Breakfast consumption and associated factors and barriers among school-aged children.

Background: Breakfast provides the energy and nutrition we need to function at best, both mentally and physically. It is also plausible to propose that children's general development is impacted when they skip breakfast. Objective: To assess the prevalence of breakfast consumption and associated factors and predictors among public primary school children in Debremarkos Town, Northwestern Ethiopia, 2020. Methods: A community-based cross-sectional study was conducted among school-aged children in Debremarkos, Northwest Ethiopia. A multistage random sampling technique was used to select 609 study participants. The children's parents were interviewed using a pretested, structured questionnaire. For the rest of the analysis, SPSS version 20 was used. Logistic regression analysis was performed to assess the factors associated with breakfast consumption. Statistical significance was determined at a p value <0.05. Results: Out of the sampled children, 600 respondents participated in the study, for a response rate of 98.5%. The prevalence of regular breakfast consumption among school-aged children was 67.5%. Higher odds of regular breakfast consumption were found among respondents who were females (AOR = 1.72, 95% CI = 0.118-1.773), those who lived in high-income families (AOR = 7.33, 95% CI = 1.036-8.110), and those who had an educated family (AOR = 13.05, 95% CI = 0.019-13.1). However, lower odds of regular breakfast intake were found among respondents aged 9-12 years (AOR = 0.54, 95% CI = 0.369-0.79). Conclusion: Breakfast is a major health concern for school-aged children in Debremarkos city. Breakfast eating is associated with several factors; the most notable factor is being female, having a high income, and having an uneducated family. Therefore, to prevent children from skipping breakfast, stakeholders must move swiftly.

Evaluation of Oyster Mushroom (Pleurotus ostreatus) Production Using Water Hyacinth (Eichhornia crassipes) Biomass Supplemented with Agricultural Wastes.

The cost of substrates has been one of the challenges for mushroom cultivation. The commonly used substrates for mushroom production are usually expensive. Substrates with a high biomass return that can pose environmental problems can be good alternatives for mushroom cultivation due to multiple advantages. In this regard, the potential use of water hyacinth biomass (a troublesome aquatic weed) as an alternative substrate is worthy of being studied. This study was aimed at evaluating the potential use of water hyacinth biomass for the production of oyster mushroom. The experiment was done in a completely randomized design with nine treatments and four replications. Water hyacinth biomass was supplemented with straw (wheat, Triticum aestivum, and teff or Eragrostis Teff) at a ratio of 1 : 1, 1 : 3, or 3 : 1. The developmental parameters including days elapsed for mycelium invasion (MI), pinhead formation (PF), and the first flush (FH) were monitored. Growth parameters (cap diameter (CD) and stalk length (SL)), a yield parameter (total weight of mushroom yield), and biological efficiency (BF %) were also recorded. Finally, the economic return (ER) of all the treatments was calculated. A one-way analysis of variance (ANOVA) was used to test the significance of variation between the different parameters on the production parameters. Means were separated using the Tukey test, when F-test from ANOVA was significant at p ≤ 0.05. It was observed that water hyacinth biomass alone or supplemented with wheat or teff straw provided promising performance on oyster mushroom development, growth, yield, and biological efficiency compared to the costly substrates (wheat and teff straw). Thus, water hyacinth can be considered as a low-cost substrate for mushroom cultivation and a means to control this aquatic weed from rapid spreading.

Decision-making autonomy of women and other factors of anemia among married women in Ethiopia: a multilevel analysis of a countrywide survey.

BACKGROUND: Anemia is one of the world's public health problem, especially in developing nations. The majority of women of childbearing age (15-49) are affected by anemia. Women's role in the decision-making process is significant for their health and related issues such as anemia. So far, there is no evidence of women's decision-making autonomy on anemia. Consequently, this study aimed to robustly examine both individual- and group-level women's decision-making autonomy and other determinants of anemia among married women in Ethiopia. METHODS: We examined data from an Ethiopian demographic and health survey conducted in 2016. Our analysis included 9220 married women of childbearing age (15-49 years). For bivariate analysis, we applied the chi-squared (X2) test. The relationship between individual and group-level women's decision-making autonomy and anemia was assessed using multilevel binary logistic regression models while adjusting other socio-demographic and economic characteristics. RESULTS: In this study the magnitude of anemia was 30.5% (95% CI; 29.5-31.4). According to our multilevel analysis, group-level women's autonomy was found to be negatively related with anemia than individual-level women's autonomy (AOR = 0.53, 95% CI = 0.41-0.69). In addition, the indicator of women's wealth index at group level was a protective factor (AOR = 0.68, 95% CI =0.51-0.90) to develop anemia. Among individual-level indicators women's age (AOR = 0.73, 95% CI = 0.60-0.89), use of contraceptive (AOR = 0.66, 95% CI = 0.55-0.81), BMI (AOR = 0.71, 95% CI = 0.59-0.86) and employment status (AOR = 0.88, 95% CI = 0.79-0.98) were negatively related with anemia. While women who follow Muslim religion (AOR = 1.62, 95% CI = 1.32-1.97,), women who had five and above number of children (AOR = 93, 95% CI = 1.53-2.46), and who were pregnant (AOR = 1.21, 95% CI = 1.04-1.40) were positively associated with anemia. Our final model showed that around 27% of the variability of having anemia was because of group-level differences (ICC = 0.27, P < 0.001). In addition, both individual and group-level factors account for 56.4% of the variance in the in the severity of anemia across communities (PCV = 56.4%). CONCLUSIONS: Our study showed that empowering women within households is not only an important mechanism to reduce anemia among married women but also serves as a way to improve the lives of other women within the society.

Intention, magnitude and factors associated with bottle feeding among mothers of 0-23 months old children in Holeta town, Central Ethiopia: a cross sectional study.

BACKGROUND: World Health Organization (WHO) recommends that bottle feeding should be avoided for infant and young child feeding since it has an impact on optimal breastfeeding, appropriate complementary feeding and bottles with a nipple are prone to contamination. The objectives of this study were to determine intention, magnitude and factors associated with bottle feeding among mothers of 0-23 months infants and children. METHODS: Community based cross sectional study was conducted from February to May 2016. A total of 422 mothers who had children 0-23 months were included in the study. Systematic random sampling was used to select the study subjects. Data were collected using a pre-tested interviewer administered structured questionnaire. The data were cleaned, coded, entered in to EPI-INFO version 3.5.4, and transferred and analyzed using SPSS. Odds ratio was calculated with 95% CI to identify factors associated with bottle feeding practice. P-values less than 0.05 were considered as statistically significant. RESULTS: The prevalence of bottle-feeding in this study was 19.6% and another 27.6% mothers have intention of bottle feeding. Being infant age of 0-5 months [AOR = 0.27;95% CI:(0.12,0.62)] and being a housewife [AOR = 0.37;95% CI:(0.21,0.67)] were negatively associated while having three under five children [AOR = 2.77;95% CI:(1.07,7.14)], not attending PNC follow-up [AOR = 2.13;95% CI:(1.19,4.97)], lower age of mothers [AOR = 3.38;95% CI:(1.48,7.73)] and not counseled on bottle feeding [AOR = 2.18;95% CI:(1.24,3.83)] were positively associated with bottle feeding. CONCLUSION: The prevalence of bottle feeding in the study area was high compared to the national prevalence of bottle feeding. Working outside home, lower maternal age, older age of children, having more than one under five children in the household, not attending PNC follow-up and not counseled on bottle feeding were found to be risk factors associated with bottle feeding practice in the study area.