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Article: Determinants of breast cancer among women attending oncology units in selected health facilities of Hawassa City, Sidama Region, Southern Ethiopia, 2023: case-control study.

Kebede, Selamawit / Alemu, Tsegaye / Mekonnen, Ashenafi

2024 Volume 14, Page(s) 1352191

Abstract: Background: The incidence of breast cancer (BC) is rampantly increasing in developing countries particularly Ethiopia. Unfortunately, the morbidity and mortality rates are sharply increasing, and because of this, families are suffering from ... ...

Abstract	Background: The incidence of breast cancer (BC) is rampantly increasing in developing countries particularly Ethiopia. Unfortunately, the morbidity and mortality rates are sharply increasing, and because of this, families are suffering from socioeconomic crises. Despite this, there is limited evidence on the determinants of breast cancer in Ethiopia as well as in the study area. Objective: To identify the determinants of BC among women attending oncology units in selected hospitals in Hawassa City, Ethiopia, in 2023. Method: A hospital-based, case-control study with 300 patients (75 cases and 225 controls) was carried out in Hawassa from June to July 2023. A simple random sampling technique was used to select cases and controls. Data were collected via pretested and structured digitally installed questionnaires with Kobo collection/smartphones. The data were exported from the server to SPSS version 27 for analysis. Descriptive analysis of univariate, bivariate, and multivariable logistic regression data was conducted to determine the associations between breast cancer incidence and independent factors. Results: A total of 300 women participated in this study for a response rate of 100%. The mean ( ± SD) ages of the respondents were 37.2 ( ± 14.8) and 36.6 ( ± 15.1) years for the cases and controls, respectively. According to the multivariate logistic regression model, postmenopausal status [AOR: 2.49; 95% CI (1.18, 5.23)], family history of cancer [AOR: 2.33; 95% CI (1.12, 4.82)], oral contraceptives [AOR: 2.74; 95% CI (1.34, 5.99)], overweight and/or obesity [AOR: 2.29; 95% CI: (1.14, 4.59)], and consumption of solid oil [AOR: 2.36; 95% CI (1.20, 4.67)] were independently associated with BC risk. Conclusion: This study revealed important risk factors for BC. Therefore, women should adopt healthier lifestyles through healthy nutrition and regular exercise to reduce the risk of developing BC. In addition, early detection and regular screening are proactive approaches for detecting BC.
Language	English
Publishing date	2024-04-12
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2649216-7
ISSN	2234-943X
ISSN	2234-943X
DOI	10.3389/fonc.2024.1352191
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Author Correction: Compliance to iron folic acid supplementation and its associated factors among pregnant women attending Antenatal clinic in Wondo district: a cross-sectional study.

Mengistu, Taye / Lencha, Bikila / Mekonnen, Ashenafi / Degno, Sisay / Yohannis, Daniel / Beressa, Girma

Scientific reports

2024 Volume 14, Issue 1, Page(s) 2234

Language	English
Publishing date	2024-01-26
Publishing country	England
Document type	Published Erratum
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-024-52765-2
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Article ; Online: Compliance to iron folic acid supplementation and its associated factors among pregnant women attending Antenatal clinic in Wondo district: a cross-sectional study.

Mengistu, Taye / Lencha, Bikila / Mekonnen, Ashenafi / Degno, Sisay / Yohannis, Daniel / Beressa, Girma

Scientific reports

2023 Volume 13, Issue 1, Page(s) 17468

Abstract: Pregnant women are at high risk for iron deficiency anemia due to increased nutrient requirements during pregnancy. Despite high coverage of iron and folic acid supplementation (IFAS), low compliance is reported. The study aimed to assess compliance with ...

Abstract	Pregnant women are at high risk for iron deficiency anemia due to increased nutrient requirements during pregnancy. Despite high coverage of iron and folic acid supplementation (IFAS), low compliance is reported. The study aimed to assess compliance with IFAS and its associated factors among antenatal care (ANC) attendees in Wondo District, Southern Ethiopia. A facility-based cross-sectional study was conducted among 400 pregnant women. Pregnant women were selected through systematic random sampling. Pre-tested structured questionnaire was used to collect data through face to face interview. Data were entered into Epi-info and exported to Statistical Package for Social Sciences for analysis. The variables with p-value < 0.25 in the bivariable analysis were entered into the multivariable logistic regression model. P values less than 0.05 were considered significant. Results were reported as crude and adjusted odds ratios with 95% confidence intervals. The prevalence of compliance to IFAS was (177, 44.3%). Factors significantly associated with compliance to IFAS were maternal age ≥ 25 years [AOR 2.27, 95% CI (1.21, 4.28)], maternal education [AOR 2.62, 95% CI (1.43, 4. 79)], husband's education [AOR 3.60, 95% CI (2.07, 6.25)], knowledge of anemia [AOR 4.40, 95% CI (2.65, 7.30)], and knowledge of IFA [AOR 2.21, 95% CI (1.40, 3.50)]. This study showed that compliance to IFAS was low. Maternal age, maternal education, husband's education, knowledge about anemia and iron folic acid was found to be significantly associated with adherence to IFAS. Emphasis should be placed on young, uneducated mothers and their husbands.
MeSH term(s)	Female ; Pregnancy ; Humans ; Adult ; Iron/therapeutic use ; Pregnant Women ; Cross-Sectional Studies ; Dietary Supplements ; Health Knowledge, Attitudes, Practice ; Folic Acid/therapeutic use ; Prenatal Care ; Anemia
Chemical Substances	Iron (E1UOL152H7) ; Folic Acid (935E97BOY8)
Language	English
Publishing date	2023-10-14
Publishing country	England
Document type	Journal Article
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-023-44577-7
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Article ; Online: Factors associated with maternal near-miss at public hospitals of South-East Ethiopia: An institutional-based cross-sectional study.

Mekonnen, Ashenafi / Fikadu, Genet / Seyoum, Kenbon / Ganfure, Gemechu / Degno, Sisay / Lencha, Bikila

Women's health (London, England)

2021 Volume 17, Page(s) 17455065211060617

Abstract: Introduction: Maternal near-miss precedes maternal mortality, and women are still alive indicating that the numbers of near-misses occur more often than maternal mortality. This study aims to assess the prevalence of maternal near-miss and associated ... ...

Abstract	Introduction: Maternal near-miss precedes maternal mortality, and women are still alive indicating that the numbers of near-misses occur more often than maternal mortality. This study aims to assess the prevalence of maternal near-miss and associated factors at public hospitals of Bale zone, Southeast Ethiopia. Methods: Facility-based cross-sectional study design was carried out from 1 October 2018 to 28 February 2019, among 300 women admitted to maternity wards. A structured questionnaire and checklist were used to collect data. Epi-info for data entry and statistical package for social science for analysis were used. The descriptive findings were summarized using tables and text. Adjusted odds ratio with 95% confidence interval and p-value < 0.05 were used to examine the association between the independent and dependent variables. Result: The prevalence of maternal near-miss in our study area was 28.7%. Age < 20 years, age at first marriage < 20 years, husbands with primary education, and being from rural areas are factors significantly associated with the prevalence of maternal near-miss. The zonal health department in collaboration with the education department and justice office has to mitigate early marriage by educating the community about the impacts of early marriage on health.
MeSH term(s)	Adult ; Cross-Sectional Studies ; Ethiopia/epidemiology ; Female ; Hospitals, Public ; Humans ; Maternal Mortality ; Near Miss, Healthcare ; Pregnancy ; Pregnancy Complications/epidemiology ; Young Adult
Language	English
Publishing date	2021-11-19
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2274503-8
ISSN	1745-5065 ; 1745-5057
ISSN (online)	1745-5065
ISSN	1745-5057
DOI	10.1177/17455065211060617
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Article: Predictors of Late Presentation for HIV/AIDS in West Arsi Zone Public Health Institutions, South Ethiopia: Unmatched Case-Control Study.

Degno, Sisay / Atlaw, Daniel / Mekonnen, Ashenafi / Lencha, Bikila / Kumsa, Kebede / Tekalegn, Yohannes / Walle, Gashaw / Niggussie, Ashebir / Aman, Rameto

HIV/AIDS (Auckland, N.Z.)

2021 Volume 13, Page(s) 759–766

Abstract: Background: Late presentation for HIV/AIDS care is defined as individuals newly presenting for HIV/AIDS care with a CD4 count below 350 cells/μl or presenting for care with WHO clinical staging of stage III or IV. Globally, around 21.7 million people ... ...

Abstract	Background: Late presentation for HIV/AIDS care is defined as individuals newly presenting for HIV/AIDS care with a CD4 count below 350 cells/μl or presenting for care with WHO clinical staging of stage III or IV. Globally, around 21.7 million people living with HIV/AIDS were receiving ART in 2017, with an increase of 2.3 million since 2016. Despite this progress, most people start ART late in their disease progression. Objective: This study aims to identify predictors of late presentation for HIV/AIDS among people living with HIV and attending ART clinics in West Arsi Zone public health institutions, South Ethiopia, 2019. Methodology: A facility-based unmatched case-control study was conducted among people living with HIV attending ART clinics in West Arsi Zone public health institutions, with a total sample size of 500 (167 cases and 333 controls). The sample size was calculated using Epi info version 7 and participants were selected using the case-based control selection sampling technique. Descriptive statistics were carried out to summarize the data. Bi-variate binary logistic regression analysis was carried for selecting candidate variables for multivariate binary logistic regression. A p-value of <0.05 was taken to declare the presence of a statistical association between outcomes and explanatory variables. Results: Rural residence (AOR=7.74 95% CI (3.4-17.6)), being single (AOR=0.18 95% CI (0.06-0.49)) symptom(s) at first HIV diagnosis (AOR=7.69 95% CI (4.09-14.4)), no private house (AOR=5.09 95% CI (2.47-10.45)), fear of losing job (AOR=4.12 95% CI (2.04-8.31)), alcohol consumption (AOR=4.35 95% CI (2.18-8.69), and having chronic medical illness (AOR=5.04 95% CI (2.48-10.24)) were identified as having significant associations with late presentation of HIV/AIDS care. Conclusion: Rural residence, fear of losing a job, and chronic medical illness were potential risk factors for late presentation of HIV/AIDS care. Being single is the only protective factor for the late presentation of HIV/AIDS care.
Language	English
Publishing date	2021-07-13
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	2520734-9
ISSN	1179-1373
ISSN	1179-1373
DOI	10.2147/HIV.S313139
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Article ; Online: Adverse birth outcomes and associated factors among mothers who delivered in Bale zone hospitals, Oromia Region, Southeast Ethiopia.

Degno, Sisay / Lencha, Bikila / Aman, Ramato / Atlaw, Daniel / Mekonnen, Ashenafi / Woldeyohannes, Demelash / Tekalegn, Yohannes / Hailu, Sintayehu / Woldemichael, Bedasa / Nigussie, Ashebir

The Journal of international medical research

2021 Volume 49, Issue 5, Page(s) 3000605211013209

Abstract: Objective: Adverse birth outcomes, which include stillbirth, preterm birth, low birthweight, congenital abnormalities, and stillbirth, are the leading cause of neonatal and infant mortality worldwide. We assessed adverse birth outcomes and associated ... ...

Abstract	Objective: Adverse birth outcomes, which include stillbirth, preterm birth, low birthweight, congenital abnormalities, and stillbirth, are the leading cause of neonatal and infant mortality worldwide. We assessed adverse birth outcomes and associated factors among mothers who gave birth in Bale zone hospitals, Oromia, Southeast Ethiopia. Methods: We used systematic random sampling in this cross-sectional study. We identified factors associated with adverse birth outcomes using bivariate analysis and multivariable logistic regression analysis. Results: The proportion of adverse birth outcomes among participants was 21%. Of 576 births, 70 (12.2%) were low birthweight, 49 (8.5%) were preterm birth, 45 (7.8%) were stillbirth, and 18 (3.1%) infants had congenital anomalies. Inadequate antenatal care (adjusted odds ratio [AOR] = 6.58, 95% confidence interval [CI] 3.25-13.32), multiple pregnancy (AOR = 4.74, 95% CI 1.55-14.45), premature rupture of membranes in the current pregnancy (AOR = 2.31, 95% CI 1.26-4.21), hemoglobin level < 11 g/dL (AOR = 3.22, 95% CI 1.85-5.58), and mid-upper arm circumference less than 23 cm (AOR = 5.93, 95% CI 3.49-10.08) were all significantly associated with adverse birth outcomes. Conclusions: Approximately one in five study participants had adverse birth outcomes. Increasing antenatal care uptake, ferrous supplementation during pregnancy, and improving the quality of maternal health services are recommended.
MeSH term(s)	Cross-Sectional Studies ; Ethiopia/epidemiology ; Female ; Hospitals ; Humans ; Infant ; Infant, Newborn ; Mothers ; Pregnancy ; Premature Birth/epidemiology
Language	English
Publishing date	2021-05-11
Publishing country	England
Document type	Journal Article
ZDB-ID	184023-x
ISSN	1473-2300 ; 0300-0605 ; 0142-2596
ISSN (online)	1473-2300
ISSN	0300-0605 ; 0142-2596
DOI	10.1177/03000605211013209
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Book ; Online: Enabling equitable collective action and policy change for poverty reduction and improved natural resource management in the Eastern African highlands ; CAPRi working paper ; 86

German, Laura / Mazengia, Waga / Tirwomwe, Wilberforce / Ayele, Shenkut / Tanui, Joseph / Nyangas, Simon / Begashaw, Leulseged / Taye, Hailemichael / Admassu, Zenebe / Tsegaye, Mesfin / Alinyo, Francis / Mekonnen, Ashenafi / Aberra, Kassahun / Chemangeni, Awadh / Cheptegei, William / Tolera, Tessema / Jotte Zewdie / Bedane, Kiflu

2008

Abstract: Washington, D.C. ... The role of local and external institutions in natural resource management (NRM) is gaining attention in the literature, fostering greater understanding of the relationship between collective action and poverty, collective action and ... ...

Abstract	Washington, D.C. The role of local and external institutions in natural resource management (NRM) is gaining attention in the literature, fostering greater understanding of the relationship between collective action and poverty, collective action and equity, and the conditions under which collective action institutions take root. It has also led to increased understanding of how uncritical practices by external development institutions can propagate social inequities in NRM. Yet little research has been conducted to understand how to foster local collective action institutions where they are absent, or to improve institutional practice. This research integrates empirical and action research in an effort to generate "working solutions" to problems facing rural communities in their efforts to manage their natural resources in the highlands of Ethiopia and Uganda. Following a brief introduction to the literature and the research, findings are presented according to two distinct phases of research. Data are first presented on existing forms of collective action, the influence of local and external institutions on economic development, and NRM problems that persist despite their negative livelihood consequences. Action research themes selected from a list of identified problems are then presented in greater detail, with lessons learnt thus far in attempting to overcome institutional barriers to improved NRM. The paper concludes with a discussion of the implications of findings for research, institutional practice, and policy. Working paper IFPRI-1; Theme 3; EPTD; CAPRi; Non-PR 48 pages
Keywords	ETHIOPIA; UGANDA; POVERTY; MULTIPLE USE; TECHNOLOGY; EAST AFRICA ; Natural resource management; Collective action; Equity; Livelihoods; East African highlands; Gender; Environmental management
Subject code	360
Language	English
Publisher	International Food Policy Research Institute (IFPRI)
Publishing country	us
Document type	Book ; Online
DOI	10.2499/CAPRiWP86
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Enabling equitable collective action and policy change for poverty reduction and improved natural resource management in the eastern African highlands

German, Laura / Mazengia, Waga / Tirwomwe, Wilberforce / Ayele, Shenkut / Tanui, Joseph / Nyangas, Simon / Begashaw, Leulseged / Taye, Hailemichael / Teferi, Zenebe A. / Gebremikael, Mesfin T. / Charamila, Sarah / Alinyo, Francis / Mekonnen, Ashenafi / Aberra, Kassahun / Chemangeni, Awadh / Cheptegei, William / Tolera, Tessema / Jotte, Zewdie / Bedane, Kiflu

In Collective action and property rights for poverty reduction: Insights from Africa and Asia, ed. Esther Mwangi; Helen Markelova; and Ruth Suseela Meinzen-Dick. Chapter 7. Pp. 189-234

2011

Abstract: The research reported in this chapter sought to address these shortcomings by integrating institutional analysis (for problem identification and targeting of interventions) with action research (for pilot testing of institutional innovations to address ... ...

Abstract	The research reported in this chapter sought to address these shortcomings by integrating institutional analysis (for problem identification and targeting of interventions) with action research (for pilot testing of institutional innovations to address identified problems). The institutional analysis sought to understand forms and functions of existing institutions of collective action and patterns of benefit capture induced by local and external institutions and to identify the disconnects between local concerns and the institutions present to address these. Building on collective action theory, we then designed and tested institutional innovations in an action research mode to explore institutional arrangements for addressing the NRM concerns of local residents of four locations in the eastern African highlands (two in Ethiopia, two in Uganda). Our findings suggest that by bringing theory into the realm of development practice, action research may provide fertile ground for research in support of practical development challenges. PR IFPRI2; CAPRi EPTD
Keywords	EAST AFRICA ; AFRICA SOUTH OF SAHARA ; AFRICA ; poverty ; property rights ; assets ; legal rights ; community organizations
Subject code	320
Language	English
Publisher	University of Pennsylvania Press
Publishing country	us
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Conference proceedings ; Online: Enabling Equitable Collective Action and Policy Change for Poverty Reduction and Improved Natural Resource Management in the Eastern African Highlands

German, Laura / Mazengia, Waga / Tirwomwe, Wilberforce / Ayele, Shenkut / Tanui, Joseph / Nyangas, Simon / Begashaw, Leulseged / Taye, Hailemichael / Admassu, Zenebe / Tsegaye, Mesfin / Alinyo, Francis / Mekonnen, Ashenafi / Aberra, Kassahun / Chemangei, Awadh / Cheptegei, William / Tolera, Tesema / Jote, Zewude / Bedane, Kiflu

2008

Abstract: The role of local and external institutions in natural resource management (NRM) is gaining attention in the literature, fostering greater understanding of the relationship between collective action and poverty, collective action and equity, and the ... ...

Abstract	The role of local and external institutions in natural resource management (NRM) is gaining attention in the literature, fostering greater understanding of the relationship between collective action and poverty, collective action and equity, and the conditions under which collective action institutions take root. It has also led to increased understanding of how uncritical practices by external development institutions can propagate social inequities in NRM. Yet little research has been conducted to understand how to foster local collective action institutions where they are absent, or to improve institutional practice. This research integrates empirical and action research in an effort to generate working solutions to problems facing rural communities in their efforts to manage their natural resources in the highlands of Ethiopia and Uganda. Following a brief introduction to the literature and the research, findings are presented according to two distinct phases of research. Data are first presented on existing forms of collective action, the influence of local and external institutions on economic development, and NRM problems that persist despite their negative livelihood consequences. Action research themes selected from a list of identified problems are then presented in greater detail, with lessons learnt thus far in attempting to overcome institutional barriers to improved NRM. The paper concludes with a discussion of the implications of findings for research, institutional practice, and policy.
Keywords	Food Security and Poverty ; Resource /Energy Economics and Policy
Subject code	360 ; 320
Language	English
Publishing country	us
Document type	Conference proceedings ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Book ; Article ; Online: Enabling equitable collective action and policy change for poverty reduction and improved natural resource management in the Eastern African highlands

2008

Abstract	The role of local and external institutions in natural resource management (NRM) is gaining attention in the literature, fostering greater understanding of the relationship between collective action and poverty, collective action and equity, and the conditions under which collective action institutions take root. It has also led to increased understanding of how uncritical practices by external development institutions can propagate social inequities in NRM. Yet little research has been conducted to understand how to foster local collective action institutions where they are absent, or to improve institutional practice. This research integrates empirical and action research in an effort to generate "working solutions" to problems facing rural communities in their efforts to manage their natural resources in the highlands of Ethiopia and Uganda. Following a brief introduction to the literature and the research, findings are presented according to two distinct phases of research. Data are first presented on existing forms of collective action, the influence of local and external institutions on economic development, and NRM problems that persist despite their negative livelihood consequences. Action research themes selected from a list of identified problems are then presented in greater detail, with lessons learnt thus far in attempting to overcome institutional barriers to improved NRM. The paper concludes with a discussion of the implications of findings for research, institutional practice, and policy. Non-PR IFPRI1; Theme 3; CAPRi EPTD
Keywords	ETHIOPIA ; UGANDA ; EAST AFRICA ; AFRICA SOUTH OF SAHARA ; AFRICA ; Natural resource management ; Collective action ; Equity ; Livelihoods ; East African highlands ; Gender ; Environmental management ; Poverty ; Multiple use ; technology
Subject code	320 ; 360
Language	English
Publisher	International Food Policy Research Institute (IFPRI)
Publishing country	us
Document type	Book ; Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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