Dietary Diversity and Its Association with Anemia among Pregnant Women Attending Public Health Facilities in South Ethiopia

BACKGROUND: Anemia is a major public health problem among pregnant women in developing countries like Ethiopia. Nutritional deficiency related to anemia is an important contributor to maternal mortality and poor fetal outcomes.METHODS: Institution based cross-sectional study was conducted among pregnant women to assess the prevalence of anemia and its association with dietary diversity in Hossana Town from March 15 to April 30, 2017. Systematic random sampling procedure was employed to select 314 study subjects. Data were collected using an interviewer administered semi-structured questionnaire supplemented with laboratory tests. Multivariable logistic regression was used to determine the independent predictors of anemia.RESULTS: The prevalence of mild to moderate anemia among pregnant women was 56.6% and 40.8% respectively. The mean dietary diversity and food variety score of study participants were 7 and 22 respectively. Maternal education (AOR=10.5; 95% CI:2.2, 27), occupation of spouse (AOR=9.3; 95% CI:1.6, 53), nutrition education (AOR=2.5; 95% CI:1.5, 6.4) and dietary diversity (AOR=18.6; 95% CI: 4.4, 28) were significantly associated with anemia.CONCLUSION: Anemia was found to be a moderate public health problem in Hossana Town. Therefore, there is a need of nutrition education and promotion awareness on healthy diets to prevent anemia among pregnant women.

Household food insecurity and its association with school absenteeism among primary school adolescents in Jimma zone, Ethiopia

Abstract Background Household food insecurity and lack of education are two of the most remarkable deprivations which developing countries are currently experiencing. Evidences from different studies showed that health and nutrition problems are major barriers to educational access and achievement in low-income countries which poses a serious challenge on effort towards the achieving Sustainable Development Goals. Evidence on the link between food security and school attendance is very important to address this challenge. This study aimed to assess to what extent food insecurity affects school absenteeism among primary school adolescents. Methods A school based cross-sectional study was conducted among primary school adolescents in Jimma zone from October-November, 2013. Structured questionnaire was used to collect data on the household food security and socio-demographic variables. Data were analyzed using SPSS for windows version 16.0 after checking for missing values and outliers. Multivariable logistic regression analyses were used to determine the association of school absenteeism and food insecurity with independent variables using odds ratio and 95 % of confidence intervals. Variables with p ≤ 0.25 in the bivariate analyses were entered into a multivariable regression analysis to control for associations among the independent variables. Results The frequency of adolescent school absenteeism was significantly high (50.20 %) among food insecure households (P < 0.001) compared to their peers whose households were food secure (37.89 %). Findings of multivariable logistic regression analysis also showed that household food insecurity [AOR = 2.81 (1.70, 4.76)] was positively associated with poor school attendance while female-headed household [AOR = 0.23 (0.07, 0.72)], urban residence [AOR = 0.52 (0.36, 0.81)] and male-gender [AOR = 0.64 (0.54, 0.74)] were inversely associated with school absenteeism. Household food insecurity was positively associated with lack of maternal education [AOR = 2.26 (0.57, 8.93)] and poor household economic status [AOR = 1.39 (1.18, 2.83)]. However, livestock ownership [AOR = 0.17 (0.06, 0.51)] was negatively associated with household food insecurity. Conclusions Findings of this study showed that household food insecurity has strong linkage with adolescent school absenteeism. Maternal education and household economic status were significantly associated with household food security status. Therefore, national policies and programs need to stress on how to improve family income earning capacity and socioeconomic status to handle household food insecurity which is a key contributor of adolescent school absenteeism

Assessment of community knowledge and perception on environmental issues in Jimma Zone, Southwest Ethiopia

Environmental knowledge and perceptions of community govern the sustainable use and management of environmental resources. Developing countries such as Ethiopia has been facing serious environmental problems. In spite of the existing problems, little is known about public understanding and perception of environmental issues. Thus, the overall objective of this research was to assess community perception and knowledge of environmental issues. Interview was conducted using structured questionnaire. The collected data was coded, cleaned and analyzed using descriptive and inferential statistics. The result indicates, most of the community members believed that they have better knowledge of environmental issues but the evidence obtained from measured knowledge shows the reverse. The principal source of environmental information (local media broadcasting) had positive correlation with perceived knowledge, and negatively correlated with assessed knowledge and perception index of environmental issues. Correctly answered questions used in the evaluation of environmental knowledge were weekly associated (r < .2) with perceived knowledge and perception, which indicates the respondents lacks same concept on environmental issues. Perceived knowledge was negatively and significantly (P <.001) determined by age and educational levels of respondents. But, measured knowledge was negatively and significantly (P <.05) affects by age, childhood area, education and occupation when positively and significantly (P = .001) influenced by origin of residence. The perception of community was positively and significantly (P =.001) determined by respondent's age, childhood area, education and information source but negatively and significantly (P < .05) influenced by origin of residence and ethnic group. Generally, self-reported knowledge is not reliable source of information for environmental management decisions. So, stakeholders should strongly works on environmental awareness campaigns, engage students in outdoor activities, and training to improve factors negatively determined community's factual knowledge and perception of environment

Cutaneous leishmaniasis in a newly established treatment centre in the Lay Gayint district, Northwest Ethiopia

Background: Cutaneous leishmaniasis (CL) is a neglected tropical disease that primarily affects the most vulnerable populations. In Ethiopia, where this study took place, CL is an important health problem, however, the incidence of CL is poorly monitored. Objectives: This study took place in a recently established CL treatment centre, at Nefas Mewcha Hospital, Lay Gayint. This area was considered to be endemic for CL, however, no cases of CL from Lay Gayint had previously been officially reported to the Amhara Regional Health Bureau. Methods: Following a CL awareness campaign, a retrospective data review was performed of patients presenting to this centre between July 2019 and March 2021. Basic demographic and clinical data were collected by a nurse and recorded in the logbook of the CL treatment centre. Results: Two hundred and one patients presented for diagnosis and treatment. The age of the patients ranged from 2 to 75 years and 63.2% were males. Most patients were between 10- and 19-years-old. The majority (79.1%) of the patients presented with localised cutaneous leishmaniasis and 20.9% with mucocutaneous leishmaniasis. 98% of the patients tested positive for Leishmania parasites by microscopy. Conclusions: This work underpinned how CL is a major public health problem in the Lay Gayint district. It also shows that raising awareness about CL in the community and providing diagnosis and treatment encouraged patients to travel to seek diagnosis and treatment

Erratum: Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017

Interpretation: By quantifying levels and trends in exposures to risk factors and the resulting disease burden, this assessment offers insight into where past policy and programme efforts might have been successful and highlights current priorities for public health action. Decreases in behavioural, environmental, and occupational risks have largely offset the effects of population growth and ageing, in relation to trends in absolute burden. Conversely, the combination of increasing metabolic risks and population ageing will probably continue to drive the increasing trends in non-communicable diseases at the global level, which presents both a public health challenge and opportunity. We see considerable spatiotemporal heterogeneity in levels of risk exposure and risk-attributable burden. Although levels of development underlie some of this heterogeneity, O/E ratios show risks for which countries are overperforming or underperforming relative to their level of development. As such, these ratios provide a benchmarking tool to help to focus local decision making. Our findings reinforce the importance of both risk exposure monitoring and epidemiological research to assess causal connections between risks and health outcomes, and they highlight the usefulness of the GBD study in synthesising data to draw comprehensive and robust conclusions that help to inform good policy and strategic health planning

Dietary Patterns and Anthropometric Status of Under-Five Children in Arba Minch Zuria, Gamo Gofa Zone: Community-Based Cross-Sectional Study

&lt;p&gt;Background: Malnutrition continues to be a major public health problem in developing countries. The problem is very significant among infant and young children. Although malnutrition is remarkably responsible for childhood death, the contributing factors are not well studied in the study area. Therefore, this study aimed to assess dietary patterns and anthropometric status of under-five children in Arba Minch Zuria, Gamo Goffa Zone, Southern Ethiopia. Methods: This cross-sectional study was conducted on child-mother-pairs in Arba Minch Zuria from FebruaryJuly, 2012. Quantitative data were obtained from sample of 762 respondents by using pretested questionnaires and observational checklists. Qualitative data were collected by using in-depth interviews with tape recorder. Sociodemographic status, maternal and child characteristics, child feeding practices, anthropometry and dietary diversity were assessed. Results: Breastfeeding is considered as natural gift in this community. About 95.8% of mothers had ever breastfed their children. More than half of mothers (57.3%) initiated breastfeeding within first hour of delivery and small number 78(10.2%) of mothers discarded colostrum. About 60.4% of mothers exclusively breastfed their children to 5-6 months. Majority of (74.5%) children had diets in the lowest dietary diversity group&lt;/p&gt

Effect of a theory-based nutrition education intervention during pregnancy through male partner involvement on newborns' birth weights in Southwest Ethiopia. A three-arm community based Quasi-Experimental study.

BackgroundLow birth weight is one of the most serious public health issues affecting newborns, with estimates ranging from 15% to 20% of all births worldwide. According to the Ethiopian demographic health survey report, the prevalence of Low Birth Weight rose from 11% in 2011 to 13% in 2016. The high proportion of birth weight in Ethiopia is hypothesized to be due to inadequate maternal diet which is associated with poor nutrition education during pregnancy. This study aimed to assess the effect of theory-based nutrition education during pregnancy through male partner involvement on birth weight in rural parts of the southwest Ethiopia.Study designA community-based quasi-experimental study was conducted.MethodsA total of 403 pregnant women were selected from 22 rural kebeles of Illu Aba Bor Zone, Southwest Ethiopia from June to December 2019. Participants were assigned to one of the three study arms: Couple group:-husband and wife received nutrition education together, women alone:-pregnant women received the nutrition education alone and control group:-received the routine care during Antenatal care. The nutrition education was guided by theory of planned behavior. Monthly home visits were made to the pregnant women in the intervention groups and leaflets with key counseling messages were distributed to each woman in the intervention arms. A structured interviewer-administered questionnaire was used to collect the data. A qualitative 24-h dietary recall was used to assess dietary data, and the Mid-Upper Arm Circumference was used to assess nutritional status. Birth weight was measured within 24 hours of birth. Analysis of variance, linear mixed-effects model, and mediation analysis were used to assess effect of the intervention on birth weight.ResultsA higher proportion of the newborns in the control group had low birth weight as compared to the couple group and the women alone group (18.1% vs 7.0% vs 11.5%, p = 0.037) respectively. The mean birth weight of babies born to women from the couple group was 0.42 kg greater than that of newborns born to women in the comparison group (3.34 vs 2.92 kg, pConclusionThe involvement of males and the application of the theory of planned behavior in nutrition education interventions during pregnancy resulted in improved birth weight. Maternal dietary diversity mediated the effect of nutrition education on birth weight. The findings highlight the implication of improving pregnant women's nutrition education through male involvement and the application of theories to improve birth weight