Level of Health Extension Service Utilization and Associated Factors Among Community of Merti Woreda Arsi Zone, Oromia Regional State, Ethiopia
Mitiku Uma Sinki,
Hailu Fikadu,
Shimelis Adugna,
Roza Amdemichael,
Shimelis Mekit,
Mesfin Tafa
Issue:
Volume 8, Issue 3, September 2020
Pages:
51-59
Received:
4 August 2020
Accepted:
13 August 2020
Published:
31 August 2020
Abstract: Introduction: To address health problem of the rural community, Ethiopia launched Health Extension Program in 2003. Mother and child have been facing different problems and due to poor access to modern health care facilities. Lack of effective demands to utilize the available service also has its own contribution to the problems. Objective: The aim of this study was to assess the status of Health Extension Service Utilization and Associated Factors among Community of Merti Woreda Arsi Zone, Oromia Regional State, Ethiopia. Methodology: Community based, quantitative cross-sectional study using structured questionnaires were carried out. A total of 604 households were selected from each kebeles through systematic sampling from random starting point from household registration book using a number between one and sampling interval. The data was entered to Epi Info version 7computer software and transferred to SPSS version 21 computer software programs. Descriptive statistics was done for each variables, bivariate analysis between dependent and independent variables was performed. Multivariate analysis was done to control for possible confounding variable finally P-Value < 0.05 with CI was used as level of significance. Results: The level of community utilization of health extension service was 92.4%. Even though the health extension service is high, the implementation is found to be low in some packages such as women’s immunization service, delivery, postnatal care service, community conversation, and model family. Age, educational status, religion, language, and knowledge about health extension service were identified as the independent factors affecting community health extension services utilization. Further studies should be undertaken to determine the level and factors affecting utilization of health extension service from the perspective of health extension workers on a wider scale. Conclusion: The level of community utilization of health extension service has registered relatively higher results as compared to the previous studies. Age, educational status, religion, language, and knowledge about health extension service were identified as the independent factors affecting community health extension services utilization.
Abstract: Introduction: To address health problem of the rural community, Ethiopia launched Health Extension Program in 2003. Mother and child have been facing different problems and due to poor access to modern health care facilities. Lack of effective demands to utilize the available service also has its own contribution to the problems. Objective: The aim...
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Primary Prostatic Lymphoma Presenting with Features of Prostatism Developed Central Nervous System (CNS) Symptoms During Chemotherapy: A Case Report
Jiaxin Wang,
Yu Ding,
Yuhong Lu,
Jiaxiong Tan
Issue:
Volume 8, Issue 3, September 2020
Pages:
60-63
Received:
5 August 2020
Accepted:
27 August 2020
Published:
10 September 2020
Abstract: Primary lymphoma of prostate is rare representing approximately 0.1% of all non-Hogdk in lymphomas. This type of lymphoma is more common in men with an average age of 60 years old. Dysuria is the most common symptom of prostatic lymphoma, which can lead to misdiagnosis of benign prostatic hyperplasia and adenocarcinoma easily. Besides, PSA was widely considered in the normal range in most patients with prostatic lymphoma, only a few patients showed elevated. We report a case of a 72-year-old primary prostatic diffuse large B-cell lymphoma patient with a significant increasing of PSA, developed Central Nervous System (CNS) symptoms after completing a cycle of R-CHOP therapy. Unfortunately, the patients received R-CHP in combination with high dose immunoglobulin, after a brief relief of CNS symptoms, the similar CNS symptoms returning again later. Involvement of CNS symptoms during therapy represents a serious complication of aggressive lymphoma, which is rare occurring nearly 5% of non-Hodgkin lymphoma and is considered as a high-risk model In conclusions, primary prostatic lymphoma with an increasing of prostatic-specific antigen is a rare case that is easily misdiagnosed. R-CHOP is till the recommended regimen, but other safe and effective alternatives are urgently needed when obvious CNS symptoms occurred during treatment.
Abstract: Primary lymphoma of prostate is rare representing approximately 0.1% of all non-Hogdk in lymphomas. This type of lymphoma is more common in men with an average age of 60 years old. Dysuria is the most common symptom of prostatic lymphoma, which can lead to misdiagnosis of benign prostatic hyperplasia and adenocarcinoma easily. Besides, PSA was wide...
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