South Gondar Zone Research Articles

Evaluation of the sustainability of existing rainwater harvesting ponds: A case study of Lay Gayint District, South Gondar zone, Ethiopia

In most of the water-scarce areas, rainwater harvesting (RWH) ponds are essential for meeting the stress of water for various purposes. Besides the performance and sustainability of those rainwater harvesting ponds were not evaluated. This study aimed to evaluate the sustainability of existing rainwater harvesting ponds in Lay Gayint District, Ethiopia. The specific objectives of this study were; (1) to assess the perception of farmers on the potential of RWH ponds, and (2) to identify factors influencing the sustainability of RWH ponds. The demographic characteristics of farm households; farmers' perception about RWH ponds; and the socio-economic conditions of households were collected using household surveys and focused group discussions. The collected data was analyzed through quantitative and qualitative data analysis methods. The results of this study revealed that almost all farmers did not have good perceptions of ponds and had not gained enough awareness of the advantages of ponds. The utilization of the ponds was surrounded by constraints like poor quality and short lifetime of the constructed ponds; low involvement of farmers within the construction of ponds; and wrong-site selection. The incidence of local disputes among the farmers was the most important impact that un-utilized ponds have exerted on the community. About 78 % of the ponds were found in a failed state and 75 % of the ponds have no fences. The construction of RWH ponds in rural districts was based on a quota system which resulted in low sustainability. About 72.2 % of the respondents have not participated in the construction of RWH ponds, on the other hand, 81.5 % didn't get any training about RWH. The majority of the respondents replied that they have no money for constructing and maintaining their ponds. Due to the different factors most of the RWH ponds didn't store and serve for the designed service period which failed to satisfy the water demand. The government shall give attention to the sustainability of ponds by facilitating the involvement of Non-Governmental Organizations (NGOs) in capacity building, technical and financial support.

Pathological Scar and Its Associated Factors Among Survivor of Burn Victim Pediatrics Admitted to South Gondar Zone Public Hospitals, Amhara Regional State, Ethiopia, 2020 – A Multi-Center Cross-Sectional Study

Pathological Scar and Its Associated Factors Among Survivor of Burn Victim Pediatrics Admitted to South Gondar Zone Public Hospitals, Amhara Regional State, Ethiopia, 2020 – A Multi-Center Cross-Sectional Study

Determinants of farm level market supply of tomatoes in Fogera district, South Gondar Zone of the Amhara Region, Ethiopia

This research attempted to analyze the determinants of market supply of tomato in Fogera district, South Gondar zone, Amhara Region of Ethiopia. Tomatoes generate income for the poor farmers of Ethiopia. Primary and secondary data were collected. The primary data was generated though a household survey (N=235), a pre-tested structured questionnaire and a key informant interview using a checklist. The data were analyzed using multiple linear regression model. The model results showed livestock ownership, size of land allocated for tomato, access to credit, income from non-farm/off-farm activities and use of improved seed significantly affected quantity of tomato supplied to the market. The findings indicated the need to encourage off/non-farm income activities, strengthen access to improved varieties of tomato, use technologies that can improve the production and productivity of tomato, and expand the access to credit.

Estimating the Economic Impact and Assessing Owners' Knowledge and Practices of Epizootic Lymphangitis in Equine Cart Animals in Central and South Gondar Zones, Amhara Region, Ethiopia.

Epizootic lymphangitis (EL) is a chronic, contagious, fungal disease of equids. The disease is highly prevalent in cart pulling equines of Ethiopia affecting the livelihood of the cart owning households and welfare of the cart animals. This study estimated the economic impacts of EL and assessed cart owners' knowledge and practices related to the disease in northwest Ethiopia. A multistage cluster sampling approach was implemented to select cart animal owners for the study. A total of 274 cart animal owners were interviewed to collect data for the study. The average annual economic loss per cart owner was estimated at Ethiopian Birr (ETB) 8447. Of this loss, the ETB 4364, 2838, and 1245 were due to mortality, working power loss, and treatment costs, respectively. When the loss was computed only for affected car owners, it was on average ETB 9835 per affected cart owner. The average annual animal level loss was estimated at ETB 6587 per cart animal. Mortality was the largest contributor of the overall economic losses. There was a statistically significant difference in average economic losses per household between study towns (P < 0.05). The knowledge and practice study revealed that 51.2% of the respondents had good knowledge level (knowledge score above the mean score) of EL, but only 45.2% of the respondents had a good practice related to EL. A multivariable logistic regression analysis revealed that socio-demographic factors such as educational level and town of residence were significantly associated with EL knowledge level of the respondents (P < 0.05), and on the other hand, knowledge level and residence of the respondents were significantly associated with EL practice level (P < 0.05). The study generally indicates that EL causes significant economic impact on the cart business, but cart owners had insufficient knowledge and poor control and preventive practices to combat the disease. Attention should be accorded to control the disease and reduce its impact on the livelihood of cart owners. As part of the control measure, more awareness creation about the disease and its preventive and management measures for cart owners will very important.

Economic valuation of ecosystem services: application of a choice experiment approach on mount Guna services, North West of Ethiopia

Guna Mountain is the highest point with an elevation of 4,113 m above sea level and located in South Gondar Zone. It is surrounded by Estie, Lay Gayint, Begemidir Guna, and Farta Woredas and served as a source of livelihood for the nearby communities. However, the area of Mount Guna has been still unprotected because of a lack of suitable conservation measures and weak control of inappropriate practices. Moreover, empirical investigations on the value of the mountain in terms of its ecosystem service are scanty available. This study aims at valuing ecosystem services of Guna Mountain using the choice experiment method and hence identifying farmer's choices of ecosystem service attributes. By considering farmers' preferences, watershed protection service, harvesting of medicinal plants, and water supply together with the cost of management attribute were identified as ecosystem service attributes. Primary data were collected from randomly selected respondents and the Random Parameter Logit model (RPL) was employed for estimation. Results of this model revealed that revealed that the signs of attribute levels are positive except for watershed protection service level 25%, and harvesting of a medicinal plant 20%. In addition to this, socioeconomic variables were significant such as family size and farm distance with a negative sign, education, and land size with a positive sign. The estimated MWTP from the basic model of RPL for non-monetary attribute levels were Ethiopian Birr (ETB)11During the study period, 2019: 1$ = 27 Ethiopian Birr (ETB). 8.575 and 175.526 per household per year for watershed protection service level 25% and watershed protection service level 50%. It was ETB 1.190 and 24.487 per household per year for the harvesting of a medicinal plant at 10% and harvesting of a medicinal plant at 20%. The contribution was ETB 116.868, 112.042, and 26.776 for water supply at two seasons of the year, water supply at three seasons of the year, and water supply for all seasons of the year attribute levels respectively. Valuing watershed protection was more than water supply followed by harvesting of medicinal plants attribute. To improve the quality and quantity of protection and water supply service, the government and farmers should work together.

Using geographically weighted regression analysis to cluster under-nutrition and its predictors among under-five children in Ethiopia: Evidence from demographic and health survey.

Malnutrition among under-five children is a common public health problem and it is one of the main cause for the mortality of under-five children in developing countries, including Ethiopia. Therefore, lack of evidence about geographic heterogeneity and predictors of under-nutrition hinders for evidence-based decision-making process for the prevention and control programs of under-nutrition in Ethiopia. Thus, this study aimed to address this gap. The data were obtained from the Ethiopian Demographic and Health Survey (EDHS) 2016. A total of 9,384 under-five children nested in 645 clusters were included with a stratified two-stage cluster sampling. ArcGIS version 10.5 software was used for global, local and ordinary least square analysis and mapping. The spatial autocorrelation (Global Moran's I) statistic was held in order to assess the pattern of wasting, stunting, and underweight whether it was dispersed, clustered, or randomly distributed. In addition, a Bernoulli model was used to analyze the purely spatial cluster detection of under-nutrition indicators through SaTScan version 9.6 software. Geographically weighted regression (GWR) version 4.0 software was used to model spatial relationships in the GWR analysis. Finally, a statistical decision was made at p-value<0.05 with 95%CI for ordinary least square analysis and geographically weighted regression. Childhood under-nutrition showed geographical variations at zonal levels in Ethiopia. Accordingly, Somali region (Afder, Gode, Korahe, Warder Zones), Afar region (Zone 2), Tigray region (Southern Zone), and Amhara region (Waghmira Zones) for wasting, Amhara region (West Gojam, Awi, South Gondar, and Waghmira Zones) for stunting and Amhara region (South Wollo, North Wollo, Awi, South Gondar, and Waghmira zones), Afar region (Zone 2), Tigray region (Eastern Zone, North Western Zone, Central Zone, Southern Zone, and Mekele Special Zones), and Benshangul region (Metekel and Assosa Zones) for underweight were detected as hot spot (high risk) regions. In GWR analysis, had unimproved toilet facility for stunting, wasting and underweight, father had primary education for stunting and wasting, father had secondary education for stunting and underweight, mothers age 35-49 years for wasting and underweight, having female children for stunting, having children eight and above for wasting, and mother had primary education for underweight were significant predictors at (p<0.001). Our study showed that the spatial distribution of under-nutrition was clustered and high-risk areas were identified in all forms of under-nutrition indicators. Predictors of under-nutrition were identified in all forms of under-nutrition indicators. Thus, geographic-based nutritional interventions mainly mobilizing additional resources could be held to reduce the burden of childhood under-nutrition in hot spot areas. In addition, improving sanitation and hygiene practice, improving the life style of the community, and promotion of parent education in the identified hot spot zones for under-nutrition should be more emphasized.

Knowledge, attitude, and preventive practices towards COVID-19 and associated factors among adult hospital visitors in South Gondar Zone Hospitals, Northwest Ethiopia.

Coronavirus disease 2019 (COVID-19) is currently the critical health problem of the globe, including Ethiopia. Visitors of healthcare facilities are the high-risk groups due to the presence of suspected and confirmed cases of COVID-19 in the healthcare setting. Increasing the knowledge, attitude, and practices towards COVID-19 prevention among hospital visitors are very important to prevent transmissions of the pandemic despite the lack of evidence remains a challenge in Ethiopia. Therefore, this study was designed to investigate the status of knowledge, attitude, and preventive practice towards COVID-19 and associated factors among hospital visitors in South Gondar Zone Hospitals, Northwest Ethiopia. A facility-based cross-sectional study design was employed during August 1 to 30, 2020 from randomly selected 404 adult hospital visitors in South Gondar Zone Hospitals, Northwest Ethiopia. The data was collected using interviewer-administered questionnaire. The outcome of this study was good or poor knowledge, positive or negative attitude and good or poor preventive practice towards COVID-19. Three different binary logistic regression models with 95% CI (Confidence interval) was used for data analysis. For each mode, bivariable analysis (crude odds ratio [COR]) and multivariable analysis (adjusted odds ratio [AOR]) was used during data analysis. From the bivariable analysis, variables with a p-value <0.25 were retained into the multivariable logistic regression analysis. From the multivariable logistic regression analysis, variables with a significance level of p-value <0.05 were taken as factors independently associated with knowledge, attitude and preventive practices towards COVID-19. About 69.3% of the respondents had good knowledge, 62.6% had a positive attitude, and 49.3% had good preventive practice towards the prevention of COVID-19. We found that factors significantly associated with good knowledge about COVID-19 were educational status who can read and write (AOR = 2.78; 95%CI: 1.18-6.56) and college and above (AOR = 6.15; 95%CI: 2.18-17.40), and use of social media (AOR = 2.96; 95%CI: 1.46-6.01). Furthermore, factors significantly associated with a positive attitude towards COVID-19 includes the presence of chronic illnesses (AOR = 5.00; 95%CI; 1.71-14.67), training on COVID-19 (AOR = 3.91; 95%CI: 1.96-7.70), and peer/family as a source of information (AOR = 2.45; 95%CI: 1.06-5.63). Being a student (AOR = 7.70; 95%CI: 1.15-15.86) and participants who had a good knowledge on COVID-19 (AOR = 4.49; 95%CI: 2.41-8.39) were factors significantly associated with good practice towards COVID-19. We found that knowledge, attitude, and preventive practices towards prevention of COVID-19 among adult hospital visitors were low. Therefore, we recommended that different intervention strategies for knowledge, attitude and preventive practices are urgently needed to control the transmission of COVID-19 among adult hospital visitors. Health education of those who could not read and write about COVID-19 knowledge issues and advocating use of social media that transmit messages about COVID-19 are highly encouraged to increase the good knowledge status of adult hospital visitors. Furthermore, providing training about COVID-19 prevention methods and using various sources of information about COVID-19 will help for improving positive attitude towards COVID-19 prevention, whereas for increasing the status of good preventive practices towards COVID-19, improving the good knowledge about COVID-19 of adult hospital visitors are essential.

Magnitude and associated factors of intraoperative nausea and vomiting among parturients who gave birth with cesarean section under spinal anesthesia at South Gondar zone Hospitals, Ethiopia

BackgroundIntraoperative nausea and vomiting are common intraoperative events by which parturient feel discomfort and disturbed after spinal anesthesia. MethodsHospital-based cross-sectional study was conducted on mothers who underwent cesarean section with spinal anesthesia. Descriptive analysis and chi-square test were employed. Bivariable and multivariable logistic regressions were used to measure the association of factors with the outcome variable intraoperative nausea and vomiting. A p-value of ≤0.05 was used to decide statistical significance for multivariable logistic regression. ResultA total of 246 parturients were participated in this study. The incidence of intraoperative nausea and vomiting was 40.2%. According to multivariable logistic regression, age greater than 30 years (AOR, 6.26; 95%CI, 2.2–17.78; p-value 0.001), primiparous (AOR, 3.72; 95%CI, 1.35–10.24; p-value, 0.011), having motion sickness (AOR, 7.1; 95%CI, 2.75–18.33; p-value 0.001), emergency cesarean sectin (AOR, 9.85; 95%CI, 3.19–30.38; p-value 0.001), oxygen suplimentation (AOR, 0.021; 95%CI, 0.005–0.08; p-value 0.0001) and uterotonic agent (AOR, 2.99; 95%CI 1.24–7.22; p-value 0.015) had statistically significant association with intraoperative nausea and vomiting. ConclusionIn our study, the overall incidence of intraoperative nausea and vomiting after spinal anesthesia was 40.2%. Parturients with age greater than 30 years, having motion sickness, didn't get intraoperative supplemental oxygen, oxytocin used for the uterotonic purpose, emergency surgery, and primiparous were at increased risk of intraoperative nausea and vomiting.

Comparison of Mid-Upper-Arm Circumference and Weight-For-Height Z-Score in Identifying Severe Acute Malnutrition among Children Aged 6-59 Months in South Gondar Zone, Ethiopia.

Children with severe acute malnutrition (SAM) are identified for admission to outpatient therapeutic programs using mid-upper-arm circumference (MUAC) or weight for height (WHZ). However, MUAC and WHZ do not identify the same children, and such observed differences might have programmatic implications of missed nutrition therapy if only MUAC is used to identify children with SAM. The objective of the study was to assess any difference in prevalence and degree of agreement between MUAC and WHZ in identifying SAM affected children. A cross-sectional study was conducted in South Gondar Zone, Ethiopia, among 17 districts, with 3 districts and 10 health centers with their clustered health posts selected randomly. A total of 2,040 children were recruited, and data were collected using a parent questionnaire then entered into EpiData and analyzed using SPSS v 20. A total of 1,980 respondents (97.1%) were interviewed, all of whom were female and rural residents. Children's mean age in months was 23.2 (SD ± 9.7), and 54% were male children. The prevalence of SAM based on MUAC <11.5 cm was 11.2% (95% CI: 9.9–12.7) and 11.0% (95% CI: 9.7–12.5) based on WHZ <−3. The agreement between MUAC and WHZ was good (k = 0.729). The proportion of children with SAM identified using both MUAC and WHZ was 61.2%. The prevalence of SAM identified using both MUAC and WHZ was comparable. A substantial degree of agreement between MUAC and WHZ was observed to diagnose SAM. Therefore, MUAC can be used as an appropriate tool in identifying children with SAM for admission into the outpatient therapeutic program (OTP) in the study area.

Early Initiation of Breastfeeding and Its Associated Factors Among Mothers Who Delivered Vaginally in South Gondar Zone Hospitals, Northwest Ethiopia, 2020 [Retraction

[This retracts the article DOI: 10.2147/IJWH.S279698.].

Knowledge, Attitude, and Practice with Iron Folic Supplementation Among An- tenatal Care Attendant Women Debre Tabor, South Gondar Zone

Knowledge, Attitude, and Practice with Iron Folic Supplementation Among An- tenatal Care Attendant Women Debre Tabor, South Gondar Zone

Rice Production, Technologies Adoption and Its Determining Factors in Fogera-Plain of North West Ethiopia

The study was conducted in Fogera plain which is one of rice production hubs in South Gondar Zone in North West part of Ethiopia on rice production, adoption of technologies and its determinant factors for small holder rice producing farmers. A total sample size of respondents (n=74) were selected through random sampling method. Binary logistic regression model was applied to the specification of socio-economic, demographic and institutional factors determining to adoption of improved rice technologies. Both continuous and categorical variables were used based on their logical and statistical hypothesis in relation to adoption of rice technologies. Poor infrastructure, timely un-availability of technology, membership of the household to farm organizations such as cooperatives, access to farm credit and price of technologies were statistically and significantly identified as determinant factors for adoption of improved rice technologies. Age, family size, sex, education level, farming experience, access to extension and advisory services of the household head and size of cultivated land didn’t significantly affect adoption of technologies. Hence it is recommended that availability of improved technologies at appropriate time, infrastructural development to rice producing farmers and strengthening farmers’ organizations especially seed cooperatives as well as efficient access of farmers to credit and saving services in their proximate areas were paramount importance to enhance adoption of improved rice technologies. Keywords: Adoption, Fogera plain, improved variety, Oryza Sativa DOI: 10.7176/JESD/12-7-06 Publication date: April 30 th 2021

EFL Teachers’ Perception and Implementation of the Speaking Tasks: The Case of Koma and Jaragedo Secondary and Preparatory Schools, South Gondar Zone, Ethiopia

The purpose of this study was to explore EFL teachers' perception and implementation of the speaking tasks in Koma and Jaragedo Secondary and Preparatory Schools. In order to answer the objectives of the study, descriptive survey research design was used. The data were gathered through questionnaire, interview and classroom observation. Comprehensive sampling was used to select teachers for questionnaire and random sampling technique was used to select teachers for interview. Besides, the four randomly selected EFL teachers’ actual teaching–learning process of speaking lesson was observed and analyzed. The data collected through the above data gathering tools were analyzed using both qualitative and quantitative data analysis techniques. Data gathered through questionnaire were analyzed using quantitative method while data gathered through observation and interview were analyzed qualitatively. The findings reveal that teachers didn’t have clear understanding about effective teaching methods of speaking tasks and they commonly used traditional techniques (especially question and answer, lecturing and dialogue repetition) to teach speaking tasks. Furthermore, the findings portrayed that the students’ low interest to learn speaking, use of their mother tongue, lack of awareness on the importance of speaking tasks, afraid of making mistakes, focus on grammar, poor background and read texts instead of speaking orally were major challenges that teachers faced in teaching speaking skills. Teachers also have lack of awareness about current techniques of teaching speaking skills. Based on the findings of the study it was recommended that teachers should encourage and make the students practice speaking skill both in and outside of the classroom instead of rushing to cover the text book. Keywords: Task, awareness, practice, teaching DOI: 10.7176/JLLL/78-01 Publication date: April 30 th 2021

Decision to Delivery Interval, Fetal Outcomes and Its Factors Among Emergency Caesarean Section Deliveries at South Gondar Zone Hospitals, Northwest Ethiopia: Retrospective Cross-Sectional Study, 2020.

PurposeAlthough its fetal outcomes and practicality are unclear time interval between decision-to-delivery ≤30 minutes in emergency caesarean section (CS) is the internationally accepted standard of practice. This study aimed to determine whether a decision to delivery interval (DDI) of approximately 30 minutes was achieved in daily practice, its fetal outcomes, and associated factors among emergency caesarean section delivery at South Gondar Zone Hospitals, Northwest Ethiopia.Patients and MethodsRetrospective cross-sectional study was carried out from August 1–30/2020 among emergency caesarean sections. Information was collected from the birth register book and individual files of standardized facility booking forms. The data was encoded and entered into Epi-Data version 4.2 and exported to SPSS version 23 for analysis. A bivariable and multivariable logistic regression analysis was conducted and a significant association was recorded at p<0.05.ResultsOnly 17.5% of parturients attained a decision-to-delivery interval ≤30 minutes. The average median of decision to delivery interval was 54 minutes with interquartile range (IQR) of 48–80 minutes. Time taken to collect material with Adjusted odds ratio (AOR=10.3, 95% CI 5.87–45.7), time of decision (AOR=0.32, 95% CI, 0.15–0.67), and time taken from decision to delivery to delivery of anesthesia (AOR=4.74, 95% CI, 1.30–17.3) were the predictors of prolonged delivery time interval. Significant fetal adverse outcomes were not observed in a decision to delivery interval higher than 30 minutes.ConclusionIn most cases, delivery was not completed within the prescribed ≤30-minutes interval, particularly in developing countries with infrastructural challenges, however, fetal outcomes were not directly correlated. Despite lack of substantial linkage between the delivery time declaration and fetal events, an unreasonable gap from the decision-making to birth of the child is not appropriate and should be discouraged.

Research utilisation in clinical practice: the experience of nurses and midwives working in public hospitals

BackgroundNurses and midwives play a vital role to utilise research in clinical decision-making practice. However, limited support for research utilisation and barriers of research utilisation hamper to utilise up-to-date research findings in clinical practice. Therefore, this study aimed to explore nurses’ and midwives’ experience of research utilisation in public hospitals.MethodsA qualitative descriptive approach was conducted to explore nurses’ and midwives’ experience of research utilisation in clinical practice within South Gondar Zone public hospitals from January 3 to June 28, 2020. A total of 20 interviewees, 40 participants of FGDs, and 8 observations were considered in the study. Data from the interview, FGD, and observation were imported into NVivo 12 plus to manage and analyze the data using the Computer-Assisted Data Analysis Software Program (CAQDAS). The data were analyzed through thematic content analysis.ResultsNurses’ and midwives’ experience of using research findings in clinical decision-making emerged as “the non-intentional research utilisation” the main theme. Data analysis produced as “the belief towards research utilisation”, “the limited support for nurses and midwives”, and, “the perceived barriers of research utilisation” as the three themes. Participants believed that the non-use of the primary research was recommended due to fear of accountability for client harm. The limited support for nurses’ and midwives’ experience of research utilisation decrease nurses’ and midwives’ confidence to utilise research in clinical practice. Knowledge, attitude, time mismanagement, and the lack of motivation were perceived barriers to research utilisation. The lack of training and access to systematic review and meta-analysis research findings limited the research utilisation in clinical practice.ConclusionsThe experience of research utilisation indicated that there was limited support for nurses and midwives to utilise research. Nurses and midwives did not utilise research in their clinical practice intentionally. This study identified that knowledge, negative attitude towards research utilisation, lack of training; time mismanagement, and lack of motivation were the perceived barriers to research utilisation. Therefore, the promotion of adopting the research utilisation and training on the identified barriers are mandatory.Plain English summaryNurses and midwives play a vital role to utilise research in clinical decision-making practice. However, the limited support for research utilisation and barriers of research utilisation hamper the utilisation of up-to-date research in clinical practice. Therefore, this study aimed to explore nurses’ and midwives’ experience of using the knowledge obtained from research findings in clinical and healthcare decision-making practice within public hospitals.The experience of research utilisation among nurses and midwives working in public hospitals was studied. There was limited support for nurses’ and midwives’ experience of research utilisation. Nurses and midwives did not utilise research in their clinical practice intentionally. The knowledge, negative attitude towards research utilisation, lack of training, time mismanagement, and lack of motivation were the perceived barriers to research utilisation. Therefore, the promotion of adopting the research utilisation and training on the identified barriers are mandatory.

Infection prevention practice and associated factors among health care workers in south Gondar zone, North West Ethiopia, 2020

Background: Infection prevention is universally acknowledged as a vital component of comprehensive approach to patient and healthcare worker safety, quality improvement, and improved health outcomes. Infections acquired during health-care delivery are a significant public health problem around the world. Thus, infection prevention is not only the most cost-effective option, but also the best strategy to prevent the spread of disease within health facilities. Therefore, the objective of this study was to assess infection prevention practices and associated factors among health care workers in governmental health care facilities in South Gondar zone, North West Ethiopia. Methods: Institutional based cross-sectional study design was conducted from 15 February-15 April, 2020 in South Gondar zone among healthcare workers.Multistage was usedas sampling procedures. Data were collected using pre-tested self-administered structured questionnaire. Data were entered and analyzed using Epi-data version 3.1 and SPSS version 23 respectively. The model was fitted using multivariable logistic regression to identify associated factors with infection prevention practices. Odds ration with a 95% confidence interval was used as measure of association. Finally p-value less than 0.05 were used to declare statistical significance. Results: Six hundred two (97%) healthcare workers participated in the study. Three hundred thirty six 60.8%(57.1-64.8%) 95%CI health care workers had good infection prevention practices. Availability of gloves, AOR 3.69(2.015, 6.789)95%CI, Availability Safety box, AOR=1.9(1.2, 3.1)95% CI, Presence of Infection prevention guide line, AOR=0.498(.32, .83) 95% CI, presence of alcohol swab AOR = 0.49(.29, 82)95% CI. Accessibility of hand washing items AOR=2.0(1.2, 3.4) 95% CI were found to be significantly associated. Conclusion: Nearly two-third of the healthcare workers had good infection prevention practices. On infection prevention measures, availability of guide lines, safety box, gloves, alcohol swab, and accessibility of items for hand washings were predictors of good infection prevention practices. To sustain good practices, accessible of hygiene materials should be kept to all units of health facility all times.

Health care provider's risk perception, and preparedness towards COVID-19 pandemic in North Central Ethiopia, 2020

BackgroundRisk perception, positive emotions, and preparedness are important parameters in predicting pandemic protective behaviors. Though, health care providers are required with sufficient knowledge, skills, preparedness and best practices towards corona virus 2019, there are limited studies in Ethiopia. AimThis study aimed to assess health care providers’ level of risk perception, preparedness and its associated factors among HCWs in North Central Ethiopia, 2020. MethodsAn institutional-based cross-sectional survey was conducted among 217 health care providers working in South Gondar zone Hospitals from May 15–30, 2020. Data were collected using a self-administered questionnaire. Data were coded, entered, cleaned and checked using Epi data statistical software version 4.2.0.0 and taken in STATA Version 14 statistical software for analysis. Binary logistic regression was used for the analysis. Odds ratio along with 95% CI were estimated to measure the strength of the association. Descriptive statistics are presented in figures, text, and tables. Findings and conclusionThe level of high risk perception among frontline health care workers was 57.6% (95% CI: 56.9, 58.3). Almost half, 49.8% health care providers were prepared for corona virus pandemic and only 43.78% of health care providers had good knowledge regarding COVID -19. Having good knowledge (Adjusted Odd Ratio (AOR) = 2.83; 95% CI: 1.49, 5.34), training on COVID -19 (AOR = 2.16; 95% CI:1.07, 4.39), and avoiding meeting suspected/confirmed of COVID -19 (AOR = 2.67; 95% CI:1.05, 6.83) were significantly associated with risk perception. Risk perception, knowledge and preparedness for corona virus pandemic were low. Ensuring the improvement of knowledge, preparedness, and encouragement is important.

Barriers to implementation of nursing process in South Gondar Zone Governmental hospitals, Ethiopia

BackgroundThe nursing process is a global concept, which forms the foundation of nursing as a profession. The use of the nursing process in most hospitals is lagging despite all the efforts of nursing professionals to implement it. The nursing process is dynamic and it is used in clinical practice worldwide to deliver quality-individualized care to patients. ObjectiveThis study assessed barriers to the implementation of the nursing process among nurses working at South Gondar Zone Governmental Hospitals, North Central Ethiopia, 2019. MethodsInstitutional based cross-sectional study was carried out. By using Census about N = 249 nurses were recruited. Data was collected through self-administered questionnaires. The data were entered into Epi data version 3.1 and analyzed using statistical package for social sciences (SPSS) version 23.0. Descriptive statistics such as measurements of central tendency and inferential statistics multiple logistic regression, 95% CI, and p-value ≤ 0.05 was used. The study was approved by Debre Tabor University college of health sciences ethics and research committee. ResultsA total of N = 249 study subjects participated with the response rate of 241 (96.4%). The mean age (SD±) of respondents' was 29.9 ± 7.2. About two-third of 146 (60%) nurses had poor knowledge of nursing process implementation. Three fourth 180 (74.7%) of nurses were implementing the nursing process. Nurses with sufficient information to NP were 2.45, nurses who have adequate skills to NP were 2.43, and nurses who have good knowledge were 2.24 times more likely to implement the nursing process than the opposite. No enough motivation to use NP 137 (56.8%), no follow-up by authority 141 (58.5%), no enough time for applying NP 145 (60.2%), no specific training for applying NP 173 (71.8%) and shortage of nurse staffs for nursing NP implementation 187 (77.6%) are also factors which affects nursing process implementation. ConclusionBased on this study only three fourth of the nurses were implementing the nursing process. For poor and non-implementation of nursing process different hindering factors were identified. Such as; shortage of time, lack of training, lack of knowledge, unrecognized by authority, no enough motivation, lack of cooperation b/n professionals, engaging in other manual tasks and unrelated tasks, unclear and poor job descriptions, work overload and poor payment for the profession were the major barriers for NP implementation. Therefore, there need to be strengthen national policy frameworks and interventions aimed at improving nursing process training and implementationin in the clinical settings.

Knowledge and attitude of pregnant women towards preeclampsia and its associated factors in South Gondar Zone, Northwest Ethiopia: a multi\u2010center facility\u2010based cross\u2010sectional study

BackgroundPreeclampsia has the greatest impact on maternal mortality which complicates nearly a tenth of pregnancies worldwide. It is one of the top five maternal mortality causes and responsible for 16 % of direct maternal death in Ethiopia. Little is known about the level of knowledge and attitude towards preeclampsia in Ethiopia. This study was designed to assess the knowledge and attitude towards preeclampsia and its associated factors in South Gondar, Northwest Ethiopia.MethodsA multicenter facility-based cross-sectional study was implemented in four selected hospitals of South Gondar Zone among 423 pregnant women. Multistage random sampling and systematic random sampling techniques were used to select the study sites and the study participants respectively. Data were entered in EpiData version 3.1 while cleaned and analyzed by Statistical Package for Social Sciences (SPSS) version 23. Descriptive and inferential statistics were performed. Adjusted odds ratio with 95 % confidence interval were used to identify the significance of the association between the level of knowledge on preeclampsia and its predictors.ResultsIn this study, 118 (28.8 %), 120 (29.3 %) of the study participants had good knowledge and a positive attitude towards preeclampsia respectively. The likelihood of having good knowledge on preeclampsia was found to be low among women with no education (AOR = 0.22, 95 % CI (0.06, 0.85)), one antenatal care visit (ANC) (AOR = 0.13, 95 % CI (0.03, 0.59)). Whereas, those who booked for ANC in the first trimester (AOR = 6.59, 95 % CI (1.43, 30.33)), gave the last birth at a health facility (AOR = 2.61, 955 CI (1.03, 6.61)), and experienced a complication during previous births (AOR = 3.67, 95 % CI (1.78, 7.57)) were more likely to be knowledgeable on preeclampsia.ConclusionsNo formal education and not attending four ANC visits were associated with poor knowledge of preeclampsia. While participants who visited health facilities during the first trimester, who gave birth at health facilities, and those who experienced a complication in previous births were more likely to be knowledgeable on preeclampsia. Improving the numbers of ANC visits and encouraging facility delivery are important measures to improve women’s knowledge on preeclampsia. Health education regarding preeclampsia risk factors, symptoms, and complications shall be emphasized.

Determinants of Postpartum Intrauterine Contraceptive Device Uptake among Women Delivering in Public Hospitals of South Gondar Zone, Northwest Ethiopia, 2019: An Unmatched Case-Control Study.

Introduction Integrated use of postpartum intrauterine contraceptive devices with delivery service during the immediate postpartum period is ideal for both women and health-care providers. However, utilization of intrauterine contraceptive devices during the postpartum period was rare and in Ethiopia, with information regarding uptake of postpartum intrauterine contraceptive devices limited. Objective Identify determinants of postpartum intrauterine contraceptive devices uptake among women delivering in public hospitals of South Gondar zone, Northwest Ethiopia, 2019. Methods An unmatched case-control study was conducted in public hospitals of South Gondar, Ethiopia, from August 1, 2019, to November 10, 2019. A total of 140 cases and 280 controls have actively participated in the study. Five hospitals were selected by simple random sampling. Cases were selected consecutively, whereas two controls for each case were recruited by the lottery method. Pretested questionnaires were used to collect data and it was entered into Epidata version 4.4.2. Logistic regression analysis was used to identify variables associated with the use of outcome and adjusted odds ratio with a 95% confidence interval was used to determine the association between independent and outcome variables. Results Completing secondary education (AOR = 4.5, 95%CI 2.3–8.85), having a total number of children of 3–4 (AOR = 3.6, 95%CI 1.25–10.2), having ≥ 5 (AOR = 4.7, 95%CI 1.5–15.3), attending 3 antenatal care (AOR = 2.8, 95%CI 1.44–5.6), ever hearing about postpartum IUCD (AOR = 6.6, 95%CI 2.7–16.1), and having counseling from health-care provider about a postpartum intrauterine contraceptive device (AOR = 6.2, 95%CI 2.99–12.8) were significantly associated with uptake of the postpartum intrauterine contraceptive. Conclusion and Recommendation. Completing secondary education, having 3–4 and ≥5 children, attending three antenatal care, ever hearing about postpartum IUCD, and having counseling from health-care providers about the postpartum intrauterine contraceptive device among women were significantly associated with uptake of an intrauterine contraceptive device after birth. Therefore, it is better to advise women to strictly follow their antenatal care, access to information, and provide counseling.