Browsing by Author "Yordanos Tadesse"

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    Effect of 1000 days Message Disseminated Through TV and Radio on Maternal and Child Feeding Practice, Mekelle City, Tigray Region, Ethiopia.
    (Addis Ababa Universty, 2018-06) Yordanos Tadesse; Eshetu Girma
    Background: Undernutrition is one of the major public health challenges in Ethiopia. Poor nutritional and hygiene practice major contributors to the problem. Focusing on the crucial period from conception to the child 2nd birthday which is the 1000 days is the best time to tackle the burden of undernutrition.It ensures a good nutrition, healthy growth that has lasting benefit throughout life. One of the strategies is awareness creation using mass media which is tailored to the context of the target audiences. Addressing nutritional through behavioral communication have been done so far hence most of the messages aren’t consistent and doesn't bring satisfactory change. Objective: To assess the effect of 1000days message disseminated through TV /Radio on maternal and child feeding practice among mothers of childfren under two years. Method: This study was carried out in Mekelle city, Tigray region. It used Post - only community-based cross-sectional design using mixed method. A total of 602 mothers of under two children were selected using systematical random sampling. Additionally, 10 mothers of under two children’s and 3 key informants were interviewed. Quantitative data were analyzed using STATA version 14.Multiple linear regression analysis was done to identify predictors of feeding practice at 95%CI and P< 0.05 was used to determine the statistically significant association. Qualitative data was entered into open code version 4.02 for analysis then analyzed using content analysis. Result: 47.3% of respondents reported they had been exposed to 1000 days spots. Exposure to Tv spots was found to be high than radio. The top key message mostly recalled was exclusive breastfeeding. The model was explained by age of the child (β= 0.156, p<0.00195%CI 0.0128 to0.0399 ), exposure to the spots (β=0.113, p=0.003 95% CI 0.0556 to 0.4066),those who watched television at least once a week (β=0.182,p=0.010 95% CI 0.0217 to1.1854), Tigray ethnicity (β=0.109, p=0.008 95%CI 0.1429 to 0.9307) and those who are widowed (β= -0.109 p=0.005 95%CI -2.8129 to -0.5003 ) significantly predict maternal and child feeding practice by 12.77%. The spots were highly liked, especially its message. Gap has been found in conducting need assessment, pretesting, selecting appropriate messenger in the design of message which results in low quality of the spots. Conclusion: Although the media have done a significant contribution in feeding practice, there is still more to be done with respect to affecting behavior change. Identifying the crucial behavioral determinants for feeding practice in 1000 days may be an important first step in planning effective large-scale promotion programmes.
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    Facilitators and Barriers of Healthcare Seeking Behavior for Cutaneous Leishmaniasis and Leprosy in Kallu District of South Wollo, Amhara Region, Ethiopia
    (Addis Ababa University, 2023-11) Wagari Tafese; Eshetu Girma ; Yordanos Tadesse
    Background: Leprosy and cutaneous leishmaniasis (CL) are preventable and treatable neglected tropical diseases (NTDs) that disproportionately affect impoverished populations in Ethiopia. Despite the availability of treatments, delays in healthcare seeking remain a challenge, hindering timely diagnosis and treatment and contributing to the persistence of these NTDs. Understanding the facilitators and barriers to healthcare-seeking behavior is crucial for designing effective interventions to improve disease management and control. Objective: This study aims to assess the facilitators and barriers to healthcare seeking behavior for cutaneous leishmaniasis and leprosy among community members in Kallu district, South Wollo, Amhara region, Ethiopia. Method: This study employed an exploratory mixed-methods design. A quantitative study involving 602 participants was conducted using structured interviewer-administered questionnaires among community members, who were selected using multi cluster sampling. Additionally, a qualitative study was carried out with 17 participants, including leprosy patients, cutaneous leishmaniasis patients, and key informant health professionals, who were recruited via criterion- purposive sampling. The quantitative data was collected electronically and analyzed using SPSS version 26 statistical software. Descriptive statistics, including frequencies, mean, and standard deviation, were employed to summarize the quantitative data. For the qualitative data, thematic analysis was conducted using MAXQDA 2022. Results: The study found that about543 (90%) and518 (86%) of participants had heard or seen leprosy and cutaneous leishmaniasis (CL), respectively. In the past six months, 33 (6%) and45 (8.5%) of households experienced leprosy and CL, respectively. Even though they diagnosed late after disabilities occurs, among those who experienced leprosy, 31(94%) sought treatment from health facilities, compared to only 6(13%) of those who experienced CL. The qualitative analysis explored several facilitators, such as the perceived severity of leprosy and CL, the societal emphasis on skin aesthetics, as well as family and social support, Additionally, access to free drug and services, community education initiatives, and a pathway through health extension workers (HEW) were identified as facilitators, Conversely, barriers to healthcare seeking in the community included limited knowledge, financial constraints, reliance on traditional treatments, geographical and logistical challenges, drug shortages, and prolonged waiting times. Conclusion: To minimize delays in healthcare seeking for leprosy and cutaneous leishmaniasis, it is crucial to tackle the barriers identified at the individual, community, and health facility levels in this study. These barriers include lack of awareness, financial constraints, and unavailability of drugs and services. Moreover, it is essential to leverage the facilitators of healthcare seeking, such as community education initiatives, free drug and service and social and family support.
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    Magnitude, Outcomes, and Associated Factors of Road Traffic Injuries among Trauma Victims that Visited AaBET Hospital from 2020 to 2022
    (Addis Ababa University, 2024-08) Golgotha Behailu; Teferi Abegaz; Yordanos Tadesse
    Background: Worldwide, approximately 1.3 million people die each year due to road traffic accidents and more than 90% of road traffic deaths occur in low and middle- income countries. Currently in Ethiopia, it is posing a major public health threat with significant morbidity and mortality in road traffic victims with a pooled prevalence of 31.5% in road traffic accident victims among trauma patients. Objective: The main objective of the study is to determine the magnitude of road traffic accident victims among trauma patients, associated factors, and their outcomes at ABET Hospital from January 2020 to January 2022. Methods: A quantitative retrospective institution-based study design was applied at AaBET Hospital using an adopted Kampala and tailored pre-tested data collection checklist with a systematic random sampling technique. The sample size was 667, and collected data was entered into Epi-Data and transferred to SPSS for analysis. Binary and multivariate analysis was used to determine associated factors with outcomes of road traffic injury victims. Results: The magnitude of road traffic accidents among admitted trauma patients at AaBET Hospital was 44.8%, with males accounting for 78% of the victims. The age groups between 30 to 44 years had the highest prevalence with 38.4% among the road traffic accident victims. 39.6% of victims arrived with private vehicles with the commonest time of injury during the day time. 44.3% of road traffic accident victims were pedestrians accounting. Only 50.8% received pre-hospital care/treatment before their referral. Severe injury outcomes accounted for 58.6% (190) and outcomes with non-severe injury were 41.4% (133). Factors with a significant association for outcomes were type of victims who are drivers, moderate Glasgow Coma Scale, and duration of hospitalization greater than 24 hours. Conclusion: Type of victims who are drivers , moderate Glasgow Coma Scale, and duration of hospitalization greater than 24 hours have a statistically significant association with severe injury outcome. With almost half of the trauma patients arriving at AaBET Hospital being road traffic accident victims, urgent multi-sector intervention is needed to prevent the injury as well as decrease complications.