Publications by authors named "Tilahun B"

Objective: To assess the determinants of knowledge of preconception care (PCC) among healthcare providers in Ethiopia.

Design: Systematic review and meta-analysis.

Data Source: Comprehensive literature searches were conducted in PubMed, Scopus and Health Internetwork Access to Research Initiative (HINARI) published until 20 March 2024.

View Article and Find Full Text PDF

Background: Pain management is a crucial component of patient care that promotes relaxation, lowers complications, improves quality of life, and shortens hospital stays. Several studies assessed the nurses' pain management practices in Ethiopia. However, the findings of these studies are highly variable and inconsistent.

View Article and Find Full Text PDF

Background: Digital health has emerged as a promising solution for enhancing health system in the recent years, showing significant potential in improving service outcomes, particularly in low and middle-income countries where accessing essential health service is challenging. This review aimed to determine the effectiveness of short message services on focused antenatal care, skilled birth attendance, and postnatal care improvement in low and middle-income countries.

Method: Electronic databases such as PubMed, EMBASE, Scopus, Cochrane, and Google and Google Scholar were searched.

View Article and Find Full Text PDF

Introduction: An unintended pregnancy refers to a situation where a pregnancy occurs either when there is no desire for a child (unwanted) or when it takes place at a time that was not anticipated (mistimed). Pregnant women infected with HIV face a two to tenfold increased risk of mortality during both pregnancy and the postpartum period compared to those who are not infected. A national level cohort study has identified that about 70 babies born HIV positive, 60% of them were from unplanned pregnancy.

View Article and Find Full Text PDF

Background: To date, findings from systematic reviews and meta-analyses on unintended pregnancies in low-income and middle-income countries (LMICs) are inconsistent, posing challenges for preventive efforts. Therefore, the aim of this study is to determine the magnitude, determinants, and adverse outcomes of unintended pregnancy among pregnant mothers in LMICs: an umbrella review of systematic review and meta-analysis.

Methods: PubMed, Scopus, Science Direct, Web of Science, as well as databases specific to systematic reviews, such as the Cochrane Database, have investigated the magnitude, risk factors, and adverse outcomes of unintended pregnancy in LMICs.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to identify factors influencing the use of traditional birth attendants among reproductive-age women in Ethiopia, with a focus on data from a large sample of 3979 participants.
  • Results indicated that 29.76% of Ethiopian mothers relied on these traditional attendants for delivery, with predictors including lower education levels, higher poverty, and being from less accessible regions.
  • The findings suggest a need for targeted interventions, such as educational programs and improved access to skilled care, especially in rural areas, to shift mothers towards more qualified birth attendance.
View Article and Find Full Text PDF

Despite extensive efforts, malnutrition persists as a critical public health concern, particularly in developing nations like Ethiopia. Concurrent occurrence of wasting and stunting poses severe consequences. Analyzing trends and factors contributing to this double burden is vital for evaluating and enhancing existing nutritional programs.

View Article and Find Full Text PDF

Introduction: Maternal and child mortality remains a major public health concern in Ethiopia. Improving the practice of short inter-pregnancy intervals is a key strategy to reduce neonatal and maternal mortality. Several primary studies conducted in Ethiopia have revealed the practice short inter-pregnancy interval.

View Article and Find Full Text PDF
Article Synopsis
  • Failed induction of labor in Ethiopia is linked to increased health risks for mothers, including complications from cesarean deliveries and higher mortality rates.
  • A systematic review and meta-analysis were conducted on studies from 2013 to 2023, including 28 studies with 9,757 participants, to assess the prevalence and associated factors of failed induction.
  • The findings revealed a pooled prevalence of 22.39%, with higher rates in Addis Ababa, and identified risk factors such as rural residency, being a first-time mother, an unfavorable Bishop score, hypertension, and premature rupture of membranes.
View Article and Find Full Text PDF

Introduction: postnatal care after birth is a crucial component in saving the lives of mothers and new-borns. A paucity of evidence indicated that women's unwillingness to receive care after birth remains a challenge in resource-limited settings in general and in Ethiopia in particular. This study aimed to assess the level of postnatal care utilization and factors affecting it in northwest Ethiopia.

View Article and Find Full Text PDF

Postnatal care immediately after birth is a crucial component to save lives of mothers and the newborns. A paucity of evidence indicated that women's unwillingness to receive care after birth is a remained challenge in resource-limited settings in general and in Ethiopia in particular. This study aimed to assess the utilization of postnatal care within 48 h after birth and its determinants in northwest Ethiopia.

View Article and Find Full Text PDF

Introduction: The time between seeking emergency care and receiving the first healthcare service is referred to as delays in reaching health facilities. Delay in reaching health facilities had three main sub-themes in different studies. These include (i).

View Article and Find Full Text PDF

Background: Erectile dysfunction is no longer a whisper in the shadows; it's a rising tide threatening the sexual health of millions of men in different regions. In the cases of diabetes, the condition worsens and has a potent cocktail of physical and psychological distress, chipping away at men's confidence, self-esteem, and mental health. This worrying trend shows no signs of slowing down, with projections claiming a staggering 322 million men globally could be affected in the near future.

View Article and Find Full Text PDF
Article Synopsis
  • - The study examines fertility rates in Ethiopia over the past 20 years, highlighting their impact on economic and social policies, and the importance of regional variations for targeted policy-making.
  • - Data from national health surveys showed that while the total fertility rate decreased from 4.8 to 4.2 live births per woman, significant regional differences exist, with higher rates in areas like Somalia and Oromia compared to lower rates in Addis Ababa.
  • - The findings indicate that areas with higher fertility rates are often linked to a higher proportion of Muslim women and limited access to healthcare, emphasizing the need for tailored interventions in different geographic regions.
View Article and Find Full Text PDF

Introduction: Currently, mortality by non-communicable diseases is increasing alarmingly. They account for approximately 35 million deaths each year, of which 14% are due to cardiovascular disease and 9.2% occur in Africa.

View Article and Find Full Text PDF

Background: Patient portal technology is increasingly utilized in the health care system for diabetes management as a means of communication and information-sharing tools, and it has the potential to improve access, quality, and outcomes for patients with diabetes. However, its adaptation is very low, and patients' intention toward the patient portal is unknown. This study aims to fill this gap by determining the intention to use the patient portal and its predictors among patients with diabetes in Ethiopia.

View Article and Find Full Text PDF

Introduction: Blood pressure self-monitoring is patients' regular use of personal blood pressure measurement equipment to measure their blood pressure outside of a clinical environment. Inadequate blood pressure self-monitoring remains a significant problem faced by healthcare providers and populations in the prevention of Hypertension. This study is to assess the practice of blood pressure self-monitoring and associated factors among hypertensive patients on follow-up visits at Hospitals, West Shoa zone, Oromia, Ethiopia, 2022.

View Article and Find Full Text PDF

Introduction: Preeclampsia can elevate the likelihood of unfavorable consequences for a mother, such as severe morbidity and mortality. World Health Organization recommends low dose acetylsalicylic acid (aspirin, 75 mg per day) for the prevention of preeclampsia in women at moderate or high risk of developing the condition. The use of low dose aspirin is dependent on the knowledge of health care providers working in the antenatal care units.

View Article and Find Full Text PDF

Background: The birth of a preterm infant and their subsequent admission to the Neonatal Intensive Care Unit (NICU) is a distressing and challenging experience for parents. The stress experienced by parents can have a significant impact on their mental health, parenting behaviors, and the parent-infant relationship. Recognizing and addressing the stressors faced by parents in the NICU is essential for promoting their well-being and facilitating positive parent-infant interactions.

View Article and Find Full Text PDF

Background: Globally, healthcare providers have faced significant difficulties in adhering to clinical guidelines. Applying mobile health systems is a crucial strategy for enhancing the dissemination and accessibility of clinical guidelines. This study aimed to assess the acceptance of mobile app-based primary healthcare clinical guidelines and associated factors among health professionals in central Gondar health centers.

View Article and Find Full Text PDF

Lifestyle interventions are strategies used to self-manage medical conditions, such as epilepsy, and often complement traditional pharmacologic and surgical therapies. The need for integrating evidence-based lifestyle interventions into mainstream medicine for the treatment of epilepsy is evident given that despite the availability of a multitude of treatments with medications and surgical techniques, a significant proportion of patients have refractory seizures, and even those who are seizure-free report significant adverse effects with current treatments. Although the evidence base for complementary medicine is less robust than it is for traditional forms of medicine, the evidence to date suggests that several forms of complementary medicine including yoga, mindfulness meditation, cognitive behavioral therapy, diet and nutrition, exercise and memory rehabilitation, and music therapy may have important roles as adjuncts in the treatment armamentarium for epilepsy.

View Article and Find Full Text PDF
Article Synopsis
  • Health policy and systems research (HPSR) is essential for generating evidence to enhance health systems and policies, but it's underutilized in developing countries like Ethiopia, where a collaborative priority-setting exercise was conducted.
  • Using the WHO's PIPE framework and the Delphi technique, experts rated and ranked 182 HPSR topics across 8 themes, focusing on areas like health policy, governance, and service delivery.
  • The findings prioritize national health issues, which will inform future research and support evidence-based decision-making to improve health system performance and help achieve national health goals.
View Article and Find Full Text PDF
Article Synopsis
  • The Non-pneumatic Anti-Shock Garment (NASG) is a critical first aid device that helps manage postpartum hemorrhage by improving blood circulation to vital organs, potentially reducing maternal mortality.
  • This study aims to assess the prevalence of NASG use and its influencing factors among obstetric care providers in Ethiopia.
  • After a comprehensive literature search, seven studies with 2335 participants indicated that the overall NASG utilization rate in Ethiopia is 43.34%.
View Article and Find Full Text PDF

Introduction: The World Health Organization defines women with an unmet need for family planning as individuals who are fecund, sexually active, and wanting to either to limit childbirth or postpone their next birth but are not utilizing any form of contraception. Previous meta-analyses and systematic reviews have focused on this topic, but no comprehensive summary of the evidence was available. Therefore, the aim of this study was to provide a summary of the findings on the unmet need for family planning among reproductive-aged women in Ethiopia.

View Article and Find Full Text PDF
Article Synopsis
  • An umbrella review was conducted to analyze the inconsistent findings from previous studies regarding the impact of maternal folic acid and multivitamin supplementation on the risk of neural tube defects (NTDs) in children.
  • The review included ten systematic reviews and meta-analyses with a total of 296,816 participants, revealing a significant pooled effect indicating that both folic acid and multivitamins help reduce the risk of NTDs.
  • Specific findings showed that folic acid alone had a lower risk reduction effect compared to multivitamins, with primary prevention studies showing a higher pooled effect for NTD prevention than those focused on secondary prevention.
View Article and Find Full Text PDF