HIV/AIDS prevention practices among military personnel in Northwest Ethiopia.

The spread of HIV/AIDS is a major public health problem in military personnel in Africa. However, the epidemiological evidence regarding HIV/AIDS prevention practices among military personnel in Ethiopia remains unclear. The aim of this study was to investigate HIV/AIDS prevention practices among military personnel in Northwest Ethiopia. A cross-sectional study among military personnel (n = 410) was conducted in Northwest Ethiopia in 2015. Data were collected using a pre-tested questionnaire. Multivariable logistic regression model was fitted to ascertain factors influencing participation in HIV/AIDS prevention programs. About one-fourth (24.6%) of the military personnel had multiple sexual partners, of whom 24.7% failed to use condoms regularly when having sex with non-regular sexual partners. Majority of the sample (n = 355, 86.6%) participated in HIV/AIDS prevention programs. Military personnel who had multiple sexual partners were 6.3 times more likely to report history of non-participation in HIV/AIDS prevention programs (AOR = 6.3, CI95 = 3.5-11.54). A considerable proportion of military personnel had multiple sexual partners with lower levels of condom utilization with non-regular sexual partners. The study further demonstrated misconceptions about HIV/AIDS in Ethiopian military personnel, which reduce their likelihood of participation in HIV/AIDS prevention programs. Health authorities need to strengthen and accelerate HIV/AIDS prevention programs focusing towards military personnel.

Groundwater quality in open-defecation-free villages (NIRMAL grams) of Kurukshetra district, Haryana, India.

Groundwater is an indispensable natural resource for drinking water, generally in rural areas due to unavailability of treated water. The study was designed to investigate the groundwater quality in nine open-defecation-free (ODF) villages (Nirmal Grams) of Kurukshetra district, Haryana, India. For the research, 81 groundwater samples were collected from different borewells of Nirmal Grams during pre-monsoon (PRM), monsoon (MON), and post-monsoon (POM) seasons and were analyzed for 13 water quality parameters, i.e., pH, EC, TDS, Cl-, TH, Ca2+, Mg2+, Na+, K+, HCO3-, F-, SO42-, and PO42-, using standard methods. The Water Quality Index (WQI) was calculated from the analyzed parameters and the results were compared with the World Health Organization (WHO 2011) and the Bureau of Indian Standards (BIS 2012) in order to have an overview of the groundwater quality. The concentration of major anions and cations was found to be in the order of HCO3- > Cl- > SO42- > F- > PO42- and Ca2+ > Na+ > K+ > Mg2+, respectively. Statistical Package of Social Sciences (SPSS) version 23 was used for statistical analysis, Aquachem 2014 software (trial version) was used for Piper diagram, Box-Whisker plot, Schoeller, and Gibbs diagram, whereas WQI was calculated manually. The values of WQI in the study area were ranged between 32.08 and 88.38 in PRM, 46.62 and 102.33 in MON, and 34.99 and 79.81 in POM seasons, respectively. Groundwater quality index reveals that the majority of the samples fall under 'good' to 'excellent' water category. It indicates that the groundwater is suitable for drinking and other domestic uses.

Immunization coverage of 12-23 months old children and associated factors in Jigjiga District, Somali National Regional State, Ethiopia.

BACKGROUND: Immunization coverage in Ethiopia is less than the herd immunity level desired to prevent the spread of eight target diseases targeted by the World Health Organization's Expanded Program of Immunization. In particular, the Somali region of the country still has by far the lowest level of immunization coverage. The objective of this study was to measure the immunization coverage of 12-23 months old children and associated factors in the urban and rural areas of Jigjiga district. METHODS: A community based cross-sectional survey was conducted in 582 households with 12-23 months old children in two urban and four rural wards. The data were collected from mothers or caregivers through interviews based on pre-tested and structured questionnaires and from the review of vaccination cards. Data were processed using SPSS version 16. To identify factors associated with the immunization status of children, bivariate and multiple logistic regression analyses were worked out and the Hoshmer and Lemeshow's goodness-of-fit was used to assess the fitness of multiple logistic regression model. RESULTS: Three-fourth (74.6%) of the children surveyed were ever vaccinated, whereas 36.6% were fully vaccinated. The immunization coverage rate from card assessment for Bacillus Calmette-Guérin was 41.8%, while for Oral Polio Vaccine Zero, Oral Polio Vaccine One /Pentavalent1, Oral Polio Vaccine Two /Pentavalent2, Oral Polio Vaccine Three /Pentavalent3, and measles were 10.4%, 41.1%, 33.9%, 27.5%, and 24.9%, respectively. Maternal literacy (AOR = 3.06, 95% CI = 1.64, 5.71), Tetanus Toxoid Vaccine (AOR = 2.43, 95% CI = 1.56, 3.77), place of delivery (AOR = 2.02, 95% CI = 1.24, 3.28), place of residence (AOR = 2.04, 95% CI = 1.33, 3.13), and household visits by health workers (AOR = 1.92, 95% CI = 1.17, 3.16), were found to be factors significantly associated with full immunization in the multivariate logistic regression analysis. CONCLUSIONS: The overall immunization coverage was found to be low. Hence, to increase the immunization coverage and reduce the incidences of missed opportunity, delivery in the health institution should be promoted, the outreach activities of the health institutions should be strengthened and greater utilization of health services by mothers should be encouraged.

Pastoralist Community's Perception of Tuberculosis: A Quantitative Study from Shinille Area of Ethiopia.

Background. In Ethiopia the prevalence of all forms of TB is estimated at 261/100 000 population, leading to an annual mortality rate of 64/100 000 population. The incidence rate of smear-positive TB is 108/100 000 population. Objectives. To assess knowledge, attitudes, and practices regarding TB among pastoralists in Shinille district, Somali region, Ethiopia. Method. A community-based cross-sectional study was conducted among 821 pastoralists aged >18 years and above from February to May, 2011 using self-structured questionnaire. Results. Most (92.8%) of the study participants heard about TB, but only 10.1% knew about its causative agent. Weight loss as main symptom, transmittance through respiratory air droplets, and sputum examination for diagnosis were the answers of 34.3%, 29.9%, and 37.9% of pastoralists, respectively. The majority (98.3%) of respondents reported that TB could be cured, of which 93.3% believed with modern drugs. About 41.3% of participants mentioned covering the nose and mouth during sneezing and coughing as a preventive measure. The multivariate logistic regression analysis indicated that household income >300 Ethiopian Birr and Somali ethnicity were associated with high TB knowledge. Regarding health seeking behaviour practice only 48.0% of the respondents preferred to visit government hospital and discuss their problems with doctors/health care providers. Conclusion. This study observed familiarity with gaps and low overall knowledge on TB and revealed negative attitudes like discrimination intentions in the studied pastoral community.

Changing patterns of organochlorine pesticide residues in raw bovine milk from Haryana, India.

Bovine milk samples were collected and analyzed during 1992 and 1998 from rural areas of 14 different districts of Haryana state for the presence of HCH and DDT residues. The study revealed that the mean residues of ΣHCH in raw bovine milk have declined by 67.5% while mean levels of ΣDDT have decreased by 92.8% during six years gap. The obtained results reveal that during 1992 p,p'-DDT was the main component followed by p,p'-DDD, α-HCH and ß-HCH while in 1998, p,p'-DDE and ß-HCH followed by p,p'-DDT were relatively more as compared to other isomers and metabolites of these pesticides.