Compliance with Iron-Folate Supplement and Associated Factors among Antenatal Care Attendant Mothers in Misha District, South Ethiopia: Community Based Cross-Sectional Study

Background. In Ethiopia, higher proportions of pregnant women are anemic. Despite the efforts to reduce iron deficiency anemia during pregnancy, only few women took an iron supplement as recommended. Thus, this study aimed to assess compliance with iron-folate supplement and associated factors among antenatal care attendant mothers in Misha district, South Ethiopia. Method. Community based cross-sectional study supported with in-depth interview was conducted from March 1 to March 30, 2015. The sample size was determined using single population proportion to 303. Simple random sampling technique was used to select the study participants. Bivariate and multivariable logistic regression analyses were employed to identify factors associated with compliance to iron-folate supplement. Results. The compliance rate was found to be 39.2%. Mothers knowledge of anemia (AOR = 4.451, 95% CI = (2.027,9.777)), knowledge of iron-folate supplement (AOR = 3.509, 95% CI = (1.442,8.537)), and counseling on iron-folate supplement (AOR = 4.093, 95% CI = (2.002,8.368)) were significantly associated with compliance to iron-folate supplement. Conclusions. Compliance rate of iron-folate supplementation during pregnancy remains very low. This study showed that providing women with clear instructions about iron-folate tablet intake and educating them on the health benefits of the iron-folate tablets can increase compliance with iron-folate supplementation

Compliance with standard safety precautions and associated factors among health care workers in Hawassa University comprehensive, specialized hospital, Southern Ethiopia.

BackgroundGlobally, health care-associated infections had become serious public health importance. Compliance with standard safety precaution is effective and inexpensive measure to improve quality of healthcare in reducing occurrence of healthcare associated infections. In developing countries, like Ethiopia adherence to recommended standard safety precaution is scanty.ObjectiveTo assess level of compliance with standard safety precaution and associated factors among healthcare workers in Hawassa comprehensive specialized hospital Southern Ethiopia.MethodsAn institutional based cross-sectional study was conducted at Hawassa comprehensive specialized hospital. Data were collected by using self-administered questionnaire. Study participants were allocated proportionally based on their profession by using stratified random sampling method. Data were entered and analyzed by using SPSS version 20.0. Bi-variable analysis and multi variable logistic regression model were used to check which variables were associated with dependent variable. P-values ≤ 0.05 were considered statistically significant. In this study the overall compliance with standard safety precaution among healthcare workers were only 56.5%. Being female healthcare worker AOR: 2.76(1.34, 5.54), married healthcare workers AOR: 4.2(2, 9.03), accessibility of safety box AOR: 3.4(1.6, 7.17), HCWs had perceived IP training AOR: 3.99(1.46, 10.9), availability of tape water AOR: 2.68(1.15, 6.2) and healthcare workers had internal infection prevention and control supportive supervision AOR: 5.8(2.54, 13.48) associated with compliance with standard safety precaution.ConclusionAccording to findings of the current study, overall level of compliance with standard SP among HCWs considered to be very low. Factors such as healthcare workers being female, accessibility of safety box, availability of running tape water, training and supportive supervision were independent predictors of compliance with standard safety precaution. Thus ensuring availability and accessibility of safety precaution materials and regular observing and supervising healthcare workers' practices are highly recommended

Intention to comply with solid waste management practices among households in Butajira town, Southern Ethiopia using the theory of planned behavior.

BackgroundOne of the world's most serious environmental issues is solid waste management. It is critical for researchers to understand the intention to comply with solid waste management. Thus, we aim to determine the intention to comply with solid waste management practice among households in Butajira Town using the Theory of Planned Behavior.MethodA community-based cross-sectional study was conducted on a sample of 422 households in Butajira from June 1 to June 30, 2020. The constructs and principles of the theory of planned behavior (TPB) were measured. We selected using a systematic sampling method and collected data by using a structured interviewer-administered questionnaire. Data was analyzed using SPSS version 25.0. The predictors of intention to practice solid waste management were identified using a multivariable linear regression model. A P-value of less than 5% was considered to declare a significant association.ResultsThe findings demonstrated that intention to practice solid waste management explained 86% of the variance explained by all predictors. The perceived behavioral control construct had the greatest impact on households' behavioral intentions to comply with solid waste management practice (β = 0.16; CI (0.14, 0.18), followed by attitude (β = 0.15; CI (0.11, 0.21) and subjective norms (β = 0.12; CI (0.06, 0.17).ConclusionOur study also found that intention has a substantial influence on the behavior of solid waste management practices. Therefore, there is a need to enhance service utilization for solid waste management and to improve outdoor solid waste dropping behavior through door-to-door collection services by municipality. Furthermore, further longitudinal research should be done through intervention mapping

Effect of Nutrition Education Based on Health Belief Model on Nutritional Knowledge and Dietary Practice of Pregnant Women in Dessie Town, Northeast Ethiopia: A Cluster Randomized Control Trial

Background. In Ethiopia, poor dietary practice among pregnant women ranges from 39.3 to 66.1%. Limited nutritional knowledge and wrong perception towards dietary behaviours were underlying factors. Hence, this study was aimed to determine the effect of nutrition education based on Health Belief Model on nutritional knowledge and dietary practice of pregnant women in Dissie town, northeast Ethiopia, 2017 GC. Methods. Community-based cluster randomized control trial was employed. A total of 138 pregnant women participated. Nutrition education was given using Health Belief Model (HBM) theory and general nutrition education for intervention and control group, respectively. The baseline and endline nutrition knowledge and dietary practice was assessed using knowledge and dietary practice questions. HBM construct was assessed using five-point likert scale. Data were analyzed using SPSS version 20. Student’s t-tests and chi-square tests were used. At 95% confidence level, P0.05) at baseline. There was significant (P<0.001) improvement in the scores of HBM constructs in intervention group. Conclusion and Recommendations. Providing nutrition education based on Health Belief Model improves nutritional knowledge and dietary practices of pregnant women. Hence, governmental, nongovernmental organization, health extension workers, and other health-care provider should include Health Belief Model construct into existing nutrition education programs. Moreover, government should incorporate HBM theory into national nutrition education guidelines