BackgroundEven though health care seeking interventions potentially reduce child mortality from easily treatable diseases, significant numbers of children die without ever reaching a health facility or due to delays in seeking care in Ethiopia. This study aimed to assess health care seeking behavior for common childhood illnesses and associated factors.MethodsA community-based cross-sectional study was conducted in Jeldu District from January to February 2011. A systematic sampling method was used for sample selection. Data were collected from 422 caregivers with under-five children who experienced diseases within six weeks before the survey. Interviewer administered structured and pre-tested questionnaire which were used to collect data. Data entry and cleaning were carried out using Epi Info version 3.5.1 and analyzed using SPSS version 16. Descriptive analysis was done to determine the magnitude of health care seeking behavior. Multivariate logistic regression analyses were performed to identify associated factors.ResultsA total of 422 caregivers of under-five children were participated in the study giving an overall response rate of 97.5%. Three hundred fifteen (74.6%) children sought care from health facilities for all conditions. However, only 55.4% of them were taken to health facilities as first source treatment during their illness and prompt care was also very low (13.7%). Marital status of the caregivers (AOR = 2.84; 95%CI: 1.62–4.98), number of symptoms experienced by the child (AOR = 2.04; 95%CI: 1.24–3.36) and perceived severity of the illness (AOR = 3.20; 95%CI: 1.96–5.22) were predictors of health care seeking behavior.ConclusionHealth care seeking behavior for childhood illnesses was delayed and decision to seek care from health facilities was influenced by worsening of the illnesses. Thus, community level promotion of prompt health care seeking is essential to enhance the health care seeking behavior for child hood illnesses in the locality.
Background: Significant numbers of adolescents are involved in sexual activities at an early age which exposes them to the risk of unintended pregnancy, abortion and STIs. Even though, the reproductive health problem of young people is critical among both sexes, adolescent's girls are more affected because of their biological, economic and social vulnerability. Therefore, this study was designed to assess the prevalence, consequences and associated factors of premarital sex among female students in Ambo University.
Methods and materials:An institutional based crosssectional study was conducted with qualitative inquiry from January to February 2015. Quantitative data were collected from 650 randomly selected female students in Ambo University using a pretested structured questionnaire. The qualitative data were generated through focus group discussions among purposely selected discussants. Odds ratio with 95% confidence interval was estimated using multivariable logistic regression to identify independent predictors of premarital sex while thematic framework analysis was employed for the qualitative data.Results: About 90 (53.9%) of sexually active respondents reported that they started sex after joining the University. Twenty Eight (16.8%) of sexually active respondents have got pregnant prior to the study period and 15(53.6%) reported history of abortion. The proportion of respondents screened for HIV/AIDS were 56.8% and among this 1.6% had positive results. In the multivariate analysis students who didn't discussed sexual related issue with their parents [AOR: 7.16;], being alcohol consumer [AOR: 3.70; 95% CI (2.04-6.73)] and attending romantic videos/films [AOR: 9.95 (7.69-49.87)] were independent predictors of premarital sex.
Conclusion:Significant number of young females had started sex very early and involved in high risk sexual behavior without condom and family planning methods. These kinds of findings call for family life time education including parent-youth communication education.
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