Awareness of Sexual Trafficking and Associated Factors Among Youth Females in Debre Birhan Town, North Shewa, Ethiopia 2019: Community Based Cross-sectional Study

Background: sexual trafficking is a major issue affecting both developing and developed countries. Therefore, this study aimed to assess sexual trafficking and associated factors among female youths in Debre Berhan town, North Shewa, Ethiopia Methods: - Community based cross-sectional study was conducted by using systematic random sampling method of data collection from February 05 to April 10, 2019 from a total of 582 youth females. Result: Among the total of 582 study participants 300(52%) of the participants had awareness about sexual trafficking. Mother’s educational status; elementary [AOR=2.068, 95%CI(1.079-3.963)] and secondary[AOR=3.446, 95%CI(1.298-9.154)], parents’ occupational status ;governmental worker [AOR=2.2, 95%CI(1.02-4.747)], participants occupational status [AOR=6.203, 95% CI(1.099- 35.005)],having television at home [AOR=2.083, 95% CI(1.305-3.326)] and taking training on gender issues [AOR=3.887,95% CI: (2.591-5.832)] were independent predictors  risk factors for awareness of sexual trafficking. Conclusion: In this study, sexual trafficking awareness among female youth was low. Mother education status, parents’ occupation, participant’s job, having television in home and taking training on gender issues were significantly associated with awareness of sexual trafficking. Therefore, accessibilities of education and information through the community have to be taken as strategy for enhancing awareness of sexual trafficking among youth. Keywords: Awareness, Sexual trafficking, Youth females DOI: 10.7176/JHMN/72-02 Publication date:March 31st 202

Hand washing practices at critical times and their associated factors among mothers in Ethiopia: A systematic review and meta-analysis

One of the most crucial preventive measures against the spread of infectious diseases is hand washing, a process of hand cleansing that dramatically lowers bacteria in the hands. There is no comprehensive study on hand-washing practices in Ethiopia. Thus, this systematic review and meta-analysis aimed at estimating the pooled prevalence of hand washing practice at a critical time and identifying associated factors among mothers in Ethiopia. Published articles from various electronic databases, such as Medline, Hinari, PubMed, the Cochrane Library, and the Web of Science, were accessed. The search period was from November 1, 2022, to January 10,2023. The protocol was registered at PROSPERO with registration number CRD42023427409. All observational studies conducted among mothers in the English language were included in the review. Two reviewers independently assessed the articles before inclusion in the final review using the Joanna Briggs Institute Meta-analysis of Statistics Assessment and Review Instrument for critical appraisal. The I-squared test was used to assess heterogeneity. Since the included studies exhibited high heterogeneity, a random-effects model was used to estimate the pooled prevalence of hand washing practice at critical time movements. We found 3,546 studies in our search. Finally, 158 full-text studies were reviewed, and 18 studies fulfilled the inclusion criteria and were included in the final meta-analysis. A total of 6,956 study respondents from 18 studies were included in the study. The results of our study revealed that the pooled prevalence of handwashing practice among mothers was 47.83%, with a 95% confidence interval of 37.27- 58.38. From the pooled estimation, there was a significant association between hand washing practice and educational level, knowledge, availability of water, and attitude of mothers. The pooled prevalence of hand washing practice at critical times among Ethiopian mothers was relatively low, and improving maternal literacy, the availability of water sources in the backyard, and the positive attitude of mothers are needed to maintain and enhance the practice

Knowledge, Attitude and Associated Factors towards COVID-19 among Healthcare Providers at Wolaita Sodo University Teaching Referral Hospital, Southern Ethiopia, 2020

Healthcare providers are involved in caring for and treating patients with highly transmittable diseases. Coronavirus-2019 has posed serious health risks to healthcare providers because of their repeated exposure to many infections. The aim of this study was to assess the knowledge, attitude, and associated factors towards COVID-19 among h healthcare providers at Wolaita Sodo Teaching Referral Hospital, Southern Ethiopia, 2020.Institution based cross-sectional study was conducted using 326 healthcare providers for the assessment of the knowledge, attitude and associated factors towards COVID-19 from August 30, 2020 to September 01, 2020, at Wolaita Sodo University Teaching Referral Hospital. A pretest and structured self-administered questionnaire were used to collect the data from the participants. A simple random sampling method was employed. Data were entered, coded, and analyzed using SPSS version 25 and the binary and multivariate logistic regression models were used to identify factors associated with the knowledge and attitude of healthcare providers towards COVID-19. The statistically significant association at P< 0.05 was employed for the comparisons. The results for the overall knowledge of the healthcare providers towards the novel Coronavirus (COVID-19) was good (68.1%) and the overall attitude of health care providers was also positive (74.8). Experience>= 10 years (AOR=0.23; 95% CI=0.13, 0.79. P-value=0.01), Midwives qualification (AOR=0.39, 95% CI=0.10, 0.83, P-value=0.02), and positive attitude (AOR: 0.19; 95% CI=0.10, 0.36) were statistically associated with knowledge whereas experience >=10 years (AOR=2.1 95% CI=1.29, 2.10. P-value=0.01), laboratory profession (AOR=0.80; 95% CI=0.01, 0.47), P-value=0.02), and good knowledge (AOR=0.29; 95% CI=0.11, 0.46, P-value=0.0001) were statistically associated with attitude of the health careproviders. This study showed that healthcare providers had good knowledge and attitude regarding COVID-19. Thus, promoting awareness through mass media and creating public health education is an important approach to address the reduction to the transmission of COVID-19 Pandemic in Ethiopi

Factors associated with risky sexual behaviour among secondary and preparatory students in Wolaita Sodo town, Southern Ethiopia; Institution based cross-sectional study

Background: Young people in Ethiopia aged between 18 and 24 who have had sex before age 18 has increased from 35% in 2005 to 40% in 2016 among women and from 9% to 12% among men.Objectives: This study aimed to assess the prevalence and factors associated with risky sexual behavior among secondary and preparatory students in Wolaita Sodo town, Wolaita zone, Southern Ethiopia; 2020.Methods: A school-based cross-sectional study was conducted from February 4 to 25, 2020. Multistage sampling was employed to select a random sample of 830 study participants from 2 randomly selected secondary and preparatory schools. Bivariate and multivariate logistic regression analysis was used to examine the relationship between the outcome variables and independent variables.Result: Among the 306 participants who reported ever having sex, 196 (24.7%) engaged in risky sexual behaviors. Factors significantly associated with risky sexual behavior were; ever used alcohol, ever smoked cigarettes, parent monitoring, and having sexually active close friend/s.Conclusion: Substantial proportion of study participants engaged in risky sexual behavior calling for more interventions on school student’s addictive behaviors. Parents should have frequent, open and informative discussions about substance use and the associated problems with their adolescents. Keywords: Students; risky sexual behavior; factors; Ethiopia

Disrespect and abuse of women during childbirth at health facilities in Eastern Africa: systematic review and meta-analysis

BackgroundDisrespectful and abusive maternity care is a sign of poor treatment that influences women’s choice to deliver their babies in institutions. Such malpractices continue to go unreported and are rarely exposed in developing countries, despite their serious burden. Therefore, this meta-analysis study aimed to estimate disrespect and abuse of women during childbirth in East Africa.MethodsPubMed, Google Scholar, Scopus, and Science Direct databases were searched. Data were extracted using Microsoft Excel and analyzed using STATA statistical software (v. 14). Publication bias was checked by forest plot, Begg’s rank test, and Egger’s regression test. To look for heterogeneity, I2 was computed, and an overall estimated analysis was carried out. Subgroup analysis was done by study region, sample size, and publication. The pooled odds ratio for associated factors was also computed.ResultsOut of 654 articles assessed, 18 met the criteria and were included in this study. There were a total of 12,434 study participants. The pooled prevalence of disrespect and abuse of women during childbirth in East Africa was 46.85% (95% CI: 45.26.72–66.98), I2 = 81.9%. It was lower in studies with sample size greater than 5000 (33%). The disrespect and abuse rates between community-based studies (44.96%) and institutional-based studies (47.35%) did not differ significantly, though. Instrumental delivery (AOR = 2.70; 95%CI: 1.79–4.08), presence of complications (AOR = 6.41; 95% CI: 1.36–30.14), receiving care at government hospitals (AOR = 3.66; 95% CI: 1.09–12.23), and poor wealth index (AOR = 2.16; 95% CI: 1.26–3.70) were associated factors.ConclusionIn East Africa, disrespect and abuse of women during childbirth was high. Instrumental delivery, presence of complications during childbirth, receiving care at government hospitals and poor wealth index were predictors of maternal disrespect and abuse. Safe delivery practice should be promoted. Training in compassionate and respectful maternity care, particularly in public hospitals, has also been recommended

The magnitude of episiotomy among women who gave birth in Ethiopia: Systematic review and meta-analysis

Episiotomy is one of the most common obstetric procedures done by health providers putting the client at high risk of developing complications and lacerations. These days, episiotomy has been done at an alarming rate in Ethiopia as compared to the slant set by World Health Organization. Be that as it may, there is a need for nationally representative data. This study aimed to determine the pooled prevalence of episiotomy practice among women who gave birth at public health institutions in Ethiopia. We accessed PubMed, Web of Science, Google Scholar, EMBASE, and manual search was used to retrieve articles. The extractions of the data were done by using Microsoft Excel and analyzed by STATA version 11 statistical software. The publication bias was checked by funnel plot visually and Egger's test and Begg’s test, with P < 0.05 considered indicating potential publication bias. I2 was used to check the presence of heterogeneity of the studies. Overall estimated analysis was done. Subgroup analysis was done by region. We carried out a leave-one-out sensitivity analysis. The Joanna Briggs Institute risk of bias assessment tool was used. Out of 254 articles retrieved, 9 studies met the eligibility criteria and are thus included in this study. The overall episiotomy practice in Ethiopia was 45.01% (95% CI: 36.288, 53.741). Based on the sub-group analysis, prevalence of episiotomy practice was 49.32% (95%CI: 12.67, 85.97), 46.92% (95%CI: 29.47, 64.37), 44.23% (95%CI: 37.77, 50.99) and 38.29 (95%CI: 32.38, 44.20) among South region, Addis Ababa, Amhara region and Tigray region respectively. The findings revealed that the prevalence of episiotomy practice in Ethiopia was high (45.01%). Therefore, it is better to have periodic training for birth attendants on the indication of episiotomy and the appropriate use of guidelines to reduce the rate of episiotomy

Indoor air bacterial load and antibiotic susceptibility pattern of isolates at Adare General Hospital in Hawassa, Ethiopia

BackgroundAir is the agent of pathogenic microbes that cause significant problems in the hospital environment. Multidrug resistance poses a major therapeutic challenge to these airborne microorganisms in hospital indoor environments.Method and materialsThis study was conducted at Adare General Hospital in Hawassa City, Sidama, Ethiopia. A cross-sectional study was conducted. The proportional allocation method was used to select the sampled 50 rooms from the total available rooms in each category of wards and staff offices. A total of 100 indoor air samples were collected using settle plates in all units twice a day, morning (9:00–4:00 a.m.) and afternoon (3:00–4:00 p.m.). The types and number of colonies were determined in the laboratory, and the pathogenic bacteria were isolated by appropriate bacteriological techniques. Antimicrobial susceptibility testing was performed on Mueller-Hinton agar for each potentially pathogenic bacterium isolated. For each bacterium, a total of 12 antibiotics were tested using the Kirby-Bauer disk diffusion method. The test organism was adjusted to McFarland turbidity standards of 0.5. Data were entered and analyzed using the SPSS version 25 window. Descriptive analysis and one-way analysis of variance were performed.ResultsThe indoor air bacterial load of Adare General Hospital was found in the range between 210 and 3,224 CFU/m3. The highest indoor air bacterial load was identified from the gynecology ward with a mean of 2,542.5CFU/m3 at p < 0.05. From 100 indoor air samples, a total of 116 bacterial pathogen isolates were obtained. Gram-positive isolates predominated at 72.4%, of which 37.1% were Staphylococcus aureus, 26.7% were coagulase-negative Staphylococci, and the rest 8.6% were Streptococcus pyogenes. The isolation of pathogenic bacteria Staphylococcus aureus and coagulase-negative Staphylococci showed a high level of resistance to ampicillin.ConclusionA high bacterial load was found in the study area as compared to different indoor air biological standards. Staphylococcus aureus and coagulase-negative Staphylococci were the isolated predominant bacteria. Attention should be given to preventing and minimizing those environmental factors that favor the multiplication of bacteria in the indoor environment of a hospital for the safe health of patients, visitors, and staff

Trend, determinants, and future prospect of child marriage in the Amhara region, Ethiopia: a multivariate decomposition analysis

BackgroundChild marriage is a harmful traditional practice, which compromises children of their childhood and threatens their lives and health. In Ethiopia, 58% of women and 9% of men get married before the age of 18 years. Surprisingly, parents in the Amhara region make marriage promises of their children before they are even born, which will hinder the region from attaining the Sustainable Development Goal of ending child marriage. Thus, this study aimed to assess the trends, determinants, and future prospects of child marriage in the Amhara region of Ethiopia.MethodsA repeated cross-sectional study was conducted using four consecutive nationally representative Ethiopian demographic and health surveys (2000–2016). A logit-based multivariate decomposition analysis for a non-linear response model was fitted to identify factors that contributed to the change in child marriage over time. Statistical significance was declared at a p-value of < 0.05. The child marriage practice in the Amhara region by the year 2030 was also predicted using different forecasting features of Excel.ResultsThe trend of child marriage over the study period (2000–2016) decreased from 79.9% (76.7, 82.8) to 42.9% (39.1, 46.9), with an annual average reduction rate of 2.9%. Approximately 35.2% of the decline resulted from an increase in the proportion of women who attained secondary and above-secondary education over the two surveys. A decrease in the proportion of rural women and a change in the behavior of educated and media-exposed women also contributed significantly to the decline in child marriage. The prevalence of child marriage in the Amhara region by the year 2030 was also predicted to be 10.1% or 8.8%.ConclusionThough there has been a significant decline in child marriage in the Amhara region over the past 16 years, the proportion is still high, and the region is not going to eliminate it by 2030. Education, residence, and media exposure were all factors associated with the observed change in child marriage in this study. Therefore, additional efforts will be required if child marriage is to be eliminated by 2030, and investing more in education and media access will hasten the region's progress in this direction

Dyslipidemia and serum cystatin C levels as biomarker of diabetic nephropathy in patients with type 2 diabetes mellitus

BackgroundDiabetic nephropathy is a leading cause of end-stage renal disease. The diagnostic markers of nephropathy, including the presence of albuminuria and/or a reduced estimated glomerular filtration rate, are not clinically ideal, and most of them are raised after a significant reduction in renal function. Therefore, it is crucial to seek more sensitive and non-invasive biomarkers for the diagnosis of diabetic nephropathy.Objective of the studyThis study aimed to investigate the serum cystatin C levels and dyslipidemia for the detection of diabetic nephropathy in patients with type 2 diabetes mellitus.MethodologyA hospital-based comparative cross-sectional study was conducted from December 2021 to August 2022 in Tikur, Anbessa specialized teaching hospital with a sample size of 140 patients with type2 diabetes mellitus. Socio-demographic data was collected using a structured questionnaire, and 5 mL of blood was collected from each participant following overnight fasting for biochemical analyses.ResultsIn type 2 diabetes patients with nephropathy, we found significant lipoprotein abnormalities and an increase in serum cystatin C (P < 0.001) compared to those without nephropathy. Serum cystatin C, systolic blood pressure, fasting blood glucose, total cholesterol, triglyceride, low density lipoprotein, very low-density lipoprotein, high density lipoprotein, and duration of diabetes were identified as being significantly associated with diabetic nephropathy (P < 0.05) in multivariable logistic regression analysis. The mean values of total cholesterol levels, triglyceride levels, and high-density lipoprotein cholesterol levels were also found to be significantly higher (P < 0.05) in females as compared to male type-2 diabetic patients. The fasting blood glucose levels and lipid profiles of the participants were found to be significantly associated with serum cystatin C levels.ConclusionThe present study found significant serum cystatin C and lipoprotein abnormalities in T2DM patients with diabetic nephropathy when compared with those without diabetic nephropathy, and these lipoprotein abnormalities were significantly associated with serum cystatin C levels

Intention to use maternal waiting home and its predictors among pregnant women in Ethiopia: systematic review and meta-analysis

Abstract Background A high maternal death rate is a result of maternal delays in seeking emergency obstetric care, particularly in countries with limited resources like Ethiopia. Utilizing maternity waiting homes is a strategy to overcome geographical barriers and improve maternal and neonatal health outcomes. Pregnant women must intend to use this service in addition to it being available. Therefore, the goal of this study was to assess pregnant women's intentions to use maternity waiting homes and associated characteristics. Methods PubMed, Google Scholar, Scopus, Science Direct, and online institutional repository homes were searched. Data were extracted using Microsoft Excel and analyzed using STATA statistical software (v. 14). Publication bias was checked by forest plot, Begg's, and Egger's tests. To look for heterogeneity, I 2 was computed, and an overall estimated analysis was carried out. Subgroup analysis was done by study region, sample size, and publication. The pooled odds ratio for associated factors was also computed. Results Out of 258 articles assessed, 8 studies with 4111 study participants met the criteria and were included in this study. The pooled prevalence of intention to use maternity waiting home was 52.25% (95% CI 45.88–58.66), I 2 = 93.8%). Amhara region had a higher intention to use maternal waiting for home prevalence (63.5%), per subgroup analysis. In studies with sample sizes higher than 5000, the usage of maternity waiting homes was less prevalent (45.2%). Between published research (52.9%) and unpublished studies (51.3%), there was no appreciable difference in the intention to use a maternity waiting home. Experience of maternity waiting home (AOR = 3.337; 95% CI 2.038–5.463), direct subjective norm (AOR = 2.763; 95% CI 1.395–5.471), and direct perceived behavioral control (AOR = 23.147; 95% CI 2.341–4.231). Conclusion In Ethiopia, the intention to use maternity waiting was low. There was an intentional variation in to use of maternity waiting homes across regions of Ethiopia. Improving behavioral perception through intervention programs such as antenatal education should have been strengthened