http://ir.bdu.edu.et/handle/123456789/10135 2001-01-13T05:51:46Z http://ir.bdu.edu.et/handle/123456789/16493 NUTRITIONAL KNOWLEDGE, ADHERENCE TO DIETARY RECOMMENDATION AND ASSOCIATED FACTORS AMONG ADULT WITH TYPE2 DIABETES MELLITUS PATIENTS IN PUBLIC HEALTH CENTERS, ADDIS ABABA, ETHIOPIA. YESHEWATSEHAY, KASSAHUN Background: Ethiopia is one of the top five countries with largest number of people affected by DM, the highest prevalence of type-2 DM was found in Addis Ababa (15.8%). Nutrition knowledge and Dietary modifications are the cornerstones of type 2 diabetes management. There is limited study about the Nutritional knowledge and dietary Adherence of type 2 DM patients in the study area. Objective: This study was aimed to assess nutritional knowledge, adherence to dietary recommendation and associated factors among adult type 2 diabetes mellitus patient in public health centers, Addis Ababa, Ethiopia. Method: Facility based cross-sectional study was conducted. The sample size was calculated by using single population proportion formula, Analyses was done by SPSS version 23. Result: The study achieved participants fully completed questioner with 100% Response rate. Majority of respondents (73.9%) were age greater than or equal to 45 years, Female accounts 55% of the total study participants. Of 422 respondents, 224 (53%) type2DM had good nutrition knowledge and 231(55%) were adhered to dietary recommendations. participants who were Illiterate AOR=1.342, 95%CI: (1.062, 1.696) and create awareness about recommended diet for their families (AOR = 0.517, 95% CI: 0.282-0.946) were significantly associated with nutritional knowledge. And income (AOR=0.683, 95%CI 0.476-0.979), Occupation (AOR=0.684(0.534-0.877), Family Support (AOR=0399, 95%CI, 0.243-0.655), Controlled Blood glucose level in past 3 month (AOR= 0.202, 95%CI, 0.142-0.288) were significantly associated with dietary adherence. Conclusion: Closer to 50% of DM patient had poor nutritional knowledge and 45% of them had poor adherence to dietary recommendation, more over only 28.4 had controlled blood glucose. Illiteracy and not getting dietary awareness were significant barriers for poor nutritional knowledge. Similarly income level, occupation, family support, family history of DM, dietary education from health professionals and blood glucose control were the most influencing factors for poor Adherence. So Attention should be given to address these barriers and improve glycemic control. Key words: Nutritional knowledge, Adherence, Recommended diet, Diabetes Mellitus 2024-08-01T00:00:00Z http://ir.bdu.edu.et/handle/123456789/16492 DETERMINANT OF LOW BIRTH WEIGHT AMONG MOTHER WHO GAVE BIRTH AT PUBLIC HEALTH HOSPITALS IN ADDIS ABABA, A FACILITY BASED CASE CONTROL STUDY IN ADDIS ABABA ETHIOPIA. MASTWAL, KEBEDE Background: Low birth weight (LBW), according to WHO, defined as an infant weighing less than 2500g at birth, poses significant global health concerns. It contributes to increased morbidity and mortality rates in newborns, with long-term implications for health and development. Objective: To determine factors associated with low birth weight among mothers who gave birth in public hospital, in Addis Ababa, Ethiopia. Methods: facility based Un-matched case-control study design was conducted among women who delivered in public hospitals of Addis Ababa city. Data was collected using a structured questionnaire through interview and medical record review of mothers. Sample size was calculated by Epi-info version 7.0 to get a final sample size of 275(cases=85 and controls=190). SPSS version 20 was used for analysis. Bivariate and multivariate logistic regression analysis was used to determine the effect of the independent variables on birth weight. Presence of significant association was determined using OR with its 95%CI. A P value of less than 0.05 was considered to declare statistical significance. Table, graphs and texts were used to present the data. Results: Multivariable binary logistic Regression analysis was computed to identify the association between potential factors with new born birth weight. In the multivariable logistic regression, newborn babies with gestational age of below 36 were strongly linked to low birth wight (AOR=28, 95% CI: 10.74, 75.5). Conversely, mothers who avoid heavy work load (AOR= 3.8, 95%CI (3.8 (1.2, 12.4)) notably, the risk of low birth weight was significantly higher for mothers with shorter gestation and high workload during the pregnancy period. Conclusion : The study confirmed that Gestational age, Intended (planned) Pregnancy, Taking Iron/folate, Taking coffee, Taking additional food, Workload during pregnancy, Illness during pregnancy, and Getting professional Advice during the pregnancy were found to be significantly associated with low birth weight. Key words: dietary diversity, low birth weight 2024-10-01T00:00:00Z http://ir.bdu.edu.et/handle/123456789/15962 PREVALENCE OF ANAEMIA AND ASSOCIATED FACTORS AMONG HIV POSETIVE PREGNANT WOMEN ATTENDING ANTENATAL CLINIC AT BAHIR DAR CITY, ETHIOPIA BAZEZEW, LAKE ABSTRACT Background: Anemia is a common manifestation of HIV infection, occurring in approximately 30% of patients with asymptomatic HIV and in as much as 75-80% of those with clinical AIDS (1). Anemia in pregnancy is a major cause of maternal and fetal morbidity and mortality (2). Objective: The aim of this study was to assess the prevalence of anemia and associated factor among HIV positive pregnant women attending antenatal care at Bahir Dar City. Method: Health facility-based cross-sectional study design was carried out from April 2,2024 to June 2, 2024. A total of 201 HIV positive pregnant women were selected by simple random sampling method. Women were interview by using questionnaire and data from registration book and ANC card were reviewed. Data was entered using Epi info version7 and analyzed using SPSS version 23 Bivariable and multivariable logistic regression model was used to see determinants of anemia. All variables were entered into bi-variable logistic regression and variables with p < 0.25 were used to select eligible variables for entry into multivariable logistic regression for analysis. Adjusted odds were used to identify associated factors and p< 0.05 was used to show a statistically significant association with the dependent variable. Results: As the finding shows, a total of 194 study participants were included with the response rate of 91.1%. The prevalence of anemia was 49.5% (95% CI: 46.1, 52.9) Anemia was associated with recent recurrent diarrhea, Iron intake and Duration of Iron Intake (AOR= 2.31, p=0.012), (AOR= 4.25, p=0.022) and (AOR= 5.12, p=0.003), respectively. Conclusion: The prevalence of anemia was high /49.5%./. Anemia was significantly associated with resent recurrent diarrhea, Iron intake and Duration of Iron Intake. These findings emphasize the importance of addressing factors, such as iron supplementation, prevention of Diarrheal disease and intestinal parasites to improve maternal health outcomes among HIV-positive pregnant women. Incorporating routine iron supplementation and addressing conditions like recurrent diarrhea could be integral to comprehensive anemia management programs. Key Words: Prevalence, Associated Factors, Anemia, HIV Positive Pregnant Women, Bahir Dar City 2024-06-01T00:00:00Z http://ir.bdu.edu.et/handle/123456789/15961 Association between Maternal Nutritional Status during Pregnancy and Low Birth Weight Delivery in Tikur Anbessa Hospital: A Case Control Study Selamawit, Abate Abstract Background: Low birth weight (LBW) is defined as a live born infant weight less than 2500 g regardless of gestational age. The world health organization estimates 25 million LBW babies are born worldwide annually and 95% occur in developing countries. A baby’s birth weight can be affected by the mother’s diet from birth to pregnancy, and her body composition at conception. LBW is the most important hospital concern worldwide and is still one of the leading causes of prenatal and neonatal deaths in Ethiopia. Objective: To assess the association between maternal nutritional status during pregnancy and LBW among mothers who gave birth and visiting Tikur Anbessa Hospital. Methods: A hospital-based unmatched case control study was conducted from October 1/2022 to December 30/2022 in Tikur Anbessa Hospital. 255 sample size was determined using Epi info 7 based on the assumptions 95% level of confidence, 80% power, 2:1 control to case ratio, 6% expected proportion among controls and 19.1% expected proportion among cases. Data was collected by interview using a pretested structured questionnaire and reviewing medical records. Newborns’ birth weight was measured using a standard weight scale and mother’s MUAC using a standard MUAC measuring tape. Data was cleaned and coded using Epi-data 7 and exported to SPSS 26. Variables having P-value < 0.25 in the bivariable model were entered into a multivariable regression model. Adjusted odds ratios were used to identify the association between the dependent and independent variable. Statistical significance was declared at P-value ≤ 0.05. Results: A total of 192 (64 cases and 128 controls) were participated with the repose rate of 75.3%. The Multivariable logistic regression analysis showed a positive association between lower maternal nutritional status indicators and LBW. specifically, MUAC <23 cm [AOR=6.14; 95% CI: (2.17,17.3)], hemoglobin level <11 mg/dl [AOR = 4.58; 95% CI:(1.91,10.9)], absence of Nutritional Counseling [AOR = 2.28; 95% CI: (1.04,4.98)], lack of Iron/ Folic acid supplements [AOR = 6.02; 95% CI: (2.12,17.2)] and no Multiple micronutrient supplements [AOR = 6.44; 95% CI: (2.52,16.5)] were significantly associated with increased risk of low birth weight. Conclusion: this study showed a strong link between maternal nutritional status and LBW delivery. Thus, public health intervention in the field of maternal and child health should be addressed by strengthening multi-sectoral efforts, which improve women’s adherence of iron-folate and multiple micronutrients, routine measurements of maternal MUAC and early detection and treatment of hemoglobin level during ANC visits. Key words: Low Birth Weight, Maternal Nutritional Status, Maternal MUAC, Hemoglobin Level 2024-02-01T00:00:00Z