity, specificity and positive predictive value was computed to check the validity on the performance of each method in estimating Exclusive breastfeeding prevalence against the cumulative of 14 repeated 24 h recall. Result: The highest prevalence of exclusive breastfeeding (71.4%) was obtained when single 24 hour recallwas used. 14 repeated 24 hour recall resulted in EBF rate of 47.31%. Taking 14 repeated 24 hour recall as a reference, the lowest discrepancy (6.9%)obtained was from 7 days recall.Seven day(week) recall also reflected EBF practices with sensitivity of 96.7% and specificity of 83.5%.Conclusion:Current EBF status based on 24 hour EBF recall does not accurately represent the feeding pattern. Week recall had high specificity and presented a prevalence that is close to gold standard methodindicating it could be an alternative method to assess EBF practice.
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    What drives pregnant women to choose their food? A qualitative study in Butajira Rural Health Programme (BRHP), Ethiopia
    (Addis Ababa Universty, 2018-10) Shiferaw, Seble; Yirgu, Robel (MPH)
    Background: The maternal nutrition during pregnancy is responsible for structural and physiological changes that occur in the fetus as a result of inadequate nutrients or ‘building blocks’ for the growth of specific tissues. The nutrient a mother gets depends on her food choices, signifying the importance food choice during pregnancy. Objective: To explore factors which influence food choice among pregnant women in Butajira Rural Health Programme (BRHP), Ethiopia. Method: Qualitative content analysis using deductive approach was applied to identify factors affecting food choice of pregnant women in rural settings. The study conducted in Health and Demographic Surveillance Site (HDSS) of Addis Ababa University School of Public Health located in Butajira, Gurage zone. A total of 43 pregnant women and 37 husbands of pregnant women participated in the study. A combination of in-depth interview and focus group discussion was applied to collect data from purposively selected participants. The data analyzed deductively, using open code version 4.02 software to code the data. Result: Pregnant women usually ate three times a day that mainly consisted of cereal based food (Kita) and a vegetable, dark green leafy vegetable (Gomen). The study identified several factors which influence pregnant women to choose their food. Agricultural production seems to be a key determinant of consumption and is dependent on the amount of agricultural land they have and agro-ecologic conditions among the study sites. It is also identified that the major determinant of food choice is financial constraint, which determine the ability to produce or purchase the required food. Pregnant women adjust their food choice based on their appetite and gastric symptoms following consumption. The distant market is another factor identified as an obstacle to access healthy food due to high cost of transportation and unstable roads for a pregnant woman. Conclusion: This study identified that the food choice of pregnant women is mainly determined by food availability which is governed by production and financial capacity. Pregnant women also decrease their food intake due to physiological symptoms following consumption.