Objective This study assessed the prevalence of anemia among female adolescents and factors associated with it in Ambo town, West Shewa, Ethiopia. Materials and Methods A community-based cross-sectional study was conducted among 523 randomly selected female adolescents living in Ambo town, Ethiopia from August 5–29, 2018. Data were collected through structured interview using a structured questionnaire. Anthropometric measurements were done and the hemoglobin value was measured on the field and adjusted for the altitude. Logistic regression analysis was done to identify predictors of anemia. Level of statistical significance was declared at P <0.05. Results In this study, 39% (95% CI= 34.8–43%) participants were anemic, of which 63 (30.9%) and 46 (22.5%) female adolescents were stunted and wasted, respectively. Anemia was considerably high among female adolescents with high dietary diversity score. Adolescents born to mothers who were unable to read and write (AOR= 3.27; 95% CI=1.79–5.97), who always take tea and/or coffee within 30 minutes after meal (AOR= 6.19; 95% CI=3.32–11.48), who were wasted (AOR=1.67; 95% CI=1.11–2.52), and who had already attained their menses (AOR=1.93; 95% CI=1.19–3.13) were more likely to be anemic compared to their counterparts. Conclusion Nearly four in ten female adolescents in the study setting were anemic. Anemia among female adolescents was a moderate public health problem. Adolescents born to mothers who were unable to read and write, who consumed tea/coffee within 30 minutes after a meal, who were wasted, and who had already attained menses should be prioritized for interventions aiming at addressing iron-deficiency anemia in female adolescents.
van den Akker, f,g on behalf of the AMAN-MAMA investigators Key Messages n Performing effective maternal death reviews as part of the maternal death surveillance and response program has been hindered by challenges including poor attendance, defensive attitudes, and blame shifting. n Reviews of maternal and perinatal deaths should be based on a "no blame" principle. Emphasis should be on learning lessons and health professionals should feel safe to discuss the circumstances surrounding death. n Meaningful reduction in maternal mortality requires a depoliticizing paradigm shift, a professional body to address patients' worries, and clear medicolegal guidance to encourage providers to identify care deficiencies.
Objective: Despite implementation of different strategies, postpartum hemorrhage (PPH) continued to account for a substantial proportion of maternal deaths in Ethiopia. The objective of this study was to assess the magnitude of PPH and its associated factors among women who gave birth in a university hospital in eastern Ethiopia from 1 to 31 March 2020. Methods: An institution-based cross-sectional study was conducted. A review of 653 randomly selected medical records of all deliveries from 1 March 2018 to 29 February 2020 in Hiwot Fana Specialized University Hospital (HFSUH), a university hospital in eastern Ethiopia, was conducted. Data were collected on sociodemographic characteristics, obstetric and reproductive health conditions, and presence of PPH. Data were coded, checked for completeness and entered using EpiData 3.1 and exported to SPSS 20 for analysis. Results were expressed using frequencies, tables and figures. Binary and multiple logistic regression were fitted to identify factors associated with PPH and associations were described using adjusted odds ratio (aOR) along with 95% confidence intervals (CI). Associations with p<0.05 in the multivariable logistic regression were declared as statistically significant. Results: From a total of 642 (98.3%) women included in this study, 83 (12.9%; 95% CI 10.4-15.6) had PPH. Maternal age >35 years (aOR = 3.08; 95% CI 1.56, 6.07), no antenatal care (aOR = 3.65; 95% CI 1.97, 6.76), history of PPH (aOR = 4.18; 95% CI 1.99, 8.82), and being grand multigravida (aOR = 3.33; 95% CI 1.14, 9.74) were significantly associated with having PPH. Conclusion:A high proportion of women who gave birth in HFSUH experienced PPH. Prevention and management of PPH should focus on improving antenatal care and prioritize grand multigravida, older women, and women with a previous history of PPH.
This study assessed the prevalence of low back pain and factors associated with it among nurses working at public hospitals in eastern Ethiopia. Materials and Methods: Institutional-based cross-sectional study was conducted from February 1 to March 20, 2018 among randomly selected 404 nurses working in public hospitals of Harari region and Dire Dawa city administration. Six trained nurses collected the data through a self-administered data collection technique. All variables that yield p< 0.25 in bivariable logistic regression were subjects for multivariable logistic regression analysis. The direction and strength of statistical association were measured by odds ratio with the corresponding 95% confidence interval (CI). Finally, statistical significance was declared at p < 0.05. Results: The 12-month prevalence of low back pain was 38.1% [95% CI: 32.7-42.7%]. It was more prevalent among females (65%). More than 5 years of work experience [adjusted odds ratio (AOR) =3.135; 95% CI (1.292-7.605)], manual lifting of weight >10kg [AOR=5.260; 95% CI (1.869-14.805)] and working in awkward posture [AOR=3.93; 95% CI (1.109-13.924)] were variables significantly associated with low back pain among nurses. Conclusion: About two in five nurses working at public hospitals in Harari region and Dire Dawa city administration were suffering from low back pain. So, tailored intervention is needed to prevent nurses from further injury and retain experienced nurses.
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