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Abdu Oumer
Wolkite University
Health Professions

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Determinants of iodine deficiency among school age children in Guraghe Zone, Southwest Ethiopia Berhanu Abebaw; Abdu Oumer
International Journal of Public Health Science (IJPHS) Vol 9, No 2: June 2020
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (474.74 KB) | DOI: 10.11591/ijphs.v9i2.20387

Abstract

Globally, insufficient iodine intake is found to be the most common preventable cause of mental retardation that results in diminished immunity, decreased school performance and infant and young child death. Ethiopia is the first of the top iodine deficient countries in the world. About 12 million children (school age) get inadequate iodine. Community based cross sectional study was conducted on 792 school age children in Guraghe Zone, Ethiopia to assess the determinants of iodine deficiency. Multistage sampling technique was used to select the study subjects. Data were collected by using pretested questionnaire. Clinical examinations were taken following standard procedures. The collected data were entered into Epi-data and exported to SPSS for analysis. Descriptive statistics was calculated and presented accordingly. Bivariate and multivariable Logistic regression with odds ratios along with the 95% confidence interval was computed and interpreted accordingly. A P-value <0.05 was declared as statistically significant association. Total goiter rate was 8.7%. Factors that had significant association with goiter were: School age children who utilized non iodized salt (AOR=3.12, 95% CI=1.73-5.63), those who consumed cabbage >2 times per week (AOR=1.94, 95% CI=1.10-3.52), and children who got elder (AOR=1.22, 95% CI=1.10-1.41). The study area had mild iodine deficiency disorder. Non iodized salt utilization; frequent cabbage consumption and increased age of children were found to be predictors of goiter. Thus, Interventions should focus on universal salt iodization, besides familiarizing goiterogens to the community at large.
Adherence to iron and folic acid supplementation and associated factors among antenatal care attendants in Northwest Ethiopia Berhanu Abebaw Mekonnen; Yadeta Dessie; Negga Baraki; Abdu Oumer; Mehari Gebru
International Journal of Public Health Science (IJPHS) Vol 9, No 1: March 2020
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.838 KB) | DOI: 10.11591/ijphs.v9i1.20385

Abstract

Iron and folic acid supplementation is the key approach for anemia prevention and control during pregnancy. In Ethiopia only <1% of pregnant mothers ingest the ideal number of tablets. Although, adherence is the most important challenge, literature is dearth and the predictors are undoubtedly recognized. Institution based quantitative cross sectional study design triangulated with qualitative methods was employed among 395 systematically selected pregnant mothers attending antenatal care in Debre Markos town, Ethiopia. Data were collected using interviewer administered structured questionnaire. Data were entered into Epi data and exported to SPSS software. Bivariate and multivariable Logistic regression with the 95% confidence interval was computed. P-value < 0.05 was declared as statistically significant. Eight in-depth interviews were conducted. The data were entered and analyzed using open code software. Adherence rate was 55.5% (95%CI, 50.5%-60.4%). Pregnant mothers who had; history of anemia during current pregnancy [AOR:7.9, 95%CI (4.44-14.01)], primary education (AOR:4.0, 95%CI (1.88-8.54)], secondary education and above (AOR:3.6, 95%CI (1.20-6.94)], good knowledge of iron and folic acid supplementation [AOR:2.1, 95%CI (1.24-3.56)], and early registration for antenatal care (AOR:1.8, 95%CI (1.06-3.11)] were predictors of iron and folic acid supplementation adherence. The rate of adherence was low. Getting medical advice and fear of illness if missed were the primary reasons that enforce mothers to take the tablets. Hence, improving mothers’ knowledge regarding overall aspects of the tablet through better advice, community teaching and the mass media at large, would improve adherence.
Co-Authors Berhanu Abebaw Berhanu Abebaw Mekonnen Mehari Gebru Negga Baraki Yadeta Dessie