Girma Worku Obsie
Arsi University College of Health Science

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HOUSE HOLD WATER HANDLING PRACTICE IN SOUTHERN-EAST ETHIOPIA: MAGNITUDE AND ASSOCIATED FACTORS Deginet Kebede Belihu; Girma Worku Obsie; Melese Tadessa Aredo
International Journal of Public Health Science (IJPHS) Vol 11, No 3: September 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i3.20948

Abstract

Household water handling practice is very critical for prevention of water borne communicable disease. This study aimed to assess household water handling practice and associated factors in rural kebeles of Tiyo woreda,  Arsi zone South East Ethiopia.Community-based cross-sectional study was employed among 403 households by using simple random sampling techniques from September 02-25/2019. Data were collected by interviewer administered structured questionnaire, entered into EPI INFO version 7 and analyzed by SPSS Version 20. Logistic regression models were fitted to identify the association between the dependent and independent variables by computing the odds ratios with a 95% confidence intervals at P-value< 0.05. A total of 403 households participated with an overall response rate was 98%. More than fifty percent (53.3%) were found to handle their drinking water properly. Level of education [AOR=3.341,95% CI:(1.536,7.267], monthly income [AOR= 0.291, 95%CI:(0.100,0.848], know about safe water handling [AOR=1.721, 95%CI: (1.103, 2.681], frequency of water collected per day [AOR=3.049, 95%CI: (1.476, 6.299], knowing water treatment [AOR=1.588,95%CI: (1.015,2.485]and methods with draw water from container [AOR=1.840, 95% CI: (1.111, 3.046)] were found to be factors associated with proper water handling practices. Unsafe water handling practiced is high irrespective of the efforts being done the ministry of health and stakeholders were found to be significantly associated in the study area. Thus, Education on water handling practice with emphasis on the consequences of negative impacts of poor water handling practice and implement treating of water at house holds’ level insured good practice.
Human immunodeficiency virus viral load suppression and associated factors among client on anti-retroviral therapy in asella teaching and referral hospital, Ethiopia Abdurrahman Geleto Sado; Solomon Wolde Mariam Chakso; Girma Worku Obsie
International Journal of Public Health Science (IJPHS) Vol 11, No 3: September 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i3.21002

Abstract

The goal of therapy following treatment failure is to achieve and maintain Virological suppressions  via the three 90 target by the year 2020 to accelerate reaching epidemic control of those on Anti-Retroviral Therapy (ART) shall be virally suppressed. Therefore, the aimed of this study to assess Human Immunodeficiency Virus(HIV) on High  viral load suppression and associated factors among client on ART in Asella Teaching and Referral Hospital, Arsi Zone, Oromia Regional State, Ethiopia, 2019. Institution based cross sectional study was conducted by chart review. A total of 430  study subjects were selected with complete information included in the analysis. The collected data was entered in to Epi info Version 7 software then cleaned data was exported to SPSS version 21 for analysis. All explanatory variables with at p-value<0.2 in the crude analysis were included in the multiple logistic regression analysis with 95% CI computed. A P-value<0.05 has considered statistically significant. A total of 430 people living with HIV enrolled in this study was, 356 (82.8%) had not suppressed viral load with the corresponding 95% confidence interval was (79.2, 86.3). People living with HIV enrolled with '''baseline Hgb < 10g/dl [AOR=1.834,95% CI(1.407,2.710)], patients hav.ing poor adherence [AOR=15.204, 95%CI (8.087, 28.58)] and patients enrolled to care who use substance [ AOR=1.6,95%CI (1.021,3.118)] were at risky to get high viral load. The findings of this study strongly indicated that on treatment viral load suppression rates 17.2% patients had suppressed viral load < 1000 RNAcopies/mL. This proportion falls short of the UNAIDS’ 90% target for on treatment viral suppression. Poor adherence, Hgb level < 10g/dl and substance use were factors that decreases rates of viral load suppression. Therefore, the Human Immunodeficiency Virus(HIV) treatment program me can maintain and potentially improve virological treatment outcomes by improving access to targeted viral load testing.