BackgroundHypertension is one of the most common causes of premature death and morbidity and has a major impact on health care costs. It is an important public health challenge to both developed and developing countries. The aim of this study was to determine the magnitude and correlates of hypertension.MethodsA community-based cross-sectional study was conducted in June 2014 among 681 adult residents of Bahir Dar city using multistage sampling techniques. An interview-administrated questionnaire and physical measurements such as blood pressure (BP), weight, height, and waist and hip circumferences were employed to collect the data. The data were coded, entered, and analyzed with SPSS version 16 software package.ResultsA total of 678 responses were included in the analysis resulting in a response rate of 99.6%. The findings declared that 17.6%, 19.8%, and 2.2% of respondents were prehypertension, hypertension stage I, and hypertension stage II, respectively, on screening test. The overall prevalence of hypertension (systolic BP ≥140 mmHg, or diastolic BP ≥90 mmHg, or known hypertensive patient taking medications) was 25.1%. According to the multivariate logistic regression analysis, age; having ever smoked cigarette; number of hours spent walking/cycling per day; number of hours spent watching TV per day; history of diabetes; adding salt to food in addition to the normal amount that is added to the food during cooking; and body mass index were statistically significant predictors of hypertension.ConclusionOne out of every four respondents of the study had hypertension, and more than one out of three cases of hypertension (38.8%) did not know that they had the hypertension; 17.6% of the respondents were in prehypertension stage, which adds to overall future risk of hypertension. Therefore, mass screening for hypertension, health education to prevent substance use, regular exercise, reducing salt consumption, and life style modifications are recommended.

BackgroundGlobally, each year more than half million women die from pregnancy-related causes and an estimated 10 million experience injuries, infections and disease that can cause lifelong suffering attributed to poor quality care. Client satisfaction on health care delivery is an indication of quality care and reported to affect health service utilization. Individuals happy with the care received comply with services and follow up. The aim of this study was to assess women’s satisfaction with care during child birth and associated factors.MethodsHospital based cross-sectional study was conducted on women delivering their baby in April to May 2014. Systematic sampling procedure was used to select 594 eligible women, and face to face interview technique was used to collect the data. The data were coded, entered into EPI-INFO (3.5.1) and analyzed using SPSS version 20 software package.ResultsThe findings of this study revealed that the proportion of women satisfied with childbirth care service was 74.9 %. Mothers whose age less than 20, and 20–34 years were less likely to satisfy with the care during child birth compared to mothers whose age was above 35 years (AOR = 0.17, 95 % CI 0.04–0.68, and AOR = 0.13.95 % CI 0.13–0.85). Besides, women who did not attend ANC were more than 3 times likely to satisfy with care compared to women attended ANC (AOR = 3.75, 95 % CI 1.12–12.59). Moreover, who who gave birth for the first time, and two to five times were more than 4 times likely to satisfy compared to women who gave birth for more than 5 times (AOR = 4.68, 95 % CI 1.75–12.54, and AOR = 4.38, 95 % CI 1.91–12.22).ConclusionOnly 75 % of women gave birth satisfied with the care they received. Moreover, age of women, antenatal care follow-up and the number of deliveries were important predictors of level of satisfaction. Therefore, the hospital administration and health professionals need to offer patient oriented service to increase level of satisfaction, as it is one of the measures of quality care.

Rabies is a zoonotic viral disease that can occur in all warm blooded animals including humans. Vaccinating dogs can protect people from contracting rabies. Despite the availability of effective human and animal rabies vaccines, rabies prevention and control efforts are inadequate. The aim of the study was to determine the level of rabies prevention practices and associated factors among household heads in Bure Zuria district, North-west Ethiopia. Community based cross-sectional study was conducted at Bure Zuria from June 1 to 30, 2020. A total of 609 participants were selected using simple random sampling technique. Simple and multiple binary logistic regressions were applied to identify associated factors of rabies prevention practices. Of 609 participants, 413 (67.8%) were male and 289 (47.5%) were 30–45 years old. The level of good prevention practices of rabies at Bure Zuria district was 43.3%. Being males (AOR = 2.69 (1.72–4.22)), age group 18–29 years (AOR = 2.70 (1.20–6.10)), ever bitten by dog, (AOR = 2.40 (1.56–3.68)), got training (AOR = 1.70 (1.08–2.68)), had dog (AOR = 2.92 (1.62–5.26)), with good knowledge AOR (95% CI) = 3.42 (2.19–5.32), with good attitude AOR (95% CI) = 1.78 (1.16–2.73) and have 1001–2000 AOR (95% CI) = 2.29 (1.39–3.79) and > 2000 AOR (95% CI) = 2.02 (1.28–3.18)) monthly income were more likely to have good prevention practices of rabies. In this study, we found that the level of good prevention practices of rabies was low in Bure Zuria district. Therefore; awareness creation trainings and multi-sectoral collaborations to prevent rabies are needed in the district, zone and at large region level.

Background: Improved breastfeeding practices can help in preventing diarrheal diseases and malnutrition. In Ethiopia, children are still suffering from diarrheal diseases and malnutrition. Aims & Objective: This study was aimed at assessing mothers' breastfeeding practices in Bahir Dar, Ethiopia. Materials and Methods: A cross sectional survey was conducted by involving of 415 mothers. The study was conducted from April 15 to May 15, 2011. Three kebeles (the smallest administrative level) from Bahir Dar city were selected randomly. The sample was determined by using single population proportion formula and proportionally distributed to the selected kebeles according to population size. To be eligible to participate in the study, mothers had to live in households that had children under five years of age. Households were selected by systematic sampling method. Mothers were interviewed in their homes using a structured questionnaire that had been pre-tested. The data were analyzed using SPSS version 16.0. Odds ratio was calculated with 95% confidence intervals; P-values less than 0.05 were considered as statistically significant. Results: Data were collected from 415 mothers. Breast-feeding was practiced by 400(96.4%) of all respondents. Two hundred seventy eight (69.5%) mothers reported initiating breast-feeding within one hour of delivery. One hundred thirty four (33.5%) of mothers reported feeding colostrum to their infants. The main reasons for not giving colostrum included the belief that colostrum is unclean was reported by 30 (22.4%) mothers, colostrum makes the newborn sick by 58 (43.3%) mothers and that withholding colostrum initiates breast milk production by 46 (34.3%) mothers One hundred and nine (26.3%) of mothers reported giving pre lacteal feeds to their infants. About 325 (78.3%) of mothers reported that they had heard information about exclusive breastfeeding but only 172(41.4%) had appropriate knowledge. One hundred and thirty three (38.1%) mothers substituted breast milk before the child reaching six months of age. Mothers' educational status, Antenatal care (ANC) follow up during pregnancy, availability of television in the household and place of delivery were significantly associated with feeding colostrum to the infant (P<0.05). Conclusion:This study showed that the prevalence of ever breastfeeding was almost universal but still mothers had gaps about early initiation of breastfeeding, giving the first milk for their newborns and exclusive breastfeeding. Therefore information regarding optimal breastfeeding practices should be provided for mothers and local health extension workers. An effort should also be made to increase community awareness about the importance of optimal breastfeeding for the child growth and development.

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