Compliance level and associated factors of iron folic acid supplementation among pregnant women in North Shoa Zone, Ethiopia.

Iron deficiency is a widespread micronutrient deficiency, impacting over 30% of the global population. Iron Folic Acid supplement is recommended for pregnant women to counter iron deficiency anemia and neural tube anomalies. Although Iron Folic Acid supplementation is integral to Ethiopian antenatal care, one in four women in Ethiopia experiences anemia during pregnancy suggesting poor compliance. This study aimed to investigate compliance level and associated factors of Iron Folic Acid supplementation among pregnant women attending antenatal care in Wuchale Woreda of North Shoa Zone, Ethiopia. An institutional-based cross-sectional study was conducted among 302 pregnant women from March 20 to April 5, 2021, who were selected using a systematic random sampling technique. Data were collected through face-to-face interview, entered epi-data, and exported to Statistical Package for the Social Sciences for analysis. A multivariable logistic regression was used to identify factors associated with compliance level. All the results were presented with 95% confidence intervals. The compliance with Iron Folic Acid supplementation was 47.0%. Residing nearest to the health facility (AOR = 2.46; 95% CI 1.32, 4.57), initiating antenatal care at health center (AOR = 2.23; 95% CI 1.17, 4.51), having a family size of 4 and above (AOR = 4.99; 95% CI 2.43, 10.24), and receiving information from health extension workers (AOR = 5.52; 95% CI 1.30, 23.54) increased compliance with Iron Folic Acid supplementation. Less than half of the pregnant women were compliant with Iron Folic Acid utilization. There is a need to prioritize promoting the importance of Iron Folic Acid supplementation through health education particularly by targeting pregnant women with identified factors.

Prevalence of depression and associated factors among HIV/AIDS patients attending antiretroviral therapy clinic at Adama Hospital Medical College, Adama, Central Ethiopia.

Depression is the most frequently detected and preventable mental illness among people with human immunodeficiency syndrome, with rates two to four times higher than in the general population. Currently, depression is estimated to affect 350 million people worldwide. To assess the prevalence of depression and associated factors among HIV/AIDS patients attending antiretroviral therapy clinic at Adama Hospital Medical College, Adama, Central Ethiopia. An institutional-based cross-sectional study was conducted from April 01 to September 30, 2021, at Adama Hospital Medical College, Adama, Ethiopia. A total of 420 individuals were selected using a systematic random sampling technique. After informed consent was obtained from each study participant, data were collected through face-to-face interviews, observations, and document reviews. Subsequently, the data were entered into EPI-Info Version 7 and analyzed by Statistical Package for the Social Sciences version 21. Variables with p-values less than 0.25 in the univariable logistic regression analysis were subsequently included in the multivariable logistic regression analysis to account for potential confounding factors. The association was measured using adjusted odds ratio (AOR) with a 95% confidence interval (CI), and variables with p-values less than 0.05 were considered statistically significant. The prevalence of depression was 52.4% (95% CI 47.6-57.1). Factors significantly associated with depression among HIV-positive patients on antiretroviral therapy included employment status [AOR = 0.22(95% CI 0.13-0.36)], the patient's most CD4 count [AOR = 6.99 (95% CI 2.81-17.38)], duration of months on antiretroviral therapy [AOR = 5.05 (95% CI 2.38-10.74)] and presence of chronic non-communicable diseases [AOR = 7.90 (95% CI 4.21-14.85)]. The highest proportion of HIV-positive patients taking antiretroviral drugs exhibited depression. Employment was identified as a preventive factor, whereas having a low CD4 count, recently initiating antiretroviral therapy, and having chronic non-communicable diseases were associated with increased odds of depression among HIV-positive patients on antiretroviral therapy. There need to strengthen mental health screening and treat depression among HIV-positive patients, particularly by targeting identified factors.

Perceived risk of COVID-19 pandemic on crop production: an implication for food security in Ethiopia.

BACKGROUND: Risk perception is a subjective psychological construct that is influenced by cognitive, emotional, social, cultural, and individual differences, both within and between individuals and across countries. Although the impact of COVID-19 on short- and long-term food security is difficult to predict, some risk factors and lessons from previous pandemics can be identified. The goal of this study is to assess rural farmers' perceptions of the COVID-19 pandemic's impact on crop production and its implications for food security in West Arsi Zone, Oromia, Ethiopia. METHODS: A community-based cross-sectional study was conducted among 634 small-holder farmers in the west Arsi zone district. From November 1-30, 2020, data was gathered through interviews with local farmers. Data was gathered using a semi-structured questionnaire. Six trained expert agricultural workers were used as data collectors and supervisors, respectively, and both were trained. The questionnaire had been pre-tested. The Statistical Package for the Social Sciences (SPSS) software version 25 was used to analyze the data. To identify factors associated with risk perception of the COVID-19 pandemic on crop production, binary and multivariable logistic regression were used, with statistical significance determined at a p-value of 0.05. RESULTS: This study found that among farmers in West Arsi Zone, Oromia, Ethiopia, about 32.5% reported having perceived risk of COVID-19 pandemic on crop production, and that age greater than or equal to 57, female sex (AOR,1.48 95% CI (1.03-2.12)), primary Educational status (AOR,2.85(1.78-4.58)), and permanent employed occupation of the house head (AOR, 2.27(1.24-4.17) were found to be independent predictors of perceived risk of COVID-19 pandemic on crop production among farmers in West Arsi Zone, Oromia, Ethiopia. CONCLUSION: Perceived risk of COVID-19 on crop production was high and varied across age groups, sexes, educational attainment levels, and the occupation of the head of the household.

Nutritional and non-nutritional factors associated with low birth weight in Sawula Town, Gamo Gofa Zone, Southern Ethiopia.

OBJECTIVE: Birth weight is a major predictor of infant growth and survival, and is dependent on maternal health and nutrition during pregnancy. This study aimed to determine the magnitude and identify nutritional and non-nutritional factors associated with LBW among newborn in Southern Ethiopia. Institutional-based cross-sectional study was used. Systematic random sampling was employed to select the study subjects. Data were entered into Epi-info Version 3.5.3 and then exported to SPSS Version 20 for analysis. Bivariable and multivariable logistic regression were used to compare birth weight across categories of independent variables. The output of the analysis were presented using adjusted odd ratio (AOR) with the corresponding 95% confidence interval (CI). RESULTS: A total of 358 mothers participated in the study. The mean (± standard deviation) birth weight of all term infants was 3304 (± 684) gram. The prevalence of LBW was 17.3% (95% CI 13.7-21.2%). Mothers who had MUAC less than 23 cm [AOR = 6.51 (95% CI 2.85-14.91)] and with hemoglobin < 11 mg/dl [AOR = 3.42 (95% CI 1.73-6.78)] have increased odds of delivering LBW and mothers who often take dairy products [AOR = 0.36 (95% CI 0.13-0.98)] were less likely deliver LBW babies than their counterparts.

Inappropriate infant feeding practices of HIV-positive mothers attending PMTCT services in Oromia regional state, Ethiopia: a cross-sectional study.

BACKGROUND: Inappropriate infant feeding affects the probability of mother-to-child transmission of HIV and HIV-free survival of infants. However, in Ethiopia limited evidence exists regarding the infant feeding practice of mothers who are HIV-positive. The aim of this study was to determine the prevalence and predictors of inappropriate infant feeding among HIV-positive mothers attending the prevention of mother-to-child transmission (PMTCT) service in Adama and Bushoftu towns, Oromia, central Ethiopia. METHODS: A cross-sectional study was conducted in ten PMTCT service providing health facilities in the towns; 283 mother-infant pairs were enrolled. Appropriate infant feeding practice was defined as exclusive breastfeeding in the first six months of age. Logistic regression was employed to analyze the data and the outputs are presented using adjusted odds ratio (AOR) with 95% confidence intervals (CI). RESULTS: One hundred thirty of the infants were aged below six months, 103 between 6 and 11 months and 50 were older than 12 months. The prevalence of inappropriate infant feeding was 14.5% (95% CI 10.6, 18.7). About 6.3% and 8.3% practiced exclusive replacement feeding and mixed feeding respectively, in the first six months. Only 1.8% ever expressed their breast milk to feed their baby and none practiced wet nursing. Among 38 mothers who already discontinued breastfeeding 52.6% did so before 12 months of age. Mothers who were HIV-positive and had received antenatal (AOR = 0.05: 0.01, 0.30) and postnatal visits (AOR = 0.18: 0.04, 0.81); received infant feeding counseling (AOR = 0.18: 0.06, 0.55); and disclosed their HIV status to their partners (AOR = 0.28: 0.12, 0.63), showed a reduction of practicing inappropriate infant feeding. Mothers having breast problems (AOR = 4.89: 1.54, 15.60) and infants with mouth ulcers (AOR = 6.41: 2.07, 19.85) were more likely to practice inappropriate feeding. CONCLUSION: Prompt management of breast complaints in mothers and mouth ulcer in infants; and provision of nutrition counseling to HIV-positive mothers, especially during antenatal and postnatal care, may help to improve the infant feeding practices for HIV exposed infants.