Determinants of Acute Diarrhoea among Children Aged 6-59 Months in Chire District, Southern Ethiopia: Unmatched Case-Control Study
Gorfu Geremew Gunsa,
Kaleb Mayisso Rodamo,
Desalegn Dabaro Dangiso
Issue:
Volume 6, Issue 2, March 2018
Pages:
15-25
Received:
23 February 2018
Accepted:
13 March 2018
Published:
9 May 2018
Abstract: Background: Acute diarrhoea is a major global health problem, and the developing countries like Ethiopia bear the huge share of the burden. As of 2015, Ethiopia stands sixth among fifteen high diarrhoea death occurring countries in the world. Chire district is one of the affected areas in South Ethiopia despite the absence of scientific evidences of driving factors. Thus, this study was aimed to assess the determinants of acute diarrhoea among under-five year aged children in Chire district of Southern Ethiopia. Methods: Facility based unmatched case-control study was conducted in three purposely selected health centers. Five hundred twelve children were included into two groups, 256 cases and 256 controls. Simple random sampling technique was used to select the study subjects. Standardized structured questionnaire was used for data collection and SPSS version 20.0 for data analysis. Descriptive analysis, bivariate and multivariate logistic regression model were used to identify the associated factors. Results: The study showed that age of 6-11 months [AOR: 2.43, 95% CI, (1.28, 4.61)], five or more persons in the house-hold [AOR: 2.69, 95%CI, (1.50, 4.83)], inappropriate disposal of infant feces [AOR: 3.69, 95%CI, (1.13, 6.49)], lack of vitamin-A supplementation [AOR: 3.44, 95%CI, (1.82, 6.49)], maternal history of recent diarrhoea [AOR: 1.68, 95%CI, (1.07, 2.65)] and poor knowledge of respondents about risk factors were significantly associated with acute diarrhoea. Conclusion: Majorities of identified findings have strong association with the maternal or care-takers behavior. Thus, the responsible bodies, especially the district health office and the health extension workers are highly required to provide the intensive and regular health education on the causes and consequences of disease. In addition, vitamin-A should be supplemented as per national guideline.
Abstract: Background: Acute diarrhoea is a major global health problem, and the developing countries like Ethiopia bear the huge share of the burden. As of 2015, Ethiopia stands sixth among fifteen high diarrhoea death occurring countries in the world. Chire district is one of the affected areas in South Ethiopia despite the absence of scientific evidences o...
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Vaginal Birth After Caesarean: Any Predictive Model
Ikeanyi Eugene Maduabuchukwu,
Ibrahim Isa Ayuba
Issue:
Volume 6, Issue 2, March 2018
Pages:
26-30
Received:
26 March 2018
Accepted:
15 April 2018
Published:
17 May 2018
Abstract: Background: There is an increased aversion to caesarean birth and high premium to vaginal birth especially in developing countries. Trial of vaginal birth after caesarean is therefore readily accepted and successful vaginal birth highly celebrated especially in sub Saharan Africa. This reduces both the caesarean section rate and repeat caesarean morbidities yet optimal conduct of trial of vaginal birth after caesarean remains a compelling obstetric challenge. This study therefore appraised the correlates of successful trial of vaginal birth after caesarean to contribute data to the increasing evidence for optimal trial of vaginal birth after caesarean. Methods: This was a case series observational study of 334 women who had trial of vaginal birth after a primary caesarean section at a mission hospital between June 2009 and April 2016. Results: Successful VBAC rate in this study was 53.3%. The predictors from the primary CS were non-recurrent indications (OR 2.0, P: 0.01), primary CS at tertiary health facility (OR 2.1, P: 0.045) and obstetrician surgeon (OR 1.8, P: 0.02). Others were previous vaginal delivery (OR.3.2, P <0.001), previous VBAC (OR 2.6, P: 0.02), spontaneous labor (OR 1.6, P: 0.06) and induced labor (OR. 0.5, P: 0.01). Conclusion: Trial of vaginal birth after caesarean is a viable option to reduce the increasing caesarean section rate and its associated morbidity especially in high parity settings. It only requires quality management particularly strict selection criteria and conscious labor supervision to optimize its benefits.
Abstract: Background: There is an increased aversion to caesarean birth and high premium to vaginal birth especially in developing countries. Trial of vaginal birth after caesarean is therefore readily accepted and successful vaginal birth highly celebrated especially in sub Saharan Africa. This reduces both the caesarean section rate and repeat caesarean mo...
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