Master of Public Health in Epidemiology

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Start date: 2023Subject: search.filters.subject.Magnitude

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    ASSESSMENT OF MAGNITUDE, AND ASSOCIATED FACTORS OF MATERNAL MORBIDITY IN NORTHERN ZONE OF SIDAMA REGION, ETHIOPIA: A COMMUNITY BASED CROSS-SECTIONAL STUDY.
    (hawassa universty, 2024-05) NEGASH LAMISO
    Background: Globally, maternal morbidity and mortality remain major public health problems. For every woman that dies of maternal causes, there are at least 20 more women who suffer from infection, disabilities, and injuries relating to pregnancy and childbirth. Despite the increasing magnitude of maternal morbidity in Ethiopia, only a few studies have been conducted in a community-based setting to determine the magnitude and risk factors for maternal illness. Objective: The aim of this study was to assess the magnitude and associated factors of maternal morbidity during pregnancy, delivery, and postnatal in Northern Zone of Sidama Regional state. Methods: A community-based cross-sectional study design was conducted, in which a secondary data that was used. A total of 2044 mothers were included in analyses. Data were collected using the Kobo data collection tool. It was extracted and exported to SPSS Version 26 for cleaning and analysis. Bivariate and multivariable logistic regression was done. Statistically significant results were considered at a confidence interval of 95% and a p-value of < 0.05 Result: The prevalence of maternal morbidity was 21.4% (95%CI [19.8, 23.4]) of women who reporting at least one morbidity during their last pregnancy, delivery and postpartum. Factors associated with maternal morbidity were women in poorest,[AOR=1.7,95%CI (1.22,2.4)],house wife,[AOR =1.98, 95%CI(1.01,3.89)], daily worker and trade [AOR= 2.13, 95%CI (1.07, 4.22)], parity ≥7 [AOR=2.45, 95%CI (1.26, 4.79)], assisted vaginal delivery[AOR=4.6,95%CI (2.26, 9.37)], cesarean section [AOR=1.64, 95%CI (1.07, 2.51)], and duration of labor (>12hrs) [AOR =1.48, 95%CI (1.13, 1.95)]. Conclusions: There is a high prevalence of maternal morbidity among women during pregnancy, childbirth and the postpartum. Factors such as being poorest, house wife and daily worker/trader), parity, operative delivery and assisted vaginal delivery and duration of labor are associated with an increased risk of maternal morbidity. Recommendation: Access to quality maternal health care services, education on complications of pregnancy and childbirth, and improvement of overall maternal health outcomes by early detection and management of risk factors could help reduce the prevalence of maternal morbidity.
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    MAGNITUDE OF KIDNEY STONE AND ITS ASSOCIATED FACTORS AMONG ADULT POPULATION IN ARBEGONA WOREDA, SIDAMA REGION, ETHIOPIA
    (hawassa universty, 2024-06) DANIEL DAKAMA
    Background: Kidney stones are a prevalent public health problem in globally, and its magnitude is increasing throughout the year. Different factors can contribute the occurrence of the kidney stone. There was not enough study conducted on the magnitude and associated factors of the kidney stone among adult population in Ethiopia especially in Arbegona woreda. This study provides the way to generate tailored and evidence-based recommendations that guide all stakeholders to take actions. Objective: To assess the magnitude of the kidney stone and its associated factors among adult population in Arbegona woreda, Sidama region, Ethiopia. Methods: A community based cross-sectional study were conducted. Four hundred eighty-three households in seven kebeles were chosen using multi-stage sampling techniques. Data was collected using interviewer administered questionnaire and people was screened for kidney stone by using ultrasound and urine analysis. The data was cleaned, categorized and analysed using statistical package for social science version 26. Descriptive and analytical statistics were done. The association between variables were analysed using bi variable analysis. The variables with p-values less than 0.25 in bi variable analysis was taken and analyses to in multivariable logistic regression model and multi variable logistic regression was statistical significance were declared at p value < 0.05, with 95% confidence interval. Result: Among the 483 study participants 270(55.9%) was male. Over all prevalence of kidney stone among adult population was 34.4% (95% CI, (30.2, 38.7%)). After adjusting for the possible confounders, hypertension (AOR (95% CI = 6.6(2.4, 17.8))), diabetes melletus (AOR (95% CI = 9.6(1.04, 87.7))), family history of kidney stone (AOR (95% CI =13.7(8.5, 24.3))), person previously treated with kidney problem (AOR (95% CI =8.8(3.9, 19.6))) and who consume Kocho every day (AOR (95% CI =4.8(1.5, 15.6)) were found to be significant factor for kidney stone among adult population in Arbegona woreda, Sidama region. xi Conclusion: The magnitude of kidney stone was high in the community. Hypertension, diabetes melletus, Kocho, family and personal history of kidney stone were significantly associated with kidney stone.