Pediatrics, Maternity and Midwifery, Obstetrics and Gynecology, Pediatrics, Perinatology and Child Health
9
Scopus Publications
Scopus Publications
Spatial distribution of informal sexual relationships among reproductive age women in Ethiopia: spatial and multilevel analysis from Ethiopian Demographic and Health Survey Dagne Deresa Dinagde, Shambel Negese marami, Gizu Tola Feyisa BMC Public Health, 2025 BACKGROUND: Globally, more than 1 million new sexually transmitted diseases (STIs) are acquired every day, posing a serious threat to world health as a result of informal sexual activities such as multi-partner sexual practices and premarital sexual initiation. Exposure to informal settings increases the risk of unprotected sexual practices, sexually transmitted infections such as HIV/AIDS, unwanted pregnancies, unsafe abortions, and can adversely affect the social and economic status of adults. Hence, identifying geographical areas at risk for informal sexual relationships in Ethiopia is very important. METHODS: A community-based cross-sectional survey using a two-stage stratified sample technique was carried out between January 18 and June 27, 2016. A total of 15,683 reproductive age women participated in the analysis, which used information from the 2016 EDHS. The distribution of informal sexual relationships was assessed using the spatial autocorrelation statistic (Global Moran's I) to see if it was randomly distributed, clustered, or dispersed. The correlation between informal sexual relationships and explanatory variables was found using a multilevel logistic regression model, and statistical significance was established at p < 0.05 and 95% CI. RESULTS: Overall, 51.14% of reproductive age women had informal sexual relationships. In certain areas of Ethiopia, regions like Amhara (14.1%) and Tigray (11.4%) experienced high levels of informal sexual relationships, while Dire Dawa (6.3%), Harari (5.3%), and Addis Ababa (7.7%) were considered lower-risk areas. The spatial distribution of these interactions showed clustering patterns. The highest hotspot areas of informal sexual relationships were observed in central part of Ethiopia. The being under 25 (AOR = 4.02, 95CI: 3.90-5.26), being agrarian (AOR = 1.17, 95CI: 1.04-1.32) and pastoralist region (AOR = 1.34, 1.20-1.52), living in rural areas (AOR = 1.24, 95 CI: 1.09-1.41), not using internet (AOR = 1.14, 95 CI: 1.01-1.37), unemployment (AOR = 0.88, 0.75, 90) and poor household (AOR = 1.22, 1.11, 1.38) were statistically significant. CONCLUSION: According to this study, half of reproductive age women fall into informal sexual relationships in Ethiopia. As a result, it is crucial to focus on the areas that are most affected.
Magnitude of female child sexual abuse in Ethiopia: A systematic review and meta-analysis Gemeda Wakgari Kitil, Dagne Deresa Dinagde, Fikadu Wake Butta, Melese Adugna Tola, Gizu Tola Feyisa, Shambel Negesse Marami, Wakuma Wakene Jifar, Geleta Nenko Dube, Adamu Ambachew Shibabaw, Chernet Desalegn Gebeyehu, Alex Ayenew Chereka Heliyon, 2025 Background: Child sexual abuse is a grave issue with significant consequences for the well-being and development of children worldwide. Understanding the scope of this problem is essential, particularly in Ethiopia, where protecting the nation's youth is crucial. Although child sexual abuse is a critical issue, there is a lack of comprehensive assessment of its prevalence and associated factors in Ethiopia. This study aims to fill this gap by conducting a meta-analysis and systematic review to explore the current prevalence and contributing factors of female child sexual abuse in Ethiopia. Methods: tests were employed. To check for publication bias, Egger's weighted regression, Begg's test, and a funnel plot were utilized. Results: A total of 1230 research articles were initially identified for this systematic review and meta-analysis. After screening, nine studies met the eligibility criteria, with a combined sample size of 3930 children across all studies. The pooled prevalence of child sexual abuse among female students was 36.83 % [95 % CI: 24.35-49.32]. This meta-analysis identified several factors significantly associated with child sexual abuse: children living alone (OR = 4.45, 95 % CI: 2.65-7.46), living with friends (OR = 3.49, 95 % CI: 2.35-5.18), alcohol consumption (OR = 2.72, 95 % CI: 1.70-4.35), cigarette smoking (OR = 3.83, 95 % CI: 1.66-8.83), parental conflicts (OR = 2.50, 95 % CI: 1.43-4.36), lack of open discussion about reproductive health (OR = 3.44, 95 % CI: 1.84-6.42), and family control practices (OR = 1.92, 95 % CI: 1.16-3.17). Conclusion: The pooled prevalence of child sexual abuse among female students (36.83 %) highlights a critical need for focused preventive efforts. Key risk factors identified include living alone or with friends, alcohol consumption, cigarette smoking, parental conflicts, limited reproductive health discussions, and controlling family practices. Addressing these through community education, family support, and open communication on reproductive health could help reduce abuse risk among vulnerable groups.
Post COVID-19 vaccination side effects and associated factors among vaccinated clients in East Africa region: A systematic review and meta-analysis Dagne Deresa Dinagde, Gizu Tola Feyisa, Begetayinoral Kussia Lahole, Habtamu Wana Wada, Meserat Workiye Negash, Shambel Negese Marami Scientific African, 2024 By the end of December 2023, COVID-19 had infected 701,748,397 people worldwide, killing 6,968,845 of them. A total of 1,734,021 cases and 30,162 deaths were reported in the countries of East Africa, with the highest number of cases (501,117) coming from Ethiopia and the lowest number from Eritrea (10,189). Globally, the epidemic has resulted in an astounding death toll and presents an unmatched danger to public health, the workplace, and food systems. Although most people agree that vaccination has had the biggest positive impact on global health in reduction of COVID 19, safe and effective vaccines were desperately needed to protect vulnerable populations. Research released in English between January 1, 2021, and January 14, 2024 was thoroughly searched through PubMed, Medline, EMBASE, CINAHL, and other pertinent sources. Data extraction and quality assessment were conducted using the Newcastle-Ottawa Scale (NOS) and the Preferred Reporting Items for Systematic Review and Meta-Analyses. STATA 17MP was used for the data analysis. The I 2 test statistic and Egger's test of significance were used to evaluate heterogeneity and publication bias. The odds ratio (OR) and 95 % confidence interval (CI) were displayed using forest plots. This review and meta-analysis comprised a total of 23 articles, or a total sample size of 170,853. The pooled prevalence of post-COVID-19 vaccination side effects showed that 55 % (95 %CI 40–69 %) of population in East African nations experienced at least one side effect after receiving vaccination. The pooled odds ratio showed that a significant association was found between post-COVID-19 vaccination and gender (OR = 1.70; 95 %CI: 1.26–2.14), safety concern (OR: 2.79; 95 % CI: 0.51, 5.0), age (OR = 0.97; 95 %CI: 0.95–0.98), comorbidity (OR = 2.72; 95 %CI: 1.08–4.35). This review highlighted a significant number of adverse reactions to COVID-19 vaccinations. It is crucial to begin educating the public about these vaccines to enhance their understanding that the pandemic can be managed and that side effects are rare, temporary, and reversible.
Comparative study of neonatal hypothermia and associated factors among neonates in rural and urban areas of the Shebadino Woreda, Sidama region, Southern Ethiopia: a community-based comparative cross-sectional study Gizu Tola Feyisa, Shambel Negese Marami, Dagne Deresa Dinagde, Bekem Dibaba Degefe, Shimelis Tadesse Abebe, Gemeda Wakgari Kitil, Andargachew Kassa Biratu BMC Public Health, 2024 Background Hypothermia is one of the major causes of newborn death, particularly in low-income nations. This was due to poor thermal care in most of the rural communities. Recent studies show that there was a prevalence discrepancy between urban and rural communities where economic, educational, and life standard differences exist. Therefore, this study aimed to assess the prevalence and factors associated with neonatal hypothermia among neonates in rural and urban areas of the Shebadino woreda, Sidama region, Ethiopia. Method A comparative community-based cross-sectional study was performed on 682 neonates in the Shebadino Woreda, Sidama Region, southern Ethiopia, in 2023. A multistage sampling technique was used, and the collected data were manually cleaned, coded, and entered into Epi Data version 4.6 before being exported to SPSS version 26 software for analysis. Variables with a p-value < 0.25 in the bivariate logistic regression were further analyzed using multivariable logistic regression. The odds ratio (OR) with 95% CI was used as a measure of association, and variables that had a p-value less than 0.05 in the multivariable logistic regression were considered significantly associated variables. Results The overall prevalence of neonatal hypothermia in this study was 51.8% (95% CI: 47.2%-56.3%). It was greater among rural neonates (55.1%) than among urban neonates (48.6%). Bathing before 24 h. (AOR = 3.64, 95% CI: 1.39, 7.16), Placing a cold object near babies’ head (AOR = 2.97, 95% CI: 1.75, 5.03), Neonates who were given traditional medication (Amessa) (AOR = 1.83% CI; 1.04–3.20) and, not separated humans and animals house (AOR = 1.75, 95%, 1.05–2.91) were significantly associated with neonatal hypothermia in rural, while Night time delivery (AOR = 1.81, CI: 1.01–5.62), Neonates who were given traditional medication (Amessa) (AOR = 3.11% CI; 1.85–5.21), and Placing a cold object near babies’ head (AOR = 2.40, 95% CI: 1.37, 3.29 were significantly associated with neonatal hypothermia among urban neonates. Conclusion The Prevalence of neonatal hypothermia in the study area was relatively greater in rural areas than in urban areas. Cost-effective thermal care such as separating humans from animal houses, teaching not to put cold objects near babies, giving special care to newborns for those delivered from women with medical problems, and giving priority to those delivered at night, is needed.
Observation of non-recommended (harmful) intrapartum practices among obstetric care providers in public hospitals in southern Ethiopia, 2023 Dagne Deresa Dinagde, Shambel Negesa Marami, Gizu Tola Feyisa, Hana Tadesse Afework, Nikodimos Eshetu Dabe, Habtamu Wana Wada, Teklemariam Gultie Plos Global Public Health, 2024 The majority of developing countries do not follow the WHO’s emphasis on replacing harmful and ineffective traditional practices with evidence-based clinical treatment. In these countries, harmful or ineffective practices are routinely used as part of routine care during labor and delivery, while beneficial procedures are not used for the majority of laboring mothers. However, it is critical to use evidence-based practices while giving therapy since they improve care quality, save costs, increase patient and family happiness, and promote professional progress. To assess the magnitude of non-recommended (harmful) intrapartum practices among obstetric care providers in public hospitals in southern Ethiopia, 2023. An institution-based cross-sectional study was conducted from January 30, 2023, to February 30, 2023, in public hospitals in the Gamo and Gofa zones. An observational checklist and a self-administered questionnaire were used to gather data. Using odds ratio of 95% C, bivariate and multivariable logistic regression was used to discover factors related with the outcome variable during data analysis using SPSS version 27. A P-value of less than 0.05 and I were regarded as statistically significant. The magnitude of harmful intrapartum practice was 60.6% (95% CI: 53.25–68.5). Lack of internet access (AOR = 10.1, 95% CI: 4.93–21.1), a few years of work experience (AOR = 6.21, 95% CI: 3.1–12.5), and not being trained on evidence-based intrapartum practices (AOR = 4.01, 95% CI: 1.94–7.95) were statistically significant with harmful intrapartum practices. Evidence-based practice can be improved by promptly providing obstetric care providers with ongoing training and standards for intrapartum care.
Effective breastfeeding techniques and associated factors among lactating women in Ethiopia: A systematic review and meta-analysis Gemeda Wakgari Kitil, Fikadu Wake Butta, Shimelis Tadesse, Bekem Dibaba Degefa, Gizu Tola Feyisa, Addisalem Workie Demsash, Adamu Ambachew Shibabaw, Shambel Negesse Marami, Agmasie Damtew Walle, Geleta Nenko Dube, Lema Fikadu Wedajo, Dejene Edosa Dirirsa, Wakuma Wakene Jifar, Alex Ayenew Chereka Plos One, 2024 Background Effective breastfeeding is crucial for maternal and child health, particularly in low-resource settings like Ethiopia. It encompasses a range of skills and strategies, including proper latch, positioning, and frequency of feeding. These techniques not only ensure sufficient milk transfer but also foster bonding between mother and child, enhancing the breastfeeding experience. To effectively prioritize maternal and child health, it is crucial to comprehensively understand the prevalence and factors influencing effective breastfeeding nationwide. Therefore, this study aimed to provide a pooled prevalence of effective breastfeeding techniques and associated factors among lactating mothers in Ethiopia. Methods The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist, focusing on studies conducted in Ethiopia. We identified eight relevant studies through Google Scholar, Medline, PubMed, Scopus, and the Cochrane Library. Analysis was conducted using STATA version 11, and systematic data extraction employed a checklist to extract relevant data. I2 tests and the Cochrane Q test statistic were used to evaluate heterogeneity. To explore potential publication bias, Egger’s weighted regression, Begg’s test, and a funnel plot were utilized. Results We identified a total of 955 research articles. Eight studies meeting the eligibility criteria were incorporated into this meta-analysis and systematic review. The pooled prevalence of effective breastfeeding techniques was 41.99% [95% CI 32.16–51.81]. According to the results of the current meta-analysis, effective breastfeeding techniques were significantly associated with antenatal care follow-up [OR = 1.75, 95% CI 1.10–2.78], maternal educational status [OR = 2.70, 95% CI 1.55–4.71], breastfeeding technique counseling [OR = 2.02, 95% CI 1.41–2.90], the absence of breast problems [OR = 2.26, 95% CI 1.49–3.43], breastfeeding experience [OR = 1.98, 95% CI 1.14–3.46], and immediate skin-to-skin contact [OR = 2.32, 95% CI 1.56–3.44]. Conclusion Our findings highlight the vital role of various factors in shaping effective breastfeeding. Implications To improve practices and health outcomes, we recommend targeted interventions, such as strengthening antenatal care, implementing maternal education, and providing comprehensive breastfeeding counseling. Proactively addressing breast problems and prioritizing immediate skin-to-skin contact is crucial for successful breastfeeding.
SARS-CoV-2 infection after COVID-19 vaccinations among vaccinated individuals, prevention rate of COVID-19 vaccination: A systematic review and meta-analysis Dagne Deresa Dinagde, Bekam Dibaba Degefa, Gemeda Wakgari Kitil, Gizu Tola Feyisa, Shambel Negese Marami Heliyon, 2024 Background The global concern regarding protection against the COVID-19 variants through pre-existing antibodies from vaccination or previous infection is evident. Reports from around the world indicate that a considerable number of healthcare professionals/individuals experience re-infection despite being vaccinated. Moreover, several studies have highlighted cases of symptomatic SARS-CoV-2 re-infection, specifically among individuals who have been vaccinated. Understanding the factors that contribute to these re-infections is crucial for implementing effective public health measures and enhancing vaccination strategies. Method A comprehensive search was conducted between January 1, 2021, and February 14, 2024, using various reputable sources such as PubMed, Google scholar, Medline, EMBASE, CINAHL, and others. The search aimed to retrieve relevant research on topics related to "world nations" and phrases like "COVID-19 vaccination breakthrough infection," "SARS re-infection after COVID-19 vaccination," "COVID-19 vaccine complication," "post COVID-19 vaccination symptoms," and specific nation names. The data obtained from the databases underwent extraction and quality assessment using the Newcastle-Ottawa Scale (NOS) and the Preferred Reporting Items for Systematic Review and Meta-Analyses. Data analysis was performed using STATA 17 MP software, and measures such as the I 2 test statistic and Egger's test were used to assess heterogeneity and publication bias. The findings were presented using forest plots, displaying the odds ratio (OR) and 95 % confidence interval (CI). Result This review and meta-analysis comprised a total of 15 articles, or a total sample size of 342,598. The pooled prevalence of SARS-CoV-2 after vaccination of COVID-19 was 9 % (95CI 7%–11 %) of population globally. This implied that reduced the overall attack rate of COVID-19 by 91 % after vaccination. The highest pooled estimated of SARS-CoV-2 infection after COVID -19 Vaccinations was seen among developing nations, 20 % (95 % CI: 5%–36 %).The pooled odds ratio showed that a significant association was found between SARS-CoV-2 infection after COVID-19 vaccination and older age (OR = 2.04; 95%CI: 1.10–2.98) and comorbidity (OR = 3.25; 95%CI: 1.04–5.47). Conclusion It is important for policymakers to prioritize continuous monitoring and surveillance of SARS-CoV-2 infection rates among vaccinated individuals globally, as there is a significant estimate of the combined prevalence of post-COVID-19 vaccine SARS-CoV-2 infections.
About half of Ethiopian midwifery professionals reported being dissatisfied with their jobs: A systematic review and meta-analysis Dagne Deresa Dinagde, Shambel Negesa marami, Gizu Tola Feyisa, Bekem Dibaba Degefa European Journal of Obstetrics and Gynecology and Reproductive Biology X, 2024 Background: Increasing well qualified health professionals is a part of sustainable development goal to specially to decrease maternal mortality below 70 per 100,000 deaths. Contrarily, The Nursing and midwifery councils (NMC) expect that 36% of healthcare workers, especially midwives, are leaving their jobs due to high turnover rates and job unhappiness worldwide. Methods: Studies were rigorously searched utilizing international databases from PubMed, Google Scholar, Cochrane Library, and Embase. Using the New Castle Ottawa scale for a cross-sectional study design, the quality of the articles that were searched was evaluated. The systemic review was conducted using the random effect approach, and statistical analysis was done using STATA version 17 software for the window. The Preferred Reporting Item for Systematic Review and Meta-Analyses (PRISMA) guideline was followed for reporting results. Results: A total of nine observational cross-sectional studies were included in this review. The pooled level of job satisfaction among midwives in Ethiopia was 52.2% (95% CI =41.7, 62.9). The pooled odds ratio showed that a significant positive association was found between midwives' job satisfaction and studied variables. Male midwife (OR = 0.45; 95% CI: 0.04, 0.87), fair supervision (OR = 2.03; 95%CI: 1.58-1), workload (OR = 1.72; 95%CI: 1.102-2.43) and motivation (OR = 1.64; 95%CI: 1.02-2.25) were strongly associated with job satisfaction. Conclusion: Evidence suggested that motivating employees, providing fair supervision, fair workloads, and fostering positive relationships with managers are all crucial tactics for retaining and enhancing the satisfaction of health professionals at health care facilities in Ethiopian.
Exploring the interplay between food security and antenatal care utilization among pregnant women in Southern Ethiopia: Insights from an institution-based cross-sectional study Gemeda Wakgari Kitil, Lema Fikadu Wedajo, Gizu Tola Feyisa, Bekem Dibaba Degefa, Shambel Negese Marami, Agmasie Damtew Walle, Alex Ayenew Chereka, Dagne Deresa Dinagde European Journal of Obstetrics and Gynecology and Reproductive Biology X, 2024 Background: Ensuring the satisfaction of pregnant women with antenatal care is crucial for positive pregnancy outcomes and their engagement with emerging technologies and alternative care models. Maintaining high satisfaction during the antenatal period significantly impacts the well-being of both the expectant mother and the unborn child. Despite the recognized importance of antenatal care satisfaction, comprehensive information on satisfaction levels and influencing factors in the specific study area is lacking. Therefore, this study aims to assess antenatal care service satisfaction and associated factors among pregnant women in Arba Minch town, southern Ethiopia. Methods: We conducted an institution-based cross-sectional study among 418 pregnant women from December 2022 to January 30, 2023, using a systematic sampling method. Data were collected using the Kobo Toolbox and analyzed with SPSS Version 26. The threshold for statistical significance was set at a p-value of less than 0.05. Results: Out of 418 participants, 54.3% (95% CI=49.4-60.4) expressed satisfaction with antenatal care services. Factors significantly associated with women's satisfaction included: being unable to read and write (AOR=2.37; 95% CI: 1.97-3.80), being aged 25-29 years (AOR=3.20; 95% CI: 1.65-6.22), receiving antenatal care at a hospital (AOR=1.81; 95% CI: 1.05-3.12), having a previous history of antenatal visits (AOR=2.59; 95% CI: 1.26-5.30), a monthly income of 2500-5000 ETB (AOR=1.44; 95% CI: 1.21-3.94), waiting times of less than 30 min (AOR=2.59; 95% CI: 1.52-4.41), maintaining a positive attitude towards antenatal care (AOR=2.50; 95% CI: 1.05-3.65), and having a secure food source (AOR=2.06; 95% CI: 1.13-3.78). Conclusion: Over 54% of participants were satisfied with antenatal care services. To improve satisfaction levels, recommended strategies include enhancing healthcare infrastructure, establishing maternity waiting areas, reducing waiting times, and expanding services to remote areas.
