International Journal of Africa Nursing Sciences最新文献

{"title":"Exploring content of home-based care education after caesarean section provided by Nurse Midwives in Maternity Units","authors":"Mwajuma Bakari Mdoe ,&nbsp;Lilian Teddy Mselle ,&nbsp;Stephen Mathew Kibusi","doi":"10.1016/j.ijans.2023.100655","DOIUrl":"https://doi.org/10.1016/j.ijans.2023.100655","url":null,"abstract":"<div><h3>Background</h3><p>Caesarean section (CS) deliveries are increasing and mothers are commonly discharged home early to continue with care. At home, mothers should be knowledgeable about how to take care of themselves and their babies. Studies have reported non-uniform antenatal health education and existing postnatal guidelines merely provide information about home care after CS. Exploration of the content of post-CS will provide input to standard and comprehensive post-CS home care guidelines to be used by nurse-midwives in educating post-CS mothers.</p></div><div><h3>Objective</h3><p>To explore the content of home-based care education after caesarean section provided by Nurse Midwives in Maternity Units in Dodoma, Tanzania.</p></div><div><h3>Methodology</h3><p>An exploratory qualitative study using in-depth interviews was conducted with 14 nurse midwives working in the maternity unit and 11 post-CS mothers attending their post-natal clinic at Makole Health Centre. Qualitative content analysis was used to generate themes that describe information about care of mothers at home after hospital discharge, provided by nurse midwives.</p></div><div><h3>Results</h3><p>The study found that information about nutrition, maternal and newborn hygiene and caesarean wound care at home were the main components of health education provided to post-CS mothers. However, non-uniform and contradicting instructions were provided to post-CS mothers.</p></div><div><h3>Conclusion</h3><p>This study reported non-uniform and contradicting health information provided by nurse-midwives on home care after CS. Even though nurse midwives recognize the importance of providing health education to post-CS mothers, a standard and practical home care guideline should be developed to guide health education and care of post-CS mothers at home to promote recovery.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139123001300/pdfft?md5=19ce72053f3d6ac602f8700ed5795e94&pid=1-s2.0-S2214139123001300-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139100939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the link between nutritional status, functional capacity, and morbidity profile in the community-dwelling elderly of Maharashtra, India","authors":"Devaki Gokhale ,&nbsp;Ritika Garg ,&nbsp;Roopan Miriam George","doi":"10.1016/j.ijans.2023.100654","DOIUrl":"https://doi.org/10.1016/j.ijans.2023.100654","url":null,"abstract":"<div><h3>Background</h3><p>Ageing challenges elderly individuals, increasing the risk of malnutrition due to physical, psychological, functional, and social changes. Poor nutritional status is directly related to functional capacity and can increase the risk of morbidity and mortality. Early identification of the risk of malnutrition among the elderly can promote independence and well-being with a good quality of life.</p></div><div><h3>Objectives</h3><p>To assess the interrelationship between the nutritional status and indicators of functional capacity and morbidity profile among the elderly population from the Pune District of Maharashtra, India.</p></div><div><h3>Methods</h3><p>The study followed a cross-sectional survey design. The convenience sampling technique was used to recruit participants. Three standardised instruments - the Mini-Nutritional Assessment – Short Form (MNA-SF), the Katz Index of Independence in Activities of Daily Living (Katz ADL) and the Cumulative Illness Rating Scale-Geriatric (CIRS-G) – were used to assess the nutritional status, functional capacity and morbidity profile respectively. The data were analysed using Chi-square tests of association, and independent <em>t</em>-test and one-way ANOVA for difference in means.</p></div><div><h3>Results</h3><p>Participants were 100 older adults (age range: 60–90 years). 24 % of the sample were malnourished and 33 % were at risk for malnutrition. Dependent participants had a significantly lower MNA-SF score (5.6 ± 3.5) than independent participants (10.4 ± 3.0) (p &lt; 0.001). There was a significant association between poor nutritional status and morbidity profile specific to disability in organ systems like eyes, ears, throat, haematopoietic, musculoskeletal, and upper GI systems, as well as psychiatric illness (p ≤ 0.05). The CIRS-G score was significantly higher for malnourished participants (12.6 ± 6.2) than those at risk of malnutrition (8.9 ± 4.8) and well nourished (6.0 ± 4.0) (p &lt; 0.001).</p></div><div><h3>Conclusion</h3><p>Nutritional status was associated with functional capacity and indicators of morbidity profile in the elderly. Incorporating routine nutritional risk screening as a component of healthcare can facilitate early identification of at-risk individuals, enabling timely intervention and improving health outcomes. Future research should prioritise investigating routine screening programs to assess the risk of malnutrition and the effectiveness of nutrition interventions such as dietary modifications and supplementation to prevent malnutrition in older adults.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139123001294/pdfft?md5=7f2533c1f68d9298346e187d9a17498e&pid=1-s2.0-S2214139123001294-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139108450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Kotter’s 8-steps model to reduce maternal mortality due to third delay in sub-Saharan Africa","authors":"Mpumelelo Sibanda ,&nbsp;Enos Moyo ,&nbsp;Tafadzwa Dzinamarira ,&nbsp;Grant Murewanhema","doi":"10.1016/j.ijans.2023.100651","DOIUrl":"https://doi.org/10.1016/j.ijans.2023.100651","url":null,"abstract":"<div><p>Maternal mortality remains a significant public health challenge globally, with most deaths occurring in lower-to-middle-income countries. Sub-Saharan Africa (SSA) accounted for 70% of global maternal deaths in 2020. The three-delays model is widely used to account for maternal deaths, with the third delay, which is attributed to delays in receiving intervention in healthcare institutions, being the most common cause. The third delay is attributed to several factors. Implementation of the interventions that can be used to address these factors can make use of Kotter’s 8-step change model. Although there is limited evidence on the use of this model to reduce maternal mortality, it has been used in several industries with great success. In this article, we discuss the application of Kotter’s model in addressing the third delay in SSA, as well as the challenges and recommendations in the application of the model. The use of the model in trying to reduce the third delay as a cause of maternal mortality may lead to some challenges. Some of the challenges include its paucity of information on how to sustain change, its numerous steps which are laborious and time-consuming, and its lack of usefulness when change requires a bottom-up approach. However, with some adjustments to the model, we believe that SSA can successfully use the model to reduce third delays as a cause of maternal mortality in the region.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139123001269/pdfft?md5=86ee6d44d40ba3c39a664466a4d8cb2c&pid=1-s2.0-S2214139123001269-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139108451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Silent struggles: Unveiling the unspoken epidemic of domestic violence against infertile women in Egypt","authors":"Elsayeda Hamdy Nasr Abdelhalim ,&nbsp;Ateya Megahed Ibrahim ,&nbsp;Hanan Elzeblawy Hassan ,&nbsp;Nadia Mohamed Wahba ,&nbsp;Samah Alsaid Ahmed Moawd","doi":"10.1016/j.ijans.2024.100663","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100663","url":null,"abstract":"<div><h3>Background</h3><p>Globally, the issue of domestic violence (DV) against women remains a paramount concern in public health. However, a distinct facet of this challenge revolves around DV targeting women grappling with infertility, presenting a unique nexus with their overall well-being. This study endeavors to unravel the prevalence, associated determinants, and diverse manifestations of domestic violence against infertile women.</p></div><div><h3>Methods</h3><p>The investigation unfolded within the Center for the Diagnosis and Treatment of Delayed Reproduction and the Gynecological Outpatient Clinic at Beni-Suef University spanning from the first of March to the end of July 2022. Employing a cross-sectional descriptive approach, the study engaged 200 infertile women actively seeking infertility treatment. Data acquisition transpired through an interview questionnaire tailored for the purpose.</p></div><div><h3>Results</h3><p>Among surveyed women, 69.0 % reported experiencing physical violence due to infertility, while 65.5 % reported verbal violence. Additionally, 36.5 % reported incidents of sexual violence, and 47.0 % reported being subjected to financial violence. Statistical analyses revealed noteworthy correlations between physical and verbal violence and various factors, including age (p = 0.013), types of infertility (p = 0.001), gender of children (p = 0.006, p &lt; 0.0001), and frequency of coitus (p = 0.019, p = 0.012), respectively.</p></div><div><h3>Conclusion and recommendations</h3><p>Domestic violence exerts a profound impact on the general well-being of women, particularly affecting their emotional and social dimensions. This study underscores a heightened prevalence of violence among infertile women, with verbal abuse emerging as the predominant form. Recognizing the pivotal role of domestic violence in women's health, it becomes imperative for healthcare professionals to proactively identify at-risk individuals. Tailored interventions, such as comprehensive training programs encompassing communication skills and problem-solving approaches, should be devised and implemented. Moreover, counseling sessions should involve both spouses, elucidating the detrimental effects and challenges associated with all forms of violence.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000088/pdfft?md5=5c3f1588ff940307b5fd39b5ee35e2b2&pid=1-s2.0-S2214139124000088-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139548705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managerial factors influencing the implementation of NIMART services in the mobile health clinics of eThekwini municipality in KwaZulu-Natal","authors":"Silingene Joyce Ngcobo ,&nbsp;Lufuno Makhado ,&nbsp;Leepile Alfred Sehularo","doi":"10.1016/j.ijans.2024.100667","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100667","url":null,"abstract":"<div><h3>Background</h3><p>The mobile health clinics (MHCs) have been instrumental in rolling out Human Immunodeficiency Virus (HIV) care since they are an extension of Primary Health Care (PHC) services. The integration of HIV care into PHC services is reported as a structural facilitative factor for implementing nurse-initiated antiretroviral therapy (NIMART). The success of any health program relies heavily on management and support structure, hence managers’ perspectives on the implementation of NIMART services in MHCs are deemed crucial.</p></div><div><h3>Aim</h3><p>The study aimed to explore and describe the managerial factors influencing the implementation of NIMART services in the MHCs of eThekwini municipality in KwaZulu Natal.</p></div><div><h3>Methods</h3><p>A generic qualitative research approach was used applying Qualitative Exploratory Descriptive (QED) design, on twelve MHC managers who were purposefully selected and managing MHCs operated by local and provincial health authorities. The study was approved by the North-West University Human Research Ethics Committee (NWU 00934–19-A1), provincial (KZ_202002_017) and local health (30/1/1/6/3/1) authorities. Online semi-structured interviews were conducted to collect data and were transcribed. Atlas-TI was used for data analysis while demographic data was descriptively analysed.</p></div><div><h3>Results</h3><p>Three themes and twelve subthemes emerged from the study: theme 1: Challenges in implementing NIMART services in MHCs, theme 2: Positive factors influencing implementation of NIMART services in MHCs, and theme 3: Suggestions to strengthen implementation of NIMART services. Subthemes were shortage of staff, shortage of medical equipment for NIMART services, challenges with infrastructure, lack of budget for NIMART services, nurses are trained in NIMART, continuous meetings, Proper planning, more nurses should be trained on NIMART, employment of more nursing personnel, collaboration with relevant stakeholders, proper infrastructure for NIMART and need for allowances.</p></div><div><h3>Conclusion</h3><p>The involvement of managers is key to the successful implementation of NIMART services in the MHCs and improvement is more desirable.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S221413912400012X/pdfft?md5=7427093470f0c6bbdb63a8d34b7dd6da&pid=1-s2.0-S221413912400012X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139675155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment and mitigation of sleep disturbances in Egyptian acute care settings","authors":"Mohamed Gamal Elsehrawey ,&nbsp;Elhaga Ibrahim Eldesouky Mohamed Shaban ,&nbsp;Rasmia Abd El Sattar Ali ,&nbsp;Laila Zeidan Ghazy Mohammed ,&nbsp;Elsayeda Hamdy Nasr Abdelhalim ,&nbsp;Ali D Abousoliman ,&nbsp;Ghada.A. Hassan ,&nbsp;Mohamed A. El-Sakhawy ,&nbsp;Ateya Megahed Ibrahim","doi":"10.1016/j.ijans.2024.100719","DOIUrl":"https://doi.org/10.1016/j.ijans.2024.100719","url":null,"abstract":"<div><h3>Background</h3><p>Sleep disturbances in acute care settings pose challenges to patient recovery and well-being. Acute care facilities provide a unique context to explore these issues due to their diverse patient populations. Understanding the prevalence and nature of sleep disturbances is crucial for developing effective interventions tailored to the acute care setting.</p></div><div><h3>Aim</h3><p>Assess and mitigate of sleep disturbances in Egyptian Acute Care Settings among patients.</p></div><div><h3>Methods</h3><p>A cross-sectional design was utilized, involving 158 adult patients aged 18 and above with various medical conditions. Sleep assessments utilized the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Berlin Questionnaire, and Insomnia Severity Index (ISI). Statistical analyses, including t-tests and ANOVA, were conducted using SPSS 26.</p></div><div><h3>Results</h3><p>The study, encompassed 158 patients, revealed several key findings: heightened sleep latency (p = 0.042) and a substantial increase in the Global PSQI Score (p = 0.018), indicated compromised overall sleep quality. Daytime sleepiness escalated across activities (p &lt; 0.01), hinted at potential sleep-related issues. Additionally, occurrences of snoring, witnessed apnoea's, and daytime sleepiness significantly rose (p &lt; 0.05), suggested the possibility of sleep-disordered breathing. Results from the Insomnia Severity Index (ISI) underscored challenges across various sleep aspects (p &lt; 0.01), highlighted the overall severity of insomnia symptoms (p = 0.001). These findings emphasized the necessity for targeted interventions to address these sleep disturbances.</p></div><div><h3>Conclusion</h3><p>The study underscored the significant impact of sleep disturbances on patients within Egyptian Acute Care Settings. With heightened sleep latency, compromised overall sleep quality, and increased daytime sleepiness observed among the patient cohort, there is a pressing need for tailored interventions to mitigate these issues.</p></div><div><h3>Recommendations</h3><p>Develop interventions tailored to address sleep disturbances, enhance healthcare provider awareness, and incorporate regular sleep assessments into patient care routines. Additionally, future research should evaluate the efficacy of these interventions within acute care environments.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124000647/pdfft?md5=c8917e437f85916faa73123fb7cf7abf&pid=1-s2.0-S2214139124000647-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140825471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights into public opinions and quick reactions to palliative care nursing education in India: A single question survey","authors":"","doi":"10.1016/j.ijans.2024.100786","DOIUrl":"10.1016/j.ijans.2024.100786","url":null,"abstract":"<div><div>Compared to an oppressive authority that denies humanity, robs fundamental liberties, pleasures, and advantages, and substitutes them with unremitting misery, loss, and despair, any life-limiting sickness is one of the most feared diseases. One query Insights on Public Opinions and Swift Reactions to Palliative Care Nursing Education in India were sought through a survey. Twenty convenience sample participants were contacted via phone or in-person interactions to complete the survey over the course of a month, from Jan-2021 to Feb-2021. The poll found that the nursing administrators, educators, scientists, assistant nursing superintendents, and senior nursing officers were the most anxious about the education that goes into palliative care nursing. This might have been the result of their careful study of their patients’ ages, levels of pain, and hopelessness, which gave them a thorough understanding of the intricacies of the illness. In order to grasp their early diagnosis and complete management of palliative patients, palliative care courses at the bachelor’s and master’s levels of nursing education, including degrees and diplomas for nurse practitioners, are desperately needed.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142319392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of acupressure on recurrent headache and anxiety among university students, quasi-experimental study","authors":"","doi":"10.1016/j.ijans.2024.100759","DOIUrl":"10.1016/j.ijans.2024.100759","url":null,"abstract":"<div><h3>Background</h3><p>Stress and anxiety levels among students can be influenced by a variety of factors related to their academic, social, and personal lives. Acupressure can serve as a technique that students can use to relax and take a break from their busy schedules. Implementing acupressure techniques can empower students to manage their well-being proactively.</p></div><div><h3>Aim</h3><p>To investigate the effects of acupressure on reducing the severity of headaches and anxiety among nursing university students.</p></div><div><h3>Method</h3><p>A quasi-experimental study was used to collect data for this study regulated by a questionnaire. The study consisted of 178 participants selected from Prince Sattam University in the Kingdom of Saudi Arabia.</p></div><div><h3>Results</h3><p>When comparing pre, post, and follow-up ratings for all headache domains, the interventional group of students demonstrated statistically significant improvement (p = 0.001). After the acupressure intervention, students’ anxiety levels improved. There is statistically significant improvement (p = 0.001)</p></div><div><h3>Conclusion</h3><p>Acupressure can help students manage recurring anxiety by boosting relaxation, lowering stress levels, improving sleep quality, increasing attention and concentration, and instilling a sense of self-care and empowerment.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124001045/pdfft?md5=d8d63865cd7672200d6a1e424bdee78b&pid=1-s2.0-S2214139124001045-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142151865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal lifestyle characteristics have effect on mode of delivery and preterm birth: A cross-sectional study","authors":"","doi":"10.1016/j.ijans.2024.100775","DOIUrl":"10.1016/j.ijans.2024.100775","url":null,"abstract":"<div><h3>Objective</h3><p>Birth outcomes are usually determined by lifestyle characteristics during pregnancy. We investigated the association of maternal lifestyle characteristics with birth outcomes (mode of delivery and preterm birth) among post-delivery women in Zanzibar.</p></div><div><h3>Methods</h3><p>This was a cross-sectional analytical study which involved quantitative data which were collected prospectively, and it included 301 post-delivery women who were conveniently selected from postnatal wards of the four selected hospitals in Zanzibar between May and July 2019. Multivariable analysis was applied in determining association of maternal lifestyle characteristics and birth outcomes.</p></div><div><h3>Results</h3><p>Both passive (AOR = 3.34, 95 % CI = 1.86–6.0, p &lt; 0.001) and active smoking (AOR = 2.35, 95 % CI = 0.18–0.67, p = 0.002) had increased odds of preterm birth among post-delivery women. However, being minimally active (being moderately physically active) (AOR = 0.21, 95 % CI = 2.69–9.34, p &lt; 0.001) and insufficient dietary intake during pregnancy (AOR = 0.53, 95 % CI = 1.93–6.60, p &lt; 0.001) both had reduced odds of delivering by Caesarean section.</p></div><div><h3>Conclusion</h3><p>Both passive and active smoking in this study had a positive association with preterm birth. Being minimally active and having insufficient dietary intake during pregnancy was protective against Caesarean section delivery. Lifestyle modification during pregnancy should be advocated in mitigation of adverse birth outcomes.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124001215/pdfft?md5=f3c5eda699eb64c601b7633bb91ca337&pid=1-s2.0-S2214139124001215-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142167631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of stunting and associated factors among under-five children in Robe Woreda, Arsi zone, Ethiopia","authors":"","doi":"10.1016/j.ijans.2024.100782","DOIUrl":"10.1016/j.ijans.2024.100782","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to assess the prevalence of stunting and associated factors among children in Robe Woreda, Ethiopia.</p></div><div><h3>Method</h3><p>A community-based cross-sectional study was conducted among under-five children in Robe District from March, 22 – April 22, 2021. A multi-stage sampling technique was used to select 901 under five children for the study. Data were collected using a structured pretested questionnaire and anthropometric measurement tools. We used Emergency Nutrition Assessment (ENA) software for anthropometric calculation and Statistical Package for the Social Sciences (SPSS) version 25 for analysis. Multivariable logistic regression models were employed to determine factors associated with stunting. Adjusted odds ratio (AOR) with its 95 % confidence interval (CI) was computed to assess the strength of the association and a P-value of &lt; 0.05 was considered statistically significant.</p></div><div><h3>Result</h3><p>The overall prevalence of stunting among under-five children was 39.4 %[95 %CI; 36.2, 42.6 %]. Factors such as having large family size (AOR=1.75; 95 %CI:1.12–2.73), lack of latrine facility (AOR=5.36; 95 %CI: 3.32–8.65), history of diarrhea in last two weeks (AOR=2.80;95 % CI:1.80–4.35), pre-lacteal feeding (AOR=10.22; 95 % CI: 4.80–21.74), lack of animal product in daily consumption (AOR=3.43; 95 % CI: 2.13–5.53), lack of fruit in daily consumption (AOR=5.51; 95 % CI: 2.75–11.05) and absence of growth monitoring and promotion (AOR=1.72; 95 %CI:1.08–2.73) were associated with stunting in under-five children.</p></div><div><h3>Conclusions</h3><p>In this study, around two-fifths of under-five children were stunted. Thus, healthcare providers and caregivers should work on strengthening family planning utilization, enhancing dietary diversity, and improving sanitation and hygiene services to reduce the level of stunting among under-five children.</p></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214139124001288/pdfft?md5=8f705e2fd69f3180748010568aaa8b13&pid=1-s2.0-S2214139124001288-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142232967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}