General Public Health
http://ir.haramaya.edu.et//hru/handle/123456789/203
2024-03-29T04:44:19ZDEMAND FOR MODERN CONTRACEPTIVES USE AND ASSOCIATED FACTORS AMONG CURRENTLY MARRIED WOMEN IN AWBARE REFUGEE CAMP, SOMALI REGION, ETHIOPIA.
http://ir.haramaya.edu.et//hru/handle/123456789/7699
DEMAND FOR MODERN CONTRACEPTIVES USE AND ASSOCIATED FACTORS AMONG CURRENTLY MARRIED WOMEN IN AWBARE REFUGEE CAMP, SOMALI REGION, ETHIOPIA.
MEKONNEN LEGESSE; Dr. Merga Dheresa; Mr. Melake Damene
Modern contraceptive use is considered worldwide as cost-effective way of improving the health
of women and children, the benefit of which tackles down to their families, community and
country over all. The problem of unmet need for FP at community especially reproductive age
women is very critical but it under reported and eventually remains without
intervention.Moreover, meeting unmet need for family planning would avert unwanted or
mistimed pregnancies and thereby reduce unsafe abortion.Objective: Toassessdemand for
modern contraceptive method and associated factors among currently married womenin Awbare
refugee camp Somali region, Ethiopia. Methods:A cross sectional study was employed among
randomly selected 571 women atAwbare refugee camp Somali region, Ethiopia.Simple random
sampling was used to select the study participant. Pretested,interviewer-administered, structured
questioner was prepared and used to collect the data. Data entry wasmade using the Epi-data
version 3.02 software and cleaned for implausible and missed data values. Then the data was
exported to statistical package for social science (SPSS) version 20 for further analysis.
Exploratory analysis was conducted to find out outliers, missed values and inconsistency.
Descriptive statistic using frequency and percentagewas used.Multivariateregressionswere used
to investigate the predictors.Results:The findings of this study show that 84% of the respondents
have demand for use family planning methods in the future but the remaining 16% of the
respondents are not happy to use family planning methods in the future. The major reason of
respondents who are happy to use family planning is for spacing purpose and the most common
types of family planning methods preferred by the respondents is pills (54%) and injectable
(26%). According to the result obtained from logistic regression model with CI 95 % age of the
respondents, partners occupation, knowledge about contraceptive, and utilization of emergency
contraception has highly significant effect on demand for modern contraceptives. The study
recommends that educating women’s in refugee camp, more use of media, conducting further
research, and expanding health facilities.
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2023-03-01T00:00:00ZNUTRITIONAL PRACTICE AND ASSOCIATED FACTORS AMONG ADULT MEMBERS OF FOOTBALL PLAYERS CLUBS IN HARAR AND DIRE DAWA CITIES, EASTERN ETHIOPIA
http://ir.haramaya.edu.et//hru/handle/123456789/7697
NUTRITIONAL PRACTICE AND ASSOCIATED FACTORS AMONG ADULT MEMBERS OF FOOTBALL PLAYERS CLUBS IN HARAR AND DIRE DAWA CITIES, EASTERN ETHIOPIA
Emiru Diriba; Negga Baarak i(Assis Prof); Behailu Hawulte (Assist Profe)
Nutrition is an important part of many sports like football players. However,
there were few studies addressed nutritional practice, lack of healthy food choices, poor eating
habits among athletes in developing countries.
Objective: To assess nutritional practice, associated factors and its consequences among adult
members of football players‘ clubs in; Eastern Ethiopia from April 15th to May 30th, 2021.
Methods: A quantitative cross- sectional study design was conducted among 125 football
players in Harar and Dire Dawa cities. Face-to-face interviews and anthropometric
measurements was directly obtained from the participants. For daily food intake, a 24 recall
was implemented in each football player for consecutive three days. Data entered and cleaned
using Epi data version 3.1 and exported to SPSS for analysis. Descriptive statistics and
regression model (CI=95%) was used to analyze the data (p-value <0.05).
Result: From a total of 121 (response rate 96.8%). About 45 (37.50%) of them were
overweight of BMI. About 45 (37.5%), 68(56.20) and 35.5% of them had good knowledge,
negative attitude and good practice, respectively. Moreover, the overall the nutrition practice
among adult foot ball members or players for seven days per a week was 19.8% (95%CI: 17.4
to 22.4; pvalue<0.001).The current study revealed that being male (OR═ 5.55, 95%CI: 1.20-
15.77) as female; Married (OR═ 8.52, 95%CI: 1.57- 17.5) as single; college (OR═ 9.46; 95CI:
2.16 -18.5) as primarily educations were higher nutritional practice when compared to their
counterpart. Moreover, the odds of good nutritional practice (OR: 5.19:95%CI: 1.58-17.03);
likelihood of good nutritional practice those >5000ETB (OR═8.00, CI: 2.54-16.12) times
higher among as compared to their encounter part. The final linear regression model results
revealed that having poor nutritional practice decrease the visceral fat of footballers by 0.029
[OR═ - 0.029, CI: (- 0.016, - 0.044)] when compared to participant‘s good nutritional practice.
Conclusion: The study concluded that majority of the football players had poor knowledge,
negative attitude and poor nutritional practice towards sport nutrition. Therefore, Ministry of
tourism and youth, regional and football players have a responsible in order to enhance
i
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knowledge and attitude and keep the recommendations of sport nutrition for good
performance
81p.
2023-01-01T00:00:00ZCLINICAL CHARACTERISTICS, RISK FACTORS FOR SEVERITY AND OUTCOMES OF CORONAVIRUS 2019 ADULT PATIENTS ADMITTED TO HIWOT FANA SPECIALIZED UNIVERSITY HOSPITAL, CORONAVIRUS 2019 TREATMENT CENTER, EASTERN ETHIOPIA, HARAR: A_HOSPITAL BASED CROSS-SECTIONAL STUDY
http://ir.haramaya.edu.et//hru/handle/123456789/7681
CLINICAL CHARACTERISTICS, RISK FACTORS FOR SEVERITY AND OUTCOMES OF CORONAVIRUS 2019 ADULT PATIENTS ADMITTED TO HIWOT FANA SPECIALIZED UNIVERSITY HOSPITAL, CORONAVIRUS 2019 TREATMENT CENTER, EASTERN ETHIOPIA, HARAR: A_HOSPITAL BASED CROSS-SECTIONAL STUDY
Belayneh Berhan Gebrehiywot; Dr. Dejene Atnafu; Dr. Hussein Ahmed
During the outbreak of coronavirus disease 2019, a considerable difference in
clinical characteristics, disease severity and outcomes observed among patients treated in
different centers. But there is no study done in Hiwot Fana specialized university Hospital,
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Eastern Ethiopia that assessed the clinical characteristics, risk factors for disease severity and
outcomes of Coronavirus 2019 admitted adult patients.
Objective: The study aimed to assess the clinical characteristics, risk factors for severity and
outcomes of Coronavirus 2019 adult patients admitted to Hiwot Fana specialized University
Hospital
Methods: A hospital-based cross-sectional study was conducted from November to December
2021 on randomly selected sample of 402 Coronavirus 2019 adult patients admitted to Hiwot
Fana hospital. Data about sociodemographic, clinical characteristics, laboratory, treatment and
outcomes were collected by reviewing medical record of patients. The data was tabulated,
cleaned and entered in to Epidata version 3.2 and exported to SPSS version 22 for analysis.
Discrete variables were summarized by percentages and frequencies whereas continuous
variables were summarized by medians and 25th and 75th quartile. The statistical inference was
done using t-test and Pearson’s Chi square for continuous and categorical variables
respectively. Statistical significance was measured by p-values < 0.05 and adjusted odds ratio
with 95% confidence interval. Both ordinal and binary logistic regression was done to determine
independent risk factors for severity and predictors outcome.
Results: In this retrospective cross-sectional study of 402 admitted COVID-19 adult patients
with median age of 46 years, male accounts for 60.8%. comorbidity was present in 55.2% of
patients, the most common being hypertension (32.6%), diabetes (25.9%), cardiac (16.9%),
asthma (5.5%), HIV and COPD in 5% each. Among 402 patients 83.8% were symptomatic at
presentation, the most common symptoms were fatigue (73%), cough (69.1%), fever (67 %),
headache (54.9%) and Shortness of breath (51.9%). The spectrum of disease severity is
asymptomatic 65(16.2), non-severe 111(27.5%) severe 124(30.8%), and critical 102(25.4%).
overall, 19.2% died. Older age, hypertension, DM, tachypnea, presence of shortness of breath
and chest pain, lower oxygen saturation, lymphopenia and higher creatinine were independent
predictors of disease severity and outcome.
Conclusion: The study showed that proportion of patients with severe and critical disease and
mortality rate is high; older age, comorbidity, shortness of breath, chest pain, admission
respiratory rate and oxygen saturation, lymphopenia and elevated creatinine are independent
predictors of severity and outcome
83p.
2022-01-01T00:00:00ZTREATMENT OUTCOME OF STOMA REVERSAL AND ASSOCIATED FACTORS AMONG PATIENTS ADMITTED TO SURGICAL WARDS OF TWO PUBLIC HOSPITALS IN HARAR TOWN, EASTERN ETHIOPIA
http://ir.haramaya.edu.et//hru/handle/123456789/7658
TREATMENT OUTCOME OF STOMA REVERSAL AND ASSOCIATED FACTORS AMONG PATIENTS ADMITTED TO SURGICAL WARDS OF TWO PUBLIC HOSPITALS IN HARAR TOWN, EASTERN ETHIOPIA
Abdurrahman Yahya; Mulatu Asfaw; Girma Wami
Background: Stoma reversal is associated with wide variation in reported morbidity and mortality. Its operative mortality rates are as high as 10% with morbidity rates of 30%-40% and anastomotic leakage rates of 15% have been reported. Moreover, surgical site infection is the most common complication, followed by intestinal obstruction, incisional hernia, and anastomotic leakage from the site of the ileostomy or colostomy repair. Although the complication of stoma reversal has negative consequences on the patient outcomes, factors affecting treatment outcome of stoma reversal are not widely investigated in Ethiopia, particularly in Eastern Ethiopia.
Objective: To assess the treatment outcome of stoma reversal surgeries and associated factors among adult patients admitted to surgical ward of Hiwot Fana Comprehensive Specialized Hospital and Jugal General Hospital from November 1 to 31, 2023.
Methods: A facility based cross-sectional study design (8-years retrospective analysis) was conducted in two public hospitals found in Harar town, Eastern Ethiopia from November 1 to 31, 2023 to retrieve 8-years records (September 1, 2015 to August 31, 2023). A total 102 medical records of patients who underwent stoma reversal were randomly selected and retrieved. Data were collected using structured checklists. The collected data entered into Epi Data version 3.1 and exported to SPSS version 26 for further analysis. A binary logistic regression was conducted to estimate the effect of each predictor variable on treatment outcome of stoma reversal. A multivariable analysis was done and reported using the AOR with 95% CI. Statistical significance was be declared significant at p-value<0.05.
Results: The overall postoperative complication of stoma reversal was 34.3% [95%CI (26.1-43.5)]. The most common type of stoma reversal was colostomy operation (63.7%). In the final model of multivariable analysis predictors variables such as: Having a colostomy reversal operation[AOR:5.40;95%CI(1.09-26.21)], being in the advanced age of 46-60years [AOR:5.27;95%CI(1.18-23.63)] and postoperative hospital stay >8days[AOR:4.20; 95%CI(1.09-16.14)], were statistically associated with unfavourable outcome of stoma reversal operation.
Conclusion: In this study, one-third of the patients had postoperative complication of stoma reversal. Colostomy reversal operation, advanced patients’ age and long-time hospital stay were significantly associated with postoperative complication of stoma reversal operation. Therefore, cue due attention should be given to those patients who underwent colostomy reversal operation, and those in advanced age group. This result also calls for all stakeholders to give more emphasis on postoperative hospital stay after stoma reversal.
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2023-12-01T00:00:00Z