ObjectivesBe aware of the burden of tuberculosis among high-risk population is important. Three hundred fifty-two children were participated in this study. Survival analysis was conducted. We assessed the incidence of tuberculosis and its predictors in children on ART.ResultsTuberculosis incidence rate in children on ART was 2.63 per 100 person-years. Those children who were on baseline World Health Organization clinical stages 3 and 4 (AHR (adjusted hazard ratio) = 3.0; 95% CI 1.2–7.7), “fair” and “poor” ART adherence (AHR = 4.0; 95% CI 1.5–10.8), late initiation of ART (AHR = 4.0; 95% CI 1.5–10.6), and less than 6 months duration on ART (AHR = 5.5; 95% CI 1.5–20.6) were more likely to develop tuberculosis infection. The incidence rate of TB in children on ART was high. This study suggests a need to give attention to advanced AIDS stages and improve timely initiation of ART and level of adherence to ART.
Adherence to highly active antiretroviral therapy (HAART) is the mainstay of the strategy in reducing morbidity and mortality of HIV-infected children. Different primary studies were conducted in Ethiopia. Thus, we aimed to conduct a meta-analysis of the national prevalence of optimal adherence to HAART in children. In addition, associated factors of HAART adherence were reviewed. A weighted inverse variance random-effects model was applied. The 88.7 and 93.7% of children were adhering to HAART at 07 and 03 days prior to an interview respectively. The subgroup analysis showed that HAART adherence was 93.4% in Amhara, 90.1% in Addis Ababa and 87.3% in Tigray at 07 days prior to an interview. Our study suggests that, within short window reported time, adherence to HAART in Ethiopian children may be in a good progress. Emphasis on specific adherence interventions need further based on individual predictors to improve overall HAART adherence of children.Electronic supplementary materialThe online version of this article (10.1007/s10461-018-2152-z) contains supplementary material, which is available to authorized users.
ObjectivesLow birth weight is one of the global agendas that have an impact on the short and long-term health status. A cross-sectional study from March 1 to April 1, 2018 was conducted. 381 mother–newborn pairs were participated. This study aimed to assess the prevalence and associated factors of low birth weight in the Northwest part of Ethiopia.ResultsThe prevalence of low birth weight was 14.9% (95% CI 11.7–18.9). Being preterm [adjusted odds ratio (AOR) = 4.1; 95% CI 1.7–9.9], absence of ante-natal care follow-up (AOR = 3.4; 95% CI 1.2–9.5), malaria attack during pregnancy (AOR = 4.2; 95% CI 1.6–11.1), anemia during pregnancy (AOR = 2.6; 95% CI 1.03–7.0), and lack of iron supplementation (AOR = 4.0; 95% CI 1.3–12.6) were predisposing factors to low birth weight. On the other hand, infants born from employed mothers (AOR = 0.1; 95% CI 0.01–0.92) were less likely to born with below normal birth weight. The prevalence of low birth was high as compared to WHO estimation.
Background. In developing countries, tobacco smoking has its own contribution to the burden of noncommunicable causes of morbidity and mortality. Studies estimated the burden of cigarette smoking among school-going adolescents in different geographical areas of East Africa. However, due to discrepancies found among those different findings, there is no representative data about the burden of smoking in the continent. Objectives. This systematic review and meta-analysis aimed to assess the pooled prevalence of current cigarette smoking and its associated factors among school-going adolescents in East Africa. Methods. PubMed, Google Scholar, and the Web of Science Library were searched to access included articles. A weighted inverse-variance random-effects model was used to estimate the prevalence of current cigarette smoking. Variations in the pooled estimates of the prevalence were adjusted through subgroup analysis according to the specific country, where the study was conducted. Funnel plot and Egger’s regression test were used to check publication bias. STATA version 14 statistical software was used for meta-analysis. Results. A total of 26,875 school-going adolescents were included. The pooled prevalence of current cigarette smoking among school-going adolescents in East Africa was found to be 9.02% (95%CI: 6.34-11.70). Based on the subgroup analysis, current cigarette smoking among school-going adolescents was estimated at 9.8% in Kenya, 7.72% in Ethiopia, 10.83% in Uganda, 13.6% in Sudan, and 4% in Tanzania. Conclusions. This meta-analysis revealed that the prevalence of current cigarette smoking is increasing among school-going adolescents in East Africa. Therefore, countries have to realize sale prevention policies, establishing and/or strengthening antismoking campaigners designed for school-going adolescents, and providing training for teachers to be antismoking campaigners.
Introduction: The misuse of drugs among students has become a serious problem. In economically deprived countries most episodes of illness are treated by self medication. Major problems related to self medication are: wastage of resources, increased resistance of Pathogens, and generally entails serious health hazards such as adverse reaction and prolonged suffering. Objective: To assess the prevalence and associated factors of self medication practice among non health professional students of university of Gondar, Northwest Ethiopia. Methods: Institutional based cross sectional study was carried out on 607 non health professional students of university of Gondar; Stratified systematic random sampling technique was employed. A structured and pretested self-administered questionnaire was used to collect data, the collected data were entered using Epi-info version 3.5.3 and SPSS version 20 were used for data entry and analysis respectively. Results: A total of 607 students were participated giving a response rate of 98.02%. From the respondents 226(38%) practiced self medication. The common perceived illnesses reported were headache/Fever 127(56.19%), abdominal pain 59(26.10%) and respiratory tract infections 35(15.48%). Males were two times more likely to practice self medication (AOR: 2.00, 95% CI: 1.41-2.86) than females. Conclusion: The prevalence of self medication among non health professional students is high. In the bivariate and multivariate logistic analysis males were two times more likely practiced self medication than females, and being students from college of Business and economics are 61.5% less likely to practiced self medication than Technology students.
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