Background Children with congenital heart disease are at risk for poor growth and under-nutrition compared with healthy children. The aim of this study was to assess the nutritional status of children with congenital heart disease and associated factors in selected governmental hospitals and cardiac center Addis Ababa, Ethiopia. Method Institutional based cross sectional study among 373 children aged under15 years was conducted from February to March; 2021G.c. Data was collected using structured questionnaire and chart review. Z-scores based on WHO reference ranges were used. Anthropometric z-scores based on WHO 2007 reference ranges were generated for each child. Weight-for-age z-scores for children 0–10 years and height-for-age and BMI-for-age z-scores for all children. Binary logistic regression was used for associated factors. Result A total of 373 children were participated in this study. The prevalence of wasting and stunting was 144(38.6%) and 134(35.9%) respectively. The prevalence of underweight and malnutrition in children under 10 years was 143(43.1%). Most of the children were diagnosed with VSD (36.7%). Children age group of 13 months-5 years were associated with wasting and underweight [AOR = 0.434, 95%CI: (0.231, 0.816)] and [AOR = 0.360, 95%CI: (0.183, 0.711)] respectively. Children diagnosed with PAH were 1.885 times more likely to be underweight [AOR = 1.885, 95%CI: (1.094, 3.246)]. When the hemoglobin level increases by every unit per g/dl the chance to be wasting and underweight decreases by 13.1 and 18.6%[AOR = 0.869, 95%CI: (0.792, 0.955)] and [AOR = 0.869, 95%CI: (0.792, 0.955)] respectively. The level of SPO2 is associated with stunting and underweight [AOR = 0.970, 95%CI: (0.943, 0.998)] and [AOR = 0.970, 95%CI: (0.943, 0.998)] respectively. Conclusion The prevalence of malnutrition in children with CHD is pretty high. Decreased level of hemoglobin and SPO2 was found to be associated factors for malnutrition in this case. There need to be a new strategy about including different health professional while care giving.

Background Information and communication technology (ICT) is revolutionizing the lives of people and operations of business organizations. Business organizations use ICT to process, store, disseminate, and promote their products and services globally. Beginning from the introduction of the internet, people have been accessing any information at anytime from anywhere. Hence, it is becoming inevitable to live without the aid of ICT. Being the world's largest economic endeavor, tourism is enhancing economies of countries. It accounts for 10% of the global gross domestic product (GDP) and 8.7% of the world's jobs (Meriague 2014). Furthermore, due to globalization, strong tourism sector is considered to be a sign of a country's social development, evolution, and progression (Meriague 2014). Since tourism is one of the major sectors in today's world, many countries are competing to attract tourists through all means of communication, and such communication has become a major driver of touristic sectors all over the world. The role of communication is to inform prospective tourists and influence their choices regarding touristic destinations and the type of touristic products they purchase. Many countries have succeeded in using ICTs and more precisely the internet to develop their tourism industries. For example, Malaysia and Australia have been very successful in attracting many tourists through these means (Mohsin 2005

Background: Children with congenital heart disease are at risk for poor growth and under-nutrition compared with healthy children. Inadequate energy intake, high energy requirement or both of these reasons are thought to be the reason for malnourishment of children with congenital heart disease. Therefore aim of this study to assess the nutritional status of children with congenital heart disease and associated factors in selected governmental hospitals and cardiac center Addis Ababa, Ethiopia.Method: Institutional based cross sectional study was include 395 samples among children age under15years old diagnosed with CHD. Data was collected with structured questionnaire and chart review. Samples were selected by consecutive sampling method and data was collected by face to face interview. Multivariable regression model was developed after p value <0.25 in the binary logistic analysis then after p value< 0.05 was taken as significant. Result: A total of 373 children were participated in this study. The prevalence of wasting and stunting was 144(38.6%) and 134(35.9%) respectively. The prevalence of underweight and malnutrition in children under 10years was 143(43.1%). Most of the children were diagnosed with VSD (36.7%). Children age group of 13months-5years were associated with wasting and underweight [AOR=0.434, 95%CI :( 0.231, 0.816)] and [AOR=0.360, 95%CI :( 0.183, 0.711)] respectively. Children diagnosed with PAH were 1.885 times more likely to be underweight [AOR=1.885, 95%CI :( 1.094, 3.246)]. When the hemoglobin level increases by every unit per g/dl the chance to be wasting and underweight decreases by 13.1% and 18.6%[AOR=0.869, 95%CI :( 0.792, 0.955)] and [AOR=0.869, 95%CI :( 0.792, 0.955)] respectively. The level of SPO2 is associated with stunting and underweight [AOR=0.970, 95%CI :( 0.943, 0.998)] and [AOR=0.970, 95%CI :( 0.943, 0.998)] respectively. Conclusion: The prevalence of malnutrition in children with CHD is pretty high. The responsible bodies should act on the accessibility of early treatment; focus on working in multidisciplinary way to prevent malnutrition and its consequences.