Understanding the child feeding decisions among urban parents: a qualitative study in addis ababa, Ethiopia
Abstract
Background
Food choice decisions are complex processes influenced by various factors that affect the family’s diet and, thus, their health and nutrition. In low- and middle-income countries like Ethiopia, these factors are shaped by the ongoing nutrition transition, urbanization, and socio-economic challenges. Despite growing concerns about the double burden of malnutrition, the factors influencing food choices among parents of children under five in Addis Ababa, Ethiopia, remain poorly understood. This study explores these factors.
Bethlehem Shawel Moreda, Magnus Jirström, Yemane Berhane, Alemayehu Worku, Fiker Ferdaweke Mammo, Eva-Charlotte Ekström & Hanna Y. Berhane
Human Immunodeficiency Virus (HIV) viral load suppression status and associated factors among pregnant women receiving Highly Active Antiretroviral Therapy (HAART) in Ethiopia
Abstract
Background
Mothers with an undetectable viral load pose no risk of transmitting the Human Immunodeficiency Virus (HIV) to their fetuses. However, there is limited information on the HIV viral suppression status (≤ 1000 RNA copies/mL) among pregnant mothers at the national level. This study aimed to assess the HIV viral load suppression status among pregnant women and identify factors associated with unsuppressed maternal viral levels (> 1000 RNA copies/mL).
Getnet Hailu,Abrham Keraleme,Kidist Zealiyas,Asdesach Tesema,Negash Nuramed,Feven Girmachew,Daniel Melese,Saro Abdella,Jalleta Bulti,Getachew Tollera,Mesay Hailu,Kalkidan Yibeltal
Link
Frontiers in Human Neuroscience 01 frontiersin.org
Implementation of mobile EEG
for resting-state and visual
evoked potentials in young
children in rural Ethiopia
Introduction
The “first 1,000 days,” spanning from conception to two years of age, is characterized by a period of rapid brain development. During this period, the brain is highly susceptible to the cumulative and enduring effects of risk factors, including poverty, nutrient deficiencies, inflammation, environmental pollution, and limited access to healthcare (Walker et al., 2007). The higher rate of these risk factors in low- and middle-income countries (LMIC) contributes to a staggering burden of 250 million children who do not reach their developmental potential by age five, globally, a majority of whom reside in sub-Saharan Africa (Black et al., 2017). At the same time, this period also represents a critical window during which the brain is most amenable to health and psychosocial interventions to optimize long-term developmental outcomes. The evaluation of intervention efficacy relies on well-established standards of typical neurodevelopmental trajectories. However, the paucity of objective and cross-culturally valid measures to define these trajectories in LMIC may hinder accurate assessments of intervention effects and early detection of possible developmental delays, particularly in infancy. Global developmental assessments are widely utilized in LMIC. However, in infancy, tools such as the Bayley Scales of Infant and Toddler Development may be influenced by participant cooperation, may not strongly correlate with later outcomes, and require adaptation for the local language and culture. Brain function and anatomical changes occur rapidly in early life, highlighting the potential of advanced, objective measures of brain activity and neural processing, such as electroencephalography (EEG), to detect early abnormalities in brain development and deliver interventions during early, sensitive periods of infant neurodevelopment.
Theresa I. Chin 1,2,3*, Winko W. An , Kalkidan Yibeltal,
Firehiwot Workneh, Stephen Pihl, Sarah K. G. Jensen,
Gellila Asmamaw, Nebiyou Fasil, Atsede Teklehaimanot ,
Krysten North , Sonya V. Troller-Renfree, Charles A. Nelson ,
Yemane Berhane and Anne CC Lee
The Impact of Enhancing Nutrition and Antenatal Infection Treatment on Birth Outcomes in Amhara, Ethiopia: A Pragmatic Randomized Clinical Effectiveness Study
ABSTRACT
Introduction We aimed to determine the impact of antenatal interventions to optimise maternal nutrition and
infection management on birth outcomes in Ethiopia.Methods We conducted a pragmatic, open-label, 2×2
factorial randomised clinical effectiveness study among pregnant women enrolled <24 weeks gestation in 12
rural health centres in Amhara, Ethiopia. Eligible health centres were randomised to deliver an enhanced nutrition
package (ENP) (iron-folic acid, iodised salt and targeted micronutrient fortified balanced energy protein (BEP)
supplementation for undernourished women) or routine nutrition care (iron-folic acid only). Individual women were
randomised to receive an enhanced infection management package (EIMP) (genitourinary tract infection screening-
treatment and enhanced deworming) or routine infection care (syndromic management). The primary outcomes
were birth weight and length; secondary outcomes were gestational age, preterm delivery, small-for-gestational-
age, low birth weight, stillbirth, newborn weight-for-age and length-for- age z-scores, newborn head circumference,
and maternal anemia. Analysis was intention to treat.Results From August 2020 to December 2021, 2392 women
were randomised (604 ENP+EIMP, 600 ENP alone, 593 EIMP alone and 595 neither package) and followed until June 2022,
with 2170 pregnancy outcomes analysed (565 ENP+EIMP, 549 ENP, 525 EIMP, 531 neither). In the ENP arm, 427 (36%)
women were eligible for BEP and consumed on average 74 days. The prevalence of genitourinary tract infection was low
(4.9%), while parasitic stool infections were common (31%).There was no difference in birth weight (ENP vs not-ENP:
adjusted mean difference −4 g (−83 to 75); EIMP vs not-EIMP: 18 g (−35 to 70); ENP+EIMP vs neither: 14 g (−81 to 109)) or
birth length (ENP: −0.3 cm (−1.1 to 0.5); EIMP: 0.2 cm (−0.1 to 0.5); ENP+EIMP: −0.1 cm (−1.2 to 1.1)) between study
arms. In the ENP+EIMP group, the stillbirth rate was lower compared with the arm receiving neither package (7.1/1000 vs
Anne CC Lee , Firehiwot Workneh ,Yunhee Kang, Kalkidan Yibeltal,
Nebiyou Fasil, Sitota Tsegaye, Estifanos Baye, Workagegnehu Tarekegn Kidane,
Yoseph Yemane Berhane , Mulatu Melese Derebe,Fred Van Dyk,
Michelle Eglovitch,Ingrid Olson, Mandefro M Mengistie,Fisseha Shiferie,
Tigest Shifraw, Chunling Lu , , Krysten North,Grace J Chan ,
Sheila Isanaka , Rose L Molina,Amare Worku Tadesse,Blair J Wylie,
Parul Christian,4 Luke C Mullany, Alemayehu Worku, Yemane Berhane
Delay Patterns and Associated Factors Among Gastric
Cancer Patients Visiting Tertiary Hospital in Ethiopia
ABSTRACT
Background
Gastric cancer ranks sixth in terms of incidence and fifth in terms of mortality in the world. It is also the fifth most frequent cancer in Ethiopia. In developed countries such as Japan, the diagnosis of gastric cancer is made early and has a better prognosis, but in developing countries like Ethiopia, the majority of patients present late in the advanced state. This study assessed delay patterns and associated factors among gastric cancer patients in Tikur Anbessa Specialized Hospital in Ethiopia.
Tsegab Alemayehu, Semira Abdelmenan, Hailu Wondimu, Segni Kejela, Firaol Dandena, Tesfahun Ali, Zewdu Abadi, Zekarias Seifu
Human Immuno deficiency Virus (HIV) viral load suppression status and associated factors among pregnant women receiving Highly Active Antiretroviral Therapy (HAART)in Ethiopia
Abstract
Background Mothers with an undetectable viral load pose no risk of transmitting the Human Immunodeficiency
Virus (HIV) to their fetuses. However, there is limited information on the HIV viral suppression status (≤ 1000 RNA cop-
ies/mL) among pregnant mothers at the national level. This study aimed to assess the HIV viral load suppression status
among pregnant women and identify factors associated with unsuppressed maternal viral levels (> 1000 RNA copies/
mL).
Getnet Hailu,Abrham Keraleme,Kidist Zealiyas,Asdesach Tesema,Negash Nuramed,Feven Girmachew,Daniel Melese,Saro Abdella,Jalleta Bulti,Getachew Tollera,Mesay Hailu & Kalkidan Yibeltal
Geographic equity in essential newborn care practices in Ethiopia: a cross-sectional study
Abstract
Background
Essential newborn care is a set of measures every newborn baby needs, regardless of its birthplace. Geographic equity in essential newborn care refers to the fairness of access to newborn care across different regions. These practices vary across different social groups, but evidence on the geographic equity of newborn care in Ethiopia is scarce. We aimed to assess the geographic distribution and equity of selected essential newborn care practices (initial skin-to-skin care, delayed bathing, proper cord care, timely breastfeeding initiation, and immunizations of BCG and first-dose polio vaccines) recommended by the World Health Organization among neonates born at health facilities and homes in Ethiopia.
Tadesse Guadu Delele,Lars Åke Persson Joanna Schellenberg,Della Berhanu,Seblewengel Lemma,Atkure Defar,Theodros Getachew Zemedu,Girum Taye,Solomon Shiferaw,Zewditu Abdissa Denu,Amare Tariku,Meseret Zelalem & Kassahun Alemu Gelaye
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Perceived causes and solutions for malaria prevalence among seasonal migrant workers in Northwest Ethiopia: a qualitative study
Abstract
Background: Seasonal migrant workers are at increased risk of malaria and can play a substantial role in transmitting the disease to receptive areas. Assessments conducted among these workers showed a high prevalence of malaria. This qualitative study aimed to explore the contributing factors and challenges to the high malaria prevalence among seasonal migrant workers in agricultural farm areas. The study also sought to identify potential solutions.
prevalence among seasonal migrant workers in Northwest Ethiopia: a qualitative study
Abstract
Background: Seasonal migrant workers are at increased risk of malaria and can play a substantial role in transmitting the disease to receptive areas. Assessments conducted among these workers showed a high prevalence of malaria. This qualitative study aimed to explore the contributing factors and challenges to the high malaria prevalence among seasonal migrant workers in agricultural farm areas. The study also sought to identify potential solutions.
Evaluation of the feasibility, acceptability, and impact of Group Antenatal Care at the health post level on continuation in antenatal care and facility based delivery in Ethiopia using a cluster randomized stepped-wedge design: Study protocol
Abstract
Background: Adequate antenatal care (ANC) and facility-based delivery are linked to improved maternal and neonatal outcomes. Adequate ANC attendance and facility birth rates are increasing in Ethiopia but remain well below national goals and global recommendations. Group ANC (G-ANC), when implemented at higher-level facilities, is associated with improved quality and experience of ANC and increased ANC retention and facility-based delivery. The objectives of this study are to evaluate the acceptability, feasibility, and effectiveness of G-ANC delivered by health extension workers at the health-post level compared to conventional ANC on ANC attendance and facility-based delivery.
Affordability of family foods is associated with Nutritional Status of women with per-school children in Addis Ababa, Ethiopia
Malnutrition among women of reproductive age is a critical public health issue in LMICs, where under nutrition coexists with rising overweight and obesity rates. In Ethiopia, particularly among urban women, maternal and child under nutrition remains high despite efforts to combat poverty and food insecurity. This study examined the relationship between food affordability and the nutritional status of 4797 women in Addis Ababa. Using repeated cross-sectional surveys, body mass index was calculated, and women’s nutritional status was categorized. Data on the affordability of 11 healthyfamily food groups were collected and categorized into terciles. Multinomial logistic regression models analyzed the association between food affordability and nutritional status, adjusting for confounding factors. The prevalence of underweight among women was 7.3%, while 39.1% were overweight or obese. On average, families could afford 6.1 out of the 11 food groups. Women with higher food affordability had increased odds of being overweight (AOR: 1.32; 95% CI 1.09, 1.60) or obese (AOR:1.50; 95% CI 1.14, 1.97). The findings highlight that two out of five women are either overweight or obese, with obesity more likely in those with greater perceived food affordability. Addressing food choices as food affordability improves is crucial, as better food affordability is associated with an increased risk of becoming overweight and obese.
Semira Abdelmenan, Alemayehu Worku, Hanna Y. Berhane, Yemane Berhane & Eva-Charlotte Ekström
Perceived causes and solutions for malaria prevalence among seasonal migrant workers in Northwest Ethiopia: a qualitative study
Abstract
Physicians’ perception towards continuing professional development in government teaching hospitals of Addis Ababa, Ethiopia-mixed method design
Abstract
Background:Continuing professional development has been mandatory for healthcare professionals to renew their licenses. However, there is a shortage of information regarding physicians’ perceptions of continuing professional development. Therefore, it is timely to assess the perception of physicians and barriers toward continuing professional development.
Merahi Kefyalew Merahi & Walelegn Worku Yalew
The rationale for Health and Demographic Surveillance System (HDSS) in urban populations in Ethiopia
Accurate population-level information is critical for planning, implementing, and evaluating social and economic interventions. Adequate information on population size, age, and sex distribution helps design social interventions. Short- and long-term planning relies on accurate population-level information on trends and projections.
The lack of a complete and dynamic civil registration system in low-middle-income countries (LMICs) triggered alternative approaches to gathering population-level data. One such approach was to use a Demographic Surveillance System (DSS) or Health and Demographic Surveillance System (HDSS) that regularly updates population details by registering births, deaths, marriage, and migration by visiting every household in a designated geographic location.
Yemane Berhane,Semira Abdelmenan,Alemayehu Worku
Intention to use short messaging services for promoting drug adherence among individuals with diabetes in Addis Ababa, Ethiopia
Abstract
Solomon Getachew,Hanna Gulema
Adherence to anti-seizure medications and self-reported availability and affordability of the medications in Addis Ababa, Ethiopia
Abstract
Background:Anti-seizure medications (ASMs) are the primary therapeutic mode to control seizures in patients with epilepsy. Adherence to the medications is critical to achieving the goals of epilepsy therapy. However, the cost of the medications and the interrupted availability of ASMs contribute to non-adherence to epilepsy treatment. Therefore, this study aimed to assess ASM adherence and its association with self-reported medication availability and affordability.
Bethlehem Shawel ,Yemane Berhane
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LESSONS LEARNED FROM ETHIOPIA’S PREPAREDNESS AND INITIAL RESPONSE TO THE COVID-19 PANDEMIC
Yemane Berhane, Alemayehu Haddis, Walelegn W. Yallew, Workagegnehu
Tarekegn, Azeb Asaminew Alemu, Hailu Tadeg, Mirgissa Kaba, Negussie,Deyessa,
Workeabeba Abebe, Tegbar Yigzaw
Link
Early onset neonatal sepsis and its associated
factors: a cross sectional study
Abstract
Background
Sepsis is the 3rd leading cause of neonatal mortality in Ethiopia contributing to 16% of neonatal death. In a hospital study, neonatal sepsis was the leading diagnosis at admission and the second leading cause of neonatal death at the neonatal intensive care unit. Among other factors repeated vaginal examination during labor is known to contribute to sepsis in low-income settings. However, there is limited evidence in the Ethiopian setting.
Ketsela Lemma1, and Yemane Berhane
Link
The future of public health doctoral education in Africa: transforming higher education institutions to enhance research and practice
Justine Bukenya, Derege Kebede, Henry Mwambi, Muhammed Pate, Philip Adongo, Yemane Berhane, Chelsey R Canavan, Tobias Chirwa,Olufunmilayo I Fawole, David Guwatudde, Elizabeth Jackson, Isabel Madzorera, Mosa Moshabela, Ayoade M J Oduola, Bruno Sunguya,Amadou Sall, Tajudeen Raji, Wafaie Fawzi, the ARISE Public Health Education Team
Link
Evaluation of the feasibility, acceptability, and impact of Group Antenatal Care at the health post level on continuation in antenatal care and facility based delivery in Ethiopia using a cluster randomized stepped-wedge design: Study protocol
Abstract
Walelegn W. Yallew , Rediet Fasil, Della Berhanu, Konjit Wolde,
Dedefo Teshite, Reena Sethi , Gayane Yenokyan, Yenealem Woldemariam,
Stephanie Suhowatsky , Anne Hyre , Lisa Noguchi, Alemayehu Worku
Link
Network analysis of mental health problems among adults in Addis Ababa, Ethiopia: a community-based study during the COVID-19 pandemic
nal research
Abstract
Objective COVID-19 has negatively impacted mental health of adults globally with increased rates of psychiatric comorbidities. However, network analysis studies to examine comorbidities and correlations between symptoms of different mental disorders are uncommon in low-income countries. This study aimed to investigate the network structure of depression, anxiety and perceived stress among adults in Addis Ababa and identify the most central and bridge symptoms within the depressive-anxiety-perceived symptoms network model.
Firehiwot Workneh, Alemayehu Worku,Nega Assefa,Yemane Berhane
Link
Determinants of Pneumothorax Among Mechanically Ventilated COVID-19 Intensive Care Unit Patients, a Single Center Study
Hundie TG, Alemu ZA, Getachew LZ, Abera LA, Seyoum AB , Mogus LS, Admasu NM, Regassa GB , Tilahun YB, Bareamichael PI, Tessema AG, Derese TN
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Photo Elicitation Interviewing Enriches Public Health Research on Fathers’ Role in Child Care and Feeding in Addis Ababa, Ethiopia
Abstract
A clustered randomized control trial to assess feasibility, acceptability, and impact of implementing the birth companion intervention package in Ethiopia, Kenya, and Nigeria: study protocol
Della Berhanu,Gadise Bekele,Hanna Melesse,Felagot Taddese,Patricia Owira,Griffins Manguro,Oluwatosin Laleye,Zubaida Farouk,Mobolanle Balogun,Anne Hyre,Samuel Mwaura,Osborn Koech Kiptoo,Valentino Muyundo Wabwile,Siraj Mohammed,Konjit Wolde,Dedefo Teno,Eberechukwu Chinedu Eke,Jennyfer Oluyemisi Don-Aki,Lisa Noguchi,Stephanie Suhowatsky,Elizabeth Doggett,Gayane Yenokyan,Alemayehu Worku
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Communication self-efficacy and contraceptive use at sexual debut among rural adolescent girls in Ethiopia
Abstract
Introduction
Girls with early sexual debuts are exposed to risky sexual behaviours such as unintended pregnancy and contracting sexually transmitted infections. Communication self-efficacy is vital for protecting girls from unwanted pregnancy by educating them about the use of contraceptives. This study aimed to investigate the relationship between communication self-efficacy and contraceptive use at sexual debut in a rural Ethiopian setting.
Dagmawit Tewahido, Alemayehu Worku, Amare W. Tadesse, Yemane Berhane
Link
Fathers’ experiences of childcare and feeding:
A photo-elicitation study in a low resource setting in urban Addis Ababa, Ethiopia
Abstract
Children’s health and wellbeing studies focus mainly on mothers’ roles while very little is known about the experiences/challenges that fathers face in fulfilling their responsibilities. Therefore, this study aims to explore the fathers’ lived experiences of childcare and feeding in an urban low-income setting. This qualitative study was conducted in Addis Ababa, Ethiopia. Photo-elicitation was used to facilitate the in-depth interviews with fathers of children below the age of five years. All interviews were audio-recorded, transcribed and translated verbatim, followed by a thematic analysis approach. The overarching theme of this study was “Fatherhood as an enduring identity”, which comprised of three sub-themes: 1) Blessings of fatherhood, 2) Adjusting to fathering roles, and 3) Struggles/demands of fatherhood in a low-resource setting. Fathers expressed that having children or becoming parents was a blessing. They expressed their love, devotion, and attachment to their children. Some used the term “my second chance in life” underscoring the importance. Although fathers strived relentlessly to spend time and care for their children, they faced challenges such as internal struggles adjusting to and fatherhood whilst maintaining a sense of their former self. As well, providing for their families amidst added pressures imposed by the external environment, such as poor housing conditions, a lack of employment opportunities, the then COVID-19 pandemic, further increased their stressors. Most fathers were engaged in child care and feeding, suggesting that like mothers, fathers should be viewed as potential agents for implementing nutrition interventions in this setting. However, if interventions are to be successful, they need to incorporate components that boost fathers’ livelihoods and general wellbeing.
Hanna Y. Berhane, Dagmawit Tewahido, Workagegnhu Tarekegn, Jill Trenholm
Link
Effect of COVID-19 on Routine Childhood Vaccination in Bahir Dar City, Northwestern, Ethiopia
Abstract
Despite free vaccinations for all children, Ethiopia is one of the ten countries where most children do not receive all of their basic vaccines. The COVID-19 pandemic has disrupted service delivery and utilization worldwide. In this study, we assessed the effect of the pandemic on routine childhood vaccinations in Bahir Dar, Ethiopia. The data were collected from immunization records, health system monthly reports, and interviews with vaccination professionals. The data were analyzed using interrupted time series and thematic analyses. In 6940 records covering 2018–2022, the number of vaccine doses that were delivered steadily increased except for 2021/22. Vaccine delivery consistently increased prior to the pandemic. Immediately after the first case was reported, there were some disruptions, but they were not statistically significant compared to the pre-pandemic period. In-depth interviews also confirmed this finding, showing early pandemic fear and protective measures had an impact but were not sustained. These results show that COVID-19 has had a transient but non-significant effect on childhood vaccination. Although the interruption was statistically insignificant, it could reverse decades of progress toward safeguarding children from vaccine-preventable diseases. Therefore, we must intensify our initiatives to boost childhood vaccination rates and restore pre-pandemic services to regain momentum and avoid future setbacks.
Hanna Yemane Berhane,
Dietary Perspectives and Practices during Pregnancy in Rural Amhara Region of Ethiopia: An Exploratory Qualitative Study
Abstract
Background
Firehiwot Workneh , Sitota Tsegaye , Hanna Amanuel , Michelle Eglovitch, Tigest Shifraw ,Fisseha Shiferie , Amare W. Tadesse, Alemayehu Worku , Sheila Isanaka , Anne CC. Lee ,Yemane Berhane
Link
Change in depression during the COVID-19 pandemic among healthcare providers in Addis Ababa, Ethiopia
Abstract
Background
The COVID-19 pandemic has increased mental health problems among healthcare workers globally. However, studies from low- and middle-income countries on this matter were minimal. This study assessed the change in depression prevalence during the first year of the COVID-19 pandemic and associated factors among healthcare providers in Addis Ababa, Ethiopi
Firehiwot Workneh, Alemayehu Worku, Nega Assefa, Yemane Berhane
Link
COVID-19 Disruptions of Food Systems and Nutrition Services in Ethiopia: Evidence of the Impacts and Policy Responses
Abstract
Purpose: This multicountry survey assessed the levels and the determinants of the impacts of the pandemic on education and mental health among adolescents in sub-Saharan Africa and the potential factors that may exacerbate these adverse impacts.
Juliet McCann ,Lea Sinno,Eki Ramadhan, Nega Assefa,Hanna Y. Berhane,Isabel Madzorera,Wafaie Fawzi
Link
The Continued Impacts of the COVID-19 Pandemic on Education and Mental Health Among Sub-Saharan African Adolescents
Abstract
Purpose: This multicountry survey assessed the levels and the determinants of the impacts of the pandemic on education and mental health among adolescents in sub-Saharan Africa and the potential factors that may exacerbate these adverse impacts.
Dongqing Wang, Olufemi A Adedokun, Ourohiré Millogo, Isabel Madzorera, Elena C Hemler, Firehiwot Workneh , Frank Mapendo , Bruno Lankoande , Abbas Ismail , Angela Chukwu , Nega Assefa, Sulemana Watara Abubakari , Isaac Lyatuu, Daniel Okpara, Yasir Y Abdullahi, Pascal Zabre, Said Vuai, Abdramane Bassiahi Soura , Emily R Smith, Ali Sie, Ayoade M J Oduola , Japhet Killewo , Yemane Berhane , Till Baernighausen , Kwaku Poku Asante , Tajudeen Raji , Mary Mwanyika-Sando , Wafaie W Fawzi
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Durability of long-lasting insecticidal nets (LLINs) in Ethiopia
Abstract
Background
The functional survival time of long-lasting insecticidal nets (LLINs), which varies across different field contexts, is critical for the successful prevention of malaria transmission. However, there is limited data on LLIN durability in field settings in Ethiopia.
Honelgn Nahusenay Hiruy , Seth R Irish , Semira Abdelmenan , Yonas Wuletaw , Ayele Zewde , Adugna Woyessa , Mebrahtom Haile ,Sheleme Chibsa , Lena Lorenz, Alemayehu Worku , Josh Yukich , Yemane Berhane , Joseph Keating
Harmonization of maternal balanced energy-protein supplementation studies for individual participant data (IPD) meta-analyses – finding and creating similarities in variables and data collection
Abstract
Background
Public health and clinical recommendations are established from systematic reviews and retrospective meta-analyses combining effect sizes, traditionally, from aggregate data and more recently, using individual participant data (IPD) of published studies. However, trials often have outcomes and other meta-data that are not defined and collected in a standardized way, making meta-analysis problematic. IPD meta-analysis can only partially fix the limitations of traditional, retrospective, aggregate meta-analysis; prospective meta-analysis further reduces the problems.
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Abstract
The COVID-19 pandemic has had serious negative health and economic impacts in sub-Saharan Africa. Continuous monitoring of these impacts is crucial to formulate interventions to minimize the consequences of COVID-19. This study surveyed 2,829 adults in urban and rural sites among five sub-Saharan African countries: Burkina Faso, Ethiopia, Nigeria, Tanzania, and Ghana. Participants completed a mobile phone survey that assessed self-reported sociodemographics, COVID-19 preventive practices, psychological distress, and barriers to healthcare access. A modified Poisson regression model was used to estimate adjusted prevalence ratios (aPRs) and 95% CIs to investigate potential factors related to psychological distress and barriers to reduced healthcare access. At least 15.6% of adults reported experiencing any psychological distress in the previous 2 weeks, and 10.5% reported that at least one essential healthcare service was difficult to access 2 years into the pandemic. The majority of participants reported using several COVID-19 preventive methods, with varying proportions across the sites. Participants in the urban site of Ouagadougou, Burkina Faso (aPR: 2.29; 95% CI: 1.74-3.03) and in the rural site of Kintampo, Ghana (aPR: 1.68; 95% CI: 1.21-2.34) had a higher likelihood of experiencing any psychological distress compared with those in the rural area of Nouna, Burkina Faso. Loss of employment due to COVID-19 (aPR: 1.77; 95% CI: 1.47-2.11) was also associated with an increased prevalence of psychological distress. The number of children under 5 years in the household (aPR: 1.23; 95% CI: 1.14-1.33) and participant self-reported psychological distress (aPR: 1.83; 95% CI: 1.48-2.27) were associated with an increased prevalence of reporting barriers to accessing health services, whereas wage employment (aPR: 0.67; 95% CI: 0.49-0.90) was associated with decreased prevalence of reporting barriers to accessing health services. Overall, we found a high prevalence of psychological distress and interruptions in access to healthcare services 2 years into the pandemic across five sub-Saharan African countries. Increased effort and attention should be given to addressing the negative impacts of COVID-19 on psychological distress. An equitable and collaborative approach to new and existing preventive measures for COVID-19 is crucial to limit the consequences of COVID-19 on the health of adults in sub-Saharan Africa.
Nega Assefa , Yasir Y Abdullahi , Elena C Hemler , Bruno Lankoande , Isabel Madzorera , Dongqing Wang , Abbas Ismail 4, Angela Chukwu , Firehiwot Workneh , Frank Mapendo , Ourohiré Millogo , Sulemana Watara Abubakari , Lawrence Gyabaa Febir , Isaac Lyatuu , Kassoum Dianou , Till Baernighausen 2 10 11 , Abdramane Soura , Kwaku Poku Asante , Emily Smith , Said Vuai , Alemayehu Worku , Japhet Killewo , Mary Mwanyika-Sando , Yemane Berhane , Ali Sie , Raji Tajudeen, Ayo Oduola , Wafaie W Fawzi
Link
Correction: Stunting and thinness in school-attending adolescents in Addis Ababa
Walelegn Worku Yallew, Amare Worku Tadesse, Ramadhani Abdallah Noor , Wafaie Fawzi, Yemane Berhane
Link
Sexual and reproductive health in Ethiopia: gains and reflections over the past two decades
Lisa M DeMaria , Kimberly V Smith, Yemane Berhane
Link
HIV prevalence and associated factors among female sex workers in Ethiopia, east Africa: A cross-sectional study using a respondent-driven sampling technique
Abstract
Background
HIV acquisition among Female Sex Workers (FSWs) is 30 times higher than the acquisition rate among females in the respective general population. A higher HIV burden in FSWs challenges the prevention and control of the virus in other population groups. However, there is inadequate evidence on the burden of HIV among FSWs in Ethiopia. This study was conducted to assess the extent of HIV and associated factors among FSWs in the country.
Saro Abdella , Meaza Demissie, Alemayehu Worku , Merga Dheresa, Yemane Berhane
Link
Building sustainable and scalable peer-based programming: promising approaches from TESFA in Ethiopia
Abstract
Background: Girls in Ethiopia’s Amhara region experience high rates of child marriage and are less able to negotiate sex or use family planning. Seeking to improve their lives, CARE’s TESFA programme delivered reproductive health and financial savings curricula to married girls via reflective dialogues in peer-based solidarity groups. From 2010 to 2013, 5,000 adolescent girls participated via three intervention arms: sexual and reproductive health, economic empowerment, and a combination of both. At end-line, participants reported improvements across health and empowerment outcomes. Four years post-TESFA, 88% of groups reported meeting without continued assistance from CARE. Some original participants had created new groups based on the TESFA model, and some girls not recruited for TESFA spontaneously replicated it to create their own groups. However, questions remained about what had contributed to this organic sustainment and scale-up of groups.
Pari Chowdhary , Feven Tassaw Mekuria, Dagmawit Tewahido , Hanna Gulema, Ryan Derni , Jeffrey Edmeades
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Illness Representation and Associated Factors among Hypertensive patients in Central Ethiopia
Daniel G/Tsadik , Yemane Berhane , Alemayehu Worku
Link
Associations of percentage energy intake from total, animal and plant protein with overweight/obesity and underweight among adults in Addis Ababa, Ethiopia
Abstract
Objective
This study investigated associations between types and food sources of protein with overweight/obesity and underweight in Ethiopia.
Elena C Hemler , Sabri Bromage , Amare Worku Tadesse , Rachel Zack , Yemane Berhane , Chelsey R Canavan , Wafaie W Fawzi, Walter C Willett
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Effects of local handwashing agents on microbial contamination of the hands in a rural setting in Northwest Ethiopia: a cluster randomized controlled trial
Zemichael Gizaw , Alemayehu Worku Yalew, Bikes Destaw Bitew , Jiyoung Lee , Michael Bisesi
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Proportion and trend of primary resistance among Multidrug resistant
Tuberculosis patients in EthiopiaHealth pstservice readiness and use of
preventive and curative services for suspected childhood pneumonia in
Ethiopia: A cross-sectional study
Adamu Bayissa , Meaza Demissie Mulatu Biru, Zenebe Akalu
Link
Health postservice readiness and use of preventive and curative services for suspected childhood pneumonia in Ethiopia: a cross
sectional study
Amare Tariku , Yemane Berhane , Alemayehu Worku , Gashaw Andargie Biks , Lars Åke Persson , Yemisrach Behailu Okwaraji
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Development and validation of questionnaire to assess exposure of children to enteric infections in the rural northwest Ethiopia
Zemichael Gizaw, Alemayehu Worku Yalew , Bikes Destaw Bitew , Jiyoung Lee , Michael Bisesi
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HIV, hepatitis B virus, and hepatitis C virus co-infection among HIV positives in antiretroviral treatment program in selected hospitals in Addis Ababa: A retrospective cross-sectional study
Eleni Seyoum , Meaza Demissie , Alemayehu Worku , Andargachew Mulu, Alemseged Abdissa , Yemane Berhane
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Trends, projection and inequalities in full immunization coverage in Ethiopia: in the period 2000-2019
Kalkidan Yibeltal , Sitota Tsegaye, Hasset Zelealem , Walelegn Worku , Meaza Demissie , Alemayehu Worku , Yemane Berhane
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Fecal biomarkers of environmental enteric dysfunction and associated factors among children aged 24-59 months in east Dembiya district, northwest Ethiopia
Zemichael Gizaw, Alemayehu Worku Yalew , Bikes Destaw Bitew , Jiyoung Lee, Michael Bisesi
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Evaluation of the effect of targeted Mass Drug Administration and Reactive Case Detection on malaria transmission and elimination in Eastern Hararghe zone, Oromia, Ethiopia: a cluster randomized control trial
Semira Abdelmenan , Hiwot Teka , Jimee Hwang , Samuel Girma , Sheleme Chibsa , Eric Tongren , Matthew Murphy , Mebrahatom Haile, Dereje Dillu , Jawar Kassim , Sinknesh Behaksra , Fitsum G Tadesse , Joshua Yukich, Yemane Berhane, Alemayehu Worku, Joseph Keating, Ayele Zewde, Endalamaw Gadisa
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Retention on antiretroviral therapy in person with HIV and viral hepatitis coinfection in Ethiopia: a retrospective cohort study
Eleni Seyoum , Meaza Demissie , Alemayehu Worku , Adane Mihret , Alemseged Abdissa , Yemane Berhane
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Mid-upper arm circumference for identifying adult overweight in large-scale population-based surveys: empirical evaluation using data of the EAT Addis study, Ethiopia
Tigest Shifraw , Katarina Selling , Alemayehu Worku , Hanna Yemane Berhane , Eva-Charlotte Ekström , Yemane Berhane
Increased Mortality in HIV Infected Individuals with Tuberculosis: A Retrospective Cohort Study, Addis Ababa, Ethiopia
Eleni Seyoum , Meaza Demissie , Alemayehu Worku , Andargachew Mulu , Yemane Berhane , Alemseged Abdissa
Physical fighting among adolescents in eastern Ethiopia: a cross-sectional study
Health and demographic surveillance systems in low- and middle-income countries: history, state of the art and future prospects
Kobus Herbst , Sanjay Juvekar , Momodou Jasseh , Yemane Berhane , Nguyen Thi Kim Chuc , Janet Seeley , Osman Sankoh, Samuel J Clark , Mark A Collinson
Knowledge, Perceptions, Satisfaction and Readiness of Health-Care Providers Regarding COVID-19 in Northern Ethiopia
Alem Wuneh , Amaha Kahsay , Fitiwi Tinsae , Fisseha Ashebir, Gebreamlak Giday, Gebremeskel Mirutse, Gebremedhin Gebretsadik, Getachew Gebremedhin, Haftom Weldearegay , Kalayou Berhe , Manay Woldegebriel, Tesfay Weldeselassie , Yemane Berhane , Zinabu Hadis
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Sedentary Behavior and Associated Factors Among Working Adults in Eastern Ethiopia
Aboma Motuma , Tesfaye Gobena, Kedir Teji Roba, Yemane Berhane, Alemayehu Worku
HIV/AIDS awareness and testing practices among adolescents in eastern Ethiopia
Gezahegn Tesfaye , Yadeta Dessie , Yemane Berhane , Nega Assefa , Agumasie Semahegn , Chelsey R Canavan , Wafaie W Fawzi
Determinants of postnatal care utilization in Ethiopia: a multilevel analysis
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Adherence to Antihypertensive Treatment and Associated Factors in Central Ethiopia
Design and field methods of the ARISE Network Adolescent Health Study