Determinants of inappropriate complementary feeding among children 6–23 months of age in Dessie City Northeast Ethiopia: a case-control study

Abstract Background Inappropriate complementary feeding is one of the leading causes of malnutrition among children 6–23 months old and delays children’s growth milestone. The determinants of inappropriate complementary feeding practice have diverse natures, so that many of the previous studies fail to generate adequate evidence on it. This study aim to address the determinants of in appropriate complementary feedings at community level. Methods A community-based unmatched case-control study design was carried out among children 6–23 months of age in Dessie City from April 13, 2021 to May 13, 2021. Nine kebeles were selected by simple random sampling method. One month prior to the data collection time survey was conducted and 482 samples were taken from the preliminary survey data; 241 cases and 241 controls by computer generated random numbers. Interviewer administered questionnaire was used to investigate potential determinants of inappropriate complementary feeding practice. Binary logistics regression was used to identify independent determinants. Results Part working situation of mother [AOR = 0.21 CI: 0.08, 0.52] was negatively associated with inappropriate complementary feeding. Having no post-natal care visit [AOR = 4.062 CI:2.35,7.02], poor wealth status [AOR = 2.7 CI:1.09,6.68], food in-security [AOR = 4.49 CI:1.94,10.37], home delivery [AOR = 4.33 CI:1.43,13.15], having poor knowledge on infant and young child feeding [AOR = 5.94 CI:2.8,12.6], having no health education on complementary feeding [AOR = 2.54 CI:1.28,5.06] and father’s job [AOR = 2.2 CI:1.17,4.1] were found to be positively associated with inappropriate complementary feeding. Conclusion Mothers’ work situation, fathers’ job, wealth index, food security, mothers’ knowledge on infant feeding, post-natal care, health education on infant feeding and place of delivery were independent determinants for inappropriate complementary feeding. Thus, interventions shall effectively address those factors to alleviate the problem

Timely Initiation of Complementary Feeding and its Associated Factors among Children 6-23 Months in Ethiopia: A Systematic Review and Meta-analysis

In Ethiopia, various studies have been done in order to determine the proportion of infants who had initiated complementary food timely and its  associated factors. The results of these studies were not consistent and had a big variability. Hence, the aim of this systematic review and meta-  analysis is to estimate the pooled prevalence of timely initiation of complementary feeding and its associated factors among children 6-23 months  in Ethiopia. Different databases were systematically searched. Studies reporting the proportion and associated factors of timely initiation of  complementary feeding in Ethiopia were considered. The Cochrane Q test statistic and I2 test were used to assess the heterogeneity between the  studies. A random effect model was computed to estimate the pooled prevalence of timely initiation of breastfeeding. In addition, the association  between timely initiation of complementary feeding and Antenatal Care follow-up, place of delivery, postnatal checkup, women’s education,  mother’s occupation, father’s education, marital status, child sex, place of residence was determined. Eighteen studies were finally included in this  meta-analysis. The findings of this meta-analysis revealed that, the pooled prevalence of timely initiation of complementary feeding in Ethiopia was  55.64% (95% Confidence interval: 50.35, 60.93%). In this study, timely initiation of complementary feeding in Ethiopia was significantly low compared  to the current global recommendation on complementary feeding. Women from rural area were less likely to initiate complementary  feeding at six months as compared with women from urban areas. Mothers who give birth at home were less likely to initiate complementary  feeding timely. &nbsp

Time to initiation of antenatal care and its predictors among pregnant women in Ethiopia: Cox-gamma shared frailty model.

BackgroundTimely initiating antenatal care (ANC) is crucial in the countries that have high maternal morbidity and mortality. However, in developing countries including Ethiopia, pregnant mother's time to initiate antenatal care was not well-studied. Therefore, this study aimed to assess time to first ANC and its predictors among pregnant women in Ethiopia.MethodsA community-based cross-sectional study was conducted among 7,543 pregnant women in Ethiopia using the Ethiopian Demographic Health Survey (EDHS), 2016 data. A two-stage stratified cluster sampling was employed. The Kaplan-Meier (KM) method was used to estimate time to first antenatal care visit. Cox-gamma shared frailty model was applied to determine predictors. Adjusted Hazard Ratio (AHR) with 95% confidence interval was reported as the effect size. Model adequacy was assessed by using the Cox-Snell residual plot. Statistical significance was considered at p value ResultsThe median time to first ANC was 5 months with IQR (3,-). The independent predictors of time to first ANC visit were primary education [AHR: 1.24 (95%CI, 1.13-1.35)], secondary education [AHR: 1.28(95% CI, 1.11-1.47)], higher education [AHR: 1.43 (1.19-1.72)] as compared to women with no formal education. Having media exposure [AHR: 1.13 (95% CI, 1.03-1.24)], early initiation of ANC increases by 25% [AHR: 1.25 (95% CI, 1.12-1.40)] in poorer, 32% [AHR: 1.32 (95% CI, 1.17-1.49)] in middle, 37% [AHR: 1.37 (95% CI, 1.20-1.56)] in richer and 41% [AHR: 1.41 (95%CI, 1.1.19-1.67)] in richest households as compared to poorest household wealth index. Living in city administration, media exposure and community women literacy were also enabler factors, while, long distance from health facility and nomadic region residency were hindering factors of early ANC visit.ConclusionsThe current study revealed that women's time to first antenatal care visit was by far late in Ethiopia as compared to the world health organization recommendation (WHO). The predictors of time to first ANC visit were education status of women, having media exposure, level of household wealth index, community women literacy ad distance to health facility. It is vital that maternal and child health policies and strategies better to be directed at women development and also designing and applying interventions that intended to increase timely initiation ANC among pregnant-women. Researchers also recommended conducting studies using a stronger design like a cohort to establish temporality and reduce biases

Field Pea (Pisum sativum L.) Variety Development for Moisture Deficit Areas of Eastern Amhara, Ethiopia

Twelve field pea genotypes were evaluated in seven environments in Eastern Amhara in main production season (2010-2012). The objective of this trial was to identify stable and high yielding field pea genotype for production in Eastern Amhara. The trial was conducted using randomized complete block design with three replications. Combined analysis of variance for grain yield revealed that genotypes, environments, and genotype by environment interaction effect were highly significant (P ≤ 0.01). The environments, GEI, and genotypes were accounted for 77.47%, 13.83%, and 4.37%, of the total sum squares, respectively, indicating that field pea grain yield was significantly affected by the changes in the environment, followed by GEI and genotypic effect. The candidate genotype, EH-03-002, showed 14.42% and 44.87% yield advantage over the standard and local checks, respectively. Considering the seven environments data and field performance evaluation during the variety verification trial, the National Variety Releasing Committee has approved the official release of EH-03-002 with the vernacular name of “Yewaginesh” for moisture deficit areas of Wag Lasta and similar agroecologies

Multivariable linear regression model on factors associated with environmental domain of HRQoL among adult hypertensive patients on treatment at public health facilities in Dessie City Administration, Northeast Ethiopia, 2021 (n = 360).

Multivariable linear regression model on factors associated with environmental domain of HRQoL among adult hypertensive patients on treatment at public health facilities in Dessie City Administration, Northeast Ethiopia, 2021 (n = 360).</p

S1 Dataset -

(XLS)</p

Multivariable linear regression model on factors associated with psychological domain of HRQoL among adult hypertensive patients on treatment at public health facilities in Dessie City Administration, Northeast Ethiopia, 2021 (n = 360).

Multivariable linear regression model on factors associated with psychological domain of HRQoL among adult hypertensive patients on treatment at public health facilities in Dessie City Administration, Northeast Ethiopia, 2021 (n = 360).</p

Multivariable linear regression model on factors associated with social domain of HRQoL among adult hypertensive patients on treatment at public health facilities in Dessie City Administration, Northeast Ethiopia, 2021 (n = 360).

Multivariable linear regression model on factors associated with social domain of HRQoL among adult hypertensive patients on treatment at public health facilities in Dessie City Administration, Northeast Ethiopia, 2021 (n = 360).</p

Characteristics of hypertensive patients on treatment attending public health facilities in Dessie City Administration, Dessie, Northeast Ethiopia 2021 (360).

Characteristics of hypertensive patients on treatment attending public health facilities in Dessie City Administration, Dessie, Northeast Ethiopia 2021 (360).</p

Health status satisfaction and self-rating of health related quality of life of hypertension patients on treatment attending public health facilities in Dessie City Administration, Dessie, Northeast Ethiopia 2021.

Health status satisfaction and self-rating of health related quality of life of hypertension patients on treatment attending public health facilities in Dessie City Administration, Dessie, Northeast Ethiopia 2021.</p