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    Prevalence and associated factors of depression and anxiety among people living with HIV on follow up at Wolkite University specialized teaching Hospital and Worabe comprehensive Specialized Hospital, Southern Ethiopia, 2023: Cross-sectional Study
    (WOLKITE UNIVERSITY, 2023-08) GETAYE SEWMEHON; RUTH MESFIN; SEBAHA TIJANI
    Background: Globally, HIV/AIDS is a significant burden and public health issue, and two-thirds of people living with HIV/AIDS (PLWHA) reside in Sub-Saharan Africa. Ethiopia also has a high HIV/AIDS prevalence rate. Compared to those without HIV/AIDS, people living with HIV/ AIDS have a higher prevalence of mental problems, especially depression and anxiety. Even if HIV/AIDS care is now updated with time, the diagnosis and treatment of depression and anxiety among PLWHA are not taken into consideration. Objective: The main aim of this study was to assess the prevalence and associated factors of depression and anxiety among PLWHA attending ART clinics at WKUSTH and WCSH, Southern Ethiopia, 2023. Methods: A multi-center institutional-based cross-sectional study was conducted with a total of 190PLWHA attending ART clinics at WKUSTH and WCSH from May 17 - June 18, 2023. Data was entered into Epi Data Manager Version 4.2 and analyzed by Statistical Package for Social Sciences (SPSS)Version 26. Binary logistic regression was used to check for the significant association between an outcome variable and an explanatory variable, association by chi-square, whereas significance specifically by regression. Multiple logistic regression model was used and variables with a P-value of<0.05 were considered statistically significant variables. Result: A total of 177 participants were included in the study with a 93% response rate. The prevalence of depression and anxiety among PLWHA attending ART clinics at WKUSTH and WCSHwere 53(29.9 %) and 49(27.67%) respectively. This study confirmed that sex, [AOR= 0.153;95% CI(0.035-0.657)], social support, [AOR=8.775; 95% CI (1.035-74.381)], internalized stigma [AOR=8.047;95% CI (2.576-25.136)], ART regimen, [AOR=0.144; 95% CI (0.027-0.777)], were associated only with depression, and monthly income [AOR=6.995; 95% CI(1.056-46.351)], and opportunistic infection, [AOR=0.351; 95% CI (0.133-0.925)] were associated only with anxiety. Conclusion and recommendation: More than one-fourth of the study participants were found to have depression. Age, occupation, and marital status were significantly associated with depression. There were also significant associations between age, occupation, marital status with anxiety. Timely recognition and treatment of depression and anxiety better for reducing depression and anxiety inxPLWHA at ART clinic and mental healthcare and screening for depression and anxiety better included.
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    ASSESSMENT OF FERTILITY DESIRE AMONG PEOPLE LIVING WITH HIV/ AIDS WHO ATTEND ANTI RETROVIRAL THERAPY CLINIC OF SELECTED HOSPITAL, GURAGE ZONE, ETHIOPIA
    (WOLKITE UNIVERSITY, 2023-08) ZEMZEM TESHOME; TSION MENGISTU; BEZA MELESE
    Introduction: The desire to give birth is the intention that both men and women will give birth to more offspring, despite being diagnosed with human immune virus. However, the introduction of antiretroviral therapy has extended the lives of People Living with HIV /AIDS, allowing them to consider having children. The People Living with HIV/AIDS may want to get pregnant and wantto start a family. It is imperative to understand that how these intentions and desires differ depending on an individual's, social, demographic and health related knowledge. Objective: To assess fertility desire among people living with HIV/AIDS who attend anti retroviraltherapyclinic: the case of selected hospitals in Gurage zone.Method: Institutional based cross-sectional study was employed from May 26/ 2023 up to June 26/ 2023 in selected hospital. Convenient sampling technique was used to select participants of the study. Data was collected using structured interviewer administered questionnaire. Results: The study revealed that the fertility desire of PLWHA in the study area was 72.8%. On the other hand, about 49.0% of the respondents have poor knowledge about reproductive health knowledge related to fertility desire. Conclusions and Recommendations: from these results it can be inferred that the finding of this study has an implication for the health care provider to consider the effects of fertility desire as well as knowledge about reproductive health while discussing the reproductive option, family planning service, and safer conception; providing adequate information about PMTCT of HIV; and assisting them in making informed reproductive decision to minimize the risk of MTCT of HIV and unplanned pregnancy. Therefore, it is recommended that health care providers better to arrange ways to enhance the understanding of fertility desire as well as to acquaint knowledge about reproductive health related issues among not only in women but also among men living with HIV.
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    PREVALENCE AND FACTORS ASSOCIATED WITH CHILD BIRTH WEIGHT IN ETHIOPIA
    (WOLKITE UNIVERSITY, 2019-06) BIKILTU GEMECHU; ABRAHAM DUBALE
    The study is conducted to determine prevalence and factor associated with child birth weight in Ethiopia. The main objective of this study is to examine the association between birth weights with predictor variables and to assess the factors associated with child birth weight in Ethiopia.In this study the data source is the Ethiopian Demographic and Health Survey conducted in 2016(EDHS 2016) by the Central Statistical Agency (CSA) with a total of 2083 Childs. data obtained was processed and analyzed with aid of SPSS16 statistical software. Both descriptive and inferential statistical methods were used to analyze the data (i.e. Chi- square and Logistic regression analysis). As the result and discussion, 20.5% child has low birth weight, 69.0% child has normal birth weight and 10.5% child has high birth weight. In chi square test of association some variables such as sex, region, weight of mother, mother educational level, place of deliver, father educational level and mother occupation has ( p-value <0.05) was significant association with child birth weight. Also from the result of ordinal logistic regression model, the variables sex of child, region, weight of mother, father occupation, occupation of mother and mother educational level were found to be more significant association with birth weight of a child.
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    ASSESSMENT OF FERTILITY DESIRE AMONG PEOPLE LIVING WITH HIV/ AIDS WHO ATTEND ANTI RETROVIRAL THERAPY CLINIC OF SELECTED HOSPITAL, GURAGE ZONE, ETHIOPIA
    (WOLKITE UNIVERSITY, 2023-07) ZEMZEM TESHOME; TSION MENGISTU; BEZA MELES
    Introduction: The desire to give birth is the intention that both men and women will give birth to more offspring, despite being diagnosed with human immune virus. However, the introduction of antiretroviral therapy has extended the lives of People Living with HIV /AIDS, allowing them to consider having children. The People Living with HIV/AIDS may want to get pregnant and want to start a family. It is imperative to understand that how these intentions and desires differ depending on an individual's, social, demographic and health related knowledge. Objective: To assess fertility desire among people living with HIV/AIDS who attend anti retroviral therapy clinic: the case of selected hospitals in Gurage zone.Method: Institutional based cross-sectional study was employed from May 26/ 2023 up to June 26/ 2023 in selected hospital. Convenient sampling technique was used to select participants of the study. Data was collected using structured interviewer administered questionnaire. Results: The study revealed that the fertility desire of PLWHA in the study area was 72.8%. On the other hand, about 49.0% of the respondents have poor knowledge about reproductive health knowledge related to fertility desire. Conclusions and Recommendations: from these results it can be inferred that the finding of this study has an implication for the health care provider to consider the effects of fertility desire as well as knowledge about reproductive health while discussing the reproductive option, family planning service, and safer conception; providing adequate information about PMTCT of HIV; and assisting them in making informed reproductive decision to minimize the risk of MTCT of HIV and unplanned pregnancy. Therefore, it is recommended that health care providers better to arrange ways to enhance the understanding of fertility desire as well as to acquaint knowledge about reproductive health related issues among not only in women but also among men living with HIV.
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    Prevalence and associated factors of depression and anxiety among people living with HIV on follow up at Wolkite University specialized teaching Hospital and Worabe comprehensive Specialized Hospital, Southern Ethiopia, 2023: Cross-sectional Study
    (WOLKITE UNIVERSITY, 2023-08) GETAYE SEWMEHON, GETAY; RUTH MESFIN, RUTH; SEBAHA TIJAN, SEBAHA
    Background: Globally, HIV/AIDS is a significant burden and public health issue, and two-thirds of people living with HIV/AIDS (PLWHA) reside in Sub-Saharan Africa. Ethiopia also has a high HIV/AIDS prevalence rate. Compared to those without HIV/AIDS, people living with HIV/ AIDS have a higher prevalence of mental problems, especially depression and anxiety. Even if HIV/AIDS care is now updated with time, the diagnosis and treatment of depression and anxiety among PLWHA are not taken into consideration. Objective: The main aim of this study was to assess the prevalence and associated factors of depression and anxiety among PLWHA attending ART clinics at WKUSTH and WCSH, Southern Ethiopia, 2023. Methods: A multi-center institutional-based cross-sectional study was conducted with a total of 190 PLWHA attending ART clinics at WKUSTH and WCSH from May 17 - June 18, 2023. Data was entered into Epi Data Manager Version 4.2 and analyzed by Statistical Package for Social Sciences (SPSS) Version 26. Binary logistic regression was used to check for the significant association between an outcome variable and an explanatory variable, association by chi-square, whereas significance specifically by regression. Multiple logistic regression model was used and variables with a P-value of <0.05 were considered statistically significant variables. Result: A total of 177 participants were included in the study with a 93% response rate. The prevalence of depression and anxiety among PLWHA attending ART clinics at WKUSTH and WCSH were 53(29.9 %) and 49(27.67%) respectively. This study confirmed that sex, [AOR= 0.153;95% CI (0.035-0.657)], social support, [AOR=8.775; 95% CI (1.035-74.381)], internalized stigma [AOR=8.047; 95% CI (2.576-25.136)], ART regimen, [AOR=0.144; 95% CI (0.027-0.777)], were associated only with depression, and monthly income [AOR=6.995; 95% CI(1.056-46.351)], and opportunistic infection, [AOR=0.351; 95% CI (0.133-0.925)] were associated only with anxiety. Conclusion and recommendation: More than one-fourth of the study participants were found to have depression. Age, occupation, and marital status were significantly associated with depression. There were also significant associations between age, occupation, marital status with anxiety. Timely recognition and treatment of depression and anxiety better for reducing depression and anxiety in x PLWHA at ART clinic and mental healthcare and screening for depression and anxiety better include
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    PREVALENCE OF CAESAREN SECTION DELIVERY AND ASSOCIATED FACTORA AMONG WOMEN GAVE BRITH IN THE LAST ONE YEAR AT BUTAJIRA GENERAL HOSPITAL, GUARGE ZONE, SNNP, ETHIOPIA, 2019.
    (WOLKITE UNIVERSITY, 2019-06) ASEFA SHIFERA; HAWI TADESA; RAHIMA EYADO
    Back ground: caesarean section is an operational procedure where by the fetus after the end of 28th week is delivered through an incision on the abdominal and uterine walls. Objective: To assess prevalence of cesarean section delivery and associated factor among women who gave brith in the one last year at Butajira general hospital, Garage Zone, SNNP, Ethiopia, 2019.Methods: Institutional based retrospective cross- sectional study was conducted from April 25,2019 to May 15, 2019 at Butajira general hospitals. The total sample size was 250. The data was collected by using structured questionnaire by systematic random sampling method from women record document that gave birth last one year at Butajira general hospital. Last. Data were entered and analyzed using SPSS version 21. Independent variables found to be significant in the bivariate logistic regression analysis at a cut-off point of p-value <0.25 with were included in the multivariate logistic regression models. Adjusted odds ratios with their 95% confidence intervals and p-value < 0.05 were considered to have significant association with CS. Finally, the data were described and presented using table’s frequency, percentage and sentence. Result: The prevalence of CS in Butajira general hospital was 21% with CI (15-25.8). The indication of CS in the study area was NRFHR (47.2%) which was followed by malposition and mal presentation (30.7%) and previous CS (28.8%).Independent variable such as fetal weight (AOR 6.871, 95%CI (1.996, 23.654),rural resident (AOR 2.744, 95%CI (1.235,6.096) and history of no previous stillbirth (AOR 0.133, 95%CI (0.033, 0.536) were significantly associated with CS. Conclusion and recommendation: The prevalence of CS in study area (21%) was higher than the WHO recommendation 15% upper limit. In this study major CS indication was NRFHR, previous CS and abnormal position and presentation. Therefore, provide time for conservative management of fetal distress rather than rushing to operation theatre with a single episode of fetal heart rate abnormality, enhance manual correction in case of abnormal position and presentation by experienced physician and encourage VBAC in appropriate cases.