Oromia Regional State Research Articles

Determinants of birth asphyxia among new born babies in Bekoji public hospital, Arsi zone, Oromia regional state, Ethiopia, 2023

Background: Birth asphyxia stands out as a significant factor contributing to morbidity and mortality among newborns. However, the determinants of birth asphyxia have not been thoroughly investigated within the local context, particularly in this specific area. Hence, this study aims to identify these determinants to tackle the issue effectively. Objectives: The goal of this study is to pinpoint the determinants of birth asphyxia at Bekoji Public Hospital in Bekoji Town, Arsi Zone, Oromia Region, Southeast Ethiopia, in 2023. Methods: A case-control study was conducted between June 1, 2023, and August 30, 2023. A total of 198 newborns (75 cases and 123 controls) at Bekoji Public Hospital were selected using a systematic random sampling technique. Data collection involved a checklist for record review and an interviewer-administered questionnaire. The data were entered into Epi Data version 7.1 and analyzed using SPSS version 25. Variables with a P-value < 0.25 were subjected to multivariable regression analysis. The Odds Ratio estimated with a 95% Confidence Interval was utilized to indicate the strength of association, with a significance level set at P < 0.05. Results: 196 mothers of newborns (73 cases and 123 controls) were interviewed, resulting in a response rate of 98.9%. Factors such as prolonged duration of labor (AOR=2.54; [95% CI: 1.78, 6.39]), delivery by Caesarean section (AOR=0.64; [95% CI: 0.004, 1.114]), presence of stained amniotic fluid (AOR=0.473; [95% CI: 0.180, 1.242]), and non-cephalic fetal presentation (AOR=2.12; [95% CI: 1.019, 3.80]) were identified as predictors of birth asphyxia. Additionally, being male (AOR=1.885; [95% CI: 0.899, 3.950]) was also found to be a predictive factor for birth asphyxia. Conclusion and recommendations: Duration of labor, fetal presentation, type of amniotic fluid, mode of delivery, and the gender of newborns emerged as significantly associated factors with birth asphyxia. As a result, interventions targeting these factors, particularly focusing on duration of labor and fetal presentation, should be rigorously implemented.

Pre-extension Demonstration of Improved Carrot Varieties at Gemechis and Chiro Districts, Oromia Regional State, Ethiopia

Pre-extension Demonstration of Improved Carrot Varieties at Gemechis and Chiro Districts, Oromia Regional State, Ethiopia

Assessment of essential and potentially toxic metals in raw cow milk from Mukaturi town, Oromia Regional State, Ethiopia

Cow milk is a complete and highly nutritious source of food for humans. However, the quality of milk products has become a significant health concern for consumers, particularly infants and children, in many developing nations, including Ethiopia. The objective of this study was to determine the heavy metal levels in raw cow milk collected from dairy producers and collection centers in Mukaturi town, Ethiopia. Sixty raw cow milk samples (40.0 milk samples from dairy farms and 20.0 milk samples from collection centers) were randomly collected and digested using a mixture of nitric acid (HNO3), hydrogen peroxide (H2O2) and perchloric acid (HClO4) on a hot plate. The amounts of heavy metals (Cd, Co, Cr, Cu, Fe, Mn, Ni, Pb, and Zn) in the milk samples were determined using inductively coupled plasma atomic emission spectroscopy (ICP–OES). The findings showed that the average concentrations of Pb (2.31 ± 0.127), Fe (0.566 ± 0.130), Ni (0.210 ± 0.0189), Cd (0.0372 ± 0.0230), Cr (0.369 ± 0.0162), and Co (0.225 ± 0.0150) in mgL−1 were higher than the allowable limits. This could pose a health risk to the public. However, the concentrations of Mn (0.044 ± 0.0369), Cu (0.195 ± 0.0450) and Zn (2.90 ± 0.0570) in mg L−1 were lower than or within the recommended limits and cannot pose any threat to consumers. The validity of the digestion processes was checked by the recovery test. The percentage recoveries of Cd, Co, Cr, Cu, Fe, Mn, Ni, Pb, and Zn were found to be in the range of 80.7–122 %, which is within the acceptable range. Therefore, special attention should be given to the continuous monitoring of heavy metal levels in raw milk among dairy producers and collection centers to minimize economic losses and the risk to consumer safety.

Assessment of community knowledge, attitude, and practice towards rabies and its determinants in Kersa District, East Hararghe Zone, Oromia Region, Ethiopia

Despite the prevention and control efforts against rabies, it remains a health problem for humans and animals in Ethiopia. A cross- sectional study design was employed from February to July 2022 to assess community knowledge, attitudes, and practices towards rabies  and associated factors in the Keresa district of Oromia regional state, Ethiopia. Face-to-face interviews were used to collect data from 384  households, and logistic regression was employed in the data analysis. Fifty-three percent (95% CI= 47.9-58.1%), 62% (95% CI= 57.3- 66.9%), and 50% (95% CI= 45.1-54.9%) had adequate knowledge, a desirable attitude and good preventative practices towards rabies,  respectively. 92.7% (95% CI= 90.1-95.3%) of participants had heard of rabies before, and 52.9% (95% CI= 47.9-58.1) of their primary source  of information was the community. Nearly all respondents, 95% (95%CI= 93.8-97.7%), admitted to eating rabid animal flesh, and 56.3%  (95%CI= 51-61.5%) believed that eating rabid animal meat may transmit the disease. One-fourth, 25.5% (95%CI=21.1-29.9%) of study  participants believed that rabies is related to spirits, and 27.9% (95%CI= 23.4-32.6) claimed that holy water might treat rabies. Sex, level of  education, occupation, and training status affect the knowledge of study participants. Age, family size, occupation type, and source of  information were all linked to preventive practice, but sex and age were the only variables associated with attitude. Respondents having  good knowledge and desirable attitudes had better preventive practices against rabies. Therefore, further awareness and disease-related  training are needed for the district population and beyond to improve their knowledge of rabies prevention and control.  

Cultural sensitivity and associated factors among nurses in southwest Ethiopia: a cross-sectional study

BackgroundBecause of the rapidly rising cultural diversity, the ability to recognize cultural diversity is extremely important to all healthcare professionals, especially to nurses. However, there is a paucity of information regarding the cultural sensitivity of nurses in Ethiopia. Hence, this study aimed to assess cultural sensitivity and associated factors among nurses working at Jimma Medical Center, Oromia Regional State, Southwest Ethiopia.MethodsHealth-facility-based cross-sectional study was conducted among 244 nurses selected by simple random sampling from May 20th to June 20th, 2020. A structured, self-administered questionnaire was used to collect data. Data were analysed using Statistical Product and Service Solution Version 26.0. Bivariate binary logistic regression analyses were used to select variables for the final model. Multivariable binary logistic regression analysis was used to identify factors associated with cultural sensitivity. Statistical significance was declared at \\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$p\\leq$$\\end{document}0.05, and adjusted odds ratio with respective 95% CI was used to report significant covariates.ResultsOut of the total sample, 236 nurses participated in this study, giving a response rate of 96.72%. Nurses who were culturally sensitive while delivering routine nursing services were found to be 40.3% (95% CI (34.3, 46.6)). Level of education ([AOR (95% CI)], [4.846 (1.188, 19.773)]), interpersonal communication ([AOR (95% CI)], [4.749 (1.334, 16.909)]), and intercultural communication ([AOR (95% CI)], [51.874 (13.768, 195.45)]) were positively and significantly associated with the cultural sensitivity of nurses.ConclusionCultural sensitivity is found to be low in the study area. Increasing level of education, effective interpersonal communication abilities, and intercultural communication abilities positively predict cultural sensitivity of nurses. It is helpful for nurses to improve their knowledge of transcultural nursing theories and cultural understanding.

Diarrheal prevalence and associated risk factors among under-five children attending Robe Didea General Hospital, Arsi Robe Town, Oromia Regional State, Ethiopia: a cross-sectional study

ABSTRACT Introduction Globally, diarrheal disease continues to be the second leading cause of death among under-five children, especially in developing countries. This study aimed to determine the prevalence of diarrhea and associated risk factors among under-five attending Robe Didea General Hospital (RDGH) in Arsi Robe Town, Oromia Regional State, Ethiopia, from October 1 to December 30 2020. Methods A hospital-based cross-sectional study was conducted among under-five children who attended the pediatrics department of RDGH. Systematic random sampling was employed to select the study subjects. An interviewer-administered structured questionnaire was used for data collection and the analysis used SPSS version 21. Bivariate and multivariable logistic regression analyses were employed to determine the association between risky factors and diarrheal prevalence, and a p value <0.05 was taken as statistically significant. Results The prevalence of diarrhea during the 2 weeks preceding the interviews was 28.7%. Mothers/caregivers with formal education [AOR = 0.30; 95% CI (0.17–.053)], unimproved source of drinking water [AOR = 2.11; 95% CI (1.15–3.87)], absence of household-based water treatment [AOR = 4.42; 95% CI (2.20–8.86)], absence of a household latrine [AOR = 4.407; 95% CI (2.49–7.79)], no exclusive breast-feeding for 6 months [AOR = 1.89; 95% CI (1.06–3.38)] and hand wash using water only [AOR = 2.84; 95% CI (1.24–6.49)] were statistically significant risk factors associated with the prevalence of childhood diarrhea after adjusting for confounding variables. Conclusions and Recommendations A number of environmental and behavioral factors were found to exacerbate diarrheal prevalence among outpatients of RDGH. Promoting female education, washing the hands of mothers/caregivers with soap or detergents, exclusive breast-feeding for at least 6 months, provision of improved water sources and construction of family latrines and home-based water treatment are recommended for the prevention of diarrhea among under-five children.

Health extension workers' level of job satisfaction in western Hararghe Zone, eastern Ethiopia: an institutional-based cross-sectional study.

There is a concern that job dissatisfaction among health extension workers (HEWs) reduces the benefit of investment in the execution of health extension programs. Hence, the purpose of this study was to explore the level of job satisfaction and factors affecting it among the HEWs in the West Hararghe Zone, Oromia Regional State, eastern Ethiopia. An institutional-based cross-sectional study was conducted among 416 randomly selected health extension workers from 20 September 2020 to 20 October 2020. A pretested, structured questionnaire was used to collect the data. STATA 14.2 was used for data analysis. Bivariable and multivariable binary logistic regression analyses were also performed. Statistical significance was set at P < 0.05. The overall level of satisfaction of health extension workers was 51.8% [95% confidence interval (CI): 46.97%, 56.6%]. Earning more than 5,260 ETB as salary [adjusted odds ratio (AOR) = 1.69, 95% CI: 1.01, 2.85], working more than 10 km from the district town (AOR = 1.59, 95% CI: 1.01, 2.53), receiving supportive supervision (AOR = 1.64, 95% CI: 1.06, 2.55), and not living with parents (AOR = 1.94, 95% CI: 1.24, 3.04) were significantly associated factors with HEW job satisfaction. Nearly half of the health extension workers were dissatisfied with their jobs. Supportive supervision, compensation, distance, and parental home location were all predictors of job satisfaction. It is critical to establish intervention tactics that may satisfy and motivate HEWs to expand health coverage, strengthen health extension programs, and improve service delivery.

Factors Affecting Adoption of Wheat Row Planting Technology in Girar Jarso Woreda, North Shewa Zone, Oromia Region, Ethiopia

Wheat is one of the most important cereal crops in Ethiopia. However, low production and productivity of wheat, which is mainly associated with poor adoption of technologies, is persistent in Ethiopia. In this regard, this study was conducted with the aim to find out the adoption level of wheat row planting technology and to identify factors that affect the adoption of wheat row planting in Girar Jarso woreda, North Shew zone, Oromia regional State, Ethiopia. In order to achieve these objectives, 118 rural households were selected by using three stage sampling procedure. Both primary and secondary data were used. The data were analyzed by using descriptive statistics and binary logistic regression model. The study result shows that about 45.76% and 54.24% of sample respondents were found to be adopter and non-adopter of wheat row planting technology respectively. A binary logistic regression model result shows that, age of the household head, education level of household, year of farming experience; total labor availability, total annual income and frequency of extension contact were found to be significant in affecting the adoption of wheat row planting. Therefore, the study recommends, the government, development workers, and policymakers should consider the provision of education and extension services. This study also suggests that, policymakers and development organizations should consider infrastructure development (particularly access to markets), and credit is important.

Impairment of health-related quality of life and its determinants among patients with podoconiosis in East Wollega Zone, Oromia Regional State, Ethiopia: institutional-based cross-sectional study

ObjectiveThis study aimed to assess the impairment of health-related quality of life (HRQoL) and its determinants among patients diagnosed with podoconiosis in East Wollega Zone, Oromia Regional State, Ethiopia.MethodsAn institutional-based...

Hygienic Practices of Vendors and Their Contribution to Coliform, Salmonella, and Shigella Bacteria of Raw Milk at Asella Town, Oromia, Ethiopia.

Coliform, Salmonella, and Shigella are among the most encountered bacteria in raw milk. This study is aimed at determining the extent of coliform, Salmonella, and Shigella bacteria in raw milk and vendor hygiene practices at Asella town, Oromia Regional State, Ethiopia, from March 1 to 30, 2022. In this study, 210 milk vendors were included; each vendor provided a 50 ml sample of raw milk. Bacteria were isolated and identified using standard bacteriological techniques. Data were entered and analyzed using EPI info version 7 and SPSS version 22, respectively. A binary logistic regression model was applied to determine the factors associated with bacterial contamination of raw milk. The total contamination percentage of raw milk was 50 (23.8%) (95% CI: 18.1-29.5%). The predominant bacteria identified were coliform 43 (20.5%) followed by Salmonella species 7 (3.3%). Among coliforms, the predominant bacteria were Citrobacter species 15 (34.9%) followed by Enterobacter species 11 (25.6%), Escherichia coli and Serratia species each 6 (14%), and Klebsiella species 5 (11.6%). However, no Shigella was isolated in this study. Not having the habit of washing cow teats (p < 0.0001), the habit of washing teats with tap water (p < 0.0001), not having separate cloth during milking (p < 0.0001), not having a practice of testing milk for bacterial contamination (p = 0.027), and not having separate vending environment (p = 0.039) were significantly associated with bacterial contamination of raw milk. The percentage of bacterial contamination of milk was found to be high. Participants without a habit of washing cow teats, a habit of washing milk utensils with only tap water, and not having separate vending environments were associated factors for bacterial contamination of raw milk. Milk vendors are advised to develop the habit of washing teats before milking, avoid washing teat/milk utensils only with tap water, and have a separate vending environment.

The qualitative and quantitative measurements of quality education for-and-against standards and indicators of high, medium and low performing primary schools in Oromia Regional State, Ethiopia

ABSTRACT Creating high quality primary schools associated with the existing contextual, socio-cultural, economic and political factors is important in Ethiopia. With this, the study examined qualitative and quantitative measurements of quality education for-and-against standards and indicators of high, medium and low performing primary schools in Oromia Regional State. The study employed mixed method with embedded mixed design. The primary data were collected from 687 participants using different data collection tools and analyzed using descriptive and inferential statistics. The quality and quantity of human, material and social capital were below standards of quality education in primary schools. Although the twenty-first century classroom requires competent teachers to address diverse needs of children, the standards and indicators of quality were deteriorated in terms of inputs, process and outputs. The schools should foster children's learning potential through school improvement and teacher professional development program standards, indicators, and facilitate school feeding program for children under starvation.

Relevance and effectiveness of primary school teachers’ professional development policy and practices in Oromia regional state, Ethiopia

The study evaluated the relevance and effectiveness of primary school teachers’ professional development policy and practices in Oromia Regional State. The researcher used a mixed method with concurrent triangulation design. The researcher selected a total of 618 samples of the study using different sampling techniques such as purposive, convenience, stratified, and simple random sampling techniques. The data were collected from primary sources of data such as teachers, mentors, principals, supervisors, coordinating committees, and parents using questionnaires, interview, focus group discussion, document examination, and observation. The researcher analyzed the data using mean, standard deviation, one-way ANOVA and post-hoc test, and thematic narration. The findings of study showed that teachers’ professional development practices were powerless to update professional competencies and improve professional and innovative pedagogical practices in classrooms. Primary school teachers were not learning proficiently from continuous professional development practices to ensure basic and specific professional competencies required in classrooms. The implementations of reflective activities such as action researches, classroom observation, differentiated learning, collaborative learning, microteaching, and lesson studies couldn’t contribute to practical changes. The study forecasts the requirement of context specific policy framework and practical toolkit for newly deployed and experienced teachers rather than focusing on the generic policy document.

Use of herbal medicine during pregnancy and associated factors among pregnant women with access to public healthcare in west Shewa zone, Central Ethiopia: sequential mixed-method study

ObjectiveThis study was aimed at assessing the prevalence of herbal drug use among pregnant women with access to modern medicine and associated factors in public health facilities in the west...

"Prevalence of Ectoparasites in Sheep and Goats in and Around Chora Botor District, Oromia Regional State"

"Prevalence of Ectoparasites in Sheep and Goats in and Around Chora Botor District, Oromia Regional State"

Determinants of community-based health insurance membership renewal decision among rural households in Kellem Wollega zone, Oromia regional state, Ethiopia: a community-based cross-sectional study.

Despite the fact that community-based health insurance (CBHI) is a promising program to achieve the goal of universal health coverage (UHC), it faces challenges that are not only due to low enrollment but also due to membership renewal decision that impact its sustainability. Hence, the study aimed to identify the determinants of CBHI membership renewal decision among rural households in Kellem Wollega zone, Ethiopia. The study was conducted in Kellem Wollega, Ethiopia, among rural households from March 30-April 30, 2022, using a community-based cross-sectional study design. An interviewer-administered structured questionnaire through face-to-face interviews was used. Using a systematic random sampling method, 551 households were selected making 540 (98%) response rates. The data was entered into EPI Data 3.1 and analyzed using SPSS 25 software. Descriptive statistics, binary, and multiple logistic regressions were performed. Using multiple logistic regressions, a significant association between the CBHI membership renewal decision and independent variables was identified, declaring the statistical significance level using a 95% confidence interval (CI) at p < 0.05. The overall rate of CBHI membership renewal decision among households was estimated to be 365 (67.6%, 95% CI = 63.7-71.5%). The factors that significantly influenced the households' membership renewal decision were family size (AOR = 0.46, 95% CI = 0.25-0.86), low literacy status (AOR = 0.28 95% CI = 0.12-0.64), lower than middle-level of wealth index (AOR = 9.80, 95% CI = 2.75-34.92), premium affordability (AOR = 4.34, 95% CI = 2.08-9.04), unavailability of services (AOR = 0.26, 95% CI = 0.12-0.55), trusting in health facilities (AOR = 5.81, 95% CI = 2.82-11.94), favorable providers' attitude toward members (AOR = 8.23, 95% CI = 3.96-19.64), good quality of service (AOR = 4.47, 95% CI = 2.28-8.85) and health care seeking behavior (AOR =3.25, 95% CI = 1.32-7.98). The overall CBHI membership dropout decision rate among rural households was high, which could affect health service provision and utilization. Therefore, the insurance scheme and contracted health facilities should consider and work on family size and wealth status when membership premiums are calculated, the education level of households when creating awareness about the scheme, building trust in the contracted health facilities by providing all promised benefit packages of health services with good quality, and improving the attitude of health care providers towards the scheme members.

"Infestastion of Lice in Shoats in and Around Lalo Qile District, Kellem Wollega Zone, Oromia Regional State, Ethiopia"

"Infestastion of Lice in Shoats in and Around Lalo Qile District, Kellem Wollega Zone, Oromia Regional State, Ethiopia"

Prevalence of undernutrition and associated factors among street adolescents in adama town, oromia regional state, Ethiopia, 2023: A cross sectional study.

Undernutrition remains a serious public health problem in developing countries, including Ethiopia. In particular, street adolescents are more at risk for undernutrition because they are the most underprivileged population. However, there is a paucity of information about undernutrition among street adolescents in Ethiopia. To assess the prevalence of undernutrition (stunting and thinness) and factors associated with undernutrition among street adolescents in Adama town, Oromia regional state, Ethiopia, 2023. A community-based cross sectional study was conducted among 358 street adolescents from January 15-30, 2023. A convenience sampling technique was used to select the required sample size. A structured, interviewer-administered questionnaire was used to collect the data from the respondents. The collected data were checked, coded, entered into Epidata 4.6 and exported to Statistical Package for Social Sciences version 25. Both Bivariable and Multivariable logistic regression analyses were conducted to determine the factors that are associated with thinness and stunting. P values below 0.05 at the 95% confidence interval were considered indicative of a statistically significant association. Finally, statements, graphs, tables and charts were used for result presentation. This study revealed that, the prevalence of undernutrition was 47.2%. Thinness and stunting accounted for 20.4% and 34.1% respectively and 7.3% both thinness and stuting. Age (adusted odd ratio = 1.41; 95% confidence interval: 1.17-1.71), skipped one or more meals per day ((adusted odd ratio = 3.50; 95% confidence interval: 1.23-9.94), drinking unprotected water source ((adusted odd ratio = 3.23; 95% confidence interval: 1.49-6.98) and use of mastish ((adusted odd ratio = 2.91; 95% confidence interval: 1.19-7.12) were factors statistically associated with thinness. Being skipped one or more meals per day ((adusted odd ratio = 4.14; 95% confidence interval: 1.87-9.14), washing hands before meals ((adusted odd ratio = 0.46; 95% confidence interval: 0.26-0.81) and moderate depression ((adusted odd ratio = 2.93; 95% confidence interval: 1.05-8.15) were factors significantly associated with stunting. In conculusion, the prevalence of undernutrition (thinness, stunting or both together) was high among street adolescents. To enhance street adolecents' nutritional status, targeted nutritional treatments, providing health services and good hygiene and sanitatios practices are urgently needed.

Medicinal Plants Used by Oromo Community in Kofale District, West-Arsi Zone, Oromia Regional State, Ethiopia.

The purpose of this study was to record the utilization of medicinal plants by the Oromo people in the Kofale District, Oromia Regional State, Ethiopia, to control human and animal health problems. Data regarding the use of medicinal plants were collected using ethnobotanical methods from 84 traditional medicine practitioners and 304 general informants sampled employing purposive and systematic random sampling methods, respectively, in the Kofale District. Data were analyzed using different indices, including a preference ranking exercise, informant consensus factor (ICF), fidelity level (FL) and relative popularity level (RPL). In the district, 106 medicinal plants were claimed to be used for the treatment of 43 human and 18 livestock illnesses, of which 75 (71%) were used to manage human health problems, 23 (21.5%) were used to treat both human and livestock ailments and eight (7.5%) were utilized to treat manage livestock health problems. Most (76.4%) plants were harvested from the wild. Leaves were the most commonly used plant part (55.6%) in remedy preparations. Skin diseases scored the highest ICF value (0.97), followed by gastrointestinal disorders (ICF = 0.95), cancer (ICF = 0.93), and hemorrhoids (ICF = 0.91). Medicinal plants that record the highest fidelity level (FL) (100%) and rank order priority (ROP) (100%) values included Justicia schimperiana, Embelia schimperi, Ekebergia capensis and Datura stramonium, which have been used to treat liver disorders, tapeworm infections, babesiosis, and rabies, respectively. There were significant differences (p<0.05) in the mean numbers of medicinal plants claimed by different social groups: older, illiterate, and traditional medicine practitioners reported higher mean numbers of medicinal plants than younger, literate, and general informants, respectively. This study indicated the richness of medicinal plant species in Kofale District. Medicinal plants with the highest FL and ROP values and those used to treat disease categories with the highest ICF values should be prioritized in future phytochemical and pharmacological investigations.

Hand Washing Practice and Food Insecurity are Associated With Undernutrition of Breastfeeding Mothers in Rural Ethiopia: A Cross-sectional Study.

Breastfeeding mothers are prone to undernutrition. However, factors contributing to maternal undernutrition are not exhaustively understood. Hence, this study aimed to determine prevalence of undernutrition among breastfeeding mothers and identify associated factors. A cross-sectional study was conducted among 606 breastfeeding mothers from selected rural districts in Oromia and Sidama regional states of Ethiopia. Data were collected through an interviewer-administered questionnaire. Nutritional status was assessed using body mass index (BMI) and mid-upper-arm-circumference (MUAC). Logistic regression analysis was used to identify factors associated with maternal undernutrition. One out of ten breastfeeding mothers was found undernourished as determined by BMI (12.6%) and MUAC (10.7%). Mothers who did not practice hand washing after cleaning children's bottom were 2 and 3 times more likely to be undernourished compared to their counters, as measured by BMI (AOR = 2.29, P = .002) and MUAC (AOR = 3.03, P < .001), respectively. Mothers living in mildly or moderately food insecure households (AOR = 2.37, P = .019) were more than two times more likely to be undernourished as determined by MUAC. Mothers who breastfed children in the age range of 9 to 11 (AOR = 2.79, P = .025) or 12 to 23 (AOR = 2.57, P = .018) months were more than two and half times more likely to be undernourished as determined by BMI. Maternal undernutrition is a medium-level public health problem in rural districts of Oromia and Sidama regional states in Ethiopia. The lack of hand washing practice after cleaning a child's bottom, household food insecurity and higher child age increased the odds of maternal undernutrition. Mothers should prioritize and improve their nutritional care as the age of their breastfed child increases. Nutrition programs in rural districts of Ethiopia should also aim to improve personal hygiene practices and food insecurity integrated with implementation researches to evaluate program's impact on nutritional status of breastfeeding mothers.

Assessment of Animal Health Surveillance Data Quality Audit. The Case Study in Meta District, Oromia Regional State, Ethiopia

Assessment of Animal Health Surveillance Data Quality Audit. The Case Study in Meta District, Oromia Regional State, Ethiopia