Background. Cervical cancer is one of the major noncommunicable public health problems among the female population affecting not only the women but also the whole community. Annually, more than half a million new patients are diagnosed with it and over 270,000 deaths occur worldwide. There are very few research efforts conducted on prevalence and associated factors of specific target group in the region. So, this study tries to show the magnitude on all women screened for precervical cancer and serves as a secondary data for other research. Objective. The aim of the study was to assess magnitude of precervical cancer and associated factors among screened women in Arba Minch town and zuria woreda health institutions, southern Ethiopia. Methods. A facility based cross-sectional study was conducted in three health facilities at Arba Minch town and zuria woreda, southern Ethiopia, from June 2015 to June 2017. Data were collected by two nurses that are working in the area of expertise and one health officer as supervisor. Data of 528 screened clients were entered into Epi data version 3.1 using checklist, double data entry verification done and exported to SPSS version 20.0. After cleaning the data, descriptive analysis was done and multivariable logistic regression model was employed to identify predictors of precervical cancer. Finally, statistical significance was declared at P < 0.05. Result. In this study, the magnitude of precervical cancer is 27.7% [95%CI] (24.1-31.4)]. Having primary educational status (AOR [95% CI]) = 0.2 [0.1, 0.96)] and secondary educational status (AOR[95% CI]) = 0.1 [0.02,0.3]), having history of smoking [AOR (95% CI) = 3.7 (1.4-9.9)], having two and more than two life time sexual partners [AOR (95% CI) = 2.2 (1.1-4.7)], having age at first sexual intercourse less than eighteen years [AOR (95% CI) = 6.6 (3.14-13.0)] were significantly associated with precervical cancer. Conclusion and Recommendation. The magnitude of precervical cancer is 27.7% as shown in the result of the present study. Level of education, age at first sexual intercourse, history of smoking, and number of sexual partners were predictors of precervical cancer in this study. Thus, any cervical cancer prevention and control effort at the study area should address those predictors pointed out in the present study and should encourage to screen for precervical cancer.
Background. Evidence shows that services for youths are poorly coordinated and uneven in quality. There is a lack of evidence which informs the level of youth-friendly service quality in the study area. So, this study fills the information gaps and recommends practical solutions. Objective. The main aim of the study was to assess youth-friendly service quality and associated factors at public health facilities in Arba Minch town, Southern Ethiopia. Methods. Facility-based quantitative cross-sectional study supplemented with the qualitative design was conducted from September to December 2017 at two public health centers in Arba Minch town. Sample sizes of 403 young clients were included in the study using a systematic sampling technique. Data was collected by using an interview-administered questionnaire and observation checklist. Quantitative data analysis was made using SPSS version 20.0 to identify the association between the dependent and independent variables. Qualitative findings were coded and analyzed by using content analysis in Microsoft Excel. Finally, results are presented using narrations, tables, and figures. Results. A total of 403 youth-friendly service clients participated in the study. The overall score input, process, and youth clients’ satisfaction was 54.41%, 42.0%, and 49.1%, respectively. Age (15-19) [AOR (95% CI) = 3.2 (1.4-7.8)], employment [AOR (95% CI) = 6.4 (2-17)], place of YFS [AOR (95% CI) = 0.35 (0.1-0.8)], frequency of visit [AOR (95% CI) = 0.03 (0.0-0.3)], waiting time [AOR (95% CI) = 0.02 (0.0-0.09)], and comfort with providers’ sex [AOR (95% CI) = 0.07 (0.02-0.2)] were factors which are significantly associated with client satisfaction in this study. Conclusion and Recommendation. The study revealed that the overall quality of youth-friendly health service is below-set criteria (not good quality) in its all components, i.e., structural, process, and output. So, improvement of facility setup, client-provider interaction, and service sensitivity to all young groups and waiting time of services is essential.
Background: Low back pain is one of the most common work-related health problems among office workers. Low back pain has been identified as one of the most costly disorders among the worldwide working population. However, there is a lack of information on associated factors with low back pain which makes people not to work properly. Objectives: This study was aimed to assess the prevalence and factors associated with low back pain among civil service sectors office workers in Southern Ethiopia. Methods: Institution based cross-sectional study was conducted among 625civil service sectors office workers, who work in the sitting position, in Sodo town, Southern Ethiopia from March 10 to June 20, 2017. The sampling frame was obtained from civil service office and simple random sampling technique was used for each stage. Data was collected by using a pretested structured questionnaire adapted from Standardized Nordic musculoskeletal Questionnaires and modified Oswestry through face to face interview and by using checklist for observations, which was measured by diploma nurses. Descriptive statistics like frequency, percentage, mean, median and standard deviation were conducted. Also, binary logistic regression was conducted and variables with p<=0.20 in bivariate analysis were fitted into the multiple logistic regression models to identify factors associated with low back pain. Variables with P value <0.05 were considered as statistically significant predictors of low back pain. Results: Out of the calculated sample size, 625 participants responded making a response rate of 99%. The 12-month prevalence of low back pain among civil service sectors office workers in this study was (38.4%) 95% CI: (0.34, 0.42).This study found that, being obese (AOR [95%CI] =6.3[4.29 - 9.09]), having smoking history (AOR [95%CI] =5.2[2.57 - 10.82]), poor sitting posture (AOR [95%CI] =2.6[1.61-4.30]), having job stress (AOR [95%CI] =5.9[3.44-10.25]), having no rest break during workday (AOR [95%CI]=3.2[1.82-5.62]), sitting >6 hours per day (AOR [95%CI]=16.08[14.4-19.3]) and frequently using computer (AOR [95%CI]=4.3[2.09-5.47]) are significantly associated with low back pain. Conclusion and recommendations: The 12-month prevalence of low back pain in this study is high (38.4%).Therefore, healthy lifestyle habits, good awareness of sitting posture and better ergonomic facilities and psychosocial support to workers were recommended to decrease the effects of predisposing factors of low back pain.
BackgroundLong-acting and permanent contraceptive methods have clear advantages over short-acting methods of contraception that benefit both clients and health systems. Despite this importance, studies show that the proportion of women currently using long acting and permanent contraceptive methods are significantly lower than the proportion using short-acting methods.ObjectiveThe main aim of the study was to assess the level of utilization of long acting and permanent contraceptive methods and associated factors among married women in Adama town.MethodologyCommunity Based Cross-Sectional Study was conducted in four kebeles of Adama town from April 15–30, 2015. Multistage sampling technique was used to select the study participants. The collected data was cleaned and entered using Epi info 3.5.3 and analyzed using statistical package for social science version 20.0. Factors associated with utilization of long acting and permanent contraceptive methods were identified using logistic regression model.ResultIn this study, the magnitude of long acting and permanent contraceptive methods was 20.9%. Implant, Intra-Uterine devices (IUDs) and tubal ligation accounted for 16.1, 4.6, and 0.2% respectively. Current use of long acting and permanent contraceptive methods was higher among women who had high knowledge (AOR = 5.26, 95% CI = 1.90–14.69), positive attitude (AOR = 3.25, 95% CI = 1.60–6.58) and women who had 3–4 children (AOR [95%CI] =2.3[1.14–4.63]) compared to those who had no child.ConclusionCurrent use of long acting and permanent contraceptive methods in Adama town was low. Level of knowledge, attitude about the methods, and number of children were factors affecting utilization of long acting and permanent contraceptive methods. Targeted Information Education Communication Intervention should be intensified to improve the utilization of these methods.
Background: Cervical cancer screening is a key to detect the pre-cervical cancer earlier, but it is almost not utilized in all developing countries and most cases were diagnosed at late stage of cervical cancer. The current screening level has no much effect to control cervical cancer unless addressing female health workers since they are a role model to the public.
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