BackgroundThe increasing incidence of coronavirus disease 2019 (COVID-19) continues to cause morbidities, mortalities, and economic crises worldwide. College students are among the high-risk groups to acquire the disease for many reasons. Thus, the COVID-19 vaccine is the most effective and safe method to control this deadly disease. Although World Health Organization advocates vaccination is the best approach to tackle COVID-19, refusal of vaccination is a global problem. Evidence of reaching out to college students is scarce in Ethiopia, particularly in the study area. Therefore, this study aimed to assess willingness to receive the COVID-19 vaccine and associated factors among college students in northwest Ethiopia.MethodsAn institution-based cross-sectional study was conducted among 626 participants from January 12–26, 2021. Data were collected using a pretested, self-administered questionnaire, and a multistage sampling technique was used. Data were entered into Epi Info version 7.1.5.2 and exported into SPSS version 20 for analysis. Both bivariable and multivariable logistic regression analyses were used to identify associated factors. The level of significance was determined based on a p-value < 0.05.ResultsIn this study, the student’s willingness to receive COVID-19 vaccine was 34.2% [95% confidence interval (CI): 30.9–38.1]. Being third-year student [adjusted odds ratio (AOR) = 1.88; 95% CI: 1.27–2.77], being male (AOR = 1.45; 95% CI: 1.02–2.09), being married (AOR = 2.07; 95% CI: 1.28–3.33), ever watching TV (AOR = 0.39; 95% CI: 0.24–0.65), and having a positive attitude toward COVID-19 prevention (AOR = 2.33; 95% CI: 1.61–3.39) were the factors significantly associated with the willingness to receive the COVID-19 vaccine.ConclusionWillingness to receive the COVID-19 vaccine among college students was low. Sensitization of students about COVID-19 vaccine safety and effectiveness before directly giving the vaccine is recommended. Moreover, concerned bodies should provide improved health education to students to bring a favorable attitude toward the COVID-19 vaccine.
BackgroundIn developing countries, intimate partner violence is increasing alarmingly, though attention to this issue is rarely given. It has devastating effects on the general wellbeing of women, pregnancy outcomes, and the long-term health of children, and this needs to be addressed. Hence, this study was designed to assess intimate partner violence and associated factors in northwest Ethiopia.MethodsA community-based cross-sectional study was conducted from July 1st to August 30th, 2021, among 858 postpartum women in Gondar city. A cluster sampling technique was employed to select the study participants. EPI DATA version 4.6 and SPSS 25 were used for data entry, cleaning and analysis, respectively. A bivariable and multivariable logistic regression model was fitted to identify factors associated with intimate partner violence. The level of significant association was declared using the adjusted odds ratio (AOR) with 95 % confidence interval (CI) and a p-value of ≤ 0.05.ResultsIn this study, 48.6% of women indicated having experienced intimate partner violence during pregnancy (95% CI: 45.3, 51.7). The odds of intimate partner violence during pregnancy were significantly higher among women who were not able to read and write (AOR = 4.96; 95% CI: 2.15, 11.41), were private workers (AOR = 1.78; 95% CI: 1.05, 3.02), and had low decision-making power (AOR = 1.43; 95% CI: 1.06, 1.95), a poor social support (AOR = 1.99; 95% CI: 1.32, 3.02), and unsupported pregnancy by family (AOR = 2.32; 95% CI: 1.26, 4.24). Whereas a family size of ≥ 5 (AOR = 0.73; 95% CI: 0.54, 0.98) appeared to be a protective factor for intimate partner violence.ConclusionThe magnitude of intimate partner violence was unacceptably high in the study area and connected to poor women's empowerment and social determinants of health. Thus, it is important to focus on interventions that improve women's access to social support and allow them to participate in all aspects of household decision-making through community-based structures and networks. It is also important to encourage women to improve their educational status and arrange risk-free employment opportunities.
Introduction: Mass media are often essential to communicate health messages. Women's exposure to mass media remained low in Ethiopia. Evidence was scarce on underlined factors for enhancing women's exposure to mass media.Objective: This study aimed to assess factors associated with women's exposure to mass media in Ethiopia. Methods:The study was a secondary data analysis of the Ethiopian demographic and health survey 2016. A casecontrol study applied with frequency matching by place of residence and women's educational levels using a 1:1 ratio. A total of 9885 participants (4824 cases and 5061 controls) were involved in the study. Cases were women who had exposure and controls were who did not have exposure to mass media. Women's exposure to mass media is defined as the total number of women aged 15-49 who report exposure to either radio, television, newspapers, or magazines at least once a week. Logistic regressions analysis was conducted and the level of statistical significance was determined by a p-value of less than 0.05to identify factors associated with women's exposure to mass media. Result: Being in Women's age group 30-34 years (AOR = 1.19,95% C.I:1.04-1.35), having own mobile phones (AOR = 1.92,95% C.I:1.71-2.15), women ever used internet (AOR = 1.56,95% C.I:1.13-2.13), Women in the female-headed household (AOR = 0.76,95%C.I:0.68-0.86), Women in middle (AOR = 1.48,95%C.I:1.25-1.76), richer (AOR = 2.13,95%C.I:1.82-2.49) and richest (AOR = 2.67,95% C.I:2.22-3.21) wealth index, and women visited by health care provider (AOR = 1.41,95% C.I:1.17-1.71) were factors affecting women's exposure to mass media. Conclusion: Women's access to mobile phones, internet, and care provider counseling were facilitating factors for exposure to mass media. Younger age women, lower wealth quantile, and female headship in the household were risk factors for the non-exposure of women to mass media. Empowering household wealth and improving access to ICT could improve women's exposure to mass media.
IntroductionAlthough most deaths are preventable with simple and inexpensive measures, death from diarrhea accounts for one out of nine deaths in children worldwide which makes it the disease with the highest mortality rate in children under the age of five. Therefore, this study is aims to investigate diarrhea prevalence and risk factors among children under the age of five in Jawi district, Awi Zone, Ethiopia.Materials and methodsA comparative cross-sectional study was done among 440 study participants from March to June 2019. Data were collected with a face-to-face interviewer-administered questionnaire. Data was entered into EPI Info version 7 software and cleaned and analyzed using SPSS version 20 software. Binary logistic regression was done to assess independent factors associated with the dependent variable. A significant association was determined using an adjusted odds ratio at a confidence level of 95% and a p-value of less than or equal to 0.05.ResultsIn the current study, the overall under-five children diarrheal disease was found to be 15.5%. Diarrheal disease prevalence in model and non-model households was 10.9 and 20%, respectively. Shallow water [AOR: 6.12, 95%CI; (1.52, 24.58)], and maternal diarrhea [AOR: 4.11, 95%CI; (1.75, 9.61)] were determinants of childhood diarrhea. Place of birth [OR: 2.52, 95%CI (1.16, 5.49)] and maternal diarrhea [AOR: 3.50; 95%CI (1.28, 9.56)] in non-model households were also determinants of childhood diarrhea.ConclusionUnder-five children diarrheal disease was found to be high in the Jawi District. Thus, to decrease the disease prevalence in the study area, the health extension workers aim to better educate the mothers on how to handle diarrheal diseases. It is also better for concerned stakeholders to promote institutional delivery and to give access to safe water for the community.
Introduction: Respectful maternity care is essential for improving maternal and neonatal health. Lack of respectful maternity care during childbirth services is one of the deterrents to women seeking facility-based deliveries. It is a health system failure and a violation of women’s rights. There is limited data on respectful maternity care during childbirth and maternity care in Ethiopia, particularly at rural health facilities. But studies have shown that many women from rural areas were more likely to report disrespect and abuse than urban residents. Objective: This study aims to assess respectful maternity care and associated factors among mothers who gave birth at health institutions in the South Gondar zone, northwest Ethiopia, 2021. Methods: A multicenter institutional-based cross-sectional study design was conducted among mothers who gave birth at South Gondar Zone public health institutions, from 1 February to 30 March 2021. Six hundred twenty-two study participants were selected by using systematic random sampling. The data were collected through face-to-face interviews using a pretested and semi-structured questionnaire. Data were entered into Epi-Data version 4.6 and exported to SPSS version 23 for analysis. A multivariable logistic regression analysis was performed to identify factors associated with the outcome variable. An adjusted odds ratio with a 95% confidence interval was computed to determine the level of significance. Result: A total of 611 participants were included in the study with the response rate of 98.2%. The study revealed that only 39.4%, of (95% confidence interval: 35.4–43.2) women received respectful maternity care. Completed secondary education (adjusted odds ratio: 2.47, 95% confidence interval: 1.35–4.50), having antenatal care follow-up (adjusted odds ratio: 0.098, 95% confidence interval: 0.03–0.34), planned pregnancy (adjusted odds ratio: 3.21, 95% confidence interval: 1.69–6.08), cesarean section delivery (adjusted odds ratio: 0.47, 95% confidence interval: 0.25–0.89), and daytime delivery (adjusted odds ratio: 1.9, 95% confidence interval: 1.33–2.72)) were significantly associated with respectful maternity care. Conclusion and Recommendation: Only two out of five women received respectful maternity care during childbirth. Completed secondary education, having antenatal care follow-up, pregnancy intended/wanted, daytime delivery, and cesarean section delivery were identified factors. Therefore, giving emphasis to creating awareness of care providers on the standards and categories of respectful maternity care, improving care provider–client discussion, monitoring, and reinforcing accountability mechanisms for health workers to improve respectful maternity care during labor and childbirth were recommended.
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