Kedir Teji Roba

Background: Anemia is one of the most serious medical disorders that can affect pregnant women and raises the risk of preterm birth, low birth weight, and fetal abnormalities. Currently, most women visiting antenatal care clinics are receiving iron-folic acid supplements. However, a significant number of pregnant women may not receive it due to sev...

Background Breakfast is regarded as “the most important meal of the day,” suggested to positively affect learning in children and adolescent in terms of cognitive and school performance. Yet, studies in LMIC settings are few and show very inconsistent results. Objective To assess the prevalence and correlates of breakfast skipping and its associat...

Abstract Background Neural tube defects (NTDs) are serious brain and spine birth defects. Although NTDs are primarily pregnancy complications, such as abortion and stillbirth, they also contribute to under-five morbidity and mortality, as well as long-term disability and psychological impact. Despite these negative outcomes, the determinants of NTD...

Background There is improved access to Sever Acute Malnutrition management in Ethiopia; however, studies have revealed an alarming rate of defaulters’ poor recovery and deaths, emphasizing the importance of researching to identify major causes. As a result, the goal of this research is to identify treatment outcome determinants and associated facto...

Background: Both hypertension (HTN) and diabetes are public health concerns in low- and middle-income countries, particularly in sub-Saharan African countries. The co-occurrence of HTN and diabetes is associated with an increased risk of mortality, morbidity, and reduced productivity in the working force. In Ethiopia, there is limited evidence on...

Background It is well known that the magnitude of undernutrition in Ethiopia is unacceptably high. The burden of co-occurrence of iron, folate, and vitamin A deficiency, on the other hand, has received less attention. Thus, in this study, we looked at the prevalence of iron, folate, and vitamin A deficiency in pregnant women in eastern Ethiopia. M...

In our previous cross-sectional study, multiple species of Campylobacter were detected (88%) in stool samples from children (12 to 14 months of age) in rural eastern Ethiopia. This study assessed the temporal fecal carriage of Campylobacter in infants and identified putative reservoirs associated with these infections in infants from the same regio...

Background: Tuberculosis (TB) prevalence is increasing among women of reproductive age (WRA) in sub-Saharan Africa, yet undiagnosed and untreated cases remain rather high with serious health and socio-economic consequences. We aimed to assess the prevalence and predictors of TB in WRA seeking health care for acute respiratory symptoms. Methods:...

Objective: To find out the determinants of minimum dietary diversity (MDD) among under-five children in East Africa based on the 2017 revised indicator. Methods: Secondary data from the demographic and health survey (DHS) of eight countries in East Africa were combined. A total of 27,223 weighted samples of children aged 6–59 months were included....

Agriculture, and particularly livestock and animal source foods, has been closely linked to improvements in human nutrition. Production, income, and women’s empowerment improve household food security and child nutritional outcomes in interacting ways. Khat production in Eastern Ethiopia is changing the economic and livelihood landscape for communi...

Poor glycemic control is a public health problem that cause a serious health issues among chronic follow up clinic in diabetes patients. In Ethiopia, scarcity of evidence exist using HbA1c testing to monitor and control blood glucose levels. Therefore, this study is aimed to identify determinants of poor glycemic control by using HbAc1 among diabet...

Background: Undernutrition among the elderly is a major public health issue that contributes to increased morbidity and mortality in developing countries. However, it is frequently misdiagnosed, undertreated, and underfunded. Therefore, this study tried to determine the prevalence of undernutrition and its associated factors among the elderly in th...

Objectives We aimed to estimate the prevalence of folate deficiency and contributing factors among pregnant women. Design A community-based, cross-sectional study. Setting Haramaya District, Eastern Ethiopia. Participants Four hundred and forty-six pregnant women participated in the study. Primary outcome measure The prevalence of folate defici...

Introduction Although undernutrition in pregnancy has continued to get global attention as pregnancy is considered a critical period in the life cycle owed to increase the metabolic and physiological demands, evidence is scarce on undernutrition and associated factors among pregnant women in eastern Ethiopia. Therefore, this study assessed the unde...

Background Acute malnutrition is a major global health problem primarily affecting under-five children. In sub-Saharan Africa, children treated for severe acute malnutrition (SAM) at an inpatient have high case fatality rate and is associated with relapse of acute malnutrition after discharge from inpatient treatment programs. However, there is lim...

Background: Anemia affects more than a quarter of non-pregnant women over the globe, with Sub-Saharan Africa bearing a disproportionate share. Although the use of family planning is beneficial in reducing anemia, lack of scientific study on anemia among family planning users of reproductive-age women is notable, particularly in the study setting....

Background: Ethiopia is one of the developing countries hit by the double burden of malnutrition both under and over nutrition. Inappropriate food choice decisions are among the reasons for the problem, which are poorly investigated in the country, and it is concerned with providing information about the drivers of food choice decision-making proce...

Campylobacter was detected in all households selected in this study (n=106). A total of 71% (1,939/2,718) of field samples were positive for Campylobacter at the genus level Campylobacter was detected in 61% (657/1,074) of infant stools at the genus level (Fig. 1)-Campylobacter prevalence in the infant stools significantly increased over time; 29%...

Background: Relapse is one of the difficulties in managing severe acute malnutrition in children under the age of five. The evidence on post-discharge outcomes following initial recovery from severe acute malnutrition is still limited. As a result, the purpose of this study was to determine the magnitude of relapse after cure for severe acute malnu...

Background Antenatal care (ANC) is the care given to pregnant women to prevent poor feto-maternal outcomes during pregnancy. The World Health Organization recommends first ANC visit be started as early as possible within in 12 weeks of gestation. Although there is improvement in overall ANC coverage, a sizable proportion of pregnant women in Ethiop...

Background Adult chewing of the stimulant plant khat ( Catha edulis) has an unclear relationship with child growth outcomes. Contradictory study conclusions because habitual khat chewing covary with increased household income from khat production. Aim Disentangling the association of parental khat use, household khat production, and child nutritio...

Background Estimates by the World Health Organization indicate that over 800,000 global neonatal deaths each year are attributed to deviations from recommended best practices in infant feeding. Identifying factors promoting ideal breastfeeding practices may facilitate efforts to decrease neonatal and infant death rates and progress towards achievin...

Air pollution research has been conducted in Europe and North America as well as in Asia and South America for decades. Until recently, global inventories of pollutants from North America Europe and Asia have been used for air quality and climate change modelling in Africa (Bond et al., 2004, Streets et al., 2004, Bond et al., 2007, Klimont et al.,...

Abstract Sedentary time is associated with increased risks of detrimental health outcomes. Prolonged sedentary time associates with cardiometabolic risk factors and increased mortality regardless of physical activity. Therefore, the purpose of this study was to examine the associations of sedentary time and cardiometabolic risk factors among univer...

Objectives The evidence on utilization of immediate postpartum intrauterine contraceptive devices (IPPIUCDs) and its associated factors are limited in Ethiopia. Hence, this study intended to assess IPPIUCD utilization and related factors among women who gave birth in Adama town public hospitals, Ethiopia. Method A facility-based cross-sectional st...

Introduction Infertility is one of the public health problems affecting a significant number of women in the reproductive age group. Although female fertility is predominantly affected by gynecological and systemic diseases, lifestyle and nutritional factors also play an important role in secondary female infertility. Therefore, this study aimed to...

Introduction Despite the fact that cognitive behavioral therapy is regarded as a superior pain relief method and an alternative to drug therapy, little is known about its scope of application and determinant factors. As a result, the study sought to assess nurses’ knowledge and practicing level of cognitive behavioral pain relief methods in public...

Abstract Background: Failed induction of labor continues to be a public health challenge throughout the world. This failed induction of labor is associated with a higher rate of maternal and fetal morbidity because it increases the unwanted effect of emergency cesarean section. It is also associated with an increased risk of numerous adverse matern...

Introduction Malnutrition is a major public health problem that is experienced by many developing countries, like Ethiopia. Though some studies were conducted to identify the magnitude and determinants of acute malnutrition among under-five children, there is a lack of evidence that is representative of all children in Ethiopia. Hence, this nationa...

Introduction Lactating mothers are extremely vulnerable to both macro and micronutrient deficiencies due to the increased nutritional requirements and high magnitude of food insecurity in low-income countries. However, there are a dearth of studies conducted in sub-Saharan African countries regarding this study area. Thus, this study aimed to asses...

Introduction Undernutrition is an underlying cause of mortality in children under five (CU5) years of age. Animal-source foods have been shown to decrease malnutrition in CU5. Livestock are important reservoirs for Campylobacter bacteria, which are recognised as risk factors for child malnutrition. Increasing livestock production may be beneficial...

There is a gap in evidence linking antenatal care (ANC) utilization, nutrition counseling, and knowledge of pregnant women about infant and young child feeding (IYCF), particularly in low-income settings. Therefore, this study aimed to identify the association between ANC follow-up and nutrition counseling with IYCF knowledge. A cross-sectional stu...

Introduction Twin pregnancy carries a high risk of pregnancy-related complications including adverse perinatal outcomes. Although evidence from international studies indicated an increased risk of adverse perinatal outcomes in twin pregnancies, little is known about the adverse perinatal outcomes in twin pregnancies and associated factors in Ethiop...

mortality. However, there is a scarcity of information on the magnitude and determinant factors of stunting in the study area. between 6-59 months in Debati District, West Ethiopia. sampling technique was used to select 575 study participants. Data were collected by trained data collectors is through a structured interview-administered questionnair...

Background:- The consumption of a self-reported “hot porridge” was reported as a major dietary risk factor for the increased incidence of esophageal cancerin hot spot areas in Ethiopia. However, no study has quantitatively assessed the porridge consumption temperature and associated factors among households living in endemic areas in Ethiopia and e...

Background Anemia in the postpartum period remains a considerable public health problem in developing countries, particularly in sub-Saharan Africa. It is the most common indirect cause of maternal morbidity and mortality. It is also a major health problem in women of reproductive age, affecting their quality of life, occupational capacity, lactati...

Background: Child wasting is one of the most serious public health problems in developing countries, including Somalia. It affects child growth and development. If not treat early it causes chronic malnutrition than will affects brain development and can cause premature death of the children. However, there is limited evidences regarding child wast...

Background: Although the high burden of anemia among pregnant women in low-resource settings like Ethiopia is well documented, evidence is scarce on the underlying causes using biochemical tests. Therefore, this study assessed the iron status and factors associated with iron deficiency (ID) using serum ferritin concentration among pregnant women i...

Introduction: Low birth weight (LBW) is one of the major predictors of perinatal survival, infant morbidity, and mortality, as well as the risk of developmental disabilities and illnesses in future lives. The effect of the nutritional status of pregnant women on birth outcomes is becoming a common research agenda, but evidence on the level of low...

Objective The aim of the study was to explore women's birth in public hospitals in the Harari Region of eastern Ethiopia. Design An exploratory phenomenological qualitative study design was used. Setting Two public hospitals (Hiwot Fana Specialized University Hospital and Jugal General Hospital). Participants and methods The study enrolled women...

Introduction: Animal source foods contain quality nutrients, immunity, and behavioral outcome and are important for growth, and development. However, evidence on the level of animal source food consumption frequency and associated factors among pregnant women in Ethiopia, particularly rural residents are limited. Therefore, this study aimed to ass...

Chronic undernutrition among adolescents in developing countries has been identified as a major public health issue. Previous research has found associations between chronic undernutrition and academic performance outcomes in adolescents. There is need for localized research focusing on nutritional status and its association with educational outcom...

Introduction Undernutrition continues to contribute substantially to childhood morbidity and mortality in Ethiopia, as elsewhere. In Ethiopia, most studies unraveling the correlates of risk are based on school-based anthropometric surveys of wasting and stunting. Therefore, this study aimed to determine prevalence of undernutrition and detail assoc...

Background The continued provision of safe food, free of aflatoxin remains a huge challenge in developing countries. Despite several favourable climatic conditions that facilitate aflatoxin contamination in Ethiopia, there is little information showing aflatoxin exposure in children. Therefore, this study assessed aflatoxin exposure among young chi...

Background Partner involvement in maternal health services utilization remains a major public challenge in the developing world. Strategies of involving men in maternal health services are a critical and proven intervention for reducing maternal and neonatal mortality by ensuring safe delivery and reducing complications during childbirth. Moreover,...

Background: Failed induction of labor continues to be a public health challenge throughout the world. This failed induction of labor is associated with a higher rate of maternal and fetal morbidity because it increases the unwanted effect of emergency cesarean section. It is also associated with an increased risk of numerous adverse maternal and pe...

Introduction: The disease burden and mortality related to Non-communicable Diseases (NCD) increased in the last couple of decades in Ethiopia. As a result, an estimated 300,000 deaths per annum were due to NCD. According to a World Health Organization report, 39% of the total deaths in Ethiopia were attributable to NCD. Rapid urbanization characte...

Introduction: Although assessing the nutritional status of pregnant women is becoming a common research agenda, evidence on food consumption scores, particularly among rural residents, is limited. This study aimed to assess the level of food consumption score and associated factors among pregnant women in Haramaya district, eastern Ethiopia, 2021....

Background: Tuberculosis (TB) remains a major cause of morbidity and mortality in sub-Saharan Africa. This high burden is mainly attributed to low case detection and delayed diagnosis. We aimed to determine the prevalence and predictors of TB among health care-seeking people screened for cough of any duration in Ethiopia. Methods: In this multicen...

Background: Child wasting is one of the most serious public health problems in developing countries, including Somalia. It affects child growth and development. If not treat early it causes chronic malnutrition than will affects brain development and can cause premature death of the children. However, there is limited evidences regarding child wast...

Abstract Introduction Appropriate dietary practices in pregnancy are critical to meet the increased metabolic and physiological demands; however, information about dietary practices among pregnant women, particularly rural residents, is limited. The study aimed to assess the level of appropriate dietary practices and associated determinants among p...

Background: Anemia is one of the most serious medical disorders that can affect pregnant women and raises the risk of preterm birth, low birth weight, and fetal abnormalities. Currently, most women visiting antenatal care clinics are receiving iron-folic acid supplements. However, a significant number of pregnant women may not receive it due to sev...

This study aimed to examine the associations of sedentary time and cardiometabolic risk markers among working adults in Eastern Ethiopia. A cross-sectional study was conducted among 1,200 participants. Data were collected using the World Health Organization NCD STEPS survey instrument, and the sedentary behavior questionnaire. The biochemical param...

Background: One‐third of tuberculosis (TB) cases are missed each year and delays in the diagnosis of TB are hampering the whole cascade of care. Early chest X-ray (CXR) in patients with cough irrespective of duration may reduce TB diagnostic and treatment delays and increase the number of TB patients put into TB care. We aimed to evaluate the impac...

Background: One of the primary reasons for an increase in cesarean sections is obstetricians' uncertainty about labor trial safety following a previous cesarean section. The success rate of vaginal birth after cesarean section with a single cesarean scar is greater than 50%. However, to the best of our knowledge, there is a scarcity of information...

Background: Recent country surveys have shown an unacceptably high prevalence of confirmed tuberculosis (TB) even among those with a low duration of cough, and more than 50% of those with bacteriologically confirmed pulmonary tuberculosis (PTB) do not report symptoms that correspond to presumptive TB. Furthermore, there has been an increase in the...

Background Dietary folate inadequacy is one the most common micronutrient deficiencies that cause neural tube defect (NTD) among infants in Sub-Saharan African countries. This study aims to determine the dietary intake of folate among women of reproductive age (WRA) of Kersa, Eastern Ethiopia. Methods A cross-sectional study took place among volun...

Key features Haramaya Health and Demographic Surveillance System (HDSS) was established in 2018 in the Haramaya district of the East Hararghe Zone in the Region of Oromia, eastern Ethiopia. The cohort was established to be a comprehensive and sustainable data source for monitoring population health and demographic events in the Haramaya district. A...

Dietary iron inadequacy is a public health concern in developing countries. Women of reproductive age (WRA) are the most at risk for this micronutrient deficiency due to biological, socio-cultural, and dietary factors. This analysis aimed to assess estimated dietary intakes of iron (including heme and non-heme) and estimate bioavailability of dieta...

Objectives: Anemia is a common medical problem among Pregnant women that will influence pregnancy and birth outcomes. In Ethiopia, there is a paucity of evidences regarding the problem among pregnant women admitted to labor ward. Therefore, the objective of this study was to assess the magnitude and factors associated with anemia among pregnant wom...

Background Provision of preconception care is significantly affected by the health care provider’s knowledge of preconception care. In Ethiopia, preconception care is rare, if even available, as part of maternal health care services. Thus, this study aimed to determine the level of knowledge of preconception care and associated factors among health...

Abstract Background: Provision of preconception care is significantly affected by the health care provider’s knowledge of preconception care. In Ethiopia, preconception care is rare, if even available, as part of maternal health care services. Thus, this study aimed to determine the level of knowledge of preconception care and associated factors am...

Background: Sedentary behavior is a major risk factor for non-communicable diseases. Due to changes in lifestyle, sedentary behavior is increasing in sub-Saharan Africa. However, information on the extent of sedentarism among various segments of the population is scant in low-income countries. The objective of this study was to assess the extent of...

Objectives Anemia is a common medical problem among pregnant women that will influence pregnancy and birth outcomes. In Ethiopia, there is a paucity of evidences regarding the problem among pregnant women admitted to labor ward. Therefore, the objective of this study was to assess the magnitude and factors associated with anemia among pregnant wome...