http://ir.haramaya.edu.et//hru/handle/123456789/203 2026-04-16T11:21:43Z http://ir.haramaya.edu.et//hru/handle/123456789/8402 GESTATIONAL WEIGHT GAIN AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN ATTENDING ANTENATAL CARE IN PUBLIC AND PRIVATE HEALTH FACILITIES IN GAROWE, PUNTLAND, SOMALIA HAFSO FARAH MIRE (BSC); Mr. Berhe Gebremichael (MPH, Assistant Professor); Dr. Tesfaye Assebe (PhD. Associate Professor) Background: The weight gained during pregnancy is known as gestational weight gain, which is a normal physiological process that support the increased metabolic demands of pregnancy as well as fetal growth and development. However inappropriate GWG is significant public health concerns, as it has been linked to adverse pregnancy outcome and increases the risk of future obesity and chronic disease in women. Evidence regarding gestational weight gain is scarce in Somalia, particularly in the Garowe City. Objectives: To assess the level of gestational weight gain and associated factors among pregnant women attending antenatal care in public and private health facilities in Garowe City, Puntland, Somalia, from July 15 to August 15 2024. Methods: An institution- based cross-sectional study was conducted on 412 systematically selected pregnant women in selected public and private health facilities in Garowe district of Puntland, Somalia. Data were firstly entered into kobo Toolbox, cleaned in Excel, and then exported to Stata version 17 for analysis. Data was collected using pretested and structured questionnaire. Descriptive statistical analysis, including simple frequencies, percentages, mean and standard deviation were used to describe participants’ characteristics .Information was presented using text descriptions, tables and figures. Binary logistic regression was fitted to identify the factors associated with gestational weight Gain. Level of statistical significance was declared at p- value<0.05 in the multivariable analysis, reporting adjusted odds ratio with 95% confidence intervals (CI) Result: The study showed that the mean gestational weight gain of the women was 8.22 kg (SD=1.73), and 57.35% (95% CI 52.4%, 62.08%) of the women had inadequate gestational weight gain. No formal education (AOR=2.00, 95% CI: 1.02, 3.77), multi gravidity (AOR=5.47, 95% CI: 1.91, 15.58) and lower early pregnancy body mass index (underweight) (AOR=5.32, 95% CI: 3.06, 9.26) were significantly associated with inadequate gestational weight gain. Conclusions The finding of the study revealed a higher magnitude of inadequate gestational weight gain. Being underweight at early pregnancy and lack of adequate food was positively associated with inadequate weight gain. These results highlight the importance of addressing pre-pregnancy BMI, ensuring a balanced diet. 89 2025-09-01T00:00:00Z http://ir.haramaya.edu.et//hru/handle/123456789/8401 LINEAR GROWTH FAILURE AT BIRTH AND ASSOCIATED FACTORS AMONG NEWBORNS DELIVERED AT PUBLIC HOSPITALS OF WEST HARERGHE ZONE, OROMIA REGION, ETHIOPIA HABTAMU TESFAYE (BSC.); Dr. Anteneh Berhane (Ph.D.); Dr. Maleda Tefera (Ph.D.) Introduction: Growth failure at birth, shown by low birth weight and small size for gestational age, is a serious public health problem that increases the risk of newborn illness, death, and long term developmental issues. However, there have been few studies addressing this issue in the West Harerghe Zone, Oromia. Objectives: This study aimed to assess the prevalence of growth failure at birth and to identify associated factors among newborns delivered at public hospitals in West Harerghe, Oromia, Ethiopia, from February 5 to March 30, 2025. Methods and Materials: A facility-based cross-sectional study was conducted among 387 neonates born at randomly selected public hospitals in West Harerghe Zone, Oromia region, from February 5 to March 30, 2025. Participants were selected using systematic random sampling technique. Data were collected using the KoBoTool mobile application and data analysis was performed using SPSS version 26. Descriptive statistics was employed to summarize the data, and multivariable logistic regression was used to identify factors associated with growth failure at birth, by estimating AOR with 95% confidence intervals (CI) calculated and statistical significance set at p < 0.05. Results: The prevalence of growth failure at birth was 28.2 % (95% CI: 23.8, 33.1). Newborns from food-insecure households (AOR = 4.5; 95% CI: 1.7–11.7), mothers who had a mid-upper arm circumference (MUAC) less than 23 cm (AOR = 3.2; 95% CI: 1.1–9.5), and maternal age 20 34 (AOR = 6.5; 95% CI: 2.3-18.8) were significant associated factors with growth failure at birth Conclusion and recommendation: More than one in four newborns in the study area experienced growth failure at birth, highlighting it as a significant public health issue. Maternal nutritional status and household food security were identified as key contributing factors. Therefore, targeted nutritional support for pregnant women and improved food security are essential to mitigate this problem. 88 2025-06-01T00:00:00Z http://ir.haramaya.edu.et//hru/handle/123456789/8383 KNOWLEDGE, ATTITUDE AND PRACTICE OF MEDICAL INTERNS, GENERAL PRACTITIONERS AND POSTGRADUATE RESIDENTS TOWARDS CARDIOPULMONARY RESUSCITATION AT HIWOT FANA COMPREHENSIVE SPECIALIZED UNIVERSITY HOSPITAL, HARAR, ETHIOPIA Dr. Aman Edao (MD, Assistant professor); Dr. Seid Ali (MD, Assistant professor) Introduction:Sudden cardiac arrest is a catastrophic medical emergency that may occur at any time in the hospital or pre-hospital Setting. Cardiopulmonary resuscitation and basic Life support are important lifesaving, first aid skills. However, evidence regarding this issue is limited in Hiwot Fana Comprehensive Specialized University Hospital. This study aimed to assess knowledge, attitude and practice of medical interns, general practitioners and post graduate residents towards cardiopulmonary resuscitation at Hiwot Fana Comprehensive Specialized Hospital. Methodology: - Institutional based cross-sectional study was conducted on Medical Interns, General Practitioners and Post Graduate Resident, who fulfil the inclusion criteria and working in Hiwot Fana Comprehensive Specialized University Hospital from February 1 – March 1/2024. All 322 professionals were included in the study. Data was collected through structured questionnaire and waschecked, codedandenteredtoStatisticalPackage for SocialScience. Cleaningwillbeperformed by using Statistical Package for Social Science version 20. Frequencies and cross tabulations was used to check for missing values and variables. Result:-A total of 309 professionals participated in the study with a response rate of 95.96%. Most of the respondents, 207 (66.99%), were in the age group of 26–30 years and the mean age ±SD was 27.41±2.59 years. More than two-thirds (73.14%) of the participants were male. 95 (30.74%)(95%CI 25.45 to 36.23) of respondent had adequate knowledge, 88 (28.48%)(95% CI 23.6 to 34.1) respondents had safe practice, and 207 (66.99%) (95%CI 61.71 to 72.26) had favorable attitude.There was association between department of residency, CPR training and knowledge of CPR (p- value < 0.05). Conclusion: - In general the knowledge of Medical Interns, General Practitioners and Post Graduate Residents is poor, which signifies the need for training regarding CPR. The overall positive attitude is encouraging and poor practice towards CPR should be improved. 54 2024-03-01T00:00:00Z http://ir.haramaya.edu.et//hru/handle/123456789/8381 LIVER FUNCTION IMPIAIRMENTS AND ASSOCIATED FACTORS AMONG ADULT HIV PATIENTS RECEIVING ART AT HOSAINA TOWN, CENTRAL ETHIOPIA SISAY ABEBE (BSc); Mr. Zerihun Ataro (MSc, Assistant professor); Dr. Desalegn Admasu (PhD, Associate Professor) Background: The introduction of active antiretroviral therapy significantly decreases human immunodeficiency virus associated morbidity and mortality. However, anti-retroviral therapy and other factors such as virus, alcohol consumptionand other medicationscauseliver xi damage, and thisresult in bad adherence. Additionally, there is a dearth of evidence on liver function impairment and related issues among adult human immunodeficiency virus patients receiving antiretroviral therapy in central Ethiopia. Objective: To assess liver function impairment and associated factors among adult human immunodeficiency viruspositive patients taking Antiretroviral treatment at Wachamo University Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Central Ethiopia, from December 10, 2023, to March 15, 2024. Methods: - A cross-sectional study was conducted at Wachamo University Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Ethiopia, involving 307 HIV positive adults receiving antiretroviral therapy.The study utilized a convenientsampling technique, a structured questionnaire for collecting socio-demographic data, and clinical data from medical records.Five ml of whole blood was collected and clotted for serum preparation. Albumin, direct bilirubin, total bilirubin, and Aspartate and Alanine transaminase activities were determined using Cobas C311 chemistry analyzer.Hepatitis B and C viruses were detected using a serological test stripwhile body mass index was calculated using height and weight measurements.Bivariate and multivariable logistic regression analyses were performed to identify factors associatedwith liver function impairment using IBM SPSS Statistics for Windows, Version 27.0. Armonk, NY: IBM Corp. P-values < 0.05 with a 95% confidence level were used to declare statistical significance. Results: - Of the 307 HIV patients on antiretroviral therapy, 19.2% (95% CI=15.0-24.1%) showed abnormal liver function. All the impairment were grade I. Patients who have HbsAg (AOR = 5.6; 95% CI = 1.8-17.9, P= 0.003), use of herbal medicine(AOR=6.3; 95% CI=2.6 15.6, P= 0.001), and use of anti-tuberculosis drugs (AOR=3.6; 95%CI=1.15-11.4, p=0.028) were associated factors for developing liver function impairments. Conclusion: -Hepatitis B virus, herbal medicine and anti-tuberculosis drugs identified as factors associated with liver function impairements. So clinicians should follow these factors closely. 84 2024-06-01T00:00:00Z