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Tsega TD, Bayeh GM, Alemu KD, Asrade AA, Kebede AM, Alene T, Aynalem ZB, Adane B, Yalew M, Mehari MG, Yeshiwas AG, Dessie TM, Fenta ET, Haylu KM. The effect of parity on time to initiate complementary feeding among mother-infant pairs in Awi Zone, Northwest Ethiopia. Ital J Pediatr 2024; 50:49. [PMID: 38475809 DOI: 10.1186/s13052-024-01612-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2024] [Accepted: 02/24/2024] [Indexed: 03/14/2024] Open
Abstract
INTRODUCTION Despite strategies and recommendations for complementary feeding initiation were applied globally, mothers initiated complementary feeding to the infants on time was low. Previous works of literatures were not identified the effect of parity on time to initiate complementary feeding. Particularly, evidences regarding to this in Ethiopia is scanty. Therefore, this study aimed to identify the effect of parity on time to initiate complementary feeding among mother-infants pairs in Northwest Ethiopia. METHODS A community-based prospective cohort study was carried out among 732 primipara, and 1464 multipara mothers who had a live birth in Northwest Ethiopia. Data were collected using Kobo collect software at the start of and on a monthly bases until the end of the follow up period. Parity as exposure variable and other confounders were analyzed using cox proportional hazard regression. Kaplan-Meier survival curve and the Schoenfeld residuals global test (P-value = 0.4861) was performed. Hazard ratio (HR) with 95% confidence intervals (CI) was used to declare statistical significance of predictors. RESULTS The overall incidence rate of initiation of complementary feeding among primipara and multipara mothers were 16.27 (95%CI: 15.04, 17.61) and 13.30 (95%CI: 12.53, 14.12) person months' observations respectively. The median time to initiate complementary feeding among primipara and multipara mothers for their infants was 5 and 6 months respectively. Primipara mothers had a 30% higher rate to initiate complementary feeding early (AHR = 1.30, 95%CI: 1.17, 1.43). Age from 15 to 24 and 25-34 years (AHR = 1.69, 95%CI: 1.36, 2.09; and AHR = 1.45, 95%CI: 1.17, 1.81) and Birth type (twin) (AHR = 1.29, 95%CI: 1.02, 1.64) were statistically significant predictors for time to initiate complementary feeding. CONCLUSIONS Parity was identified as a statistically significant predictor for time to initiate complementary feeding. The incidence rate of early and late initiation of complementary feeding was higher among primipara than multipara mothers. Besides, the median time to initiate complementary feeding was earlier among primipara than multipara mothers. So, a parity based complementary feeding practice education should be advocated to tackle the gap and further reduce infants and children malnutrition. Relatively younger age and twin delivered mothers initiated complementary feeding against the recommendation. Therefore, intervention considering such statistically significant predictors could have a public health importance.
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Affiliation(s)
- Tilahun Degu Tsega
- Department of Public Health, College of Medicine and Health sciences, Injibara University, Injibara, Ethiopia.
| | - Gashaw Melkie Bayeh
- Department of Environmental health, College of medicine and Health Sciences, Injibara University, Injibara, Ethiopia
| | - Kassaye Demeke Alemu
- Department of HIV/AIDS Prevention, Care and treatment, Amhara regional health bureau, Bahir Dar, Ethiopia
| | - Abaynew Assemu Asrade
- Department of HIV/AIDS Prevention, Care and treatment, Amhara regional health bureau, Bahir Dar, Ethiopia
| | - Abebaw Molla Kebede
- Department of Public Health, College of Medicine and Health sciences, Injibara University, Injibara, Ethiopia
| | - Tamiru Alene
- Department of Pediatric Nursing, College of Medicine and Health sciences, Injibara University, Injibara, Ethiopia
| | - Zewdu Bishaw Aynalem
- Department of Nursing, College of Medicine and Health sciences, Injibara University, Injibara, Ethiopia
| | - Bezawit Adane
- Department of Public Health, College of Medicine and Health sciences, Injibara University, Injibara, Ethiopia
| | - Melaku Yalew
- Department of Public Health, College of Medicine and Health sciences, Injibara University, Injibara, Ethiopia
| | - Molla Getie Mehari
- Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia
| | - Almaw Genet Yeshiwas
- Department of Environmental health, College of medicine and Health Sciences, Injibara University, Injibara, Ethiopia
| | - Tadesse Miretie Dessie
- Department of Public Health, College of Medicine and Health sciences, Injibara University, Injibara, Ethiopia
| | - Eniyew Talie Fenta
- Department of Public Health, College of Medicine and Health sciences, Injibara University, Injibara, Ethiopia
| | - Kefale Mitiku Haylu
- Deparment of Biomedical Sciences, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia
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Asrade AA, Moges NA, Meseret M, Alemu KD, Tsega TD, Petrucka P, Telayneh AT. Uptake of appointment spacing model of care and associated factors among stable adult HIV clients on antiretroviral treatment Northwest Ethiopia. PLoS One 2022; 17:e0279760. [PMID: 36584153 PMCID: PMC9803219 DOI: 10.1371/journal.pone.0279760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Accepted: 12/14/2022] [Indexed: 12/31/2022] Open
Abstract
INTRODUCTION Ethiopia launched an Appointment Spacing Model in 2017, which involved a six-month clinical visit and medication refill cycle. This study aimed to assess the uptake of the Appointment Spacing Model of care and associated factors among stable adult HIV clients on ART in Ethiopia. METHODS A cross-sectional study was conducted from October 3 to November 30, 2020 among 415 stable adult ART clients. EpiData version 4.2 was used for data entry and SPSS version 25 was used for cleaning and analysis. A multivariable logistic regression model was fitted to identify associated factors, with CI at 95% with AOR being reported to show the strength of association. RESULTS The uptake of the appointment spacing model was 50.1%. Residence [AOR: 2.33 (95% CI: 1.27, 4.26)], monthly income [AOR: 2.65 (95% CI: 1.13, 6.24)], social support [AOR: 2.21 (95% CI: 1.03, 4.71)], duration on ART [AOR: 2.41 (95% CI: 1.48, 3.92)], baseline regimen change [AOR: 2.20 (95% CI: 1.02, 4.78)], viral load [AOR: 2.80 (95% CI: 1.06, 7.35)], and alcohol abstinence [AOR: 2.02 (95% CI: 1.21, 3.37)] were statistically significant. CONCLUSIONS The uptake of the ASM was low. Behavioral change communication, engaging income-generating activities, and facility-level service providers' training may improve the uptake.
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Affiliation(s)
- Abaynew Assemu Asrade
- HIV/AIDS Care Program, International Center for AIDS Care Program, Bahir Dar, Ethiopia
| | - Nurilign Abebe Moges
- Department of Public Health, College of Health Sciences, Debre Markos University, Debre Marqos, Ethiopia
| | - Maru Meseret
- Department of Health Informatics, College of Health Sciences, Debre Markos University, Debre Marqos, Ethiopia
| | - Kasaye Demeke Alemu
- HIV/AIDS Care Program, International Center for AIDS Care Program, Bahir Dar, Ethiopia
| | | | - Pammla Petrucka
- College of Nursing, University of Saskatchewan, Saskatoon, Canada
- School of Life Sciences and Bioengineering, Nelson Mandela African Institute of Science and Technology, Arusha, Tanzania
| | - Animut Takele Telayneh
- Department of Public Health, College of Health Sciences, Debre Markos University, Debre Marqos, Ethiopia
- * E-mail:
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Demeke Alemu K, Abebe Moges N, Jara Boneya D, Assemu Asrade A, Degu Tsega T, Shitaw Tewachew A. Time to Switch to Second-Line Anti-Retroviral Treatment and Its Predictors Among HIV Infected Adults with Virological Failure in Northwest Ethiopia: A Retrospective Follow-Up Study. HIV AIDS (Auckl) 2022; 14:87-100. [PMID: 35281768 PMCID: PMC8906823 DOI: 10.2147/hiv.s348076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 01/28/2022] [Indexed: 11/23/2022] Open
Affiliation(s)
- Kasaye Demeke Alemu
- Department of HIV/AIDS Prevention Care and Treatment, International Center for AIDS Care Program/ICAP, Bahir Dar, Ethiopia
- Correspondence: Kasaye Demeke Alemu, Tel +251921668185, Email
| | - Nurilign Abebe Moges
- Departments of Public Health College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
| | - Dube Jara Boneya
- Departments of Public Health College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
| | - Abaynew Assemu Asrade
- Department of HIV/AIDS Prevention Care and Treatment, International Center for AIDS Care Program/ICAP, Bahir Dar, Ethiopia
| | - Tilahun Degu Tsega
- Departments of Public Health College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
| | - Abrham Shitaw Tewachew
- Department of HIV/AIDS Prevention Care and Treatment, International Center for AIDS Care Program/ICAP, Bahir Dar, Ethiopia
- College of Medicine, Debre Berhan University, Debre Berhan, Ethiopia
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