Background: Non traumatic acute abdomen is an acute onset of abdominal disease entities that require immediate surgical intervention in most of the cases. The causes of non-traumatic surgical acute abdomen and their relative incidence vary in different populations. Objective: The aim of this study was to assess the management outcome and associated factors of surgically treated non-traumatic acute abdomen. Methods: Hospital-based prospective cross sectional study was conducted on surgically treated non-traumatic acute abdomen cases admitted at Attat catholic hospital surgical ward starting from January 2017 to September 2018. Data was collected using history, physical examination, patients' card and operation registration book as necessary. The collected data were checked for incorrectness and inconsistencies and SPSS version 21 used for the descriptive, binary and multivariate logistic regression analysis of the data. On binary logistic regression analysis a p-value < 0.25 was used as a candidate for multivariate logistic regression analysis. Statistical significant association was tested at a p-value of < 0.05. Results: There were 192 non-traumatic emergency surgical acute abdomens admitted in surgical ward and 171 (89%) of cases were managed surgically while 11% were managed conservatively. The three top causes of acute surgical abdomen were acute appendicitis accounting 48% followed by bowel obstruction 28% and Peritonitis 24%. Late presentation of patients before intervention, sex, age and postoperative complications were independent predictors with management outcome in our study. The total postoperative complication rate was 17% of which the commonest early postoperative complications were wound infection (5.4%), sepsis (4.3%) and pneumonia (2.3%). About 90.1% were discharged well while 9.35% were passed away in the hospital which is unacceptably high mortality. Conclusion and recommendation: The overall mortality was more in cases from rural area due to delay at presentation, on higher extreme age patients, those who developed peritonitis and postoperative complications. To decrease this problem, creation of health awareness on acute abdomen to the general population and to the low and mid-level health care providers for early referral, pre and postoperative management to decrease postoperative complications and death has great importance.
Background: Delay in TB treatment is significant to both disease prognoses at the individual level and within the community. Even though studies conducted in TB treatment delay there is result inconsistencies due to differences in culture, environment and infrastructure. Objective: The aim of the study was to assess health care system tuberculosis treatment Delay and associated factor among pulmonary tuberculosis patients. Method: Facility based cross sectional study triangulated by Qualitative data collection method. A total 340 PTB patients in Hadiya zone public health facilities included in the study. Health facilities were selected by Simple random sampling method from three woredas. DOTS user at the beginning of data collection was consecutively recruited in to the study until the intended sample size was fulfilled. Multivariable binary Logistic regression was used. A P-value < 0.05 at 95% CI was considered statistical significance between dependent and predictor variables. Result: 340 PTB patients participated in this the study. 30% of the PTB patients faced health system delay. Visiting two or more health care providers (AOR: 3.40, 95% CI (1.910, 6.07), every trying other drug than TB drug (AOR: 4.0, 95% CI (2.144, 7.465) and prolonged referral (AOR: 3.004, 95% CI (1.59, 5.67) were independent predictors of delay. Conclusion: Prolonged referral, several visit of health care providers of two or more and ever used other drugs rather than Anti-TB drugs were found to have association with patient delay and health system delay.
How to cite this article: Hagisso SN, Handiso TB. Prevalence of premarital sexual practice and associated factors among Goba town high school students, South East-Ethiopia. AbstractBackground: Premarital sexual practice signifi cantly attributes for increase adolescent's risk of unintended pregnancy, early marriage, abortion and STIs. In Ethiopia adolescents were intended to engage at early initiation to sexual intercourse without having proper protection has been one of the concerns. Study aimed to assess the prevalence of premarital sexual practice and associated factors among high school students. Method:A facilities based study design was employed. Data were collected from 291 randomly selected Negade and Finca Bamo high school students using structured questionnaire from June 1-30, 2018. Bi-variate logistic regression used to identify variables that crudely associated and variables with p -value < = 0.05 fi tted to multiple logistic regression. Odds ratio with 95% confi dence interval was estimated using multivariable logistic regression to identify independent predictors of premarital sex.Result: Among high school students, 31.2% reported had experienced premarital sexual practices. This shows that premarital sexual practices among high school adolescent's students were high. Drinking alcohol [AOR = 4.06, 95%CI, (2.06 -7.99)]. Watching pornographic video [AOR: 2.78, 95%CI, (1.45 -5.3)] and educational status of mothers [AOR: 0.33; 95% CI (0.13, -0.84)] were signifi cantly associated factors. Conclusion:Drinking alcohol, watching pornography and mother education were predominantly signifi cantly associated. Therefore, an integrated effort needs to be highlighted to deter the health behavioral problems of school adolescents at the early stages.Prevalence of premarital sexual practice and associated factors among Goba town high school students, South East-Ethiopia https://www.heighpubs.org/jcicm 002 https://doi.
Background: Barrier contraceptive method is a strategy that prevents both unwanted pregnancy and sexually transmitted infections. Predictors for using barrier methods are not well studied in the area. The aim of this study was to assess Barrier contraceptive method practice and its predictors among women living with human immune deficiency virus. Methods: A facility based cross-sectional study was employed. Data were collected through interviewer interview using structured and semi-structured questionnaires. Simple random sampling technique from patient registration book was used to select participants. Bivariate and multivariable logistic regression analysis was performed using SPSS version 20.0. Adjusted odds ratio with 95% CI was used quantify degree of association. Results: 39.16% of women living with human immune deficiency virus in Hadiya zone public Hospital practiced barrier contraceptive method and independent predictors are received information in the last 6 months on barrier method use (AOR: 4.05; 95% CI: 2.46, 14.83), Pre-ART (AOR: 0.11; CI: 0.07, 0.64), child desire (AOR: 0.29; 95% CI: 0.06, 0.57), supporting to use barrier contraceptive methods (AOR: 7.6; 95% CI: 2.49, 16.28). Conclusions: In this study less than half participants practiced barrier contraceptive method. Child desire received information in the last 6 months on barrier method use, pre-ART drug initiation status and Supported to use barrier contraceptive methods were found to be independent predictors of Barrier contraceptive method utilization.
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