PUBLIC HEALTH: Recent submissions

Now showing items 61-80 of 300

Routine health information utilization and associated factors among health care professionals working at public health institution in North Gondar, Northwest Ethiopia

Eshetu Dagnew1, Solomon Assefa Woreta2 and Atsede Mazengia Shiferaw2* (2019-11-14)

Background: Routine health information systems (RHIS) are vital for the acquisition of data for health sector planning, monitoring, and evaluation. However, in developing countries the insufficient quality of the ...
Incidence and determinants of tuberculosis infection among adult patients with HIV attending HIV care in north-east Ethiopia: a retrospective cohort study

Ausman Ahmed, 1 Desalew Mekonnen,2 Atsede M Shiferaw,3 Fanuel Belayneh,4 Melaku K Yenit5 (2019-11-14)

Objective This study assessed the incidence of tuberculosis (TB) and its predictors among adults living with HIV/AIDS in government health facilities in north-east Ethiopia. Setting A 5-year retrospective cohort study ...
The prevalence and root causes of surgical site infections in public versus private hospitals in Ethiopia: a retrospective observational cohort study

Fisha, Kidanie; Azage, Muluken; Mulat, Getasew; Sisay, Koku (Patient Safety in Surgery, 2021-01-01)

Background: Healthcare-associated illnesses, of which surgical site infection is the most common are significant causes of morbidity and mortality. Therefore, this study aimed to determine the prevalence and root causes ...
Delayed diagnosis and ongoing transmission of leprosy in the postelimination era in Boru Meda hospital, Ethiopia

Getahun, Seid; Diro, Ermias; Tilahun, Feleke; Tadese, Fentaw; Enbiale, Wendimagegn; Sisay, Koku; Tweya, Hannock; Collins, Timire; Johan, van Griensven (The journal of infection, 2021-01-01)

Introduction: Following the recommendation of the Global Leprosy Strategy, Ethiopia targeted to reduce the incidence of new leprosy cases, and the proportion with severe disability (grade 2) from 13.6% in 2016 to < 1% in ...
Incidence and predictors of mortality among children admitted to the pediatric intensive care unit at the University of Gondar comprehensive specialised hospital, northwest Ethiopia: a prospective observational cohort study Nahom Worku Teshager,1 Ashenafi Tazebew Amare,1 Koku Sisay Tamirat 2 To cite: Teshager NW, Amare AT, Tamirat KS. Incidence and predictors of mortality among children admitted to the pediatric intensive care unit at the University of Gondar comprehensive specialised hospital, northwest Ethiopia: a prospective observational cohort study. BMJ Open 2020;10:e036746. doi:10.1136/ bmjopen-2019-036746 ► Prepublication history for this paper is available online. To view these files, please visit the journal online (http://dx.doi. org/10.1136/bmjopen-2019- 036746). Received 03 January 2020 Revised 10 August 2020 Accepted 21 September 2020 1Department of Pediatrics and Child Health, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia 2Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia Correspondence to Koku Sisay Tamirat; kokusisay23@gmail.com Original research © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. ABSTRACT Objective To determine the incidence and predictors of mortality among children admitted to the paediatric intensive care unit (PICU) at the University of Gondar comprehensive specialised hospital, northwest Ethiopia. Design A single-centre prospective observational cohort study. Participants A total of 313 children admitted to the ICU of the University of Gondar comprehensive specialised hospital during a one-and-a-half-year period. Measurements Data were collected using standard case record form, physical examination and patient document review. Clinical characteristics such as systolic blood pressure, pupillary light reflex, oxygen saturation and need for mechanical ventilation (MV) were assessed and documented within the first hour of admission and entered into an electronic application to calculate the modified Pediatric Index of Mortality 2 (PIM 2) Score. We fitted the Cox proportional hazards model to identify predictors of mortality. Result The median age at admission was 48 months with IQR: 12–122, 28.1% were infants and adolescents accounted for 21.4%. Of the total patients studied, 59.7% were males. The median observation time was 3 days with (IQR: 1–6). One hundred and two (32.6%) children died during the follow-up time, and the incidence of mortality was 6.9 deaths per 100 person-day observation. Weekend admission (adjusted HR (AHR)=1.63, 95% CI: 1.02 to 2.62), critical illness diagnoses (AHR=1.79, 95% CI: 1.13 to 2.85), need for MV (AHR=2.36, 95% CI: 1.39 to 4.01) and modified PIM 2 Score (AHR=1.53, 95% CI: 1.36 to 1.72) were the predictors of mortality. Conclusion The rate of mortality in the PICU was high, admission over weekends, need for MV, critical illness diagnoses and higher PIM 2 scores were significant and independent predictors of mortality. INTRODUCTION Though paediatric intensive care units (PICUs) are essential areas of service to save the lives of children with acute neurological deterioration, respiratory distress, cardiovascular compromise, severe infections, accidental poisoning and other life-threatening conditions; organisational details of paediatric ICUs in low-income settings are lacking.1 2 Published data on paediatric critical care in low-income countries remain sparse, making practice modification and outcome improvement difficult. Also, most studies done on predictors of mortality in the PICUs are from high-income countries and are dependent on clinical and laboratory indices, which are not readily available in low-income countries.3 The few studies that considered epidemiologic and sociodemographic factors were retrospective and cross-sectional, and most did not consider essential parameters.4 Determining the risk factors of mortality among children admitted to the paediatric intensive care will be crucial to prioritise and tunnel resources to the most fruitful practice based on the prediction of patient outcomes, especially in resource-limited setups such as ours. This study aimed to determine the incidence and predictors of mortality among Strength and limitation of this study ► This study was a prospective cohort study and had used better statistical functions (survival analysis) for better estimation and prediction of mortality. ► This study could help clinicians and healthcare planners practice evidence-based medicine in a resource-limited setting such as ours. ► The Pediatric Index of Mortality 2 scoring was done based on 9 out of 11 parameters as there was no arterial blood gas analyser in our set-up during the study period that might result in misclassification. BMJ Open: first published as 10.1136/

Worku, Nahom; Tazebew, Ashenafi; Sisay, Koku (bmj open, 2021-01-13)

Objective To determine the incidence and predictors of mortality among children admitted to the paediatric intensive care unit (PICU) at the University of Gondar comprehensive specialised hospital, northwest Ethiopia. Design ...
Looking for NTDs in the skin; an entry door for offering patient centered holistic care

Getahun, Seid; Diro, Ermias; Tilahun, Feleke; Tadese, Fentaw; Enbiale, Wendimagegn; Sisay, Koku; Tweya, Hannock; Collins, Timire; Johan, van Griensven6 (The journal of infection, 2021-01-01)

Introduction: The majority of neglected tropical diseases (NTDs) have established primary skin manifestations or associated clinical feature. Skin NTDs often result in physical impairment and disfigurement, which can lead ...
Microbiological Profile and Drug-Resistance Pattern of Pathogens Among Patients Who Visited the University of Gondar Comprehensive Specialized Hospital, Ethiopia

Adane, Aynishet; Belay, Gizeaddis; Sisay, Koku (Dovepress, 2021-01-01)

Background: The emergence of antimicrobial resistance (AMR) is a public health threat in developing countries including Ethiopia; and there is a paucity of information regarding antimicrobial resistance patterns of ...
Complete basic childhood vaccination and associated factors among children aged 12–23 months in East Africa: a multilevel analysis of recent demographic and health surveys

Antehunegn, Getayeneh; Tadesse, Zemenu; Sisay, Koku; Birhanu, Achamyeleh (BMC Public Health, 2021-01-01)

Background: Complete childhood vaccination remains poor in Sub-Saharan Africa, despite major improvement in childhood vaccination coverage worldwide. Globally, an estimated 2.5 million children die annually from ...
UTILIZATION OF INSECT CIDE TREATED MOSQUITO NET AND ASSOCIATED FACTORS IN DENBIA DISTRICT, NORTH WEST ETHIPIA

AGIMAS GEREMEW (19-09-28)
High prevalence of caesarean birth among mothers delivered at health facilities in Bahir Dar city, Amhara region, Ethiopia. A comparative study

Bantigegn, Meseret; Bishaw, Alehegn; Mekonnen, Solomon (PLOS ONE, 2020-04)

Objective The study aimed to assess and compare the prevalence of caesarean birth and associated factors among women gave birth at public and private health facilities in Bahir Dar city, Amhara region, Ethiopia. Methods An ...
Modern contraceptive use and associated factors among married women in Finote Selam town Northwest Ethiopia: a community based cross-sectional study

Bishaw, Alehegn; Addis, Abebaw (Women's Midlife Health, 2018)

Background: A modern contraceptive method is a product or medical procedure that interferes with reproduction following sexual intercourse; however, contraceptive services remain out of reach for many women of reproductive age ...
Comprehensive knowledge on cervical cancer, attitude towards its screening and associated factors among women aged 30–49 years in Finote Selam town, northwest Ethiopia

Bishaw, Alehegn; Addis, Abebaw; Azale, Telake (Reproductive Health, 2018)

Background: Screening services for cervical pre-cancerous lesions is currently available for all women aged 30–49 years at public hospitals in Ethiopia. Though women’s knowledge and their attitude are determinants for ...
Uptake of pre cervical cancer screening service and associated factors among women aged 30-49 years in Finote Selam town northwest Ethiopia

Bishaw, Alehegn; Addis, Abebaw; Azale, Telake (International Journal of Collaborative Research on Internal Medicine & Public Health, 2017-04)

Background: Pre cervical cancer screening is one of cervical cancer prevention strategies. Screening service in Finote Selam general hospital has been started since April 2016, however, there is no evidence on cervical ...
The Cost of Illness of Hypertension and Associated Factors at the University of Gondar Comprehensive Specialized Hospital Northwest Ethiopia, 2018

Adane, Elsabet; Atnafu, Asmamaw; Yalew, Andualem (ClinicoEconomics and Outcomes Research 2020, 2020)

Purpose: Non-communicable diseases impose a significant social, economic and health burden. Hypertension, the leading contributor to the global burden of disease and a growing public health problem worldwide, is one of ...
Sexual and Reproductive Health Services Utilization and Associated Factors Among Preparatory School Students in Mecha District, Northwest Ethiopia: Cross Sectional Study

Bishaw, Alehegn; Tesfa, Mulunesh; Tiruneh, Yilkal; Addis, Abebaw (Jornal of Gynecol Women’s Health, 2018-09)

Background: Most of adolescents’ sexual and reproductive health problems can be alleviated through sexual and reproductive health services. However, information about the level of sexual and reproductive health services ...
Cessation of Exclusive Breastfeeding and Determining Factors at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

Kelkay, Bayew; Kindalem, Eshetie; Tagele, Animut; Moges, Yohannes (Hindawi International Journal of Pediatrics, 2020-03)

Exclusive breastfeeding (EBF) is the gold standard of infant feeding practice which lasts up to 6 months postpartum. Not all infants are exclusively breastfed in developing countries, including Ethiopia. This study, ...
Low dietary diversity and associated factors among lactating mothers in Angecha districts, Southern Ethiopia: community based cross-sectional study

Muluneh, Moges; Bishaw, Alehegn (BMC Res Notes, 2018)

Objective: The objective of the study was to assess prevalence low dietary diversity and associated factors among lactating mother in Angecha district, Southern Ethiopia. Results: The magnitude of low dietary diversity ...
Feeding Practices and Associated Factors During Diarrheal Disease Among Children Aged Less Than Five Years: Evidence from the Ethiopian Demographic and Health Survey 2016

Tadie, Chalie; Yalew, Andualem; Dellie, Endalkachew; Gebremedhin, Tsegaye (Pediatric Health, Medicine and Therapeutics 2021, 2021)

Purpose: Diarrhea is a common childhood illness and one of the leading causes of death in young children globally. In Ethiopia, a significant number of deaths and hospitalizations in under-five children are related to ...
Quality of life and associated factors among patients with tuberculosis at the University of Gondar comprehensive specialized hospital, Ethiopia

Dires, Alemayehu; Hagos, Tsega; Yitaya, Mezgebu; Amare, Getasew; Yalew, Andualem (Quality of Life Research, 2020-11)

Purpose Clinical outcomes have failed to capture the impact of tuberculosis (TB) on patients; consequently, a comprehensive measure is required. This study’s objective was to determine the level of quality of life (QOL) ...
Health-related quality of life and associated factors among patients with diabetes mellitus at the University of Gondar referral hospital

Yalew, Andualem; Yitayal, Mezgebu; Minyihun, Amare (Health and Quality of Life Outcomes, 2020)

Background: Diabetes mellitus, which has a wide range of effects on the physical, social and psychological aspects of the well-being of a person, is a common and challenging chronic disease that causes a significant rate ...

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