College of Medicine and Health Sceinces

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College of Medicine and Health Sceinces

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    ADOLESCENT PARENT SEXUAL AND REPRODUCTIVE HEALTH COMMUNICATION AND ASSOCIATED FACTORS AMONG SECONDARY SCHOOL STUDENTS IN CHEHA WOREDA, GURAGE ZONE, CENTRAL ETHIOPIA
    (WOLKITE UNIVERSITY, 2024-10-01) YALFAL ALEMU
    Background: Adolescent-parent sexual and reproductive health communication is a vital way of improving sexual and reproductive health outcomes for adolescents. However, there is limited evidence regarding communication between adolescent and their parents about sexual and reproductive health in Ethiopia. Objective: To assess adolescent parent sexual and reproductive health communication and associated factors among students attending secondary schools at Cheha Woreda, Gurage Zone, Central Ethiopia. Method: A cross-sectional quantitative study, supplemented with qualitative data, was carried out among 550 secondary school students from February 1–30, 2024. A systematic sampling method was employed to select participants. Data collection involved self-administered questionnaires, and Focus Group Discussions were held with a purposively chosen group of students. The quantitative data was entered using EpiData version 4.6 and analyzed with SPSS version 26. Binary and multivariable logistic regression analyses were performed to identify associations, with a 95% confidence interval and a pvalue of <0.05 considered for statistical significance. Qualitative data was analyzed using manual thematic analysis. The results were presented in the form of tables, figures, and text. Results: Five hundred fifty participants completed the questionaries’ making the response rate 95.2%. More than half of the participants, 57.1% (95% CI: 0.528–0.613), reported communicating about sexual and reproductive health issues with their parents. The study identified significant associations with adolescent-parent sexual and reproductive health communication, including being female (AOR = 1.62, 95% CI: 1.08–2.6), having a mother whose occupation was farmer (AOR = 0.27, 95% CI: 0.1–0.7), receiving information about SRH (AOR = 1.74, 95% CI: 1.12–2.7), and being knowledgeable about SRH (AOR = 1.59, 95% CI: 1.04–2.4). The qualitative findings identified shame and fear of parents as primary barriers to SRH communication. Conclusions and recommendations: Around two third of the participants were aware of various sexual and reproductive health services; however, the proportion of sexual and reproductive health communication with parents was low. Therefore, providing detailed information on the importance of communicating such sensitive issues with parents is recommended. Further research is needed to identify barriers from the parents' perspective
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    PREVALENCE AND ASSOCIATED FACTORS OF UTERINE FIBROIDS AMONG REPRODUCTIVE AGE WOMEN ATTENDING GYNECOLOGY UNIT IN GURAGE ZONE HOSPITALS, CENTRAL ETHIOPIA, 2024.
    (WOLKITE UNIVERSITY, 2024-04) MUNTAHA KEDIR
    Introduction: Uterine fibroid is one of the most common benign smooth muscle tumors of the uterus that affect women of reproductive age. The prevalence of fibroids is significant with esti mates that 20-25% of women and about 235 million of women who represent 6.6% of global women population estimated to be affecting worldwide. In our country the prevalence and asso ciated factors of uterine fibroids among reproductive age women is still unclear, thus, this study aimed to assess the prevalence and associated factors of uterine fibroids among women attending gynecological unit in Gurage Zone Hospitals, 2024. Methods: An institution based cross-sectional study was conducted in 2024, involving 342 study participants who were selected consecutively during the study period. The data were collected by using pre-tested structured questioners and data were entered into epi-data manager Version 4.2 and subsequently exported to SPSS version 20 for analysis. Bivariable and Multivariable Lo gistic regressions analysis were performed to identify associated factors for uterine fibroids con sidering of 95% CI and P-value of < 0.05. Results: The prevalence of uterine fibroids among reproductive age women was 22.1%. The mean age of respondents was 33.4 and SD ± 6.8 years. Factors such as, age between 36-45 years (AOR = 8.635, 95% CI (1.179 - 63.223); participants educational status of secondary level (AOR = .040, 95% CI (.003-.485); experiencing infertility (AOR = 18.626, 95% Cl (4.336 - 80.011); obstetrics and gynecology related surgeries (AOR = 15.520, 95% Cl (5.755 - 41.854); ever used of contraceptives (AOR = .267, 95% Cl (.094 - .759); late age of menarche (AOR = .031,95% Cl (.001- .646); and family history of uterine fibroids (AOR = 6.705, 95% Cl (2.464 18.248); were significantly associated with uterine fibroids. Conclusion In this study, the prevalence of uterine fibroids found to be relatively high. Major predictors such as age of women, participant educational status, infertility, obstetrics and gynecology related op eration, contraceptives, family history, and late menarche age was found to be predictors of uter ine fibroids. Therefore, encourage of the women early childbirth, promotion of contraceptives pills through long times should be promoted by health information and health education pro gram.
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    MAGNITUDE OF FUNCTIONAL DYSPEPSIA AND ITS ASSOCIATED FACTORS AMONG ADULTS VISITING OUT PATENT DEPARTMENT AT WOLKITE UNIVERSITY SPECIALIZED HOSPITAL, WOLKITE ETHIOPIA
    (WOLKITE UNIVERSITY, 2023-08) DADITU TAYE; MOHAMED ABDO; ELIAS LEGASU; Mr. HAIMANOT.A
    Background: Functional dyspepsia is a prevalent condition with symptoms that originate in the upper abdomen area, both in the general population and in clinical settings. The magnitude of functional dyspepsia and its contributing variables vary from nation to nation. It is most common gastrointestinal disease in developing countries. However, had not been widely used in routine medical practice because the concept of functional dyspepsia is relatively new and not widely recognized, usually missed in the diagnosis. The magnitude of functional dyspepsia in Ethiopia is not well known and limited researches has been conducted about it in Ethiopia.Objective: To assess the magnitude of functional dyspepsia and its associated factors among adults visiting outpatient department at Wolkite University Specialized teaching hospital: 2023 G.C. Method: Institution based cross-sectional study design was utilized and the 254 participants were interviewed using both self-administered and interviewer administered structured questionnaires and they were selected using consecutive sampling technique. The data was collected, sorted by group members then entered into EPI data version 3.4 software, and exported to statistical package for social sciences (SPSS) version 27 software packages for further analysis. The association between each independent variable and the dependent was determined using binary logistic regression. In a multivariable analysis, variables wereconsidered statistically significant if they had a P-value of less than 0.05 at 95% confidence interval.RESULT: A total of 254 patients participated in this study with 100% response rate. Functional dyspepsia was diagnosis in76(29.9%), by using R3DQ. In multivariate regressionanalysis, occupation (AOR:0.281,95%CI (0.11-0.721)), drugs (A0R:3.624,95%CI (1.915-6.856)), smoking (AOR:3.181,95%CI (1.498,6.758) and drinking alcohol (AOR: 0.36(0.14-0.97), were significantly associated with functional dyspepsia at p-value (≤0.05).Conclusions and Recommendations: The result of this study show that functionaldyspepsia was associated with a variety of factors. Functional dyspepsia could be prevented by working on lifestyle habits modification and giving more attention towards drug user.