Background In Trachoma endemic countries, many people who underwent Trichiasis surgery faced a recurrence of the disease. Postoperative Trichiasis is a significant problem for patients and health care providers because it puts the eye at renewed risk of sight loss. Despite the low utilization of Trachomatous Trichiasis (TT) surgery and high recurrence rate, evidences that elucidate why TT recurs after surgery are limited. This study was aimed to assess the magnitude and associated factors of postoperative Trichiasis among 18 years and above individuals who underwent Trachomatous Trichiasis surgery between 2006 and 2011 Ethiopian Fiscal year in Ambassel District, North-East Ethiopia, 2020. Methods The community-based cross-sectional study design was conducted from March 10 to March 23/2020 in selected kebeles of Ambassel District. The required sample size was calculated using EPI-INFO Version 7. A multi-stage sampling technique was used to employ a total of 506 individuals. Data were collected through the interviewer-administered structured pre-tested questionnaire and entered into EpiData version 3.1 and then exported to SPSS version 23.0. Bi-variable and multivariable logistic regression models were fitted to identify associated factors of Trachomatous Trichiasis recurrence. Results Four hundred ninety two individuals participated in this study with response rate of 97.2%. In Ambassel district the prevalence of postoperative Trichiasis was 23.8% (95%CI = 19.9–27.8). Among associated factors of postoperative Trichiasis age 50–59 AOR = 3.34 (CI = 1.38–8.1), 60–69 AOR = 3.24(CI = 1.38–7.61), ≥ 70 years AOR = 6.04 (CI = 2.23–16.41), duration since surgery AOR = 1.7(CI = 1.35–2.14), complication AOR = 2.98(CI = 1.24–7.2), washing the face two times AOR = 0.25(CI = 0.13–0.47), washing the face three and more times AOR = 0.1(CI = 0.41 − 0.25), taking Azithromycin following surgery AOR = 0.19(CI = 0.09–0.41), pre-operative epilation history AOR = 2.11, (CI = 1.14, 3.9)and having a knowledge about TrachomaTtrichiasis AOR = 0.21(CI = 0.08–0.58) showed a statistical significant association. Conclusions The prevalence of postoperative Trichiasis in Ambassel District was higher than most Ethiopian studies. Age, frequency of face washing, medication following surgery, duration since the last surgery, knowledge about trachoma, pre-operative epilation history and complication after surgery were identified to be independent factors. To minimize postoperative Trichiasis stakeholders need to consider health education for patients, provision of Azithromycin after surgery and proper training for IECWs.
Introduction. Substantial numbers of women are not using contraceptives in their postpartum period and die due to avoidable causes related to birth complications. Contraceptives use within 12 months of childbirth has given less attention in Ethiopia. Thus, this study is aimed to assess contraceptive use and its associated factors among women who gave birth within 12 months in Dubti town, pastoral community of Afar region, Ethiopia. Methods. A community-based cross-sectional study was conducted among 342 women in the Dubti town. A systematic random sampling technique was employed to identify and enroll women. Data were collected using a pretested, structured, and interviewer-administered questionnaire. Descriptive statistics were done, and logistic regression analysis was employed to identify the factors associated with contraceptive use. The statistical association was measured by odds ratio with a 95% confidence interval. p value < 0.05 was considered as statistically significant. Results. In this study, 103 (30.1%) [95% CI: 25.4%, 35.1%] women have used contraceptives. Women who had secondary educational level ( AOR = 3.53 , 95% CI (1.68, 7.36), had antenatal care follow-up ( AOR = 1.93 , 95% CI (1.01, 3.69), and visited by health worker after delivery ( AOR = 2.54 , 95% CI (1.37, 4.68) were associated with increased odds of contraceptives use. Conclusions. This study revealed that the prevalence of contraceptive use was low compared to the national recommended figure. Secondary educational level, having antenatal care follow-up, and being visited by health workers after delivery were predictors of contraceptive use. Thus, increase the educational status of women, antenatal care follow-up service, and visiting after delivery by health workers are important interventions to promote the use of contraceptives in the postpartum period.
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