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Debre Markos University offers a Browse by Title feature within its Institutional Research Repository System that enables users to easily find and access academic research outputs by their titles. This feature organizes theses, dissertations, and other scholarly works alphabetically or by keyword in the title, allowing researchers, students, and the community to quickly locate specific documents when they know all or part of a title. By focusing on titles, users can efficiently explore the repository's collection and discover relevant research materials without needing to search by author or department.

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Political Reform and religious violence in some Ethiopian Regions since 2018: Evidence from Sidama, Somali,and Oromia
Journal Article
Alene Agegnehu Waga a,*, Kelemu Zelalem Berhanu Submitted: Aug 14, 2024
Social Science and Humanities Political Science and International Relations
Abstract Preview:
In the post-1991 period, the Ethiopian People’s Revolutionary Democratic Front clearly endorsed the separationof state and religion. More importantly, the government is obliged to deliver equal protection for the peacefulworshiping and well-being of religious institutions. However, there is little or no protection given to the Ethi-opian Orthodox Church and Christians, specifically in the post 2018 political transition. Therefore, this studyexamines the most devastating and selective murdering and slaughtering of Orthodox Christians and the de-molition of the church a few months after a new governmental transition took place in April 2018. To do so, thispaper applied the theory of “religious victimization” to analyze the interplay between the so-called politicalreform and religious practice since 2018. In this respect, a qualitative research approach with a case researchdesign was used: ten in-depth interviews, three focus group discussions, field observations, and secondarysources analysis. According to the findings, thematic analysis was applied by arranging items in the team basedon their similarities. The results of the study also revealed that there were mass killings and demolition of or-thodox Christian properties in the Ethio-Somalia, Oromia, and Sidama regions of Ethiopia. Vandalism wassupposed to be systematic and well-planned. In this study, the researchers strongly recommend that the gov-ernment identify intervention strategies to stop the atrocities of Ethiopian Christians.
Keywords: Church burnings, Demolition properties, Ethiopian orthodox church, Political transition, Religious freedom, Mass killings
Full Abstract:
In the post-1991 period, the Ethiopian People’s Revolutionary Democratic Front clearly endorsed the separationof state and religion. More importantly, the government is obliged to deliver equal protection for the peacefulworshiping and well-being of religious institutions. However, there is little or no protection given to the Ethi-opian Orthodox Church and Christians, specifically in the post 2018 political transition. Therefore, this studyexamines the most devastating and selective murdering and slaughtering of Orthodox Christians and the de-molition of the church a few months after a new governmental transition took place in April 2018. To do so, thispaper applied the theory of “religious victimization” to analyze the interplay between the so-called politicalreform and religious practice since 2018. In this respect, a qualitative research approach with a case researchdesign was used: ten in-depth interviews, three focus group discussions, field observations, and secondarysources analysis. According to the findings, thematic analysis was applied by arranging items in the team basedon their similarities. The results of the study also revealed that there were mass killings and demolition of or-thodox Christian properties in the Ethio-Somalia, Oromia, and Sidama regions of Ethiopia. Vandalism wassupposed to be systematic and well-planned. In this study, the researchers strongly recommend that the gov-ernment identify intervention strategies to stop the atrocities of Ethiopian Christians.
Keywords: Church burnings, Demolition properties, Ethiopian orthodox church, Political transition, Religious freedom, Mass killings
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Potential influence of nitrogen fertilizer rates on yield and yield components of carrot (Dacus carota L.) in Ethiopia: Systematic review
Journal Article
Yohannes Gelaye and Sewnet Getahun Submitted: Jul 18, 2024
Agriculture and Natural resources Horticulture
Abstract Preview:
Abstract
Carrot is a significant root crop in Ethiopia but its production faces challenges such as nutrient loss and unfavorable growth conditions, which hinder its productivity. The objective of this review was to evaluate the impact of nitrogen fertilizer rates on carrot yield in Ethiopia. A systematic review using databases like PubMed and Scopus focused on peer-reviewed, English-language studies with quantitative data on nitrogen fertilizer and carrot yield in Ethiopia, excluding non-peer-reviewed articles and those lacking quantitative data or in other languages. Globally, carrot yields are 30–100 tons per hectare, but only 5.5 tons in Ethiopia. Carrots are rich in vitamins A, C, and B, proteins, minerals, and fiber, with vitamin C boosting immunity and aiding in wound healing and allergy management. Meanwhile, vitamin A plays a crucial role in vision, bone growth, immune function, and reproduction. It is a rich source of carotenoids and anthocyanins. The application of nitrogen fertilizer significantly improved carrot yield (root length, fresh weight, and dry weight). In Ethiopia, the use of nitrogen fertilizer affects the marketability and total yield of carrots, with small-scale farmers employing diverse rates for cultivation. Current recommendations suggest 69 kg/ha of phosphorus (P2O5) and 46 kg/ha of nitrogen, but farmers often do not follow these guidelines. In conclusion, optimizing nitrogen fertilizer usage is crucial for enhancing carrot yields among small farmers, underscoring the need for government support to tailor recommendations to local soil conditions and boost productivity.
Full Abstract:
Abstract
Carrot is a significant root crop in Ethiopia but its production faces challenges such as nutrient loss and unfavorable growth conditions, which hinder its productivity. The objective of this review was to evaluate the impact of nitrogen fertilizer rates on carrot yield in Ethiopia. A systematic review using databases like PubMed and Scopus focused on peer-reviewed, English-language studies with quantitative data on nitrogen fertilizer and carrot yield in Ethiopia, excluding non-peer-reviewed articles and those lacking quantitative data or in other languages. Globally, carrot yields are 30–100 tons per hectare, but only 5.5 tons in Ethiopia. Carrots are rich in vitamins A, C, and B, proteins, minerals, and fiber, with vitamin C boosting immunity and aiding in wound healing and allergy management. Meanwhile, vitamin A plays a crucial role in vision, bone growth, immune function, and reproduction. It is a rich source of carotenoids and anthocyanins. The application of nitrogen fertilizer significantly improved carrot yield (root length, fresh weight, and dry weight). In Ethiopia, the use of nitrogen fertilizer affects the marketability and total yield of carrots, with small-scale farmers employing diverse rates for cultivation. Current recommendations suggest 69 kg/ha of phosphorus (P2O5) and 46 kg/ha of nitrogen, but farmers often do not follow these guidelines. In conclusion, optimizing nitrogen fertilizer usage is crucial for enhancing carrot yields among small farmers, underscoring the need for government support to tailor recommendations to local soil conditions and boost productivity.

Keywords: carrot yield; carrot production; nitrogen fertilizer; nutrient management
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Practices and challenges of urban land governance in Debre Markos City Administration
Journal Article
Moges Atalele Tilahun and Getachew Melaku Tesema Submitted: Dec 11, 2025
Social Science and Humanities Political Science and International Relations
Abstract Preview:
The primary objective of this study was to investigate the practices and challenges of good governance in urban land administration, with a particular focus on the Debre Markos City Administration. The study selected the Debre Markos City Administration Municipality service office as a case study. This study employed a mixed research approach, and data were collected through questionnaire and interview methods obtained from both public servants and customers. The data was analysed through descriptive analysis. Based on the analysis conducted using three core elements of good governance—transparency, accountability, and responsiveness, the study found that there were poor practices of good governance in urban land administration. On the other hand, the study investigated various challenges of good governance in urban land administration, which emanate from personal, administrative, and socio-economic problems such as the absence of innovative figures of land registration, lack of monitoring and evaluation, inadequate institutional performance, and absence of reward and punishment systems. In general, the findings of this study revealed that due to various challenges, there were poor practices of good governance in terms of transparency, accountability, and responsiveness in the study area. These challenges impede people’s access to quality service in urban areas and undermine the trust between citizens and the government. Finally, enhancing institutional capacity, consistent implementations of monitoring and evaluation, innovative figures of land registration, and giving corrective measures for wrongdoers were stated as recommendations.
Full Abstract:
The primary objective of this study was to investigate the practices and challenges of good governance in urban land administration, with a particular focus on the Debre Markos City Administration. The study selected the Debre Markos City Administration Municipality service office as a case study. This study employed a mixed research approach, and data were collected through questionnaire and interview methods obtained from both public servants and customers. The data was analysed through descriptive analysis. Based on the analysis conducted using three core elements of good governance—transparency, accountability, and responsiveness, the study found that there were poor practices of good governance in urban land administration. On the other hand, the study investigated various challenges of good governance in urban land administration, which emanate from personal, administrative, and socio-economic problems such as the absence of innovative figures of land registration, lack of monitoring and evaluation, inadequate institutional performance, and absence of reward and punishment systems. In general, the findings of this study revealed that due to various challenges, there were poor practices of good governance in terms of transparency, accountability, and responsiveness in the study area. These challenges impede people’s access to quality service in urban areas and undermine the trust between citizens and the government. Finally, enhancing institutional capacity, consistent implementations of monitoring and evaluation, innovative figures of land registration, and giving corrective measures for wrongdoers were stated as recommendations.
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Predictors of youth unemployment duration and impact evaluation of job creation program in East Gojjam Zone
Journal Article
Nigusie Gashaye Shita 1*, Metadel Azeze Mekonnen1, Yeshiwas Ewinetu Tegegne2, Misganaw Mekonnen Nigussie1, Awoke Fetahi Woudneh1 Submitted: Apr 04, 2025
Natural & Computational Sciences Statistics
Abstract Preview:
Youth unemployment in the East Gojjam Zone is a critical issue. This study focuses onidentifying the factors that influence unemployment duration and evaluating the impact ofjob creation programs on the well-being of youth in this region. We employed Cox regres-sion to analyze the determinants of unemployment duration and used propensity scorematching to assess the welfare effects of job creation initiatives. Our multistage clustersampling revealed a youth unemployment rate of 33.3% (95% CI: 27.3–39.3). Over half ofthe unemployed youth transitioned to employment within four years, with 25% securingjobs within two years. Participation in job creation programs led to an average earningsincrease of 1,069.716 birr, though retention in these programs was low at 49%. The find-ings reveal a connection between prolonged unemployment, skill mismatches, financialconstraints, limited work experience, weak social networks, low income, and a preferencefor public-sector employment. To effectively address these challenges, interventions mustfocus on improving job accessibility, aligning vocational training with labor market needs,promoting financial inclusion, and enhancing social support systems.
Full Abstract:
Youth unemployment in the East Gojjam Zone is a critical issue. This study focuses onidentifying the factors that influence unemployment duration and evaluating the impact ofjob creation programs on the well-being of youth in this region. We employed Cox regres-sion to analyze the determinants of unemployment duration and used propensity scorematching to assess the welfare effects of job creation initiatives. Our multistage clustersampling revealed a youth unemployment rate of 33.3% (95% CI: 27.3–39.3). Over half ofthe unemployed youth transitioned to employment within four years, with 25% securingjobs within two years. Participation in job creation programs led to an average earningsincrease of 1,069.716 birr, though retention in these programs was low at 49%. The find-ings reveal a connection between prolonged unemployment, skill mismatches, financialconstraints, limited work experience, weak social networks, low income, and a preferencefor public-sector employment. To effectively address these challenges, interventions mustfocus on improving job accessibility, aligning vocational training with labor market needs,promoting financial inclusion, and enhancing social support systems.
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Prevalence and Associated Factors of Multidimensional Poverty among Rural Households in East Gojjam Zone, Northern Ethiopia: A Community-Based Cross-Sectional Study
Journal Article
Amare Wubishet Ayele, Yeshiwas Ewinetu, Asefa Delesho, Yirsie Alemayehu, and Hayimro Edemealem Submitted: May 10, 2025
Business and Economics Economics
Abstract Preview:
Backgrounds Poverty is a complex and multifaceted global public health issue, particularly prevalent in Ethiopia,including the East Gojjam Zone. Previous studies on poverty have largely relied on unidimensional measures,providing limited evidence on multidimensional poverty (MP). Therefore, this study tried to assess the prevalenceand identify the associated factors of MP among rural households in selected woredas of East Gojjam Zone, NorthernEthiopia.Methods A community-based cross-sectional study was conducted in the fall of 2020 in randomly selectedworedas of East Gojjam zone, involving 770 rural households. Multistage cluster sampling was used, and data werecollected through structured, interviewer-administered questionnaires covering eleven MP indicators. The globalmultidimensional poverty index (MPI) was applied to assess poverty status. The multivariable partial proportionalodds model (PPOM) was employed to identify the associated factors of MP, and variables with a p-value < 0.05 wereconsidered as significant.Results Among 770 rural households considered 37.27% (25.45% moderately and 11.82% severely) of them wereclassified as multidimensionally poor. The standard of living dimension accounted for the largest contribution to MP.Household head aged, 30–45years (AOR = 1.78, 95% CI: 1.01, 3.15) and those over 45 years (AOR = 2.75, 95% CI: 1.42,5.33), weather condition(Kolla) (AOR = 1.79, 95%CI: 1.05, 3.07), experiencing drought in the preceding 12 months(AOR = 1.65, 95% CI: 1.12, 2.41), dependency ratio (AOR = 1.34, 95%CI: 1.13,1.59), and adult equivalence (AOR = 1.13,95%CI: 1.07,1.19) were more likely to experience MP. Conversely, marital status (being married) (AOR = 0.36, 95%CI:0.21, 0.64), woreda, Machakel (AOR = 0.56, 95%CI: 0.36, 0.86), Sinan (AOR = 0.53, 95%CI: 0.29, 0.95), and road accessibilityin the village (AOR = 0.55, 95%CI: 0.37, 0.81) were significantly associated with lower odds of MP among ruralhouseholds in the study area.
Conclusion: Approximately 37% of rural household’s experience moderate to severe MP, and living standardsdimension accounted for the largest contribution. Various socio-demographic, agro-ecological, and related factorshave been identified to rural MP. To address this issue, stakeholders should prioritize to promote climate-resilientagriculture and strengthening drought coping mechanisms. Furthermore, it is essential to account for the variations inpoverty levels across different administrative units and ecological zones to effectively eradicate poverty among ruralhouseholds.Keywords: East Gojjam zone, Ethiopia, Multidimensional poverty, Partial proportional odds model, Rural household
Full Abstract:
Backgrounds Poverty is a complex and multifaceted global public health issue, particularly prevalent in Ethiopia,including the East Gojjam Zone. Previous studies on poverty have largely relied on unidimensional measures,providing limited evidence on multidimensional poverty (MP). Therefore, this study tried to assess the prevalenceand identify the associated factors of MP among rural households in selected woredas of East Gojjam Zone, NorthernEthiopia.Methods A community-based cross-sectional study was conducted in the fall of 2020 in randomly selectedworedas of East Gojjam zone, involving 770 rural households. Multistage cluster sampling was used, and data werecollected through structured, interviewer-administered questionnaires covering eleven MP indicators. The globalmultidimensional poverty index (MPI) was applied to assess poverty status. The multivariable partial proportionalodds model (PPOM) was employed to identify the associated factors of MP, and variables with a p-value < 0.05 wereconsidered as significant.Results Among 770 rural households considered 37.27% (25.45% moderately and 11.82% severely) of them wereclassified as multidimensionally poor. The standard of living dimension accounted for the largest contribution to MP.Household head aged, 30–45years (AOR = 1.78, 95% CI: 1.01, 3.15) and those over 45 years (AOR = 2.75, 95% CI: 1.42,5.33), weather condition(Kolla) (AOR = 1.79, 95%CI: 1.05, 3.07), experiencing drought in the preceding 12 months(AOR = 1.65, 95% CI: 1.12, 2.41), dependency ratio (AOR = 1.34, 95%CI: 1.13,1.59), and adult equivalence (AOR = 1.13,95%CI: 1.07,1.19) were more likely to experience MP. Conversely, marital status (being married) (AOR = 0.36, 95%CI:0.21, 0.64), woreda, Machakel (AOR = 0.56, 95%CI: 0.36, 0.86), Sinan (AOR = 0.53, 95%CI: 0.29, 0.95), and road accessibilityin the village (AOR = 0.55, 95%CI: 0.37, 0.81) were significantly associated with lower odds of MP among ruralhouseholds in the study area.
Conclusion: Approximately 37% of rural household’s experience moderate to severe MP, and living standardsdimension accounted for the largest contribution. Various socio-demographic, agro-ecological, and related factorshave been identified to rural MP. To address this issue, stakeholders should prioritize to promote climate-resilientagriculture and strengthening drought coping mechanisms. Furthermore, it is essential to account for the variations inpoverty levels across different administrative units and ecological zones to effectively eradicate poverty among ruralhouseholds.Keywords: East Gojjam zone, Ethiopia, Multidimensional poverty, Partial proportional odds model, Rural household
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Prevalence and associated factors of multidimensional poverty among rural households in West Gojjam Zone, northern Ethiopia: a household-based cross-sectional study
Journal Article
Yeshiwas Ewinetu Tegegne1* and Nigusie Gashaye Shita Submitted: May 10, 2025
Business and Economics Economics
Abstract Preview:
Multidimensional poverty, encompassing deprivations in education, health, and living standards, is a significant challenge in rural Ethiopia. Despite various development initiatives, poverty remains pervasive in the West Gojjam Zone of northern Ethiopia. This study aims to assess the extent of multidimensional poverty in this region and identify key factors contributing to the likelihood of households experiencing it.
Methods
A cross-sectional survey was conducted in the West Gojjam Zone, involving 628 rural households selected through a multi-stage sampling approach. Descriptive statistics were used to calculate the multidimensional poverty index (MPI), focusing on poverty incidence, gap, and severity. A binary logistic regression model was applied to examine the relationship between household characteristics and the likelihood of being multidimensionally poor.
Full Abstract:
Multidimensional poverty, encompassing deprivations in education, health, and living standards, is a significant challenge in rural Ethiopia. Despite various development initiatives, poverty remains pervasive in the West Gojjam Zone of northern Ethiopia. This study aims to assess the extent of multidimensional poverty in this region and identify key factors contributing to the likelihood of households experiencing it.
Methods
A cross-sectional survey was conducted in the West Gojjam Zone, involving 628 rural households selected through a multi-stage sampling approach. Descriptive statistics were used to calculate the multidimensional poverty index (MPI), focusing on poverty incidence, gap, and severity. A binary logistic regression model was applied to examine the relationship between household characteristics and the likelihood of being multidimensionally poor.
Results
The study revealed that 93.95% of households in the West Gojjam Zone experience multidimensional poverty, with an intensity of 61.17% and an adjusted multidimensional headcount ratio of 57.47%. Key factors associated with a lower likelihood of multidimensional poverty include land ownership, off-farm income, year-round road access, the frequency of agricultural extension services, and access to loans. Conversely, the age of household heads is positively associated with an increased likelihood of poverty, with older household heads being more vulnerable.
Conclusions
The findings highlight that multidimensional poverty in the West Gojjam Zone is primarily driven by limited access to land, financial services, infrastructure, and agricultural support. Furthermore, older household heads are particularly at risk. To address these challenges, the study recommends policies that focus on enhancing agricultural productivity, expanding access to financial services, improving road infrastructure, and fostering non-farm income-generating activities. Strengthening agricultural extension services is essential to enhancing household resilience and reducing poverty.
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Prevalence and factors associated with Tungiasis among school age children in Sub Saharan Africa: A systematic review and meta-analysis
Journal Article
Gete Berihun 1 , Belay Desye 2 , Leykun Berhanu 2 , Chala Daba 2 , Zebader Walle 3 , Abebe Kassa Geto 4 Submitted: May 08, 2025
College of Health Science Environmental Health
Abstract Preview:
Introduction: Tungiasis is an overlooked tropical disease resulting from the penetration of the skin by sand fleas. It leads to significant suffering and can be fatal, particularly affecting school age children and elders, primarily above 60 years old, in rural and urban slums across Sub-Saharan Africa. Despite its great public health consequences, the condition remains largely under reported by the scientific communities mainly in Sub Saharan African countries.
Objective: To assess the prevalence of Tungiasis and associated factors among school-age children in Sub-Saharan Africa.
Full Abstract:
Introduction: Tungiasis is an overlooked tropical disease resulting from the penetration of the skin by sand fleas. It leads to significant suffering and can be fatal, particularly affecting school age children and elders, primarily above 60 years old, in rural and urban slums across Sub-Saharan Africa. Despite its great public health consequences, the condition remains largely under reported by the scientific communities mainly in Sub Saharan African countries.
Objective: To assess the prevalence of Tungiasis and associated factors among school-age children in Sub-Saharan Africa.
Methods and materials: This systematic review and meta-analysis was done based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA 2020). Literatures were searched from a variety of databases, including PubMed, Science-Direct, Google Scholar, Hinari, and Google. The eligible studies data were extracted using Microsoft Excel and exported to statistical software, STATA version 14 for further analysis. A random-effect model was considered to estimate the prevalence of Tungiasis. The Egger test and funnel plot were used to evaluate publication bias, whereas I2 statistic was used to measure heterogeneity. The finding of this SRMA was done using 23 selected studies with 9781 study participants.
Results: This review revealed that the pooled prevalence of Tungiasis was 37.86%% (95% CI: 30.95-44.77; I2 = 98.3%, P < 0.000). In terms of risk factors of Tungiasis, school children who lived with domestic animals (cat or dog) in their home were 2.73 times more likely to affected by Tungiasis compared to those without these pets in their home (OR: 2.73, 95% CI: 1.53-3.94). Additionally, school age children who did not wear shoes at all and wear occasionally were 11.26 (AOR: 11.26, 95% CI: 4.04, 18.49) and 7.61 (OR: 7.61, 95% CI: 3.39, 11.83) more likely to affected by Tungiasis compared to those who were regularly. Finally, school-age children who lived in mud-plastered walls were 4.97 times more likely to be affected by Tungiasis compared to those who lived in cemented wall homes (OR: 4.97, 95% CI: 2.61, 4.61).
Conclusion: Generally, this systematic review and meta-analysis disclosed that a third of school age children were affected by Tungiasis. Additionally, housing conditions, shoe-wearing practices, and the condition of living with domestic animals were factors significantly associated with Tungiasis. Hence, concerned governmental and non-governmental organizations should work to enhance behavioral modification towards prevention and control of Tungiasis. One-third of the school-aged children were affected by Tungiasis. Contributing factors included inadequate housing conditions, footwear habits, and the presence of domestic animals. Therefore, relevant governmental and non-governmental organizations should promote behavioral changes to prevent and control Tungiasis.
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Prevalence of acute diarrhea and its risk factors among under five children in flood affected Dasenech District, Southern Ethiopia: a cross-sectional study
Journal Article
Getasew Yirdaw1, Habitamu Mekonen2, Bayou Tilahun Assaye3, Gashaw Azanaw Amare4 &Chalachew Yenew5 Submitted: May 15, 2025
College of Health Science Environmental Health
Abstract Preview:
Flooding exacerbates health challenges by spreading waterborne diseases like diarrhea throughthe destruction of sanitation infrastructure and contamination of drinking water sources. However,evidence on the prevalence and contributing factors of diarrheal diseases among under-five childrenin the Dasenech district is limited. This study aimed to assess the prevalence of acute diarrhea andits determinants among under-five children in flood-affected areas of the South Ethiopia region. Acommunity-based cross-sectional study was conducted from July 1 to July 15, 2024, in flood-affectedareas of the Dasenech district, involving 696 under-five children. Five kebeles were purposivelyselected, followed by the proportional allocation of households, after which a systematic samplingtechnique was applied to identify study participants. Data were collected using a pretested andstructured questionnaire administered by trained interviewers. Multivariable logistic regressionanalysis was performed to identify factors associated with acute diarrhea, with statistical significanceset at p < 0.05 and a 95% confidence interval (CI). The prevalence of acute diarrhea was 31.6% (95%CI: 28.7–34.3%). Significant predictors of acute diarrhea included non-adherence to exclusivebreastfeeding (AOR: 2.14, 95% CI: 1.65–3.98), lack of latrines (AOR: 12.08, 95% CI: 9.77–13.13), unsafedisposal of child excreta (AOR: 3.86, 95% CI: 2.38–6.26), home delivery (AOR: 6.02, 95% CI: 5.53–8.82),and a recent history of diarrhea among mothers or caregivers (AOR: 3.14, 95% CI: 1.33–5.66). Acutediarrhea is highly prevalent among under-five children in the Dasenech district. The findings underscorethe need for targeted public health measures, such as improving waste management, promotingexclusive breastfeeding, constructing and utilizing latrines, and addressing maternal and caregiverhealth, to mitigate the burden of diarrheal diseases in this vulnerable population.Keywords Acute diarrhea, Dasenech district, Ethiopia, Flood-affected, Under-five childrenDiarrhea is defined as an increase in bowel movement frequency or a change in stool consistency, commonlyidentified as the passage of three or more loose or watery stools within a 24-h period1. This condition oftenresults from intestinal infections caused by bacteria, viruses, or parasites, which are closely associated withlimited access to safe water and inadequate sanitation facilities2. Inadequate water and sanitation contributeto over 94% of the four billion annual cases of diarrhea worldwide3,4. This condition claims approximately twomillion lives each year, representing 4% of global mortality. Alarmingly, 1.3 million of these deaths occur amongchildren annually5.
Full Abstract:
Flooding exacerbates health challenges by spreading waterborne diseases like diarrhea throughthe destruction of sanitation infrastructure and contamination of drinking water sources. However,evidence on the prevalence and contributing factors of diarrheal diseases among under-five childrenin the Dasenech district is limited. This study aimed to assess the prevalence of acute diarrhea andits determinants among under-five children in flood-affected areas of the South Ethiopia region. Acommunity-based cross-sectional study was conducted from July 1 to July 15, 2024, in flood-affectedareas of the Dasenech district, involving 696 under-five children. Five kebeles were purposivelyselected, followed by the proportional allocation of households, after which a systematic samplingtechnique was applied to identify study participants. Data were collected using a pretested andstructured questionnaire administered by trained interviewers. Multivariable logistic regressionanalysis was performed to identify factors associated with acute diarrhea, with statistical significanceset at p < 0.05 and a 95% confidence interval (CI). The prevalence of acute diarrhea was 31.6% (95%CI: 28.7–34.3%). Significant predictors of acute diarrhea included non-adherence to exclusivebreastfeeding (AOR: 2.14, 95% CI: 1.65–3.98), lack of latrines (AOR: 12.08, 95% CI: 9.77–13.13), unsafedisposal of child excreta (AOR: 3.86, 95% CI: 2.38–6.26), home delivery (AOR: 6.02, 95% CI: 5.53–8.82),and a recent history of diarrhea among mothers or caregivers (AOR: 3.14, 95% CI: 1.33–5.66). Acutediarrhea is highly prevalent among under-five children in the Dasenech district. The findings underscorethe need for targeted public health measures, such as improving waste management, promotingexclusive breastfeeding, constructing and utilizing latrines, and addressing maternal and caregiverhealth, to mitigate the burden of diarrheal diseases in this vulnerable population.Keywords Acute diarrhea, Dasenech district, Ethiopia, Flood-affected, Under-five childrenDiarrhea is defined as an increase in bowel movement frequency or a change in stool consistency, commonlyidentified as the passage of three or more loose or watery stools within a 24-h period1. This condition oftenresults from intestinal infections caused by bacteria, viruses, or parasites, which are closely associated withlimited access to safe water and inadequate sanitation facilities2. Inadequate water and sanitation contributeto over 94% of the four billion annual cases of diarrhea worldwide3,4. This condition claims approximately twomillion lives each year, representing 4% of global mortality. Alarmingly, 1.3 million of these deaths occur amongchildren annually5.
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Prevalence of mortality among mechanically ventilated patients in the intensive care units of Ethiopian hospitals and the associated factors: A systematic review and meta-analysis
Journal Article
Temesgen Ayenew 1 , Mihretie Gedfew 1 , Mamaru Getie Fetene 2 , Belayneh Shetie Workneh 3 , Animut Takele Telayneh 4 , Afework Edmealem 1 , Bekele Getenet Tiruneh 5 , Guadie Tewabe Yinges 6 , Addisu Getie 1 , Mengistu Abebe Meselu 1 Submitted: Jul 13, 2024
College of Health Science Nursing
Abstract Preview:
BackgroundIn the intensive care unit (ICU), mechanical ventilation (MV) is a typical way of respiratorysupport. The severity of the illness raises the likelihood of death in patients who require MV.Several studies have been done in Ethiopia; however, the mortality rate differs among them.The objective of this systematic review and meta-analysis is to provide a pooled prevalenceof mortality and associated factors among ICU-admitted patients receiving MV in Ethiopianhospitals.MethodsWe used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA) 2020 criteria to conduct a comprehensive systematic review and meta-analysisin this study. We searched PubMed/Medline, SCOPUS, Embase, Hinari, and Web of Sci-ence and found 22 articles that met our inclusion criteria. We used a random-effects model.To identify heterogeneity within the included studies, meta-regression and subgroup analy-sis were used. We employed Egger’s regression test and funnel plots for assessing publica-tion bias. STATA version 17.0 software was used for all statistical analyses.ResultsIn this systematic review and meta-analysis, the pooled prevalence of mortality among 7507ICU-admitted patients from 22 articles, who received MV was estimated to be 54.74% [95%CI = 47.93, 61.55]. In the subgroup analysis by region, the Southern Nations, Nationalities,
and Peoples (SNNP) subgroup (64.28%, 95% CI = 51.19, 77.37) had the highest preva-lence. Patients with COVID-19 have the highest mortality rate (75.80%, 95% CI = 51.10,100.00). Sepsis (OR = 6.85, 95%CI = 3.24, 14.46), Glasgow Coma Scale (GCS) score
Full Abstract:
BackgroundIn the intensive care unit (ICU), mechanical ventilation (MV) is a typical way of respiratorysupport. The severity of the illness raises the likelihood of death in patients who require MV.Several studies have been done in Ethiopia; however, the mortality rate differs among them.The objective of this systematic review and meta-analysis is to provide a pooled prevalenceof mortality and associated factors among ICU-admitted patients receiving MV in Ethiopianhospitals.MethodsWe used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA) 2020 criteria to conduct a comprehensive systematic review and meta-analysisin this study. We searched PubMed/Medline, SCOPUS, Embase, Hinari, and Web of Sci-ence and found 22 articles that met our inclusion criteria. We used a random-effects model.To identify heterogeneity within the included studies, meta-regression and subgroup analy-sis were used. We employed Egger’s regression test and funnel plots for assessing publica-tion bias. STATA version 17.0 software was used for all statistical analyses.ResultsIn this systematic review and meta-analysis, the pooled prevalence of mortality among 7507ICU-admitted patients from 22 articles, who received MV was estimated to be 54.74% [95%CI = 47.93, 61.55]. In the subgroup analysis by region, the Southern Nations, Nationalities,
and Peoples (SNNP) subgroup (64.28%, 95% CI = 51.19, 77.37) had the highest preva-lence. Patients with COVID-19 have the highest mortality rate (75.80%, 95% CI = 51.10,100.00). Sepsis (OR = 6.85, 95%CI = 3.24, 14.46), Glasgow Coma Scale (GCS) score
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Prevalence of Post-intensive care syndrome among intensive care unit-survivors and its association with intensive care unit length of stay: Systematic review and meta-analysis
Journal Article
Temesgen Ayenew 1*, Menberu Gete1, Mihretie Gedfew1, Addisu Getie1, Abebe Dilie Afenigus1, Afework Edmealem1, Haile Amha1, Girma Alem1, Bekele Getenet Tiruneh2, Mengistu Abebe Messelu1 Submitted: May 08, 2025
College of Health Science Nursing
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BackgroundPost-intensive Care Syndrome (PICS) is defined as various physical, psycho-logical, and cognitive, impairments that can arise during an ICU stay, continueafter leaving the ICU, or even persist following hospital discharge. It impactsboth patients and their family’s quality of life. Various primary studies worldwidehave reported prevalence of PICS among ICU survivors. However, these studiesexhibit inconsistency and wide variations. Therefore, this systematic review andmeta-analysis aimed to estimate the pooled prevalence of post intensive caresyndrome among intensive care unit survivors along with its association with ICUlength of stay.MethodsWe used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA) 2020 checklist for this review. We searched PubMed/Medline, CINHAL,Embase, and Google scholar to retrieve articles. The Newcastle Ottawa Scale (NOS)was used for quality assessment of articles. The random effects model with I-squaredtest was used to estimate the prevalence of PICS and its association with ICU lengthof stay. To identify the source of heterogeneity within the included studies, meta-regression and subgroup analysis were used. We employed Egger’s regression testand funnel plots for assessing publication bias. STATA version 17.0 software wasused for all statistical analyses. A p-value of < 0.05 with 95% confidence interval wasused declare statistically significant.
ResultsA total of 19 articles with a population of 10179 ICU-survivors were included in thisreview. The pooled prevalence of PICS was found to be 54.35% (95% CI = 45.54,63.15). In sub-group analysis by region, the highest prevalence was observed instudies done in south and north America with overall prevalence of 61.95% (95%CI = 28.33, 95.62). Among the three domains of PICS (physical, cognitive and mentaldomains), the highest prevalence score was observed in the physical domain withoverall prevalence of 45.99% (95% CI = 34.66, 57.31). In this meta-analysis, thosepatients who stayed more than four days in the ICU were 1.207 [95% CI = 1.119,1.295] times more likely to develop at least one among the three domains of PICS inthe post-intensive care period than their counterparts.ConclusionThis systematic review and meta-analysis demonstrate a high prevalence of PICSamong ICU survivors, and highlight the significant association between ICU lengthof stay and the development of PICS. These findings underscore the need for tar-geted interventions to mitigate the long-term effects of critical illness, particularly forpatients with prolonged ICU stays.
Full Abstract:
BackgroundPost-intensive Care Syndrome (PICS) is defined as various physical, psycho-logical, and cognitive, impairments that can arise during an ICU stay, continueafter leaving the ICU, or even persist following hospital discharge. It impactsboth patients and their family’s quality of life. Various primary studies worldwidehave reported prevalence of PICS among ICU survivors. However, these studiesexhibit inconsistency and wide variations. Therefore, this systematic review andmeta-analysis aimed to estimate the pooled prevalence of post intensive caresyndrome among intensive care unit survivors along with its association with ICUlength of stay.MethodsWe used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA) 2020 checklist for this review. We searched PubMed/Medline, CINHAL,Embase, and Google scholar to retrieve articles. The Newcastle Ottawa Scale (NOS)was used for quality assessment of articles. The random effects model with I-squaredtest was used to estimate the prevalence of PICS and its association with ICU lengthof stay. To identify the source of heterogeneity within the included studies, meta-regression and subgroup analysis were used. We employed Egger’s regression testand funnel plots for assessing publication bias. STATA version 17.0 software wasused for all statistical analyses. A p-value of < 0.05 with 95% confidence interval wasused declare statistically significant.
ResultsA total of 19 articles with a population of 10179 ICU-survivors were included in thisreview. The pooled prevalence of PICS was found to be 54.35% (95% CI = 45.54,63.15). In sub-group analysis by region, the highest prevalence was observed instudies done in south and north America with overall prevalence of 61.95% (95%CI = 28.33, 95.62). Among the three domains of PICS (physical, cognitive and mentaldomains), the highest prevalence score was observed in the physical domain withoverall prevalence of 45.99% (95% CI = 34.66, 57.31). In this meta-analysis, thosepatients who stayed more than four days in the ICU were 1.207 [95% CI = 1.119,1.295] times more likely to develop at least one among the three domains of PICS inthe post-intensive care period than their counterparts.ConclusionThis systematic review and meta-analysis demonstrate a high prevalence of PICSamong ICU survivors, and highlight the significant association between ICU lengthof stay and the development of PICS. These findings underscore the need for tar-geted interventions to mitigate the long-term effects of critical illness, particularly forpatients with prolonged ICU stays.
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