Facility-based Cross-sectional Survey Research Articles

Health data management practice and associated factors among health professionals working in public health facilities in Oromia Special Zone, Amhara, Ethiopia: a cross-sectional study

ObjectiveData and information are vital to the decision-making process surrounding health sector reform. In spite of the vast amounts of capital invested in the development of health information systems, health...

Functional availability of medical oxygen for the management of hypoxaemia in Cameroon: A nationwide facility-based cross-sectional survey.

Medical oxygen is essential for managing hypoxaemia, which has a multifactorial origin, including acute and chronic lung diseases such as pneumonia, asthma, and severe malaria. The coronavirus disease 2019 (COVID-19) revealed substantial gaps in the availability and accessibility of safe medical oxygen, especially in low- and middle-income countries (LMICs). This study aimed to assess the availability and sources, as well as the barriers to the availability of functional medical oxygen in hospitals in Cameroon. This was a nationwide cross-sectional descriptive study conducted from 26 March to 1 June 2021. Using a convenient sampling technique, we sampled accredited public and private COVID-19 treatment centres in all ten regions in Cameroon. Representatives from the selected hospitals were provided with a pre-designed questionnaire assessing the availability, type, and state of medical oxygen in their facilities. All analyses were performed using R. In total, 114 hospitals were included in this study, with functional medical oxygen available in 65% (74/114) of the hospitals. About 85% (23/27) of the reference hospitals and only 59% (51/87) of the district hospitals had available functional medical oxygen. Compared to district hospitals, reference hospitals were more likely to have central oxygen units (reference vs. district: 10 vs. 0%), oxygen cylinders (74 vs. 42%), and oxygen concentrators (79 vs. 51%). The most common barriers to the availability of medical oxygen were inadequate oxygen supply to meet needs (district vs. reference hospitals: 55 vs. 30%), long delays in oxygen bottle refills (51 vs. 49%), and long distances from oxygen suppliers (57 vs. 49%). The availability of medical oxygen in hospitals in Cameroon is suboptimal and more limited in districts compared to reference hospitals. The cost of medical oxygen, delays related to refills and supplies, and long distances from medical sources were the most common barriers to availability in Cameroon.

The Use of Non-Prescribed Medicines in Infants from Birth to Six Months in Rural Areas of Polokwane Municipality-Limpopo Province, South Africa.

The purpose of this study was to determine the prevalence of NPM, describe the types of medications used, and explain why caregivers use NMP in infants younger than six months of age. A quantitative approach and a facility-based cross-sectional survey were used to conduct this study. Convenience sampling was used to select clinics, and proportionality and simple random sampling were used to select 146 participants. Data were analyzed using SPSS (29). A p-value of p < 0.05 was considered significant. In this study, the prevalence of NPM was 75.3%. Of the 146 participants, most were 25-35 years old (54%) and first-time mothers (36.3%). More caregivers had high school and matric (67.1%), and 84.2% of caregivers delivered in public health facilities. Almost three-quarters are unemployed (66.7%) and on a child support grant (56.4%). About 43.6% of infants received NPM within the first month of life. The main source of advice to give NPM was family members (86.4%). The main reasons for administering NPM were the treatment of the umbilical cord (57.3%) and the prevention of colic (32.7%). The results show a statistically significant association between the administration of medication and the age of the infant, p < 0.005. Non-prescribed medications are highly prevalent in the rural areas of Polokwane and are practiced by caregivers between the ages of 25-35 years advised by the families. Access to self-medication should be controlled, especially in the first month of life. Interventions to reduce the use of NPM should be targeted at young mothers and their families.

Barriers to Early Treatment Seeking among Patients with Sexually Transmitted Infections in a Rural Community Setting at Kaproron Health Centre IV

Our study aimed to establish barriers to early treatment seeking among patients with sexually transmitted infections at Kaproron Health Centre IV. This was a facility-based cross-sectional survey employing quantitative methods. The study enrolled a total of 122 randomly selected participants who had consented to participate in the study. Data was collected using a pretested interviewer-administered questionnaire and analysed using STATA software version 14. Descriptive statistics were used to present data as graphs and tables of frequencies while for inferential statistics odds ratios and P-value set at 0.05 corresponding to a 95% confidence interval were used. The study revealed that 56.86% of the participants sought their STI treatment late. Participants’ age, sex, symptom severity and cost of services at Kaproron Health Centre IV presented as significant barriers to early STI treatment seeking. Participants aged 36-45 (AOR-0.16, p-0.04, CI-0.03-0.88) and ≥46 years (AOR-0.17, p-0.05, CI-0.03-0.98) had lower odds of seeking treatment early which was similar for female participants (COR-0.38, p-0.02, CI-0.17— 0.86). Conversely, participants with severe STI symptoms (COR-2.8, p-0.02, CI-1.19-6.58) and those who reported STI services at Kaproron Health Centre IV as affordable (AOR-3.73, p-0.011, CI-1.35-10.25) were 3.73 times more likely to seek early treatment. A higher proportion sought STI treatment late. Age, gender, symptom severity and service costs presented significant barriers to seeking early treatment. Mass STI screening programs should target individuals aged 26 and above, females and impoverished communities. Keywords: STI treatment, Patients, Age, Gender, Symptom severity.

Catastrophic Health Expenditure and Impoverishment Amongst Hepatitis B Patients in a Resource-Poor Setting

Introduction: The economic burden of managing hepatitis B has become a concern because viral hepatitis disease is a global public health problem that resulted in more deaths in 2016 than HIV and AIDs, Tuberculosis and Malaria individually. This study aimed at estimating the catastrophic health expenditure associated with managing hepatitis B, the predictors of the same and the impoverishing effect that management of hepatitis B has on affected households.&#x0D; Methods: A facility-based cross-sectional survey involving 135 hepatitis B patients selected through a two-stage sampling. Data was collected using a structured interviewer administered questionnaire and analyzed using SPSS version 25.&#x0D; Results: The average age of the respondents is 41, 60% male, 40% female. About 71% were married, and nearly two-thirds had tertiary education. Most (90.9%) paid for treatment out-of-pocket, only 7.6% had health insurance, and 1.5% were employer-covered. 71.1% of households spent over 10% of total expenditure on hepatitis B treatment, leading to financial catastrophe. Prevalence of Catastrophic health expenditure (CHE) was 71.1%, with a 20% overshoot and a mean positive overshoot of 28.1%. Being employed was protective against CHE. (OR=0.71; 95%CI=1.12 – 1.97) Post-treatment, 25.2% fell into poverty, and 21.5% into extreme poverty.&#x0D; Conclusion: Majority of hepatitis B patients pay out-of-pocket for healthcare. A major proportion of them are in financial catastrophe as a result of paying for treatment. The heavy reliance on out-of-pocket payment exposes the households of hepatitis B patients to catastrophic health expenditure and treatment of the condition impoverishes the affected households.

Exploring social media adoption for marketing purpose among healthcare professionals in Gondar town, central Gondar zone: A facility-based cross-sectional survey

Background Social media has become an integral platform for global information exchange and business interactions, emerging as a crucial tool for promoting products and services in the digital age. Despite its worldwide significance, local businesses, especially in Ethiopia, lag behind in leveraging social media for healthcare marketing. The scarcity of studies on social media adoption among healthcare providers in Ethiopia highlights the imperative for comprehensive research. Objective This study, conducted in Gondar Town, focused on private healthcare professionals, aiming to identify the determinants of their behavioral intention and usage behavior in adopting social media marketing. Method A facility-based cross-sectional survey involving 238 health professionals from private healthcare facilities in Gondar Town was conducted between March and June 2023. The study analyzed data using SPSS Version 26 and AMOS Structural Equation Modeling Version 23. Results All participants reported using social media platforms, with Facebook, Telegram, and YouTube being popular choices. Performance expectancy, social influence, facilitation condition, and behavioral intention significantly influenced healthcare professionals’ adoption of social media marketing. Performance expectancy and social influence exhibited the strongest impact on behavioral intention, acting as mediators influencing usage behavior. However, effort expectancy did not significantly influence behavioral intention. Age, gender, experience, and voluntariness showed no significant moderating effects. Conclusion This study contributes valuable insights into social media marketing adoption in the healthcare sector, emphasizing the critical role of various factors in shaping behavioral intention and usage behavior. The findings offer practical implications for private healthcare providers, policymakers, and marketers, guiding strategies to enhance patient communication and engagement through social media in Gondar Town.

Factors influencing repeat HIV testing among mothers in perinatal clinics of rural and urban settings in Kisumu County, Kenya

Background : Over one million children are living with Human Immunodeficiency Virus (HIV), predominantly acquired from their mothers during the perinatal period. Most infections are in the developing world with over 90% of children with HIV being in sub-Saharan Africa. This study aimed to determine factors associated with low repeat HIV testing among mothers going to perinatal clinics. We looked into individual, provider and facility factors associated with repeat HIV testing.&#x0D; Methods : The study adopted a facility-based cross-sectional survey and a convergent mixed method. The study population were Women of Reproductive Age living in Kisumu County. Simple random sampling was used for quantitative analysis and an open-ended interview guide for qualitative analysis.&#x0D; Results : Out of the 407 respondents, 82 (20.15%) had received the full course of repeat HIV tests up to the postnatal visit. Repeat testing was significantly associated with; Level of education (AOR=4.32,95%CI=1.57–11.87), marital status (AOR=10.51,95%CI=1.70–6.87), accompaniment by spouse (AOR=2.33, 95%CI=1.31 – 4.17), privacy of the counselling rooms AOR=5.10, 95%CI=0.32– 0.80) and waiting time before receiving clinic services AOR=0.31,95%CI=0.14– 0.68) and design of the book from IDI.&#x0D; Conclusions and Recommendations : Low levels of repeat HIV testing were observed among mothers attending perinatal clinics within Kisumu County. low education level, long waiting times, privacy of the rooms and design of the mother and child booklet were associated with it. Mothers and health workers are to be educated on the benefits of repeat HIV testing during ANC and post-natal clinics.

Adolescents' satisfaction with abortion services received and factors associated with satisfaction at reproductive health centres.

This study assessed adolescents' satisfaction with services received during their most recent abortion and the factors associated with satisfaction at reproductive health centres in the Greater Accra region of Ghana. A facility-based cross-sectional survey was used for this study. Overall, 254 adolescent girls aged between 15 and 19 years, who had an abortion within 1 week of the study period were recruited for the study. All the 254 respondents were recruited consecutively as they visited health facilities for abortion services from March 2019 to February 2020. Written informed consent was signed by respondents, and data were collected using the Patient Satisfaction with Nursing Care Quality Questionnaire, and the data were analysed using Stata version 15.0. Univariate, bivariate and multivariate logistic regression analyses were conducted. A majority of adolescents reported being satisfied with the abortion services they received. Ample waiting space and the system of 'first-come-first-served' were the highest rated elements of service satisfaction. Adolescents were least satisfied with the inadequacy of instructions and lack of information on medications received and their therapeutic or side effects. Ethnicity, having a stable intimate partner and perceived adequacy of staff were the factors associated with satisfaction with abortion services. Adolescents are unique group of people with peculiar health needs. If they are treated with respect and dignity, they are likely to be satisfied with services received from the reproductive health centres offering comprehensive abortion care. The study addresses adolescent satisfaction with abortion care received; if health providers treat adolescent seeking abortion care with respect, friendly and non-judgemental attitude, it will enable adolescents to seek abortion care from qualified professionals instead of unskilled service providers to reduce maternal mortality. Patients from 11 reproductive centres responded to the questionnaire used for the data collection.

Prevalence and patterns of adverse events following childhood immunization and the responses of mothers in Ile-Ife, South West Nigeria: a facility-based cross-sectional survey.

This study aimed to examine the prevalence and pattern of adverse events following childhood immunization and the responses of mothers in Ile-Ife, South West Nigeria. This descriptive cross-sectional study was conducted among 422 mothers of children aged 0 to 24 months attending any of the 3 leading immunization clinics in Ile-Ife, Nigeria. The respondents were selected using the multi-stage sampling technique. Data were collected using a pretested structured interviewer-administered questionnaire and analyzed using IBM SPSS ver. 26.0. The chi-square test was used to test associations, while binary logistic regression was used to determine the predictors of mothers' responses to adverse events following immunization (AEFIs). A p-value of <0.05 was considered statistically significant. The mean age of the respondents was 29.99±5.74 years. About 38% of the children had experienced an AEFI. Most mothers believed that the pentavalent vaccine was the most common cause of AEFIs (67.5%). Fever (88.0%) and pain and swelling (76.0%) were the most common AEFIs. More than half of the mothers (53.7%) administered home treatment following an AEFI. Younger mothers (odds ratio [OR], 2.43; 95% confidence interval [CI], 1.20-5.01), mothers who delivered their children at a healthcare facility (OR, 3.24; 95% CI, 1.08-9.69), and mothers who were knowledgeable about reporting AEFIs (OR, 2.53; 95% CI, 1.04-7.70) were most likely to respond appropriately to AEFIs. The proportion of mothers who responded poorly to AEFIs experienced by their children was significant. Therefore, strategies should be implemented to improve mothers' knowledge about AEFIs to improve their responses.

Adherence to Tuberculosis Treatment and Its Associated Factors among Drug-susceptible Tuberculosis Patients in Lira District, Northern Uganda

Uganda has a high incidence of tuberculosis infection at 200 cases per 100,000 people. With effective therapy and adherence to medications is essential for reducing the spread of tuberculosis in the community. However, many of the initiated patients do not get to finish the entire course of treatment. The purpose of this study was to investigate the level of and factors associated with tuberculosis treatment adherence among drug-susceptible tuberculosis patients in the Lira district. A facility-based cross-sectional survey was conducted among 234 randomly selected tuberculosis patients between October and December 2022. The Morisky medication adherence scale was used to measure adherence. Using a structured questionnaire to collect data on socio-demographic characteristics, community factors, and health service delivery factors associated with adherence. Binary logistic regression analysis was used to determine the correlates of adherence to tuberculosis drugs at a p value of 0.05. Most of the respondents (135, 57.7%) were males, (93, 39.7%) aged above 45 years, and (135, 57.7%) in a marital relationship. The prevalence of adherence to tuberculosis drugs was 84.6% (198/234) and was associated with marital status (AOR: 0.307; 95% CI: 0.13-0.0724, p=0.007) and the experience of stigma (AOR: 4.39; 95% CI: 1.612-11.958, p=0.004). The study reported that 2 in 10 drug-susceptible tuberculosis patients are non-adherent, which is lower than the targeted 90%. Marital status and stigma experience are predictors of non-adherence. Interventions by the ministry of health should target how to improve tuberculosis treatment and reduce stigma.

Facility-Based Cross-Sectional Survey on Aedes-Borne Diseases and Associated Symptoms among Febrile Patients During the 2019 Dengue Outbreak in Moshi Rural District, Tanzania

Background: Diseases caused by Aedes-borne viruses, such as; dengue, chikungunya, and Zika are emerging and re- emerging in different parts of the world. Tanzania has experienced several dengue outbreaks since 2010. The present study aims to determine the seroprevalence and associated symptoms of dengue and chikungunya fever in the Moshi rural district during the 2019 dengue outbreak. Methodology: A facility-based cross-sectional survey was conducted in 15 health facilities in the Moshi Rural district. A total of 397 participants with malaria-like symptoms were enrolled. Participants were screened for seropositivity towards dengue and chikungunya Immunoglobulin G and M (IgG and IgM) using ELISA-based kits. Results: Out of 397 participants, 28 (7.1 %) and 8 (2.0%) were dengue IgM and IgG positive respectively. Chikungunya IgM positives were 34 (8.6%). The most commonly reported symptoms were; headache 189 (27.7%), joint pains 132 (19.4%) and muscle pain 106 (15.5%). Factors such as being a farmer and history of travelling to outside regions was associated with dengue IgM seropositivity (p&lt;.05). Conclusion: Aedes-borne illnesses appear to be endemic in the area, with IgG antibodies against the Chikungunya virus being more prevalent among study participants. These results provide an understanding of arboviral diseases as well as provide an early warning signal on the risk of transmission in north Tanzania. The results inform the allocation of local and national public health intervention to prevent future outbreaks.

Job satisfaction among community drug distributors in the Mass Drug Administration programme in Nigeria: a cross-sectional study.

Despite having one of the largest human resources for health in Africa, the delivery of neglected tropical disease (NTD) health interventions in Nigeria has been hampered by health worker shortages. This study assessed factors associated with job satisfaction among community drug distributors (CDDs) supporting the Nigerian NTD programme, with the goal of identifying opportunities to improve job satisfaction in support of NTD control and elimination efforts in Nigeria. A health facility-based cross-sectional survey was conducted in 2019 among CDDs in two states with sharply contrasting NTD programme support, Kaduna and Ogun. A multivariate logistic regression model was used to determine the association between respondent characteristics, programme delivery modalities and job satisfaction. Overall, 75.3% and 74.0% of CDDs were categorised as being satisfied with their job in Kaduna and Ogun states, respectively. The component with the highest reported satisfaction was motivation, where 98.9% and 98.6% of CDDs were satisfied, in Kaduna and Ogun, respectively. Participants were least satisfied with remuneration, communication, supplies and materials, as well as workload. Location (rural/urban) and state, years of experience, who delivers training and reimbursement of transport fare during medicine distribution were significantly associated with job satisfaction. Including multiple health staff and NTD programme cadres in CDD training and providing remuneration to cover transport fares spent during MDA delivery may improve CDDs' job satisfaction both in Ogun and Kaduna states. Given these two states are at opposite ends of the programme support spectrum, such adaptative measures might help improve CDD job satisfaction in the wider Nigerian NTD programme context.

Abuse and humiliation in the delivery room: Prevalence and associated factors of obstetric violence in Ghana.

Abuse and mistreatment of women during childbirth is a major barrier to facility-based delivery, putting women at risk of avoidable complications, trauma and negative health outcomes including death. We study the prevalence of obstetric violence (OV) and its associated factors in the Ashanti and Western Regions of Ghana. A facility-based cross-sectional survey was conducted in eight public health facilities from September to December 2021. Specifically, close-ended questionnaires were administered to 1,854 women, aged 15-45 who gave birth in the health facilities. The data collected include the sociodemographic attributes of women, their obstetric history and experiences of OV based on the seven typologies according to the categorization by Bowser and Hills. We find that about two in every three women (65.3%) experience OV. The most common form of OV is non-confidential care (35.8%), followed by abandoned care (33.4%), non-dignified care (28.5%) and physical abuse (27.4%). Furthermore, 7.7% of women were detained in health facilities for their inability to pay their bills, 7.5% received non-consented care while 11.0% reported discriminated care. A test for associated factors of OV yielded few results. Single women (OR 1.6, 95% CI 1.2-2.2) and women who reported birth complications (OR 3.2, 95% CI 2.4-4.3) were more likely to experience OV compared with married women and women who had no birth complications. In addition, teenage mothers (OR 2.6, 95% CI 1.5-4.5) were more likely to experience physical abuse compared to older mothers. Rural vs. urban location, employment status, gender of birth attendant, type of delivery, time of delivery, the ethnicity of the mothers and their social class were all not statistically significant. The prevalence of OV in the Ashanti and Western Regions was high and only few variables were strongly associated with OV, suggesting that all women are at risk of abuse. Interventions should aim at promoting alternative birth strategies devoid of violence and changing the organizational culture of violence embedded in the obstetric care in Ghana.

Factors Associated with Unmet Needs for Family Planning among People Living with HIV/AIDS in the South-South Region of Nigeria

Background: Family planning is an important part of reproductive health which assists couples and individuals to make decisions regarding the timing, spacing, as well as the number of desired children. For individuals living with HIV, this can be challenging, as assess to reproductive health services may be hampered by a range of factors, thus causing an unmet need for family planning.&#x0D; Aim: To investigate the factors associated with unmet needs for family planning among people living with HIV/AIDS in the South-South Region of Nigeria.&#x0D; Study Design: Facility-based cross-sectional survey.&#x0D; Place and Duration of Study: The study was carried out at the HIV clinics of Federal Medical Centre (FMC), Yenagoa and Otuasega Cottage Hospital (OCH), Ogbia in Bayelsa state.&#x0D; Methodology: Six hundred (600) participants were recruited using a simple random sampling technique. An interviewer-administered questionnaire was used to collect data. Data obtained from the study were analyzed and presented as frequencies and percentages. Chi-square and Binary logistic regression were used to test for association between variables. Statistical significance was set at p=0.05.&#x0D; Result: The response rate was 100%. The unmet family planning needs were identified in 43.5% of the study population. Duration of status awareness (X2=9.983, P=0.002), ART duration (X2=10.410, P=0.001), number of sexual partners (X2=36.665, P=0.001) were significantly associated with unmet planning family need. Likewise, age group (X2=22.988, P&lt;0.001), gender (X2=9.327, P=0.002), and religion (X2=17.243, P=0.001) were also significantly associated with unmet family planning needs. Binary logistic regression showed that respondents who were 40 years or more had 2.15 odds of unmet family planning needs compared to those less than 40 years. Also, respondents who had one sexual partner had 2.98 odds of unmet family planning needs when compared to respondents who had multiple sexual partners.&#x0D; Conclusion: There is a high prevalence of unmet family planning needs among people living with HIV/AIDS in the South-South region of Nigeria.

Institutional disrespect and abuse during health-care utilization in public health facilities of Tamil Nadu: A facility-based cross-sectional survey.

Disrespect and abuse have a negative impact on the quality of care provided in the public health facilities, thereby impacting the public health-care utilization of the patients. This study aims to capture the burden and determinants of disrespect and abuse faced by the patients who seek care from public health facilities in Tamil Nadu. This study was conducted among 4917 participants at outpatient and inpatient levels in 18 public health facilities across six districts in Tamil Nadu. Institutional disrespect and abuse were reported as proportion with 95% confidence interval (CI). Logistic regression model was done to assess the determinants of institutional disrespect and abuse. Overall, the proportion of participants facing some form of institutional disrespect and abuse was 9.8% (95% CI: 9.0%-10.6%). Elderly patients (≥60 years) (adjusted odds ratio [aOR] = 2.71; 95% CI: 1.27-5.76), widowed/separated/divorced (aOR = 1.99; 95% CI: 1.11-3.57), patients with higher educational qualification (aOR = 1.82; 95% CI: 1.25-2.64), patients belonging to the richest quintile in terms of socioeconomic status (aOR = 4.96; 95% CI: 3.59-6.84), and patients having some form of chronic disease (aOR = 1.37; 95% CI: 1.07-1.75) had significantly higher odds of facing institutional disrespect and abuse. Almost one in ten patients visiting secondary and tertiary care public health facilities in Tamil Nadu had faced some form of disrespect during their hospital visit/stay. The findings from our study should be taken up and further qualitative exploration to identify the reasons for such disrespectful care and corrective solutions should be suggested.

Determinants of Depression, Anxiety, and Stress among Pregnant Women Attending Tertiary Hospitals in Urban Centers, Nigeria

Most times, pregnancy is considered a joyous event, but it also heightens a woman’s emotional and psychological state. Globally, some women suffer mental disorders, especially in developing nations. In Nigeria, there is evidence for a high prevalence of depression, anxiety, and stress during pregnancy. Therefore, this study aimed to estimate the severity and factors associated with depression, anxiety, and stress among pregnant women in Port Harcourt, Nigeria. A facility-based cross-sectional survey was carried out in the two tertiary hospitals in Port Harcourt city between September and October 2022 using the Depression Anxiety and Stress Scale-21 (DASS-21). Univariate, bivariate, and multivariate analyses were performed using STATA 16. The proportional odds model (POM) was used, and the statistical significance was set at p ≤ 0.05. A total of 413 respondents participated in the study, of whom 9.5%, 26.6%, and 17.3% had at least moderate depression, anxiety, and stress, respectively. Marital status, educational levels, and employment status were significantly associated with depression. Marital status, religion, and trimester were significantly associated with anxiety, while age, marital status, educational level, religion, income, trimester, and previous abortions/miscarriages were significantly related to stress. This study showed evidence of moderate-to-extremely severe anxiety, stress, and depression, as well as factors associated with these disorders. Our findings have implications for strengthening mental health policies as they pertain to antenatal care.

Level and Predictors of Minimum Dietary Diversity Among Pregnant Women in Eastern Ethiopia: Evidence From Facility-Based Cross-sectional Survey.

Low dietary diversity is one of the most serious public health issues in developing countries, resulting in poor nutritional status, particularly vitamin and mineral deficiencies in pregnant women. However, there is insufficient information on the current status of pregnant women's minimum dietary diversity in Eastern Ethiopia. The main aim of this study is to assess the level and predictors of minimum dietary diversity among pregnant women in Harar Town, Eastern Ethiopia. The study was conducted on 471 women using a health institution-based cross-sectional study design from January to March 2018. A systematic random sampling method was used to select the study participants. A pretested and structured questionnaire was used to collect data on the minimum dietary diversity. A logistic regression model was used to assess the relationship between the outcome variable and the independent variables. A P-value of .05 was used to indicate statistical significance. The proportion of pregnant women who had adequate minimum dietary diversity was 52.7% (95% CI: (47.9%, 57.6)). Urban residence [(AOR = 0.08, 95% CI: (0.02, 0.33)], smaller family size [(AOR = 7.28, 95% CI: (3.25, 16.28)], husband occupation [(AOR = 2.55, 95% CI: (1.39, 4.6)], husband support [(AOR = 3.85; 95% CI: (1.23, 12.02)], having more than 1 dwelling room [(AOR = 5.7, 95% CI: (2.32, 13.8) and medium wealth quantile [AOR = 1.93, 95% CI: (1.13.39)] were associated with adequate minimum dietary diversity. The level of minimum dietary diversity was low in the study area. It was linked to urban residency, smaller family sizes, husband employment, husband support, having more than 1 bedroom, and medium wealth quantile. Efforts should be made to improve husband support, wealth index, husband occupation, and food security status in order to boost mothers' minimal dietary diversity.

Knowledge, attitudes, and practices of female health care service providers on female genital mutilation in Somalia: A cross-sectional study.

Despite a strong international standpoint against female genital mutilation, the prevalence of female genital mutilation in Somalia is extremely high. This study assessed the knowledge, attitude, and practice of female genital mutilation among female health care service providers in order to formulate appropriate policies and programs to eliminate this harmful practice. Facility-based cross-sectional survey conducted in 2019 among female doctors and nurses working in Banadir Hospital, Mogadishu, Somalia. A total of 144 female health care service providers were randomly selected, and data were collected through a pre-tested, semi-structured questionnaire. Quantitative data were analyzed by using the statistical software SPSS (Version 21), and qualitative data were analyzed thematically in accordance with the objectives of the study. The study found that about three-fifths of the respondents had undergone some forms of female genital mutilation during their life. An overwhelming majority believed that female genital mutilation practices were medically harmful, and a majority of them expressed their opinion against the medicalization of the practice of female genital mutilation. The study also observed a significant association between participants' age and their negative attitudes regarding the legalization of female genital mutilation. Health care service providers' effort is critical to eliminating this harmful practice from the Somalian society. Strong policy commitment and a comprehensive health-promotion effort targeting the parents and community leaders are essential to avert the negative impact of female genital mutilation.

Prevalence of Malaria Among Children Attending AlFaw Teaching Hospital, El-Gedaref State, Sudan

Introduction: In Sudan, malaria is still a major cause of death and the primary cause of death for children. A strategy for reducing and eradicating malaria may be developed with the help of knowledge regarding the prevalence of the disease among children. The goal of this study was to examine the prevalence of malaria in children at the AlFaw Teaching Hospital, as well as the risk factors and contributing factors. Methods: In this study, questionnaires were used to gather socioeconomic, demographic, and vector control data from the families of children aged 1 day to 17 years in order to detect Plasmodium falciparum and other spp. Age, gender, place of residence, usage of a vector control intervention, and mother’s educational degree are all associated with malaria positivity. Results: During June through July 2022, 400 children who visited AlFaw teaching hospital participated in a facility-based crosssectional survey. P. falciparum species made up 279 of the Plasmodium species (70%), and other species consisted of 121 (30%). Children who regularly spend the night outside and those who live in homes with stagnant water in the complex had higher probabilities of contracting malaria than those who regularly sleep under long-lasting insecticide-treated nets. Malaria diagnoses were more common in children of mothers with no formal education than in children of mothers with secondary education. Conclusion: Children who were patients at AlFaw teaching hospital had a significant malaria prevalence. In this study, a higher proportion of moderate parasitemia was also detected, and those with the highest prevalence of malaria were in the age group of 0–17 years. The main correlations with malaria were irregular usage of bed nets, night-out times, and parents not receiving malaria health education. To reduce the impact of malaria, the local government and other concerned organizations should put more emphasis on routine insecticide-treated net (ITN) use, infections linked to nighttime exposure to the outdoors, environmental management, and modification of attitudes toward malaria prevention and control through health education. Other actions that can be taken to decrease this impact include improving health management and planning, redistributing resources (including consultants) at the central and regional levels, and implementing appropriate training programs on the management of severe malaria at all levels.

Prevalence and correlates of induced abortion: results of a facility-based cross-sectional survey of parturient women living with HIV in South Africa

BackgroundThere is a paucity of studies examining the prevalence and correlates of induced abortion among women living with HIV. Our study fills this gap by examining the prevalence and correlates of induced abortion among parturient women living with HIV in Eastern Cape, South Africa.MethodsWe analysed cross-sectional survey data of the East London Prospective Cohort Study, which took place between September 2015 and May 2016 in three large maternity facilities in the Buffalo/Amathole districts of the Eastern Cape Province of South Africa. A total of 1709 parturient women living with HIV who gave birth over the study period were recruited. We carried out descriptive and inferential statistics.ResultsThe prevalence of induced abortion was 19% (95% CI: 17.2–20.9%), but varied by women’s socio-demographic characteristics. Induced abortion prevalence was higher among women aged 25 years and over (21.4%), than among women aged less than 25 years (11.0%). Those ever married or cohabiting (26.8%) reported a higher level of induced abortion than those never-married women (15.6%). Those already diagnosed HIV positive before their index pregnancy (20.2%) had a higher prevalence of induced abortion than those diagnosed during their index pregnancy (14.1%). In the adjusted logistic regression, women were more likely to have ever induced abortion if they were ever married or cohabiting (aOR; 1.86 95% CI; 1.43–2.41), ever smoked (aOR: 1.51; 95% CI: 1.01–2.28) and diagnosed with HIV before their index pregnancy (aOR:1.44; 95% CI: 1.02–2.05) but less likely if younger than 25 years (aOR; 0.51 95% CI:0.35–0.73).ConclusionAbout one in five women living with HIV had ever induced abortion in the study settings, indicating that abortion service is one of the main reproductive health services needed by women living with HIV in South Africa. This is an indication that the need for abortion is somewhat high in this group of women. The finding, therefore, highlights the need for concerted efforts from all stakeholders to address the unmet need for contraception among women living with HIV to prevent unintended pregnancy.