Background. Anemia during pregnancy is a major cause of morbidity and mortality of pregnant women in developing countries and has both maternal and fetal consequences. Despite its known serious effect on health, there is very little research based evidence on this vital public health problem in Gamo Gofa zone in general and in Arba Minch town of Southern Ethiopia in particular. Therefore, this study aims to assess the prevalence and factors associated with anemia among pregnant women attending antenatal care in health institutions of Arba Minch town, Gamo Gofa zone, Southern Ethiopia. Method. Institution-based, cross-sectional study was conducted from February 16 to April 8, 2015, among 332 pregnant women who attended antenatal care at government health institutions of Arba Minch town. Interviewer-administered questionnaire supplemented by laboratory tests was used to obtain the data. Bivariate and multivariate logistic regressions were used to identify predictors of anemia. Result. The prevalence of anemia among antenatal care attendant pregnant women of Arba Minch town was 32.8%. Low average monthly income of the family (AOR = 4.0; 95% CI: 5.62–11.01), having birth interval less than two years (AOR = 3.1; 95% CI: 6.01, 10.23), iron supplementation (AOR = 2.31; 95% CI: 7.21, 9.31), and family size >2 (AOR = 2.8; 95% CI: 1.17, 6.81) were found to be independent predictors of anemia in pregnancy. Conclusion. Anemia is found to be a moderate public health problem in the study area. Low average monthly income, birth interval less than two years, iron supplementation, and large family size were found to be risk factors for anemia in pregnancy. Awareness creation towards birth spacing, nutritional counselling on consumption of iron-rich foods, and iron supplementation are recommended to prevent anemia among pregnant women with special emphasis on those having low income and large family size.

BackgroundTeenage pregnancy has long been a worldwide social, economic and educational concern for the developed, developing and underdeveloped countries. Studies on adolescent sexuality and pregnancy are very limited in our country. Therefore, this study aims to assess the prevalence of teenage pregnancy and its associated factors among school adolescents of Arba Minch Town.MethodsInstitution-based, cross-sectional study was conducted from 20–30 March 2014. Systematic sampling technique was used to select a total of 578 students from four schools of the town. Data were collected by trained data collectors using a pre-tested, self-administered structured questionnaire. Analysis was made using SPSS version 20.0 statistical packages. Multivariate logistic regression was used to identify the predictors of teenage pregnancy.ResultsThe prevalence of teenage pregnancy among school adolescents of Arba Minch Town was 7.7%. Being grade 11 student (AOR=4.6;95%CI:1.4,9.3), grade 12 students (AOR=5.8;95% CI:1.3,14.4), not knowing the exact time to take emergency contraceptives (AOR=3.3;95%CI:1.4,7.4), substance use (AOR=3.1;95%CI:1.1,8.8), living with either of biological parents (AOR=3.3;95%CI:1.1,8.7) and poor parent-daughter interaction (AOR=3.1;95%CI:1.1,8.7) were found to be significant predictors of teenage pregnancy.ConclusionsThis study revealed high level of teenage pregnancy among school adolescents of Arba Minch Town. A significant number of adolescent female students were at risk of facing the challenges of teenage pregnancy in the study area. School-based reproductive health education and strong parent-daughter relationships are recommended.

BackgroundChildhood sexual abuse is a major social problem in Africa including Ethiopia. Moreover, little has been explored about the pattern of childhood sexual abuse in the context of high school students in Ethiopia in general and in Arbaminch town in particular. Thus, the present study aims to assess the prevalence and associated factors of childhood sexual abuse among adolescent female high school students in Arbaminch town.MethodsA school- based, cross-sectional study was conducted among adolescent female high school students in Arbaminch town from 3rd to 8th March 2014. Both quantitative and qualitative methods of data collection were used. For the quantitative data, a simple random sampling technique was used to select 369 female students from grade ten of the six high schools. A pre-tested, self-administered questionnaire was used to collect the data and then analysis was made using SPSS version 20 statistical packages. For the qualitative component, fourteen in-depth interviews were conducted and analysed based on the thematic areas.ResultThe prevalence of life time rape among adolescent female high school students in Arbaminch town was 11 %. The odds of experiencing life time rape was higher among students who lived alone (AOR = 4.30; 95 % CI: 1.81, 10.24) and among students who lived with their friends (AOR = 3.31; 95 % CI: 1.23, 8.89) than those lived with their parents. The chance of experiencing rape among students who have had no open discussions with their parents about sexuality and reproductive health was higher (AOR = 2.93; 95 % CI: 1.33, 6.45) than those who have had discussions.ConclusionThis study revealed high levels of childhood sexual abuse among the adolescent female high school students in Arbaminch town. Ever having a discussion about sexuality and reproductive health with parents, living arrangement of the student, and father’s educational status had statistically significant association with childhood sexual abuse. Unwanted pregnancy and abortion were the most common reproductive outcomes of rape. Comprehensive school based reproductive health education, community based awareness creation, open discussions about sexuality and reproductive health matters with students at family level are recommended.

The intake of fiber‐rich foods during pregnancy has several health benefits to the pregnant woman including lowering the risks of diabetes, preeclampsia, and constipation. However, little is known about the content, daily intake levels, and adequacy of fiber among pregnant women in many low‐income settings. We aimed to identify common food items and determine adequacy of dietary fiber intake levels among pregnant women in rural Ethiopia. Dietary data were collected from a subsample (n = 55) of pregnant women enrolled to a larger prospective cohort study (n = 414). Dietary intake level was measured using repeated 24‐hr dietary recall method and weighing the total amount of daily food. Fiber content was determined using the Weende method supplemented by other sources.The mean [±SD] dietary fiber intake level was 25.89 [±5.09 mg/g] per day, which declined across pregnancy trimester from 26.01 [±9.18 mg/g] to 22.67 [±9.01 mg/g] and 24.56 [±9.98 mg/g] during the first, to second and third pregnancy trimesters, respectively. Boiled cereals and coffee contributed to nearly two‐thirds (63.2%) of the daily fiber intake, while the major bulk of daily food, enjera, contributed to less than a quarter (24.3%) of the fiber intake. Though dietary patterns favor diversified intake for fiber, the mean intake levels below the recommended levels and proportion of women getting adequate to the physiologic stages of pregnancy were inadequate compared to the standard. Mothers, in such community, could benefit from increasing overall intake of existing food to satisfy their fiber needs during pregnancy.

Background Ethiopia plans to introduce social health insurance scheme for the formal sector. The scheme contribution will be collected as 3% of an employee’s monthly gross salary from both employee and employer. The scheme is expected to enhance access to health care, however, there is a concern that majority of civil servants were not willing to join and pay for it. Therefore, this study aims to assess willingness to join and pay for the newly proposed social health insurance among public servants in Arba Minch town, Southern Ethiopia.Methods Institution based, Cross-sectional study design was used among 713 randomly selected public servants in Arba Minch town. Multi-stage stratified random sampling technique was used to select participants. Data were collected by using a pre-tested, self-administered, structured questionnaire and then it was cleaned, coded, entered in to Epidata v.3.2 and exported to SPSS version 25 statistical package for analysis. Multivariate logistic regression was used to identify the predictors of willingness to join and pay for Social Health Insurance. Odds ratio less than 0.05 was used as cut-off point and 95% CI was used to report the finding. Open question contingent valuation method was also used to analyze willingness to pay for the scheme.Result Among the total of 692 respondents, 254 (36.7%) were willing to join the scheme. Out of those who were willing to join 171 (24.7%) respondents were willing to pay less than 1% and 41(5.9%) respondents were willing to pay 2–3% of their gross monthly salary. Interest to join the scheme was found to be affected by an awareness of the scheme, household size, regularly listening for health information and participation in the social network.Conclusion There is limited knowledge and awareness about the design of health issuance. Majority of the respondents were not willing to join and pay the proposed amount for the scheme. Provision of health information on mass media could be used as one strategy to enhance the understanding of health insurance and to change perception on social health insurance scheme.

Background A growing body of evidence demonstrating that individuals with Non-Communicable Disease (NCD) are more likely to have severe forms of COVID-19 and subsequent mortality. Hence, our study aimed to assess the knowledge of vulnerability and preventive practices towards COVID-19 among patients with hypertension or diabetes in Southern Ethiopia. Objective To assess the knowledge and preventive practices towards COVID-19 among patients with hypertension or diabetes mellitus in three zones of Southern Ethiopia, 2020. Methods A community-based cross-sectional study design was used with a multi-stage random sampling technique to select 682 patients with hypertension or diabetes mellitus from 10th -17th July 2020 at the three zones of Southern Ethiopia. Logistic regression analysis with a 95% confidence interval was fitted to identify independent predictors of knowledge and preventive practices towards COVID-19. The adjusted odds ratio (AOR) was used to determine the magnitude of the association between the outcome and independent variables. P-value <0.05 is considered statistically significant. Results The Multi-dimensional knowledge (MDK) analysis of COVID-19 revealed that 63% of study subjects had good knowledge about COVID-19. The overall preventive practice towards COVID -19 was 26.4%. Monthly income (AOR = 1.42; 95% CI: 1.04, 1.94) significantly predicted knowledge towards COVID-19. Ninety-five percent of the study subjects knew that the COVID-19 virus spreads via respiratory droplets of infected individuals. One hundred and ten (16.2%) of study subjects correctly responded to the questions that state whether people with the COVID-19 virus who do not have a fever can infect the other. Knowledge about COVID-19 (AOR = 1.47; 95% CI: 1.03, 2.1) became the independent predictor of preventive practice. Conclusions In this study, the knowledge of the respondents towards the COVID-19 pandemic was good. But the preventive practice was very low. There was a significant gap between knowledge and preventive practices towards the COVID-19 pandemic among the study subjects. Monthly income was significantly associated with knowledge of COVID-19. Knowledge of COVID-19 was found to be an independent predictor of preventive practice towards COVID-19. Community mobilization and improving COVID-19- related knowledge and practice are urgently recommended for those patients with hypertension or diabetes mellitus.

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