Factors associated with diabetic nephropathy in Ayder referral Hospital, Ethiopia, 2016.

<p>Factors associated with diabetic nephropathy in Ayder referral Hospital, Ethiopia, 2016.</p

Determinants of diabetic nephropathy in Ayder Referral Hospital, Northern Ethiopia: A case-control study

<div><p>Background</p><p>Diabetic nephropathy is the most serious complication of diabetes which leads to end-stage renal failure and other complication of diabetes mellitus. Determinants of Diabetic nephropathy are not consistent in different studies and associated factors to chronic complications of diabetes are not specific and there are limited studies specific to diabetic nephropathy. Thus, the aim of this study is to identify determinants of diabetic nephropathy in Ayder Referral Hospital, Northern Ethiopia.</p><p>Methods</p><p>A case-control study was conducted from February 14 to May 8 2016. Diabetic patients who developed nephropathy in the last two years were the cases and diabetic patients free of nephropathy were controls. Cases and controls were identified detailed review of the chronic care follow up chart. Then simple random sampling was used to select sample of 420 (with control to case ratio of 4:1) resulting in 84 cases and 336 controls. Record review and interviewer administered questionnaire were used to collect data. Data was coded and entered in to Epi-Data version 3.1 and then exported to STATA 12 for analysis. Variables with P-values< 0.25 in Bivariate logistic regression were selected for multiple logistic regressions to determine independent determinants of diabetic nephropathy. OR was calculated with 95% CI to show strength of association.</p><p>Result</p><p>The mean age (±Standard deviation) for the cases and the controls were 52(SD: ±1.34) and 42.4(SD: ±0.8) respectively. In multiple logistic regressions age of patient (AOR: 1.037 95%CI: 1.01–1.064), duration of diabetes after diagnosis (AOR for one year increase: 1.09 95%CI: 1.036–1.15), not-adhered to blood glucose measurement at home (AOR: 6.81 95%CI: 1.15–40.24), having Systolic Hypertension (AOR;2.13 (1.002–4.51), poor glycemic control (AOR;2.71 95%CI: (1.49–4.95), being overweight(AOR;2.7(1.47–4.96) were the independent predictors of diabetic nephropathy.</p><p>Conclusion</p><p>In the light of these findings, targeted interventions should be designed at the follow up clinic to address the risk of developing diabetic nephropathy among the risk groups.</p></div

Determinants of diabetic nephropathy in Ayder Referral Hospital, Northern Ethiopia: A case-control study

<div><p>Background</p><p>Diabetic nephropathy is the most serious complication of diabetes which leads to end-stage renal failure and other complication of diabetes mellitus. Determinants of Diabetic nephropathy are not consistent in different studies and associated factors to chronic complications of diabetes are not specific and there are limited studies specific to diabetic nephropathy. Thus, the aim of this study is to identify determinants of diabetic nephropathy in Ayder Referral Hospital, Northern Ethiopia.</p><p>Methods</p><p>A case-control study was conducted from February 14 to May 8 2016. Diabetic patients who developed nephropathy in the last two years were the cases and diabetic patients free of nephropathy were controls. Cases and controls were identified detailed review of the chronic care follow up chart. Then simple random sampling was used to select sample of 420 (with control to case ratio of 4:1) resulting in 84 cases and 336 controls. Record review and interviewer administered questionnaire were used to collect data. Data was coded and entered in to Epi-Data version 3.1 and then exported to STATA 12 for analysis. Variables with P-values< 0.25 in Bivariate logistic regression were selected for multiple logistic regressions to determine independent determinants of diabetic nephropathy. OR was calculated with 95% CI to show strength of association.</p><p>Result</p><p>The mean age (±Standard deviation) for the cases and the controls were 52(SD: ±1.34) and 42.4(SD: ±0.8) respectively. In multiple logistic regressions age of patient (AOR: 1.037 95%CI: 1.01–1.064), duration of diabetes after diagnosis (AOR for one year increase: 1.09 95%CI: 1.036–1.15), not-adhered to blood glucose measurement at home (AOR: 6.81 95%CI: 1.15–40.24), having Systolic Hypertension (AOR;2.13 (1.002–4.51), poor glycemic control (AOR;2.71 95%CI: (1.49–4.95), being overweight(AOR;2.7(1.47–4.96) were the independent predictors of diabetic nephropathy.</p><p>Conclusion</p><p>In the light of these findings, targeted interventions should be designed at the follow up clinic to address the risk of developing diabetic nephropathy among the risk groups.</p></div

Socio demographic characteristics of diabetic patients who follow at Ayder referral Hospital, Ethiopia, 2016.

<p>Socio demographic characteristics of diabetic patients who follow at Ayder referral Hospital, Ethiopia, 2016.</p

Essential neonatal care utilization and associated factors among mothers in public health facilities of Aksum Town, North Ethiopia, 2016

<div><p>Background</p><p>Globally, neonatal death accounts about 44% of child death in 2013. Ethiopia is one of the ten countries with the highest number of neonatal death. Worldwide, more than 43% of deaths among under five year children is contributed by neonates. Half of the neonatal death occur in the first day of life. Recommendations about newborn care practices may conflict with local beliefs and practices. So, it is important to understand the existing newborn care practice and factors affecting it in order to take interventions so as to decrease neonatal death.</p><p>Objective</p><p>To assess magnitude of essential neonatal care utilization and associated factors among women visiting public health facilities in Aksum Town, Tigray, Northern Ethiopia, 2015.</p><p>Methods</p><p>Facility based cross sectional study was conducted from December 30, 2015 to January 31, 2016.The sampled population are 423 women who gave live births within the last 6 months prior to data collection. Systematic random sampling technique was employed. Data were entered, coded and cleaned using Epi info version 7, and SPSS Version 21 software was used for analysis. Both bivariable and multivariable logistic regression models were used to determine factors associated with essential neonatal care utilization. Variables with P-value <0.2 in the bivariable logistic regression model were included in to multivariable logistic regression model, and finally variables with P-value <0.05 were considered as independent factors. Odds ratio was used to measure strength of association at 95% confidence level.</p><p>Result</p><p>A total of 423 mothers included in the study. Prevalence of safe cord care, optimal breast feeding, thermal care and baby received Tetracycline eye ointment and vaccine at birth were 42.8%, 63.1%, 32.6% and 44.7% among the respondents respectively. Only <b>113(26.7%)</b> of the participants fulfilled essential new born care practice. Occupation, parity and counseling on essential new born care during delivery were significantly associated with utilization of essential new born care. Employed women (AOR = 7.08; 95% CI (2.21, 12.72), 2–3 number of deliveries (AOR = 1.84; 95% CI (1.04, 3.26) and received counseling about essential new born car during delivery (AOR = 3.36; 95% CI (1.86, 6.08) were more likely to practice essential neonatal care practice than their counterparts.</p><p>Conclusion and recommendation</p><p>Around three-fourth of mothers were not practicing Essential Newborn Care (ENC). Occupation, parity and essential new born care counseling during delivery were significantly associated with utilization of ENC. Promotion of information at community level, women empowerment and staff training is recommended.</p></div

Socio demographic characteristics of the mothers in Aksum Town, Tigray, Ethiopia 2016.

<p>Socio demographic characteristics of the mothers in Aksum Town, Tigray, Ethiopia 2016.</p

Maternal health service of respondents, in Aksum Town, Tigray, Ethiopia, 2016.

<p>Maternal health service of respondents, in Aksum Town, Tigray, Ethiopia, 2016.</p

Factors associated with ENC utilization by multiple logistic regression analysis, Aksum Town, Tigray Ethiopia 2016.

<p>Factors associated with ENC utilization by multiple logistic regression analysis, Aksum Town, Tigray Ethiopia 2016.</p

Four essential new born care practices in Aksum Town, Tigray, Northern Ethiopia.

<p>Four essential new born care practices in Aksum Town, Tigray, Northern Ethiopia.</p

Additional file 2: of Magnitude and factors associated with adherence to Iron-folic acid supplementation among pregnant women in Eritrean refugee camps, northern Ethiopia

A questionnaire used for collecting the qualitative data. (DOCX 19 kb