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Segni MT, Demissie HF, Adem MK, Geleto AK, Kelkile MW, Sori BK, Heyi ML, Iticha DG, Bejiga GS, Guddisa AB, Sima YA, Amente LT, Bayisa DA, Hurisa MB, Jiru TK. Post COVID-19 vaccination side effects and associated factors among vaccinated health care providers in Oromia region, Ethiopia in 2021. PLoS One 2022; 17:e0278334. [PMID: 36480564 PMCID: PMC9731451 DOI: 10.1371/journal.pone.0278334] [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] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Accepted: 11/14/2022] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Severe Acute Respiratory Syndrome (SARS COV-2) known as COVID-19 since its outbreak in 2019, more than 375 and 5.6 million were infected and dead, respectively. Its influence in all disciplines stimulated different industries to work day to night relentlessly to develop safe and effective vaccines to reduce the catastrophic effect of the disease. With the increasing number of people globally who have been vaccinated, the reports on possible adverse events have grown and gained great public attention. This study aims to determine post-COVID-19 vaccination adverse effects and associated factors among vaccinated Health care providers in the Oromia region, Ethiopia in 2021. METHODS A cross-sectional study was conducted among 912 health care workers working in government hospitals in the central Oromia region from November 20 to December 15/2021. Respondents absent from work due to different reasons were excluded during the interview. The outcome variable was COVID-19 side effects (response as Yes/No). A descriptive analysis displayed findings in the form of the frequencies and percentages, and logistic regression was employed to see the association of different variables with side effects experienced. RESULT Overall, 92.1% of the participants experienced side effects either in 1st or 2nd doses of post-COVID-19 vaccination; 84.0% and (71.5%) of participants experienced at least one side effect in the 1st and 2nd dose of the vaccines, respectively. COVID-19 infection preventive protocols like keeping distance, hand wash using soap, wearing mask and using sanitizer were decreased post vaccination. About 74.3% of the respondents were worried about the adverse effects of the COVID-19 vaccine they received. The majority (80.2%) of the respondent felt fear while receiving the vaccine and 22.5% of the respondents suspect the effectiveness of the vaccine they took. About 14.8% of the vaccinated Health workers were infected by COVID-19 post-vaccination. Engaging in moderate physical activity and feeling fear when vaccinated were the independent factors associated with reported side effects of post-COVID-19 vaccination using multiple logistic regression. Respondents who did not engage in physical activity were 7.54 fold more likely to develop post-COVID-19 vaccination side effects compared to those who involved at least moderate-intensity physical activity[AOR = 7.54, 95% CI;2.46,23.12]. The odds of experiencing side effects among the respondents who felt fear when vaccinated were 10.73 times compared not felt fear (AOR = 10.73, 95% CI; 2.47,46.64), and similarly, those who felt little fear were 4.28 times more likely to experience side effects(AOR = 4.28, 95% CI; 1.28, 14.39). CONCLUSION Significant numbers of the respondents experienced side effects post COVID-19 vaccination. It is recommended to provide pre-awareness about the side effects to reduce observed anxiety related to the vaccine. It is also important to plan monitoring and evaluation of the post-vaccine effect using standard longitudinal study designs to measure the effects directly.
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Affiliation(s)
- Mesfin Tafa Segni
- Department of Public Health, College of Health Science, Arsi University, Asella, Ethiopia
- * E-mail:
| | - Hailu Fekadu Demissie
- Department of Public Health, College of Health Science, Arsi University, Asella, Ethiopia
| | - Muhammedawel Kaso Adem
- Department of Public Health, College of Health Science, Arsi University, Asella, Ethiopia
| | - Adem Kedir Geleto
- Department of Agricultural Economics, College of Agriculture and Environmental Science, Arsi University, Asella, Ethiopia
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Habtewold EM, Dassie GA, Abaya SG, Debela EA, Bayissa BL, Girsha WD, Abebe AD, Sori HL, Komicha MA, Sori BK, Bajiga GS, Heyi ML, Iticha DG, Jiru TK, Hurissa MB, Bayisa DA, Amante LT, Sima YA, Dhaba DG. Survival Patterns and Predictors of Mortality among COVID-19 Patients Admitted to Treatment Centers in Oromia Region, Ethiopia. Infect Drug Resist 2022; 15:5233-5247. [PMID: 36090606 PMCID: PMC9462951 DOI: 10.2147/idr.s355060] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2022] [Accepted: 08/01/2022] [Indexed: 02/05/2023] Open
Abstract
Purpose To assess survival patterns and predictors of mortality among patients admitted with COVID-19 to treatment centers in the Oromia region of Ethiopia from April 1 to August 31, 2021. Methods A prospective cohort study design was employed, taking a sample of 854 patients selected from eight treatment centers in the region. The follow-up duration was the time interval from admission to the treatment center until the final disposition of patients at discharge (death, recovery, or failed to recover). Data were collected by computer tablet with an interviewer-administered questionnaire and checklist designed using CSPro 7.5 and exported to Stata 13 for analysis. Descriptive analysis was used to explore the characteristics of patients. The mortality rate was estimated by number of deaths per 1,000 person-days of observation. The survival duration was estimated by medians with IQR. The Kaplan-Meier method was used to compare the survival experiences of patients. To identify the predictors of time to death after hospitalization, a Cox proportional-hazard model was used. The magnitude of association was estimated using HRs with 95% CIs, and statistical significance was set at P<0.05. Results The mortality rate among hospitalized patients was 9.9 per 1,000 person-days of observation and the median survival time after admission was 9 (IQR 9-10) days. Higher hazard of death was observed among patients who drank alcohol (AHR 2.0, 95% CI 1.2-3.3), required anticoagulants (AHR 10, 95% CI 1.2-91.5), glucocorticoids (AHR 1.7, 95% CI 1.1-2.8), and oxygen (AHR 4.7, 95% CI 1.1-22.0), those with acute respiratory distress syndrome (AHR 2.9, 95% CI 1.7-5.1), and critical patients admitted to intensive care units (AHR 3.4, 95% CI 2.0-5.9). Conclusion The hazard of death is significantly predicted by alcohol use, requiring anticoagulants, glucocorticoids, or oxygen medication, acute respiratory distress syndrome complication, and being critical when admitted to intensive care units.
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Affiliation(s)
- Ephrem Mannekulih Habtewold
- Department of Public Health, Adama Comprehensive Specialized Hospital Medical College, Adama, Ethiopia,Correspondence: Ephrem Mannekulih Habtewold, Correspondence: Tel +251-91-336-5954, Email
| | - Godana Arero Dassie
- Department of Public Health, Adama Comprehensive Specialized Hospital Medical College, Adama, Ethiopia
| | - Shileshi Garoma Abaya
- Department of Public Health, Adama Comprehensive Specialized Hospital Medical College, Adama, Ethiopia
| | - Endashaw Abebe Debela
- Department of Internal Medicine, Adama Comprehensive Specialized Hospital Medical College, Adama, Ethiopia
| | - Bekana Lemessa Bayissa
- Department of Surgery, Adama Comprehensive Specialized Hospital Medical College, Adama, Ethiopia
| | - Worku Dugassa Girsha
- Department of Public Health, Adama Comprehensive Specialized Hospital Medical College, Adama, Ethiopia
| | - Alem Deksisa Abebe
- Department of Public Health, Adama Comprehensive Specialized Hospital Medical College, Adama, Ethiopia
| | - Hunde Lemi Sori
- Department of Public Health, Adama Comprehensive Specialized Hospital Medical College, Adama, Ethiopia
| | - Meyrema Abdo Komicha
- Department of Public Health, Adama Comprehensive Specialized Hospital Medical College, Adama, Ethiopia
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Daka DW, Woldie M, Ergiba MS, Sori BK, Bayisa DA, Amente AB, Bobo FT. Inequities in the Uptake of Reproductive and Maternal Health Services in the Biggest Regional State of Ethiopia: Too Far from "Leaving No One Behind". Clinicoecon Outcomes Res 2020; 12:595-607. [PMID: 33116699 PMCID: PMC7585815 DOI: 10.2147/ceor.s269955] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Accepted: 09/25/2020] [Indexed: 11/30/2022] Open
Abstract
Background Despite improvement in the coverage of most maternal, newborn, and child health services, inequality in the uptake of services still remains the challenge of health systems in most developing countries. This study was conducted to examine the degree of inequities and potential predictors of inequity in reproductive and maternal health services utilization in the Oromia region, Ethiopia. Methods The 2016 Ethiopian demographic and health survey data set was used. Utilization rate of four maternal health service categories (family planning, antenatal care, facility based delivery and postnatal care) was considered in the analysis. Equity in each of these indicators was assessed by residence (urban/rural), wealth index, and educational status. Inequality in service utilization was estimated using rate ratios, concentration curve, and concentration indices. Results Overall data of 5701 women were used in this analysis. The concentration index to all of the maternal health service utilization indicators showed significance. The concentration index of family planning, antenatal care, facility based delivery, and postnatal care was 0.136 (95% CI=0.099–0.173), 0.106 (95% CI=0.035–0.177), 0.348 (95% CI=0.279–0.418), and 0.348 (95% CI=0.279–0.418), respectively. Maternal age and all of the three socio-demographic factors (residence, education, and wealth) showed inequitable distribution of maternal health service utilization in the Oromia region. The majority of women who were in the favored groups utilized the key reproductive and maternal health services. Conclusion The utilization of maternal health services in the study area is grossly skewed to those who are well off, educated, and live in urban areas. Any action intended to improve utilization of maternal and child health services should aim to reduce the unnecessary and avoidable disparity demonstrated in our analysis. This of course demands multisectoral intervention to impact on the determinants.
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Affiliation(s)
- Dawit Wolde Daka
- Faculty of Public Health, Department of Health Policy and Management, Jimma University, Jimma, Ethiopia
| | - Mirkuzie Woldie
- Faculty of Public Health, Department of Health Policy and Management, Jimma University, Jimma, Ethiopia.,Fenot Project, Harvard T.H. Chan School of Public Health, Addis Ababa, Ethiopia
| | - Meskerem Seboka Ergiba
- Faculty of Public Health, Department of Health Policy and Management, Jimma University, Jimma, Ethiopia
| | - Birhanu Kenate Sori
- Policy, Planning, Monitoring and Evaluation Directorate, Oromia Region Health Bureau, Addis Ababa, Ethiopia
| | - Dereje Abdena Bayisa
- Policy, Planning, Monitoring and Evaluation Directorate, Oromia Region Health Bureau, Addis Ababa, Ethiopia
| | - Asfaw Benti Amente
- Policy, Planning, Monitoring and Evaluation Directorate, Oromia Region Health Bureau, Addis Ababa, Ethiopia
| | - Firew Tekle Bobo
- Institute of Health Science, Department of Public Health, Wollega University, Nekemte, Ethiopia.,School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia
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Czerniewska A, Versteeg A, Shafi O, Dumessa G, Aga MA, Last A, MacLeod D, Sarah V, Dodson S, Negussu N, Sori BK, Kirumba M, Biran A, Cairncross S, Burton MJ, Greenland K. Comparison of Face Washing and Face Wiping Methods for Trachoma Control: A Pilot Study. Am J Trop Med Hyg 2020; 102:740-743. [PMID: 32043457 PMCID: PMC7124903 DOI: 10.4269/ajtmh.19-0726] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Accepted: 11/26/2019] [Indexed: 11/14/2022] Open
Abstract
Eye-to-eye transmission of Chlamydia trachomatis, the causative agent of trachoma, may be plausibly interrupted if faces are kept free of ocular and nasal discharge. Between April and June 2018, 83 children aged 1-9 years with active trachoma were recruited from 62 households and allocated to a face cleaning protocol: face washing with water, face washing with water and soap, or face wiping. Faces were examined for the presence of ocular and nasal discharge, and swabs were taken from faces and hands to test for C. trachomatis at baseline, immediately post protocol, and after 1, 2, and 4 hours (washing protocols). Washing with soap was more effective at removing ocular discharge than either washing with water (89% and 27% of discharge removed, respectively, P = 0.003) or wiping with a hand (42%, P = 0.013). The reduction in prevalence of ocular discharge was sustained for at least four hours. The prevalence of C. trachomatis on face swabs was reduced by all washing protocols. The importance of soap should not be overlooked during facial cleanliness promotion.
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Affiliation(s)
- Alexandra Czerniewska
- Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Aalbertus Versteeg
- Clinical Research Department, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Oumer Shafi
- Clinical Research Department, London School of Hygiene and Tropical Medicine, London, United Kingdom
- The Fred Hollows Foundation, Addis Ababa, Ethiopia
| | | | | | - Anna Last
- Clinical Research Department, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - David MacLeod
- Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | | | | | | | | | | | - Adam Biran
- Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Sandy Cairncross
- Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Matthew J. Burton
- Clinical Research Department, International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, United Kingdom
- Cornea and External Eye Department, Moorfields Eye Hospital NHS Trust, London, United Kingdom
| | - Katie Greenland
- Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom
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