BackgroundThe term malnutrition generally refers to both under-nutrition and over-nutrition, but this study uses the term to refer solely to a deficiency of nutrition. In Ethiopia, child malnutrition is one of the most serious public health problem and the highest in the world. The purpose of the present study was to identify the high risk factors of malnutrition and test different statistical models for childhood malnutrition and, thereafter weighing the preferable model through model comparison criteria.MethodsBayesian Gaussian regression model was used to analyze the effect of selected socioeconomic, demographic, health and environmental covariates on malnutrition under five years old child’s. Inference was made using Bayesian approach based on Markov Chain Monte Carlo (MCMC) simulation techniques in BayesX.ResultsThe study found that the variables such as sex of a child, preceding birth interval, age of the child, father’s education level, source of water, mother’s body mass index, head of household sex, mother’s age at birth, wealth index, birth order, diarrhea, child’s size at birth and duration of breast feeding showed significant effects on children’s malnutrition in Ethiopia. The age of child, mother’s age at birth and mother’s body mass index could also be important factors with a non linear effect for the child’s malnutrition in Ethiopia.ConclusionsThus, the present study emphasizes a special care on variables such as sex of child, preceding birth interval, father’s education level, source of water, sex of head of household, wealth index, birth order, diarrhea, child’s size at birth, duration of breast feeding, age of child, mother’s age at birth and mother’s body mass index to combat childhood malnutrition in developing countries.Electronic supplementary materialThe online version of this article (10.1186/s13690-018-0264-6) contains supplementary material, which is available to authorized users.
Background: The postpartum intrauterine contraceptive device (PPIUCD) is an effective, reliable, safe and recommended contraceptive method for the postpartum women. However, only a small proportion of women who gave birth at health facilities in the world have used it. There are limited studies about determinants of PPIUCD utilization. Therefore, this study aimed to assess determinants of postpartum IUCD utilization among mothers who gave birth in Gamo zone health facilities, southern Ethiopia. Methods: A facility based unmatched case-control study was done at Gamo zone public health facilities, southern Ethiopia. Data were collected using a pretested interviewer-administered questionnaire from March 1 to April 15, 2019. The data were coded, cleaned and entered into Epi-Info version 3.5.1 and exported to SPSS version 25 for advanced analysis. Binary logistic regression was performed to identify the determinants of PPIUCD utilization. Results: A total of 510 (175 cases and 335 controls) participants were involved in the study yielding a response rate of 95.1%. Partner support for IUCD insertion (AOR [95% CI]: 10 [4.03, 24.3]), birth interval (AOR [95% CI]: 9.7 [1.7, 55.1]), fertility plan (AOR [95% CI]: 4 [1.44, 10.84]), and timing of counseling (AOR [95% CI]:1.25 [0.034, 0.46]) are the determinant factors for postpartum IUCD. Conclusion and Recommendation: Birth interval, fertility plan, timing of counseling, pregnancy plan and partner support were the determinant factors identified in this study. Therefore, counseling of both partners during antenatal follow-up, delivery and immediately after delivery by health professionals are recommended.
Background: Even though postpartum IUCD is effective, reliable, safe and recommended contraceptive method during postpartum women, only a small amount of mother who gave birth in health facilities used PPIUCD in the world. Besides the underlining problem and as to the knowledge of the researcher; nothing is known in Gamo zone about the determinants of PPIUCD. Therefore, this study aimed to assess determinants of postpartum IUCD utilization among mothers who gave birth in Gamo zone health facilities, southern Ethiopia, 2019. Methods: a facility based unmatched case control study was conducted in Gamo zone public health facilities, southern Ethiopia. A total of 536(179 cases and 357 controls) participants were selected in the study with a 1:2 case to control ratio. Data was collected by a pretested interviewer administered questionnaires from March 1 to April 15 2019. The data was coded, cleaned and entered by Epi-Info version 3.5.1 and exported to SPSS version 25 for advanced analysis. Bivariable and multivariable logistic regression analysis were performed to identify the determinants. Result: A total of 510(175 cases and 335 control) were involved in the study, which makes a response rate of 95.1%. The odds of mothers who have partner support for IUCD insertion were ten times more likely to utilize PPIUCD than those do not have partner support. (AOR (95 CI) 10(4.03, 24.3)). Mothers who have a birth interval of 1-2 year and 3-5 years 12 and almost 10 times more likely to utilize PPIUCD than mothers who have greater than five years. (AOR (95 CI) 12.0(1.5, 97.7), 9.7(1.7, 55.1)) respectively. The odds of mothers who are spacer four times more likely to utilize PPIUCD than limiters (AOR (95 CI) 4(1.44,10.84)). Mothers who are counseled during early labor around 88% less likely to utilize PPIUCD than those counseled during ANC (AOR (95 CI) .125(.034, .46)). Conclusion and recommendation : Birth interval, fertility plan, timing of counseling, pregnancy plan and partner support were determinant factors. Therefore, health professionals better to give counseling by incorporating partners during antenatal follow up and after delivery. Key words : Postpartum IUCD, Gamo zone, unmatched case control, determinant factors
Objective: Reproductive health (RH) rights are the rights of all persons, regardless of age, sex, or other traits, and they have the freedom to make decisions about their sexuality and RH. However, there is limited information about Ethiopians’ understanding of RH rights. Because little is known about the degree of knowledge and relevant predictors in the study area, this study was carried out to fill in the gaps. Methods: An institution-based cross-sectional study was conducted from 3 January to 25 January 2021 G.C to determine the knowledge level of RH rights and its associated factors among Wolkite University undergraduate medical students. The minimum estimated sample size was computed by using the simple population proportion formula of 95% confidence interval (CI), with 5% of marginal error, which was 318 students. The students were stratified based on their academic year and department. Each student was selected from each department by using the simple random sampling method based on their ID numbers. Data were collected by using a pre-tested, structured self-administered questionnaire. Epi Info version 3.5.1 was used for data coding, entering, and cleaning, and then the data were exported to Statistical Package for Social Sciences (SPSS) version 23 for advanced analysis. The associated factors were identified by performing analysis for bivariate and multivariate logistic regression analyses. Results: More than half (56.33%) of the participants were knowledgeable about reproductive and sexual rights and participated in RH clubs (adjusted odds ratio [AOR]: 2.94, 95% CI: 1.46, 5.91). The paternal educational level (AOR: 2.89, 95% CI: 1.34, 5.65) had an association with the knowledge of reproductive health rights. Conclusions: The students’ knowledge regarding reproductive and sexual rights was found to be little. The Ethiopia Ministry of Education has to include reproductive and sexual rights in the curriculum of high school and higher institution studies.
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