Back ground: Intestinal parasitic infections are still quite common in developing countries including Ethiopia, particularly in children. They are mostly associated with unsafe and low quality of drinking water, poor personal and environmental sanitation. Thus, the objective of this study was to assess the prevalence and determinant factors of intestinal parasites among school children. Methods: A cross sectional study was conducted in March, 2014, among 498 students selected from three governmental elementary schools in Arbaminch-town, Southern Ethiopia using stratified multistage sampling method. Structured questionnaire was used to identify environmental, socio demographic and behavioral factors. Stool specimens were collected from all study subjects and were examined for intestinal parasites using direct smear (mount examination) and Formal-ether concentration techniques. Finally, data entry and analysis was done using Epi-info and SPSS statistical soft ware respectively. A bivariate and multivariate logistic regression analysis was done. P value less than 0.05 was considered as statistically significant. Results: A total of nine parasites were detected .The overall prevalence of intestinal parasites was 27.7% (95% confidence interval (CI): (23.8-31.6%)). The predominant parasite was E.histolytica/dispar 64(12.9%) followed by A.lumboricoids 53(10.6%), H.nana 21 (4.2%) and G.lamblia 21 (4.2%). Hand washing practice before meal [AOR = 5.7; 95% CI (3.4, 9.7)], nail hygiene [AOR= 2.6; 95% CI (1.5, 4.4)], and children's mother educational level [ A OR =3.5; 95% CI (1.01, 11.4)] showed statistically significant association with high rates of intestinal parasitic infections. Conclusion and recommendations: The prevalence of intestinal parasites is high in the study area among school children .Thus, it indicates the need of interventions like health education regarding to personal hygiene and mass treatment.
Background A significant number of women make Implanon their first choice of contraception. However, they discontinue their Implanon before its expiry date was high, but factors that contribute to discontinuing their Implanon were poorly described in Ethiopia. Methods A community based unmatched case control study was conducted. Then simple random sampling technique was used to select 340 women. Data was collected by nurses using face to face interview. Epi-Info version 7 and SPSS 20 software were used. Bivariate and multiple logistic regressions were performed with COR and AOR with 95% CI. Findings Having preinsertion counseling (AOR: 0.36, 95% CI: 0.20–0.64), having follow-up appointment (AOR: 0.35, 95% CI: 0.2–0.62), age at insertion <20 years (AOR: 3, 95% CI: 1.16–7.8), women who had no formal education (AOR: 2.8, 95% CI: 1.31–6.11), women who had ≤4 children (AOR: 1.8, 95% CI: 1.01–3.21), and women who had previous abortion history (AOR: 2.3, 95% CI: 1.10–4.63) were determinants of Implanon discontinuation. Conclusions Policy makers and concerned bodies should take into account future intervention and also great emphasis should be given to follow-up appointment and counseling services, especially counseling on side effects, and informed choice for clients after Implanon insertion.
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