Objective The study aimed to assess the effect of inter pregnancy interval on preterm birth in Northern Ethiopia: prospective cohort study. Result This study showed that, total incidence of premature birth was 10.4%. Among mothers with short inter pregnancy interval the incidence of preterm birth was 39 (25.9%).Whereas, among mothers who had recommended inter pregnancy interval was 9 (2.9%). Short inter-pregnancy interval [adjusted hazard ratio (AHR): 6.85, 95% confidence interval (CI) 3.07–15.31], antenatal care (ANC) visit 1–3 times (AHR: 2.24, 95% CI 1.04–4.85), complication during pregnancy (AHR: 3.16, 95% CI 1.58–6.33) and birth defect (AHR: 8.01, 95% CI 2.56–25.07) were predictors of premature birth.
Background: The maternal morbidity and mortality related to preeclampsia are increasing in developing countries; figures have been estimated to be between 1.8% and 16.7%, including in Ethiopia. However, there is limited research regarding the determinants of preeclampsia in Gedeo Zone. Objective: The aim of the study was to determine the predictors of preeclampsia among pregnant mothers attending ANC and delivery services in southern Ethiopia. Methods: A facility-based unmatched case-control study was conducted in Gedeo Zone. Pregnant mothers attending ANC and delivery service were selected consecutively until the allotted 243 (162 controls and 81 cases) sample size was fulfilled. The collected data were checked for completeness and entered into Epi-data software version 3.1, and exported to statistical package for social science (SPSS) version 20 for analysis. Multivariable logistic regression was employed and a P-value of less than 0.05 with a 95% confidence interval was used to declare the significant association of the independent variables and the outcome variable. Results: A total of 240 mothers, 80 (33.3%) of cases and 160 (66.70%) of controls, responded, with a response rate of 98.76%. The mean age of the participants among both groups was 27.40 with a standard deviation of ±5.02. Attending education [adjusted odd ratio (AOR) = 0.49; 95% CI (0.006, 0.398)], being a house wife [AOR = 13; 95% CI (1.260, 140.15)], an age range of 20-34 years [AOR = 0.071; 95% CI (0.015, 0.32)], a family history of diabetes mellitus [AOR = 0.28.2; 95% CI (0.081, 0.985)], a family history of hypertension [AOR = 0.124; 95% CI (0.047, 0.325)], did not eat fruit during pregnancy [AOR = 3.355; 95% CI (1.112, 10.126)], and a maternal history of preeclampsia [AOR = 0.162; 95% CI (0.041, 0.640)] were found to be variables significantly associated among mothers with preeclampsia. Conclusion: The determinant factors for preeclampsia were being a housewife, having a history of hypertension, diabetes mellitus, and preeclampsia among family members. Strengthening early detection and prevention of predictors, improvement of protective factors, and further follow-up study were recommended.
Background: Wasting is characterized by low weight for height and it is common in developing countries. Wasted children have lower resistance to infection, impaired learning ability and reduce economic productivity. Objective: The aim of this study was to assess the prevalence and associated factors of acute malnutrition among children aged 6-59 months in Adiharush and Hitsats Eritrean refugee camps. Methods: A community-based cross-sectional study was conducted from March 1 to April 15/2017, at Adi-Harush and Hitsats Refugee Camps. A total of 471 subjects were selected using the multi-stage sampling technique and Pre-tested and structured questionnaire was used to collect data. Multivariable logistic regression analysis was fitted to identify factors associated with acute malnutrition. Adjusted Odds Ratio (AOR) with the corresponding 95% Confidence Interval (CI) was used to show the strength of associations and variables with p-values of <0.05 were considered as statistically significant. Results: The finding of this study revealed that 37%, 21.6% and 11% of children were stunted, underweight and wasted respectively. Child age 48-57 months (AOR= 0.12, 95%CI: 0.03-0.39), frequency of feeding less than 3 times a day (AOR= 1.95, 95%CI: 1.001-3.8) and not exclusive breast feeding (AOR= 2.51, 95%CI: 1.17-5.40) were significantly associated with wasting. Conclusion: The prevalence of wasting (11%) in the study area is very high. Frequency of feeding, exclusive breast-feeding and child age were significantly associated with wasting. Improve community health education for pregnant and lactating mothers and giving exclusive breast feeding for the children's are one of the prevention mechanisms for child wasting.
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