Associated factors of positive visual inspection of cervix with acetic acid test among women screened for cervical cancer at public health facilities in Woliso town, Southwest Shoa, Ethiopia: A case-control study

Objectives:

Screening for precancerous cervical lesions and providing access to effective treatment can significantly improve the likelihood of survival. To identify associated factors of positive visual inspection of the cervix with acetic acid test for precancerous cervical lesions among women screened for cervical cancer at public health facilities in Woliso Town, Southwest Shoa, Ethiopia.

Methods:

A facility-based unmatched case–control study was conducted on 86 cases and 172 controls. Cases were women who had a positive result for the visual inspection of the cervix with acetic acid test, and controls were women with a negative result. Data were collected using a pretested structured questionnaire and organized using SPSS version 20. Descriptive analysis and logistic regressions were performed. The adjusted odds ratio with a 95% confidence interval was used, and statistical significance was declared at p-value <0.05.

Results:

The study found that women aged 40–44 years (adjusted odds ratio = 4.11, 95% confidence interval (1.20–14.50)), greater or equal to five deliveries (adjusted odds ratio = 2.78, 95% confidence interval (1.39–5.56)), age at first birth less than 20 (adjusted odds ratio = 5.45, 95% confidence interval (1.41–21.04), age at first sexual intercourse less than 18 (adjusted odds ratio = 4.73, 95%, confidence interval (1.79–12.48)), ever used condom (adjusted odds ratio = 11.06, 95% confidence interval (3.93–31.14), having a history of sexually transmitted diseases (adjusted odds ratio = 4.05, 95% confidence interval (2.15–7.76), having a history of multiple sexual partners (adjusted odds ratio = 4.81, 95% confidence interval (1.37–16.90)), and being human immunodeficiency virus positive (adjusted odds ratio = 3.85, 95% confidence interval (1.68–8.83)) were associated factors of positive visual inspection with acetic acid test for precancerous cervical lesions.

Conclusion:

Given the above-associated factors of positive visual inspection with acetic acid test for precancerous cervical lesions, the health facilities should target women with these factors and timely screen them with the application of acetic acid on the cervix.

Patterns of road traffic accident, nature of related injuries, and post-crash outcome determinants in western Ethiopia - a hospital based study

Introduction

Ethiopia is one of the countries with the worst road traffic accident records in the world and it ranks second among east African countries. There have not been sufficient studies that mainly reflect the post-crash determinants of deaths and this study was therefore done to assess the overall nature of injuries and the post-crash outcome determinants of road the traffic accident in western part of Ethiopia.

Methods

This was a hospital-based prospective study conducted from 1 January 2019 to 31 December 2019 using an area sampling technique. Five administrative zones in west Ethiopia were initially selected as a geographical cluster; out of which, four zones were randomly selected. Then, a total of four hospitals were conveniently selected. Finally, 327 people injured in road traffic accidents and brought to the selected hospitals were consecutively included.

Results

Overall, 189 (66.1%) of the casualties have sustained multiple injuries and 65 (24.0%) of them have got severe injuries. About 38.8% and 13.6% have respectively died and discharged with permanent disabilities. A longer distance from receiving hospital (AOR: 1.4, 95% CI [0.48–4.08]), singleness in the number of injury (AOR: 4.3, 95% CI [2.08–9.8]), and lack of receiving pre-hospital care (AOR: 4.072, 95% CI [1.197–13.85]) had statistical associations with increased number of death. On the other hand, injured people who were taken to the hospitals by police officers (AOR: 0.371, 95% CI [0.160–0.860]) than emergency medical technicians and those who were transported by other vehicles (AOR: 2. 58, 95% CI [1.21–5.52]) than ambulance have ironically survived more.

Conclusion

This study concludes that the road traffic accidents related deaths occur largely due to the seriousness of injuries and are exacerbated by lack of adequate pre-hospital emergency care services, costing the lives of many Ethiopians.