172 results match your criteria: "Amhara Public health Institute[Affiliation]"

Trachoma recrudescence is a serious concern for trachoma control programs. Programs define recrudescence as the return of trachomatous inflammation-follicular (TF) prevalence above elimination threshold (≥5%) on district-level trachoma surveillance surveys (TSSs). This study aimed to determine potential correlates of trachoma recrudescence within a historically highly endemic region.

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Introduction: Maternal undernutrition and inflammation in utero may significantly impact the neurodevelopmental potential of offspring. However, few studies have investigated the effects of pregnancy interventions on long-term child growth and development. This study will examine the effects of prenatal nutrition and infection management interventions on long-term growth and neurodevelopmental outcomes of offspring.

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Background: Malaria poses a significant public health threat globally, particularly in African regions, where asymptomatic malaria is a considerable logistic problem. Individuals with asymptomatic malaria do not seek treatment, and thus they are invisible to health facilities and represent a substantial hidden reservoir of Plasmodium species. This study aimed to determine the prevalence of asymptomatic malaria and its associated factors in Gorgora, western Dembia district, Northwest Ethiopia.

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Effect of pregnancy intention on completion of maternity continuum of care in Sub-Saharan Africa: systematic review and meta-analysis.

BMC Pregnancy Childbirth

November 2024

School of Nursing and Midwifery, Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University Geelong, Melbourne, Victoria, Australia.

Background: The maternity continuum of care is a strategy to provide timely and quality maternal and child healthcare through preconception, pregnancy, childbirth, postnatal, and the early childhood periods. The maternity continuum of care effectively reduces global maternal and neonatal deaths. However, several factors are reported to cause low completion of the maternity continuum of care in sub-Saharan Africa.

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Introduction: Measles is an extremely contagious viral disease that can be prevented through vaccination. It is caused by the measles virus and presents with symptoms such as high fever, cough, runny nose, conjunctivitis, and a distinctive rash. Complications may include pneumonia, diarrhoea, and neurological issues.

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The genetic analysis of the Dengue virus circulating in Ethiopia's Afar region, in 2023, identified three distinct introductions with spatiotemporal clustering linked to genomes from Asia and Italy. These findings are crucial for enhancing prevention and control strategies, reinforcing the necessity to provide sustainable tools for genomic epidemiology in Africa.

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Background: In Ethiopia, cutaneous leishmaniasis is mainly caused by Leishmania (L.) aethiopica parasites and presents in three main clinical forms. It is still not clear if the host immune response plays a role in the development of these different presentations.

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A novel machine-learning aided platform for rapid detection of urine ESBLs and carbapenemases: URECA-LAMP.

J Clin Microbiol

November 2024

Department of Pathology & Laboratory Medicine, Medicine, and Microbiology, Immunology and Infectious Diseases, University of Calgary, Calgary, Alberta, Canada.

Pathogenic gram-negative bacteria frequently carry genes encoding extended-spectrum beta-lactamases (ESBL) and/or carbapenemases. Of great concern are carbapenem resistant , , and . Despite the need for rapid AMR diagnostics globally, current molecular detection methods often require expensive equipment and trained personnel.

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Antibiotic Prescribing Behavior of Physicians in Outpatient Departments in Hospitals in Northwest Ethiopia: Structural Equation Modeling Approach.

Interact J Med Res

October 2024

Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Background: Antibiotic resistance, fueled by irrational prescribing, is a global threat associated with health, social, and economic consequences. Understanding antibiotic prescribing behavior and associated factors is important to promote good prescribing practice.

Objective: This study aimed to determine the factors affecting antibiotic prescribing behaviors of physicians based on the theory of planned behavior in hospitals in northwest Ethiopia in 2022.

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Article Synopsis
  • This study focused on the relationship between helminth infections and the effectiveness of the QuantiFERON-TB Gold Plus (QFT-Plus) test for detecting latent TB in a TB-endemic area of Ethiopia.* -
  • Among 314 participants, 16.9% were found to be infected with helminths, but overall QFT-Plus positivity was similar for both helminth-positive and -negative groups, although higher hookworm burdens corresponded with lower test positivity.* -
  • The results indicate that the type and intensity of helminth infections may impact immune response, suggesting the need for more extensive research to fully understand these dynamics.*
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Article Synopsis
  • Cutaneous leishmaniasis (CL) in Ethiopia, caused by the Leishmania aethiopica parasite, shows multiple clinical forms that are not linked to genetic differences in the parasite's genome or variations in immune system responses among patients.
  • A study analyzed genetic data from 48 parasite isolates and immune signatures from 129 CL patients, finding no significant associations between the genetic variants or immune markers and the different clinical presentations of CL.
  • The research concluded that while there were some differences in chemokines when comparing CL patients to healthy controls, the overall immune response did not significantly vary between the clinical forms of CL.
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Barriers of persistent long-lasting insecticidal nets utilization in Northwest Ethiopia: a qualitative study.

BMC Public Health

October 2024

Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Article Synopsis
  • Malaria remains a major public health issue in Ethiopia, and while Long-Lasting Insecticidal Nets (LLINs) are effective in reducing transmission, their consistent usage is hindered by various behavioral and socio-economic factors.
  • A study conducted in East Belessa District involved interviews with community members and key informants to deeply understand the challenges to LLIN use, utilizing an interpretive description approach for context analysis.
  • Findings revealed three key themes: community knowledge about malaria and LLINs, perceptions of malaria risk, and various barriers—including individual, socio-cultural, and institutional factors—that affect the regular utilization of LLINs.
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Article Synopsis
  • Trachoma is aimed for global elimination by 2030, with a focus on using IgG antibody measurements in children for monitoring and decision-making in public health programs.
  • There are no existing guidelines for using serology in trachoma control, highlighting a larger issue in the field of disease elimination and epidemiology.
  • Researchers analyzed IgG levels in 63,911 children from various regions to determine seroconversion rates and proposed a method to assess when population transmission falls below or exceeds intervention thresholds, aiding trachoma program strategies.
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Background: Neonatal health is one of the targets for the sustainable development goals (SDGs) that aim to reduce neonatal mortality to at least as low as 12 per 1 000 live births in 2030. However, the world is not on track to achieve this target. The problem has worsened in many low-income countries, including Ethiopia, due to a fragile health system, as well as health crises such as the COVID-19 pandemic, conflict, food insecurity and climate change.

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The purpose of this study was to investigate the correlation between bacterial load of Chlamydia trachomatis as measured from quantitative polymerase chain reaction (qPCR) and the relative clinical severity of trachomatous inflammation. Individuals with trachoma from rural communities in Ethiopia had photographs taken as well as swabs obtained of the upper tarsal conjunctivas. Conjunctival swabs were processed with PCR assay, which provided quantitative results of ocular chlamydial load.

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Prevalence and associated factors of norovirus infections among patients with diarrhea in the Amhara national regional state, Ethiopia.

BMC Infect Dis

September 2024

Department of Medical Microbiology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Article Synopsis
  • Noroviruses (NoVs) are the top cause of diarrhea globally, especially in developing countries, and this study aimed to investigate their prevalence in Ethiopia, where data is scarce.
  • Conducted from May to November 2021, the study analyzed 550 participants with diarrhea, collecting fecal samples and using RT-PCR to test for NoV, while demographic information was gathered via questionnaires.
  • Results showed an 8.9% overall prevalence of NoV, with higher rates in the elderly (33.3%) and children under 5 (12.5%), particularly in certain areas like Debre Tabor and Bahir Dar; GII was the dominant genogroup found.
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Cervical cancer screening utilization and associated factors among women living with HIV in Ethiopia, 2024: systematic review and meta-analysis.

BMC Womens Health

September 2024

Department of Health Promotion and Health Behavior, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Po.Box 196, Gondar, Ethiopia.

Background: Cervical cancer is a significant global health challenge, with the majority of cases and deaths occurring in low-resource regions like sub-Saharan Africa including Ethiopia. Women living with HIV (WLHIV) in this area face a six-fold higher risk of cervical cancer compared to women living without HIV Both the availability of screening services and their utilization remain low, particularly among WLHIV, hindering efforts to reduce the cervical cancer burden in this vulnerable population.

Objective: This study aimed to synthesize the current research on the prevalence of cervical cancer screening utilization and the associated factors among women living with HIV in Ethiopia.

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Article Synopsis
  • Streptococcus pneumoniae is a significant opportunistic bacterial pathogen resulting in serious illnesses like pneumonia and meningitis, causing substantial health issues globally.
  • The study focused on understanding the molecular epidemiology of this pathogen in Ethiopia by analyzing 54 bacterial isolates from patients, using whole-genome sequencing and antimicrobial susceptibility testing.
  • Results showed a diversity of 32 serotypes and 42 sequence types including 21 new ones, indicating a concerning trend of resistance, particularly with serotype 14 being highly resistant to penicillin G, pointing to Ethiopia as a possible site for the emergence of new strains.
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Association between pregnancy intention and completion of newborn and infant continuum of care in Sub-Saharan Africa: systematic review and meta-analysis.

BMC Pediatr

September 2024

School of Nursing and Midwifery, Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University Geelong, Victoria, Australia.

Background: The newborn and infant continuum of care such as essential newborn care, early initiation and exclusive breastfeeding, and immunisation are highly recommended for improving the quality of life and survival of infants. However, newborn and infant mortality remains high across Sub-Saharan African countries. While unintended pregnancies are associated with adverse newborn and infant health outcomes, there is inconclusive evidence on whether pregnancy intention influences newborn and infant continuum of care completion.

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Indigenous institutions play a vital role in fighting HIV stigma by leveraging their cultural knowledge, leadership, and community connections. Understanding HIV/AIDS attitudes, information gaps, and stigma among members of indigenous institutions is critical for devising culturally relevant and successful interventions and preventative strategies. This study was conducted with the objective of assessing the levels of knowledge about HIV/AIDS and the various HIV/AIDS discriminatory attitudes and practices among members of the Awi Equestrian Association, an indigenous association in Awi Zone, Northwest Ethiopia, that plays major roles in the social, cultural, political, and economic activities of the community.

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Visceral leishmaniasis (VL) is a neglected tropical disease caused by parasites from the Leishmania (L.) donovani complex. VL is characterised by uncontrolled parasite replication in spleen, liver and bone marrow, and by an impaired immune response and high systemic levels of inflammation.

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Cutaneous leishmaniasis (CL) is a neglected tropical disease caused by Leishmania parasites, that can cause long-term chronic disabilities. The clinical presentation of CL varies in both type and severity. CL presents as three main clinical forms: localised lesions (localised cutaneous leishmaniasis, LCL); mucocutaneous leishmaniasis (MCL) that affects the mucosa of the nose or the mouth; or as disseminated not ulcerating nodules (diffuse cutaneous leishmaniasis, DCL).

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Objectives: A 6-week course of tetracycline eye ointment is an alternative to single -dose oral azithromycin in annual mass drug administration for trachoma control. Compliance with the recommended tetracycline eye ointment regimen has not been well characterised when administered as part of a trachoma control program.

Methods: A routine mass drug administration for trachoma was carried out in 40 communities in the Amhara region of Ethiopia.

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Background: Strengthening workforce management to address retention challenges is worldwide concern. Ethiopia did different human resource reforms to improve retention and performance of available health workforce to step up towards universal health coverage. However, there is limited and fragmented research on intention to leave their current facility and related factors on health workers.

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