Background. Malaria is one of the most severe public health problems worldwide. It is a leading cause of suffering, death, and socioeconomic problem, especially in many developing countries like Ethiopia. To introduce appropriate preventive and control measures, assessment of community’s levels of knowledge, attitude, and preventative practices regarding malaria is crucial. This study was aimed at assessing the knowledge, attitude, and practice (KAP) towards malaria and its preventive and control methods among people attending Mekaneeyesus primary hospital, South Gondar, northwestern Ethiopia. Methods. A hospital-based cross-sectional study was conducted from September 2017 to April 2018. A structured questionnaire was administered to collect data on sociodemographic characteristics and KAP of 390 randomly selected individuals. The data collecting tool was pretested before commencing the actual data collection. The data were analyzed using the SPSS version 21 software. P values less than 0.05 were considered statistically significant. Results. The overall prevalence rate of malaria in the study area was 8.5%. Nearly two-third of the participants had good knowledge (63.1%) and positive attitude (62.6%) scores towards malaria while only half of the participants had (50.8%) good practice score towards malaria prevention and control measures. Sex, age category, family monthly income, residence, and occupational and educational status of the participants were significantly associated with knowledge and practice scores ( P < 0.05 ). The odds of malaria were 26.93 ( CI = 3.67 ‐ 197.47 , P = 0.001 ) and 13.09 ( CI = 0.93 ‐ 183.47 , P = 0.036 ) times higher among individuals who had poor knowledge and poor practice towards malaria, respectively, as compared to individuals who were knowledgeable and had good practice score towards malaria. Conclusion. The overall knowledge score, attitude, and practice level of respondents towards malaria was relatively good. However, significant proportion of the participants still have misconception about the cause, sign and symptoms, modes of transmission, and practices towards prevention methods of malaria. Thus, health education which is aimed at raising community’s awareness about the disease is necessary to address the gaps identified by this study.
Background The onset of corona virus (COVID-19) pandemic brought about multiple crises with financial, social, and political dimensions, and problems involving absence or scarcity of medication, food, and other amenities. COVID led to reports of severe hunger, stress, sexual violence, and associated complications. This study was aimed at assessing the prevalence of sexual violence, hunger, stress, indoor fighting, and related complications caused by the corona virus, and determining factors associated with it. Methods A cross-sectional design study involving a total of 1288 participants recruited from Amhara Metropolitan cities was implemented. Each participant completed a questionnaire regarding experience of sexual violence, hunger, stress, indoor fighting, and other complications faced due to COVID-19. A statistical analysis was done by fitting binary logistic regression model, independent t -test and Chi-squared test. Results From the total participants, 1288 (26.2%) were displaced, while 39.9% were unemployed due COVID-19. About half of the participants (48.8%) experienced general distress, 33.8% faced sexual violence, 18.2% experienced hunger, 8.4% faced indoor fighting. The majority (81.7%) of non-corona virus patients in government health-care institutions faced lack of treatment. For every unit increase of monthly income during COVID-19, the estimated odds of participants experiencing sexual violence decreased by 31.3% (aOR=0.687). Educational level, work status, and monthly salary before and during corona virus were important factors of hunger. Conclusion COVID-19 pandemic led to considerably high prevalence of sexual violence, hunger, stress, and indoor fighting. Work status of participants was an important associated factor of hunger, stress, and indoor fighting. Sex of participants and their monthly income were significantly associated with increase in sexual violence during COVID-19. In addition to a general economic recession, a decrease in treatment of non-COVID-19 patients was noticed, particularly in government hospitals.
Background Malaria continues to be a major health problem in developing sub-Saharan countries including Ethiopia. Malaria is a complex disease and its local characteristics are determined by a variety of geographical, environmental, insect vector, host, and parasite factors.Methods A hospital based cross-sectional study was conducted to determine the prevalence of malaria and its possible association with hemoglobin level and ABO blood group among individuals attending Mekaneeyesus Primary Hospital, Estie District, northwestern Ethiopia. Socio-demographic variables and relevant data were collected from 390 randomly selected individuals through structured questionnaire.Then, thick and thin smears were prepared from nger pricked blood samples, stained, and examined microscopically for detection and identi cation of malaria parasites. ABO blood group and hemoglobin levels of the same subjects were also determined. The data generated were entered into a computer and analyzed for descriptive and logistic regression models using SPSS version 23.0. Variables with p-value < 0.05 in multivariable logistic regression were considered as explanatory variables. ResultsThe overall prevalence of malaria was 8.5%; Plasmodium vivax (5.6%) was the most predominant, followed by P. falciparum (2.3%), and mixed infection of the two species (0.5%). In multivariate logistic regression analysis, being male (AOR = 3.48), under-ve years of age (AOR = 72.84), rural residence (AOR = 2.64), and failing to use bed net (AOR =4.65) were signi cantly associated with the risk of malaria infection. Most (14.6%) of malaria positives cases were among individuals with blood group "A", while the least number of cases were among subjects with blood group "O". Individuals with blood group "A" were about four times more likelihood of getting malaria as compared to individuals with blood group "O" (AOR= 3.74). The prevalence of anemia was 23% and signi cantly associated with malaria (p<0.05).Conclusions Malaria in the study area is still higher than the average prevalence at country level.Therefore special attention should be given to the prevention and control strategies with the objective of increasing the awareness of local community towards malaria.
Back ground. Schistosomiasis is one of the neglected tropical diseases and is prevalent in tropics. It causes morbidity and mortality in developing countries including Ethiopia. This study aimed to determine the prevalence of S. mansoni infection and associated risk factors among two schools of Guangua district, northwest Ethiopia. Methods. A cross-sectional study design was employed. Four hundred twenty-two participants were selected. Data was collected through observation and interview with structured questionnaire. Stool specimens were collected and examined using two-slide Kato-Katz method. The data were analyzed using SPSS version 23. Logistic regression was fitted for analysis. Variables with p value <0.25 in the univariate logistic regression analysis were entered into the multivariable logistic regression model. Those with <0.05 were identified as significantly associated risk factors. To assure the quality of the data, training was given for data collectors and supervisors, and the tools were pretested on 5% of the sample size. Results. 404 (95.7%) school children were enrolled in the study. The overall prevalence of S. mansoni was 12.6%. School children in the age group 5-9 years old (AOR (95% CI): 22.27 (3.70-134.01), p = 0.001 ), age group 10-14 years old (AOR (95% CI): 4.58 (1.14-18.42), p = 0.032 ), grade levels 5-8 (AOR (95% CL): 14.95 (4.297-52.03), p = 0.001 ),who swim frequently (AOR (95% CI): 11.35 (2.33-55.33), p = 0.003 ), and those who cultivate near the irrigation area (AOR (95% CI): 7.10 (2.31-21.80), p = 0.001 ) were significantly associated with high risk of S. mansoni infection. Conclusion and Recommendation. From the finding of the current study, it can be concluded that the prevalence of Schistosoma mansoni in the study area is relatively high. Age of fourteen and younger years old, swimming in the river, and irrigation practice were the main risk factors of S. mansoni infection. Thus, therapeutic interventions as well as health education are desirable.
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