Magnitude of repair failure and associated factors among women undergone obstetric fistula repair in Bahir Dar Hamlin Fistula Center, Amhara Region, Northwest Ethiopia

Background:Globally, preventionand repair of obstetric fistula remains a challenge, Ethiopia is one of the high-burden countries that constitute to the high fistula belt in the world. Methods:Cross sectional study was conducted from1st April 2018 to 1stMay2018 on women who had undergone obstetric fistula repair from 1stJanuary 2013 to 30th December 2017. Systematicsampling technique was applied to select a total of 385 study participants. Data were collected by reviewing clients’ cards using pre-tested questionnaire. Binary and multivariate logistic regression was conducted using SPSS version 21.0 statistical software.Results:The magnitude of fistula repair failure was 35.3%. Women weighing <50 kgs (AOR=3.43,95% CI: 1.89, 6.23), home delivery (AOR=2.40, 95%CI: 1.38, 4.18), labour for >2 days (AOR=3.22, 95%CI: 1.75,5.91), >3 cm width of fistula (AOR=2.30, 95%CI:1.27, 4.17), grade three fistula (AOR=3.26, 95%CI: 1.29, 8.27), grade four fistula (AOR=9.76, 95%CI: 3.71, 25.67), complete destruction of bladder neck (AOR=2.70, 95%CI: 1.07, 6.66) and post operation infection (AOR=2.98, 95%CI: 1.56, 5.70) were associated factors with fistula repair failure at p value <0.05.Conclusions:Caution should be taken for obstetric fistula repairing women who presented with less than 50 kg, home delivered, greater than two days labour, greater than 3 cm width of fistula, grade 3 and 4 fistulas, complete destruction of the bladder neck and post-operative infection.

Prevalence and Species Identification of Ixodidea Tick on Bovine in and Around Bahirda Town West Gojam, North West Ethiopia

A cross- sectional study was conducted in and around Bahir Dar, from November, 2016 to April, 2017 to estimate the prevalence of major ixodidea ticks on bovine and to identify ticks on the species level. Study animals were selected randomly. Out of the total of 384 cattle examined, 157(40.9 %) were found to be infested. About 822 adult ticks were collected both sides of animal body parts, then preserved with 70% alcohol within universal bottle and were identified to species level by using stereo-microscope. From the total ticks collected, four genera and species namely; Amblyomma varigatum, Boophilus decoloratus, Rhipicephalus evertsis and Hyalomma marginatu were identified and account for 45.3, 22.9, 15.8 and 17.03%, respectively. From different variables (sex, age, breed and body condition), body condition and predilection sites were statistically significant with tick infestation (p< 0.05). The prevalence of tick infestation was found highest in poor body condition animals (16.9%) while in medium and good body condition, it was found (14.58%) and (9.36%), respectively. It has also been evident that the favorable predilection sites of A.varigatum ticks were preferred scrotum/udder and pernial region. B.decoloratus preferred dewlap, scrotum/udder and Rh.evertis had a strong affinity on anus, dewlap and tail tip. H.marginatum the perineum region and dewlaps were its hiding sites. From this study we can make a conclusion that the prevalent ticks could also be responsible for transmission of tick borne diseases in addition to their physical damage

Sero-prevalence and associated risk factors of Toxoplasma gondii infection among pregnant women attending antenatal care at Felege Hiwot Referral Hospital, northwest Ethiopia

OBJECTIVE@#To determine the prevalence of toxoplasmosis and to assess the possible risk factors associated with the infection among pregnant women attending antenatal care center at Felege Hiwot Referral Hospital, Bahir Dar town, northwest Ethiopia.@*METHODS@#A hospital based cross-sectional study was designed to determine the prevalence of toxoplasmosis among pregnant women. Three hundred eighty four serum samples were collected from November 2013 to January 2014. Data on socio-demographic and predisposing factors were collected from each study participant with simple random sampling technique. The serum samples were examined for anti-Toxoplasma gondii (T. gondii) antibodies using latex agglutination test.@*RESULTS@#The overall seroprevalence of T. gondii among the pregnant women was 18.5%. All of T. gondii positive cases found to be positive only for IgG antibody. Significant association was observed between seroprevalence and presence of domestic cats [AOR = 2.85, 95% CI: 1.66-4.90, P = 0.000], consumption of raw or undercooked meat [AOR = 1.98, 95% CI: 1.15-2.43, P = 0.014] and history of abortion [AOR = 2.47, 95% CI: 1.40-4.34, P = 0.002]. No significant association was observed between seroprevalence and socio-demographic characters, gestational age, gravidity, consumption of raw vegetable, and blood transfusion.@*CONCLUSIONS@#The seroprevalence of toxoplasmosis among pregnant women in Bahir Dar town was relatively high. Presence of domestic cats at home and consumption of raw or undercooked meat were identified as main risk factors for T. gondii infection. Therefore, health education towards avoiding eating raw or undercooked meat and avoiding contact with cats are recommended for prevention of miscarriage or defects during pregnancy.

Sero-prevalence and associated risk factors of Toxoplasma gondii infection among pregnant women attending antenatal care at Felege Hiwot Referral Hospital, northwest Ethiopia

Objective: To determine the prevalence of toxoplasmosis and to assess the possible risk factors associated with the infection among pregnant women attending antenatal care center at Felege Hiwot Referral Hospital, Bahir Dar town, northwest Ethiopia. Methods: A hospital based cross-sectional study was designed to determine the prevalence of toxoplasmosis among pregnant women. Three hundred eighty four serum samples were collected from November 2013 to January 2014. Data on socio-demographic and predisposing factors were collected from each study participant with simple random sampling technique. The serum samples were examined for anti- Toxoplasma gondii (T. gondii) antibodies using latex agglutination test. Results: The overall seroprevalence of T. gondii among the pregnant women was 18.5%. All of T. gondii positive cases found to be positive only for IgG antibody. Significant association was observed between seroprevalence and presence of domestic cats [AOR = 2.85, 95% CI: 1.66-4.90, P = 0.000], consumption of raw or undercooked meat [AOR = 1.98, 95% CI: 1.15-2.43, P = 0.014] and history of abortion [AOR = 2.47, 95% CI: 1.40-4.34, P = 0.002]. No significant association was observed between seroprevalence and socio-demographic characters, gestational age, gravidity, consumption of raw vegetable, and blood transfusion. Conclusions: The seroprevalence of toxoplasmosis among pregnant women in Bahir Dar town was relatively high. Presence of domestic cats at home and consumption of raw or undercooked meat were identified as main risk factors for T. gondii infection. Therefore, health education towards avoiding eating raw or undercooked meat and avoiding contact with cats are recommended for prevention of miscarriage or defects during pregnancy.