Introduction: Foodborne diseases are a major public health problem which predominantly affects infants and young children. Appropriate complementary food hygiene practice is very important to reduce the prevalence of foodborne illnesses. However, the information regarding this practice is not available and assessed before. Thus, the study was aimed to assess complementary food hygiene practices among mothers of children aged 6-23 months.Methods: A community based cross-sectional study was conducted in Robe town on a samples of 517 mother-child pairs, which were selected by using systematic sampling technique. Data was collected using pre-tested and structured questionnaire, and each variable was described in the frequency and percentage. Bivariable and multivariable logistic regression analyses were used to identify factors associated with complementary food hygiene practice. Odds ratios with 95% confidence interval were used to assess levels of significance. Result: The result indicated that 55% of participated mothers scored above the mean score of food hygiene practices. Mothers of children aged 12-23 months had higher odds to practice good food hygiene measures than those of aged 6-11 months [AOR, 1.82 95% CI (1.21, 2.73)]. Mothers whose children attended growth monitoring session practice good food hygiene than their counterpart [AOR, 2.74 95% CI (1.49, 5.06)]. Mothers having media exposure, and having knowledge on critical times of hand washing had relatively good food hygiene measures [AOR, 0.73 95 CI (1.14, 2.62)]. Among food hygiene measures; handwashing with water and soap were low before eating food (17%), before feeding children (21%) and before preparing food (32%) when compared with after visiting the toilet (81%) and touching dirt (68%). Conclusion and recommendation: The study identified that food hygiene practices in the current study were mainly associated with child age, growth monitoring follow-up, maternal awareness about critical times of hand washing, and media exposure. So, improving knowledge of mothers on critical times of handwashing, strengthening growth monitoring follow-up and media promotion are important measures to improve food hygiene practices among mothers of infants and young children.
Background: Measles remains causes of vaccine preventable deaths in children worldwide. Measles is under the list of weekly reportable diseases in Ethiopia; however, reported cases represent only a small proportion of the expected cases due to weak measles case-based surveillance implementation. This study was aimed to analyze seven years measles surveillance data of Bale zone in order to indicate measles epidemiology and surveillance related gaps.Methods: Cross-sectional study was conducted from May 25-June 25/2019. Study population was all measles cases reported to Bale Zone Health Office from 2013 to 2019. Data were abstracted from seven years measles line list and case-based report by the investigator using data abstraction check list. The data were entered and analyzed using Microsoft excel, and presented in tables and graphs.Result: Overall, 4241 measles cases were reported from 2013 to 2019. Mean age of the cases were 7.15 and 2147 (50.6%) were males. The most affected age group were children under 4 years of age. The analysis indicated that the case fatality rate was 3.07/1000 population. From the total cases reported 248 (5.8%) were measles IgM confirmed. The highest prevalence rate of 141/100,000 populations was reported in 2019. Unvaccinated cases and cases with unknown vaccination status were 890 (21%) and 731(17.2%) respectively. The highest numbers of cases were reported from Ginir and Gololcha districts. Measles cases increase in autumn season of the year and reaches peak in May.Conclusion: Measles is a major cause of morbidity and mortality in Bale zone due to poor immunization coverage. Its case fatality is also high excluding community deaths. From all districts included Ginir reported the highest number of cases. Improving vaccination coverage, early preparedness for annual epidemic cycle and strengthening measles case-based surveillance are important interventions to reduce measles morbidity and mortality.
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