Primary School Teacher’s knowledge towards Attention Deficit/Hyperactivity Disorder (ADHD) and its associated factors in Nekemte town, Oromiya Region, Western Ethiopia

The work of the teacher becomes much more demanding when some learners have Attention-Deficit/Hyperactivity Disorder (ADHD), as their problems with attention span, impulse control and activity level frequently interfere with activities in the classroom and socially. This study revealed the teachers good knowledge about ADHD but about 43.7% of primary school teachers had poor knowledge. The objective of the study was to assess the primary school teacher’s knowledge and misconceptions of ADHD and associated factors in Nekemte Town, Oromiya region Western Ethiopia. This study was conducted in Nekemte full Cycle Primary Schools. Nekemte Town, the capital city of East Wollega zone is found 331 km from the capital Addis Ababa to the West. There are 10 government and 20 private full cycle primary schools in the town. Institution based descriptive cross-sectional study were applied. All primary teachers in the selected schools and fulfilling the inclusion criteria were included in this study. Non probability convenience sampling technique was utilized to recruit study participants. The period of the study is from December 2015 to January 2016. The collected data were entered into computer using Epi data version 3.5 and analyzed using SPSS for Windows version 21.0. The Binary logistic regression was fitted to assess possible association and the strength of association was measured using odds ratio with 95% CI. The P<0.05 were considered as statistically significant. The results of the study showed that among 206 primary school teachers majority were in the age group of <=40years of age (62.6%) were 50.5 % are female. Most of the participants are teaching general education (96.6%) and 3.4% were teaching special education. For the 41 items knowledge score was computed and the mean value of 15.4 and standard deviation of 6.9 was calculated. Accordingly 15 score was used to categorize the knowledge level of the study participants. Based on the mean value 56.4 % of study participants have good knowledge and the rest participants have poor or inadequate knowledge. Binary logistic analysis showed no association between knowledge and socio-demographic variables. Lack of reading any books [AOR=1.96; CI 0.60-6.44; p-value=0.26], lack of reading any articles [AOR=1.24, 95% CI= 0.31-4.95; p-value= 0.76], lack of reading any pamphlet [AOR=1.99; 95% CI= 0.52-7.57; p-value=0.31], lack of television watching [AOR=0.73; 95% CI= 0.35-1.54; p-value=0.42],lack of internet browsing [AOR=0.21; 95% CI= 0.04-1.04; p-value=0.05]. were the most important predictors found associated with primary school teacher’s knowledge and misconceptions in this study about ADHD.Keywords: Attention Deficit Hyperactivity Disorder Knowledge primary school teacher Western Ethiopia Nekemt

Obstetric Danger Signs: Knowledge, Attitude, Health-Seeking Action, and Associated Factors among Postnatal Mothers in Nekemte Town, Oromia Region, Western Ethiopia—A Community-Based Cross-Sectional Study

Background. Maternal mortality remains unacceptably high due to pregnancy complications and remains the major health problems in many developing countries such as Ethiopia. Having poor knowledge of obstetric danger signs contributes to delays in seeking and receiving skilled care which in turn increases maternal mortality. However, in Ethiopia, studies are lacking regarding the knowledge level of mothers about obstetric danger signs during pregnancy, child birth, and postnatal periods. In Ethiopia, the proportion of those who have full knowledge of these obstetric danger signs during pregnancy, child birth, and postnatal period is not known. Despite few studies are conducted at health facility level focusing on danger signs during pregnancy, the issue of health-seeking action after identifying danger signs and attitude of mothers towards obstetric danger sign was not addressed. Objectives. To determine knowledge, attitude, health-seeking action towards obstetric danger signs, and associated factors among postpartum women. Methods.A community-based cross-sectional study was conducted in Nekemte Town from October 1 to November 30, 2017. Multistage sampling technique was employed to select the total sample size of 621. Ethical clearance was obtained from Wollega University research and ethical committee. A pretested structured questionnaire was used to collect data from respondents. Data were entered to EpiData version 3.1 and exported to SPSS version 20 for analysis. To assess the associations between dependent and independent variables, binary and multivariate logistic regressions were employed, and the strength of association was presented using odds ratios with 95% confidence intervals. Result. Only 197 (32.3%) of respondents were able to spontaneously mention at least five key obstetric danger signs during antepartum, intrapartum, and postpartum (in the three phases) with at least one obstetric danger sign in each phase and thus were considered as having good knowledge of key obstetric danger signs. Government employee (AOR = 3.28, 95% CI: 1.98–5.42), able to read and write (AOR = 4.92, 95% CI: 2.14–11.3), primary school (AOR = 4.90, 95% CI: 2.11–11.4), ANC follow-up (AOR = 6.2, 95% CI: 1.82–21.21), and ANC visit (AOR = 4.07, 95% CI: 2.35–7.06) were significantly associated with knowledge of obstetric danger sign. From 150 (24.6%) participants who faced obstetric danger signs during their last pregnancy, the majority of them, 137 (91.3%), had a good practice which is seeking a health facility for care. Conclusion and Recommendation. Despite their low knowledge level and attitude, the practice of mothers in response to obstetric danger signs was encouraging. Occupation, educational status, ANC follow-up, and number of ANC visits were variables significantly associated with knowledge of obstetric danger signs. Health care providers should provide health education and counseling to increase awareness, and appropriate counseling during antenatal care at each visit is of paramount importance

Complications of instrumental vaginal deliveries and associated factors in hospitals of Western Oromia, Ethiopia

Objective: In developing countries like Ethiopia, there is lack of evidence that shows the magnitude and factors affecting complications of instrumental delivery. Most of the research done in Ethiopia was secondary data and lacks variables like socio-demographic factors, availability of cardiotocograph, number of traction, and who conducted delivery (qualification of health workers). So, this study tried to fill the gaps by conducting primary research with secondary data and adding those variables stated above. Methods: Health facility-based cross-sectional study was conducted from 20 February 20 June 2020 in five public hospitals in East Wollega Zone. Single population proportion formula used to calculate sample size. Systematic random sampling was employed. Interviewer-administered structured questionnaire, checklist, and document review were used to collect data from 282 respondents. Data entered to Epi Data version 3.01 and exported to a statistical package of social sciences version 21 for analysis. Those variables with p   4000 g (adjusted odd ratio = 4.09, 95% confidence interval 1.729–9.499) and outlet instrumentation (adjusted odd ratio = 0.139, 95% confidence interval 0.057–0.339) were associated with complications of instrumental vaginal delivery. Conclusion: Magnitude of complications of instrumental vaginal delivery was high in the study area. So, health professionals should give due attention on instrument selection and application. Instrumental delivery requires a careful assessment of clinical circumstances to identify the indications and contraindications for the application of the instruments