Background: Food borne diseases are common in developing countries including Ethiopia because of the prevailing poor food handling and sanitation Practices. Food handlers play an important role in ensuring food safety throughout the chain of production, processing, storage and preparation.
Background: Inadequate and inappropriate complementary feeding are major factors contributing to excess morbidity and mortality in young children in low resource settings. The early introduction of complementary feeds before the age of six months can lead to displacement of breast milk and increased risk of infections such as diarrhea, which further contributes to weight loss and malnutrition. Therefore the objective of this study is to assess early initiation of Complementary feeding and associated factors, in Kamba Woreda, South West Ethiopia. Methods: a community based cross sectional study was conducted in Kamba woreda, Gamo Gofa Zone, South West Ethiopia. The study was conducted on 562 mothers who have young child from 6 months to 2 years from December 2013 to January 2014 by using pre tested structured questioners. Univariate, bivariate and multivariate analysis was conducted by SPSS version 20. Results: From all respondents 59.6% started complementary feeding before six months. Age of mothers those who are in age group ≥30, AOR 2.60(1.07-6.35) years, Education level those who have no formal education AOR 2.76(1.63-4.69), occupational of mothers those who work as daily worker AOR 3.06(1.03-9.12)and Private work activity(merchant, farmers) AOR 2.39(1.61-3.53), Mothers who have no post natal follow up for their child in Health service AOR(1.64(1.05-2.55) were significantly associated factors for early initiation of complementary feeding in the study area. Conclusion and Recommendation:-A relatively high proportion of mothers start early complementary feeding, despite what is recommended in the national and global infant and young child feeding guidelines. Maternal age, educational statues ,occupational statues, mothers who has no PNC, and mothers who encountered medical illness at post natal period were significant predictors for early initiation of complementary feeding.
Background: Severe acute malnutrition is a major challenge to achieve the millennium development goals. It is also the least preventable causes of child deaths. Limited information is found on the factors that influences improvement of treatment outcome in the admitted children. So the study tries to identify associated factors that compromise outcome. Objectives: Assessment of treatment outcome and associated factors among under-five children with severe acute malnutrition admitted to therapeutic feeding unit at Woldia general Hospital. Method: A Hospital record based retrospective cohort study supplemented with qualitative inquiry was conducted. The study period was from January 01 to 06, 2014. Records of 324 children with severe acute undernutrition were taken as the study sample. In-depth interview was conducted with six Health professionals in the ward. Multivariate analyses were done by using logistic regression to identify predictors. Result: Among 324 admitted children, 85% with 95% CI (81%-88.7%), 6% with CI (3.8%-9.2%), 5% and 4% of the cases were cured, died, defaulters and transferred out respectively. children with edema (AOR: 0.2(0.10-0.79), HIV positive children AOR: 0.12(0.032-0.42), Children who gained Plumpy'nut AOR: 3.70(CI: 1.22-11.23) were significant predictors for cure rate of severe acute malnutrition. Conclusion: Even though recovery and death rates were found above and below the minimum acceptable cutoff points of the sphere standards respectively, better achievement should be expected to reduce mortality rate and increase cure rate. The burden of co morbidities plus lack of training and supportive supervision in the Hospital compromise the rate of recovery. There should be a strong linkage between the Health sector and other stakeholders to minimize the level of child under-nutrition via nutrition education.
Background. Stunting is a public health problem in developing countries. Stunting (HAZ < −2Z-score) is a major cause of disability preventing children who survive from reaching their full developmental potential.Objective. To assess stunting and associated factors among children aged 6–23 months in Southern Ethiopia.Methods. Community based cross-sectional study was carried out among 562 mothers who have children from 6 to 23 months in 2014/15 in Kemba district. Multivariate analyses were applied to identify predictor variables and control effect of confounding.Results. The study revealed that out of 562 children, 18.7% (95% CI (15.6–22.1)) of children were stunted. In multiple logistic regressions, boys [AOR: 2.50; 95% CI (1.60–4.01)], older mothers [AOR: 2.60; 95% CI (1.07–6.35)], mothers who have no formal education [AOR: 2.76; 95% CI (1.63–4.69)], mothers who work as daily workers [AOR: 3.06; 95% CI (1.03–9.12)] and have private work activity [AOR: 2.39; 95% CI (1.61–3.53)], mothers who have no postnatal follow-up [AOR: 1.64; 95% CI (1.05–2.55)], and maternal illness encountered after delivery [AOR: 1.56; 95% CI (1.05–2.32)] were identified as significant independent predictors of childhood stunting.Conclusion and Recommendation. A significant number of children had chronic undernutrition in critical periods. An organized effort should be made at all levels to solve the problems of chronic undernutrition (stunting) in children.
Background: Stunting is a public health problem in developing countries. Stunting (deficit in height/length for age of at least-2 Z score) affects close to 195 million children under five years of age in the developing world. Chronic under nutrition is a major cause of disability preventing children who survive from reaching their full developmental potential. Objective: To assess chronic under nutrition (Stunting) and associated factors among Children aged 6-23 months in Southern Ethiopia. Methods: Community based cross-sectional study was carried out among 562 mothers who have young child from 6-23 months in 2014/15 in Kemba Woreda by using pre tested and structured questioners. Bivariate and multivariate analyses were conducted by SPSS version 20 and finally result was interpreted, compared and discussed with different recently published scientific journal. Results: The study revealed that out of 562 children, 18.7%; 95% C.I (15.6-22.1) of children were stunted, or chronically undernourished (i.e. HAZ ≤ 2Z-score). In multiple logistic regressions, boys [AOR: 2.50; 95% CI(1.60-4.01)],older mothers [AOR: 2.60; 95% CI (1.07-6.35)], mothers who have no formal education [AOR: 2.76; 95% CI (1.63-4.69)], mothers who work as daily workers [AOR: 3.06; 95% CI (1.03-9.12)] and have Private work activity(merchant, farmers) [AOR: 2.39; 95% CI (1.61-3.53)], mothers who have no post natal follow up [AOR: 1.64; 95% CI (1.05-2.55)] and maternal illness encountered after delivery [AOR: 1.56; 95% CI (1.05-2.32)] were identified as significant independent predictors of childhood stunting. Conclusion and Recommendation: A significant number of young child develop chronic malnutrition in this critical periods. Stunting was significantly associated with the illiterate mothers, mothers who work as daily workers and Private work, those has no post natal follow up and maternal illness encountered after delivery. An organized effort should be made at all levels to solve the problems of chronic under nutrition (stunting) in children.
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