BackgroundNeonatal hypothermia is a worldwide problem and an important contributing factor for Neonatal morbidity and mortality especially in developing countries. High prevalence of hypothermia has been reported from countries with the highest burden of Neonatal mortality. So the aim of this study was to assess the prevalence of Neonatal hypothermia and associated factors among newborn admitted to Neonatal Intensive Care Unit of Public Hospitals in Addis Ababa.MethodsAn institutional based cross-sectional study was conducted from March 30 to April 30, 2016, in Public Hospitals in Addis Ababa and based on admission rate a total of 356 Neonates with their mother paired were enrolled for the study. Axillary temperate of the newborn was measured by a digital thermometer at the point of admission. Multivariate binary logistic regression, with 95% confidence interval and a p-value < 0.05 was used to identify variables which had a significant association.ResultsThe prevalence of Neonatal hypothermia in the study area was 64%. Preterm delivery (AOR = 4.81, 95% CI: 2.67, 8.64), age of Neonate ≤24 h old (AOR = 2.26, 95% CI: 1.27, 4.03), no skin to skin contact with their mother immediately after delivery (AOR = 4.39, 95% CI: 2.38, 8.11), delayed initiation of breastfeeding (AOR = 3.72, 95% CI: 2.07, 6.65) and resuscitation at birth (AOR = 3.65, 95%CI: 1.52, 8.78) were significantly associated with hypothermia.ConclusionsThe prevalence of Neonatal hypothermia in the study area was high. Preterm delivery, age ≤ 24 h old, no skin to skin contact immediately after delivery, delayed initiation of breastfeeding and resuscitation at birth were independent predictors of Neonatal hypothermia. Therefore attention is needed for thermal care of preterm newborn and use of low-cost thermal protection principles of warm chain especially on early initiation of breastfeeding, skin to skin contact immediately after delivery and warm resuscitation.Electronic supplementary materialThe online version of this article (10.1186/s12887-018-1238-0) contains supplementary material, which is available to authorized users.
Abstract:Background: Sexual violence is any sexual act that is perpetrated against someone's willingness including a completed and or attempt nonconsensual, abusive sex act. This study aimed to determine sexual violence and associated factors among high school students in Harar town, Eastern Ethiopia. Methods: Institutional based cross-sectional study was conducted among youth in high school students. Self administered questionnaire was used to collect quantitative data from randomly selected 432 students and four focus group discussions were held with students by using interview guide semi-structured questionnaire to collect qualitative data. Data were entered to SPSS version 16.0 was used to analyze. Descriptive and logistic regression analyses were computed to quantify sexual violence and associated factors. Statistical association was measured 95% confidence interval and adjusted odd ratio. Results: Sexual violence among in school adolescents were 25%. Students used addictive drugs like alcohol (18%), chat and shish (7.2%) as very important contributing factors for sexual violence's. Use of physical force (15%), false promise (43%) and use of power (7.2%) reported contributing factors. Females dressing style, their act, peer pressure, revenge and males emotionality identified as contributing factors for sexual violence. Sexual violence had different consequences like abortion (32.2%), vaginal discharge (28.6%), genital trauma (25%), and unwanted pregnancy (14.2%). Conclusion: Sexual violence was common problem of in-school adolescents in Harar town. Female students' behavior also contributed for their sexual violence. Sexual and reproductive health issue information should be provided to create awareness about reproductive rights and life skill.
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