31 results on '"Tadesse, Amare Worku"'
Search Results
2. Achieving equitable leadership in Global Health partnerships: barriers experienced and strategies to improve grant funding for early- and mid-career researchers
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Chikwari, Chido Dziva, Tadesse, Amare Worku, Shanaube, Kwame, Shepherd, Anna, McQuaid, Christopher Finn, and Togun, Toyin O.
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- 2024
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3. Balanced Energy Protein Supplementation in Pregnancy: Adherence and Acceptability among Pregnant Women in Rural Ethiopia
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Eglovitch, Michelle, Abate, Firehiwot Workneh, Shifraw, Tigest, Shiferie, Fisseha, Amanuel, Hanna, Tadesse, Amare Worku, Worku, Alemayehu, Isanaka, Sheila, Berhane, Yemane, and Lee, Anne CC
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- 2024
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4. Risk factors for poor engagement with a smart pillbox adherence intervention among persons on tuberculosis treatment in Ethiopia
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Tadesse, Amare Worku, Cusinato, Martina, Weldemichael, Gedion Teferra, Abdurhman, Tofik, Assefa, Demelash, Yazew, Hiwot, Gadissa, Demekech, Shiferaw, Amanuel, Belachew, Mahilet, Sahile, Mamush, van Rest, Job, Bedru, Ahmed, Foster, Nicola, Jerene, Degu, and Fielding, Katherine Linda
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- 2023
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5. Correction: Stunting and thinness in school-attending adolescents in Addis Ababa
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Yallew, Walelegn Worku, Tadesse, Amare Worku, Noor, Ramadhani Abdallah, Fawzi, Wafaie, and Berhane, Yemane
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- 2023
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6. Stunting and thinness in school-attending adolescents in Addis Ababa
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Yallew, Walelegn Worku, Tadesse, Amare Worku, Noor, Abdallah, Fawzi, Wafaie, and Berhane, Yemane
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- 2022
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7. Analyzing efforts to synergize the global health agenda of universal health coverage, health security and health promotion: a case-study from Ethiopia
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Tadesse, Amare Worku, Gurmu, Kassu Ketema, Kebede, Selamawit Tesfaye, and Habtemariam, Mahlet Kifle
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- 2021
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8. Predictors of undesirable treatment outcomes of severe acute malnutrition among inpatient children in Addis Ababa, Ethiopia: a retrospective cohort study
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Negussie, Absalat Serawit and Tadesse, Amare Worku
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- 2020
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9. Prevalence and factors associated with exclusive breastfeeding among rural mothers of infants less than six months of age in Southern Nations, Nationalities, Peoples (SNNP) and Tigray regions, Ethiopia: a cross-sectional study
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Hagos, Dawit and Tadesse, Amare Worku
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- 2020
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10. Anemia prevalence and etiology among women, men, and children in Ethiopia: a study protocol for a national population-based survey
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Tadesse, Amare Worku, Hemler, Elena C., Andersen, Christopher, Passarelli, Simone, Worku, Alemayehu, Sudfeld, Christopher R., Berhane, Yemane, and Fawzi, Wafaie W.
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- 2019
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11. Food environment around schools and adolescent consumption of unhealthy foods in Addis Ababa, Ethiopia.
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Berhane, Hanna Y., Tadesse, Amare Worku, Noor, Abdallah, Worku, Alemayehu, Shinde, Sachin, and Fawzi, Wafaie
- Abstract
Adolescent diets may be influenced by the retail food environment around schools. However, international research to examine associations between the proximity of retail food outlets to schools and diet provides equivocal support for an association. This study aims to understand the school food environment and drivers for adolescents' consumption of unhealthy foods in Addis Ababa, Ethiopia. Mixed‐methods research was conducted, 1200 adolescents (10–14 years) from randomly selected government schools were surveyed, along with vendors within 5‐min' walk of the schools and focus group discussions (FGDs) with adolescent groups. Mixed‐effect logistic regression investigated the relationship between the number of vendors around the schools and the consumption of selected unhealthy foods. Thematic analysis was used to summarize findings from the FGDs. Consumption of sweets and sugar‐sweetened beverages (S‐SSB) and deep‐fried foods (DFF) at least once a week was reported by 78.6% and 54.3% of the adolescents, respectively. Although all schools were surrounded by food vendors selling DFF and S‐SSB, consumption was not associated with the number of vendors available around the school. However, adolescents' awareness and perception of healthy food, and their concerns about the safety of foods in the market, influenced their dietary choices and behaviours. Lack of financial resources to purchase food as desired also played a role in their selection of food and eating habits. Reported unhealthy food consumption is high among adolescents in Addis Ababa. Thus, further research is warranted to come up with school‐based interventions that promote access and healthy food choices among adolescents. [ABSTRACT FROM AUTHOR]
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- 2023
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12. Hair, serum and urine chromium levels in children with cognitive defects: A systematic review and meta-analysis of case control studies
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Islam, GM Rabiul, Rahman, Mohammad Meshbahur, Hasan, Mohammed Imrul, Tadesse, Amare Worku, Hamadani, Jena Derakhshani, and Hamer, Davidson H
- Abstract
Environmental chromium exposure may cause impaired development of children. We conducted a systematic review and meta-analysis. Electronic databases including PubMed, Embase, Web of Science and CINAHL were searched to identify case-control studies that reported childhood Cr exposure and cognitive development. The Newcastle-Ottawa Scale (NOS) was used to ensure the quality of the included studies. Cr levels were compared in cases and controls, and a random effect meta-analysis was performed using Stata version 16. Twelve of 61 studies identified in the literature search were eligible for this analysis. Hair, serum and urine Cr measurements were reported by seven, two and one studies, respectively. In addition, one study reported both serum and hair Cr exposure and another reported urine and hair Cr exposure. The pooled standard mean differences (SMD) showed that hair Cr levels were non-significantly lower among children with cognitive defects (-0.01 μg/g, 95% CI: -0.04, 00, p = 0.27). In serum and urine, the pooled SMD was higher in children with cognitive deficits compared with healthy control children (0.32 μg/g, 95% CI: -0.78, 1.42, p = 0.56 and 0.64 μg/g, CI: -0.07,1.36, p = 0.08; respectively). In summary, this systematic review found no significant differences in hair, serum and urine Cr levels between children with cognitive deficits and healthy control children when all study data were pooled in the meta-analysis. Larger studies using standardized criteria and longitudinal assessment of cognitive development are needed to determine whether there is a dose response effect of childhood Cr exposure on cognitive development of children.
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- 2021
13. Anemia Etiology in Ethiopia: Assessment of Nutritional, Infectious Disease, and Other Risk Factors in a Population-Based Cross-Sectional Survey of Women, Men, and Children
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Andersen, Christopher T, Tadesse, Amare Worku, Bromage, Sabri, Fekadu, Habtamu, Hemler, Elena C, Passarelli, Simone, Spiegelman, Donna, Sudfeld, Christopher R, Worku, Alemayehu, Berhane, Yemane, and Fawzi, Wafaie W
- Abstract
BACKGROUND: While the causes of anemia at an individual level (such as certain nutritional deficiencies, infections, and genetic disorders) are well defined, there is limited understanding of the relative burden of anemia attributable to each cause within populations. OBJECTIVES: We sought to estimate the proportion of anemia cases attributable to nutrition, infectious diseases, and other risk factors among women, men, and children in 6 regions of Ethiopia. METHODS: A population-based cross-sectional study was conducted. Data were obtained from 2520 women of reproductive age (15-49 y), 1044 adult men (15-49 y), and 1528 children (6-59 mo). Participants provided venous blood samples for assessment of their hemoglobin concentration; ferritin, folate, vitamin B12, and C-reactive protein levels; and the presence of malaria infection. Stool samples were collected to ascertain the helminth infection status. Sociodemographic questionnaires and a 24-h diet recall were administered. Population-weighted prevalences of anemia and risk factors were calculated. Multivariable-adjusted associations of risk factors with anemia and partial population attributable risk percentages were estimated using generalized linear models. RESULTS: The anemia prevalences were 17% (95% CI: 13%-21%) among women, 8% (95% CI: 6%-12%) among men, and 22% (95% CI: 19%-26%) among children. Low serum ferritin contributed to 11% (95% CI: -1% to 23%) of anemia cases among women, 9% (95% CI: 0%-17%) among men, and 21% (95% CI: 4%-34%) among children. The proportions of anemia attributable to low serum folate were estimated at 25% (95% CI: 5%-41%) among women and 29% (95% CI: 11%-43%) among men. Dietary iron intake was adequate for nearly all participants, while inadequacy was common for folate and vitamin B12. Inflammation and malaria were responsible for less than 1 in 10 anemia cases. CONCLUSIONS: Folate deficiency, iron deficiency, and inflammation appear to be important contributors to anemia in Ethiopia. Folic acid food fortification, targeted iron interventions, and strategies to reduce infections may be considered as potential public health interventions to reduce anemia in Ethiopia.
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- 2021
14. Associations of percentage energy intake from total, animal and plant protein with overweight/obesity and underweight among adults in Addis Ababa, Ethiopia.
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Hemler, Elena C, Bromage, Sabri, Tadesse, Amare Worku, Zack, Rachel, Berhane, Yemane, Canavan, Chelsey R, Fawzi, Wafaie W, and Willett, Walter C
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OBESITY ,RESEARCH ,CROSS-sectional method ,ANIMAL experimentation ,FOOD consumption ,RESEARCH methodology ,EVALUATION research ,LEANNESS ,PLANT proteins ,COMPARATIVE studies ,CARBOHYDRATES ,QUESTIONNAIRES - Abstract
Objective: This study investigated associations between types and food sources of protein with overweight/obesity and underweight in Ethiopia.Design: We conducted a cross-sectional dietary survey using a non-quantitative FFQ. Linear regression models were used to assess associations between percentage energy intake from total, animal and plant protein and BMI. Logistic regression models were used to examine the associations of percentage energy intake from total, animal and plant protein and specific protein food sources with underweight and overweight/obesity.Setting: Addis Ababa, Ethiopia.Participants: 1624 Ethiopian adults (992 women and 632 men) aged 18-49 years in selected households sampled using multi-stage random sampling from five sub-cities of Addis Ababa.Results: Of the surveyed adults, 31 % were overweight or obese. The majority of energy intake was from carbohydrate with only 3 % from animal protein. In multivariable-adjusted linear models, BMI was not associated with percentage energy from total, plant or animal protein. Total and animal protein intake were both associated with lower odds of overweight/obesity (OR per 1 % energy increment of total protein 0·92; 95 % CI: 0·86, 0·99; P = 0·02; OR per 1 % energy increment of animal protein 0·89; 95 % CI: 0·82, 0·96; P = 0·004) when substituted for carbohydrate and adjusted for socio-demographic covariates.Conclusion: Increasing proportion of energy intake from total protein or animal protein in place of carbohydrate could be a strategy to address overweight and obesity in Addis Ababa; longitudinal studies are needed to further examine this potential association. [ABSTRACT FROM AUTHOR]- Published
- 2022
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15. Changes and challenges in markets for animal source foods: a qualitative study among market vendors in Addis Ababa, Ethiopia
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Bliznashka, Lilia, Passarelli, Simone, Canavan, Chelsey R, Tadesse, Amare Worku, Berhane, Yemane, and Fawzi, Wafaie W
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Malnutrition is common in Addis Ababa, Ethiopia, in part due to suboptimal diets limited in essential nutrients. Despite previous dietary diversification efforts, animal source food (ASF) consumption remains low, potentially due to supply-side factors affecting ASF market vendors. This study sought to identify supply-side policies and interventions to support urban ASF market vendors and to alleviate the challenges they face. We conducted a qualitative study among 40 urban food market vendors (interviewed in February 2018) to investigate their perceptions of changes in ASF markets over time, the reasons behind these changes, and the challenges faced. Data were analysed using inductive thematic analysis. Findings showed that market vendors agreed that all ASF prices have increased in the past two years, driven by supply shortages, high input costs, consumer demand for ASFs and socio-economic status, among other less prominent causes. Vendors perceived their main challenges to be food supply, religious fasting, consumer demand, price increases and fluctuations, transportation, market infrastructure, and government policies. We identified several potential supply-side interventions and policies that can help optimize ASF markets and eliminate market inefficiencies, including: improving storage facilities to reduce dependability on seasonality; improving road infrastructure to reduce transportation costs and difficulties; stabilizing input costs; and improving the physical market infrastructure to ensure opportunities for business growth. These market-based policies and interventions can help support and stabilize ASF markets by alleviating the barriers faced by urban vendors.
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- 2020
16. Anemia Etiology in Ethiopia: Assessment of Nutritional, Infectious Disease, and Other Risk Factors in a Population-Based Cross-Sectional Survey of Women, Men, and Children.
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Andersen, Christopher T, Tadesse, Amare Worku, Bromage, Sabri, Fekadu, Habtamu, Hemler, Elena C, Passarelli, Simone, Spiegelman, Donna, Sudfeld, Christopher R, Worku, Alemayehu, Berhane, Yemane, and Fawzi, Wafaie W
- Subjects
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FOLIC acid , *NUTRITIONAL assessment , *COMMUNICABLE diseases , *ANEMIA , *CHILDBEARING age , *VITAMIN B12 - Abstract
Background: While the causes of anemia at an individual level (such as certain nutritional deficiencies, infections, and genetic disorders) are well defined, there is limited understanding of the relative burden of anemia attributable to each cause within populations.Objectives: We sought to estimate the proportion of anemia cases attributable to nutrition, infectious diseases, and other risk factors among women, men, and children in 6 regions of Ethiopia.Methods: A population-based cross-sectional study was conducted. Data were obtained from 2520 women of reproductive age (15-49 y), 1044 adult men (15-49 y), and 1528 children (6-59 mo). Participants provided venous blood samples for assessment of their hemoglobin concentration; ferritin, folate, vitamin B12, and C-reactive protein levels; and the presence of malaria infection. Stool samples were collected to ascertain the helminth infection status. Sociodemographic questionnaires and a 24-h diet recall were administered. Population-weighted prevalences of anemia and risk factors were calculated. Multivariable-adjusted associations of risk factors with anemia and partial population attributable risk percentages were estimated using generalized linear models.Results: The anemia prevalences were 17% (95% CI: 13%-21%) among women, 8% (95% CI: 6%-12%) among men, and 22% (95% CI: 19%-26%) among children. Low serum ferritin contributed to 11% (95% CI: -1% to 23%) of anemia cases among women, 9% (95% CI: 0%-17%) among men, and 21% (95% CI: 4%-34%) among children. The proportions of anemia attributable to low serum folate were estimated at 25% (95% CI: 5%-41%) among women and 29% (95% CI: 11%-43%) among men. Dietary iron intake was adequate for nearly all participants, while inadequacy was common for folate and vitamin B12. Inflammation and malaria were responsible for less than 1 in 10 anemia cases.Conclusions: Folate deficiency, iron deficiency, and inflammation appear to be important contributors to anemia in Ethiopia. Folic acid food fortification, targeted iron interventions, and strategies to reduce infections may be considered as potential public health interventions to reduce anemia in Ethiopia. [ABSTRACT FROM AUTHOR]- Published
- 2022
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17. Market food diversity mitigates the effect of environment on women's dietary diversity in the Agriculture to Nutrition (ATONU) study, Ethiopia
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Ambikapathi, Ramya, Gunaratna, Nilupa S, Madzorera, Isabel, Passarelli, Simone, Canavan, Chelsey R, Noor, Ramadhani A, Madzivhandila, Tshilidzi, Sibanda, Simbarashe, Abdelmenan, Semira, Tadesse, Amare Worku, Berhane, Yemane, Sibanda, Lindiwe Majele, and Fawzi, Wafaie W
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Adult ,Rural Population ,Adolescent ,Agriculture ,Farm diversity ,respiratory system ,Middle Aged ,Nutrition Surveys ,Article ,Diet ,Food Supply ,Market food diversity ,Young Adult ,Cross-Sectional Studies ,Socioeconomic Factors ,Humans ,Female ,Ethiopia ,human activities ,Livestock diversity ,Nutrition - Abstract
OBJECTIVE: In Ethiopia, women's dietary diversity is low, primarily due to poor food availability and access, both at home and market level. The present study aimed to describe market access using a new definition called market food diversity (MFD) and estimate the impact of MFD, crop and livestock diversity on dietary diversity among women enrolled in the Agriculture to Nutrition (ATONU) trial. DESIGN: Baseline cross-sectional data collected from November 2016 to January 2017 were used for the analysis. Availability of foods in markets was assessed at the village level and categorized into nine food groups similar to the dietary diversity index for women. Bivariate and multivariate mixed-effects regression analyses were conducted, adjusted for clustering at the village level. SETTING: Chicken-producing farmers in rural Ethiopia.ParticipantsWomen (n 2117) aged 15-49 years. RESULTS: Overall, less than 6 % of women met the minimum dietary diversity (≥5 food groups) and the most commonly consumed food groups were staples and legumes. Median MFD was 4 food groups (interquartile range: 2-8). Multivariate models indicated that women's dietary diversity differed by livestock diversity, food crop diversity and agroecology, with significant interaction effects between agroecology and MFD. CONCLUSIONS: Women's dietary diversity is poor in Ethiopia. Local markets are variable in food availability across seasons and agroecological zones. The MFD indicator captures this variability, and women who have access to higher MFD in the highland agroecological zone have better dietary diversity. Thus, MFD has the potential to mitigate the effects of environment on women's dietary diversity.
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- 2019
18. Prevalence of Elevated Blood Pressure and Risk Factors Among Men and Women in Six Regions of Ethiopia
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Hemler, Elena, Bromage, Sabri, Passarelli, Simone, Tadesse, Amare Worku, Andersen, Christopher, Sudfeld, Christopher, Berhane, Yemane, Fawzi, Wafaie, and Danaei, Goodarz
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- 2022
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19. Identification and Community Management of Severe Acute Malnutrition : Empirical evidence in rural Southern Ethiopia
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Tadesse, Amare Worku
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recovery ,Medicin och hälsovetenskap ,anthropometric indicators ,children ,Severe acute malnutrition ,integrated outpatient therapeutic programme ,Ethiopia ,Medical and Health Sciences - Abstract
The current recommended standard management for all children with severe acute malnutrition (SAM) is Community-based Management of Acute Malnutrition (CMAM). CMAM has a community-based outpatient therapeutic program (OTP) to treat uncomplicated SAM and has been scaled-up and integrated with government health services in low-resource settings. How-ever, the context in which such large-scale programs are implemented modifies their effective-ness. This study aims at assessing factors of importance for the effectiveness of management of SAM in the community. A population-based survey of households with children aged under five years and a longitu-dinal study among children admitted to the integrated OTPs of rural Southern Ethiopia was undertaken. For Study I, children aged 6-59 months (n=4,297) from randomly selected house-holds were examined for differences between children identified as SAM by MUAC and WHZ. For Study II, subsets of 1,048 children admitted to OTPs were analyzed for program outcome and nutritional status at discharge (n=759) and 14 weeks after admission (n=991). For Study III, non-oedematous children (n=661) admitted to OTPs were analyzed for gains in anthropo-metric measures after 4 weeks of treatment. For Study IV, children with SAM (n=788) were studied in terms of factors of importance for their recovery. Home-visits were used to collect data and anthropometry was measured following standardized World Health Organization (WHO) techniques. The degree of agreement between the two anthropometric indicators of severe wasting dif-fered depending on the sex and age of the children. The indicators’ response to treatment varied according to the indicator used to define SAM at admission. While 32.7% achieved the program’s recovery criteria at discharge, 29.6% had SAM at discharge and 72.1% of children were acutely malnourished at the end of 14 weeks of follow-up. Despite low recovery rate, children of caregivers with the highest decision-making autonomy recovered faster from SAM than children of caregivers with lower autonomy. The poor agreement between MUAC and WHZ in diagnosing SAM within different groups of children indicates each anthropometric indicator may select different set of children for treatment. Our study provided empirical evidence that supports the current recommendation to use MUAC and WHZ independently for the management of SAM. Linking CMAM to other com-plementary programmes may improve the effectiveness of integrated large-scale nutrition programmes.
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- 2018
20. Men's nutrition knowledge is important for women's and children's nutrition in Ethiopia.
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Ambikapathi, Ramya, Passarelli, Simone, Madzorera, Isabel, Canavan, Chelsey R., Noor, Ramadhani A., Abdelmenan, Semira, Tewahido, Dagmawit, Tadesse, Amare Worku, Sibanda, Lindiwe, Sibanda, Simbarashe, Munthali, Bertha, Madzivhandila, Tshilidzi, Berhane, Yemane, Fawzi, Wafaie, and Gunaratna, Nilupa S.
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CHILD nutrition ,DIETARY supplements ,INTELLECT ,MEN ,NUTRITION ,QUESTIONNAIRES ,RESEARCH funding ,STATISTICS ,VITAMINS ,WOMEN ,DATA analysis ,NUTRITIONAL status - Abstract
In an effort to address undernutrition among women and children in rural areas of low‐income countries, nutrition‐sensitive agriculture (NSA) and behaviour change communication (BCC) projects heavily focus on women as an entry point to effect nutritional outcomes. There is limited evidence on the role of men's contribution in improving household diets. In this Agriculture to Nutrition trial (Clinicaltrials.gov identifier: NCT03152227), we explored associations between men's and women's nutritional knowledge on households', children's and women's dietary diversity. At the midline evaluation conducted in July 2017, FAO's nutrition knowledge questionnaire was administered to male and female partners in 1396 households. There was a high degree of agreement (88%) on knowledge about exclusive breastfeeding between parents; however, only 56–66% of the households had agreement when comparing knowledge of dietary sources of vitamin A or iron. Factor analysis of knowledge dimensions resulted in identifying two domains, namely, 'dietary' and 'vitamin' knowledge. Dietary knowledge had a larger effect on women's and children's dietary diversities than vitamin knowledge. Men's dietary knowledge had strong positive associations with households' dietary diversity scores (0.24, P value = 0.001), children's dietary diversity (0.19, P value = 0.008) and women's dietary diversity (0.18, P value < 0.001). Distance to markets and men's education levels modified the effects of nutrition knowledge on dietary diversity. While previous NSA and BCC interventions predominantly focused on uptake among women, there is a large gap and strong potential for men's engagement in improving household nutrition. Interventions that expand the role of men in NSA may synergistically improve household nutrition outcomes. [ABSTRACT FROM AUTHOR]
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- 2021
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21. Feasibility, Acceptability, and Adherence of Nutritional Supplement Amongst Pregnant Women in Rural Ethiopia
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Eglovitch, Michelle, Workneh, Firehiwot, Shiferaw, Tigest, Shiferie, Fisseha, Amanuel, Hanna, Tadesse, Amare Worku, Worku, Alemayehu, Isanaka, Sheila, Berhane, Yemane, and Lee, Anne CC
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- 2021
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22. Dietary Practices Among Pregnant Women in Rural Amhara, Ethiopia
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Workneh, Firehiwot, Eglovitch, Michelle, Shiferaw, Tigest, Shiferie, Fisseha, Amanuel, Hanna, Tadesse, Amare Worku, Worku, Alemayehu, Isanaka, Sheila, Lee, Anne CC, and Berhane, Yemane
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- 2021
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23. Associations of Percent Energy Intake From Total, Animal and Plant Protein With Overweight/Obesity and Underweight Among Adults in Addis Ababa, Ethiopia
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Hemler, Elena, Bromage, Sabri, Tadesse, Amare Worku, Zack, Rachel, Berhane, Yemane, Canavan, Chelsey, Fawzi, Wafaie, and Willett, Walter
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- 2021
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24. Comparison of Mid-Upper Arm Circumference and Weight-for-Height to Diagnose Severe Acute Malnutrition: A Study in Southern Ethiopia
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Tadesse, Amare Worku, Tadesse, Elazar, Berhane, Yemane, and Ekström, Eva-Charlotte
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Male ,Risk ,lcsh:TX341-641 ,Rural Health ,severe acute malnutrition ,World Health Organization ,Article ,Sex Factors ,agreement ,WHZ ,sex and children ,MUAC ,age ,Prevalence ,Body Size ,Humans ,Developing Countries ,Family Characteristics ,Waist-Height Ratio ,Nutrition and Dietetics ,Wasting Syndrome ,Infant ,Nutrition Surveys ,Prognosis ,Näringslära ,Nutrition Assessment ,Socioeconomic Factors ,Child, Preschool ,Arm ,Female ,Ethiopia ,lcsh:Nutrition. Foods and food supply - Abstract
Weight-for-height Z-score (WHZ) and mid-upper arm circumference (MUAC) are two independent anthropometric indicators for diagnosing and admitting children with severe acute malnutrition (SAM) for treatment. While severely wasted children are at high risk of mortality, MUAC and WHZ do not always identify the same population of children as having SAM. Understanding how this discrepancy relates to age and sex may provide valuable information for care programmes for children with SAM. Age and sex distribution for differences between children identified as SAM by MUAC and WHZ were examined and the degree of agreement calculated. Children (n = 4297) aged 6-59 months with validated anthropometric measures were recruited from a population-based survey conducted in rural southern Ethiopia. MUAC < 115 mm and WHZ < 3 were used to define severe wasting as per the World Health Organization (WHO) classification. The kappa coefficient (kappa) was calculated. There was fair agreement between the MUAC and WHZ definitions of severe wasting in boys (kappa = 0.37) and children younger than 24 months (kappa = 0.32) but poor agreement in girls (kappa = 0.15) and children aged 24 months and above (kappa = 0.13). More research is needed on response to treatment and prediction of mortality using different anthropometric measurements in relation to ages and sex of children.
- Published
- 2017
25. Choosing Anthropometric Indicators to Monitor the Response to Treatment for Severe Acute Malnutrition in Rural Southern Ethiopia--Empirical Evidence.
- Author
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Tadesse, Amare Worku, Tadesse, Elazar, Berhane, Yemane, and Ekström, Eva-Charlotte
- Abstract
The World Health Organization (WHO) recommends the assessment of nutritional recovery using the same anthropometric indicator that was used to diagnose severe acute malnutrition (SAM) in children. However, related empirical evidence from low-income countries is lacking. Non-oedematous children (n = 661) aged 6-59 months admitted to a community-based outpatient therapeutic program for SAM in rural southern Ethiopia were studied. The response to treatment in children admitted to the program based on the mid-upper arm circumference (MUAC) measurement was defined by calculating the gains in average MUAC and weight during the first four weeks of treatment. The children showed significant anthropometric changes only when assessed with the same anthropometric indicator used to define SAM at admission. Children with the lowest MUAC at admission showed a significant gain in MUAC but not weight, and children with the lowest weight-for-height/length (WHZ) showed a significant gain in weight but not MUAC. The response to treatment was largest for children with the lowest anthropometric status at admission in either measurement. MUAC and weight gain are two independent anthropometric measures that can be used to monitor sufficient recovery in children treated for SAM. This study provides empirical evidence from a low-income country to support the recent World Health Organization recommendation. [ABSTRACT FROM AUTHOR]
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- 2017
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26. Health care seeking behaviors of pregnant women in rural Amhara, Ethiopia: a qualitative study of perceptions of pregnant women, community members, and health care providers.
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Shiferie, Fisseha, Abate, Firehiwot Workneh, Shifraw, Tigest, Eglovitch, Michelle, Amanuel, Hanna, Chan, Grace J., Isanaka, Sheila, Tadesse, Amare Worku, Worku, Alemayehu, Lee, Anne C. C., and Berhane, Yemane
- Subjects
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MEDICAL personnel , *PREGNANT women , *RURAL women , *MATERNAL health , *MEDICAL care , *FAMILY health - Abstract
Introduction: in Ethiopia, increasing access to basic antenatal and neonatal health services may improve maternal and newborn survival. This study examined perceptions regarding antenatal health seeking behaviors from pregnant women, their families, community members, and health care providers in rural Amhara, Ethiopia. Methods: the study was conducted in four rural districts of the Amhara region of Ethiopia. A total of forty participants who were living and working within the catchment areas of the selected health centres were interviewed from October 3rd through October 14th, 2018. A phenomenological qualitative study design was used to understand participants' perceptions and experiences about pregnant women's health care seeking behaviors. Results: early disclosure of pregnancy status was not common in the study area. However, the data from the present study further provided new information, suggesting that some women did disclose their pregnancy status early but preferentially only to their partners and close relatives. Most women did not seek care unless sick or experienced new discomfort or pain. Some reasons for the low utilization of available antenatal services include long distance to health facilities, lack of transportation, difficult topography, and discomfort with male providers. Conclusion: despite the rapid expansion of health posts and deployment of health extension workers since 2003, there are still critical barriers to accessing facility-based care that limit women's health care seeking practices. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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27. Hair, serum and urine chromium levels in children with cognitive defects: A systematic review and meta-analysis of case control studies.
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Islam, G.M. Rabiul, Rahman, Mohammad Meshbahur, Hasan, Mohammed Imrul, Tadesse, Amare Worku, Hamadani, Jena Derakhshani, and Hamer, Davidson H.
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META-analysis , *URINE , *CHROMIUM , *HAIR , *CHILD development , *COGNITIVE development - Abstract
Environmental chromium exposure may cause impaired development of children. We conducted a systematic review and meta-analysis. Electronic databases including PubMed, Embase, Web of Science and CINAHL were searched to identify case-control studies that reported childhood Cr exposure and cognitive development. The Newcastle-Ottawa Scale (NOS) was used to ensure the quality of the included studies. Cr levels were compared in cases and controls, and a random effect meta-analysis was performed using Stata version 16. Twelve of 61 studies identified in the literature search were eligible for this analysis. Hair, serum and urine Cr measurements were reported by seven, two and one studies, respectively. In addition, one study reported both serum and hair Cr exposure and another reported urine and hair Cr exposure. The pooled standard mean differences (SMD) showed that hair Cr levels were non-significantly lower among children with cognitive defects (−0.01 μg/g, 95% CI: −0.04, 00, p = 0.27). In serum and urine, the pooled SMD was higher in children with cognitive deficits compared with healthy control children (0.32 μg/g, 95% CI: −0.78, 1.42, p = 0.56 and 0.64 μg/g, CI: −0.07,1.36, p = 0.08; respectively). In summary, this systematic review found no significant differences in hair, serum and urine Cr levels between children with cognitive deficits and healthy control children when all study data were pooled in the meta-analysis. Larger studies using standardized criteria and longitudinal assessment of cognitive development are needed to determine whether there is a dose response effect of childhood Cr exposure on cognitive development of children. [Display omitted] • Aim of this study to evaluate the relationship among hair serum and urine chromium levels and child cognitive defects. • The pooled standardized mean difference (SMD) of hair Cr levels was lower in cases (N = 326) than controls (N = 486). • The pooled SMD of serum Cr levels was higher in cases (N = 123) vs. controls (N = 123). • The pooled SMD of urine Cr levels was higher in cases (N = 55) than controls (N = 45). • No consistent variation was observed for different age group and region. [ABSTRACT FROM AUTHOR]
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- 2022
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28. Association between sexual and reproductive health education in peer group and comprehensive knowledge of HIV among adolescent girls in rural eastern Ethiopia: a community-based cross-sectional study.
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Fasil N, Worku A, Oljira L, Tadesse AW, and Berhane Y
- Subjects
- Adolescent, Cross-Sectional Studies, Ethiopia epidemiology, Female, Health Knowledge, Attitudes, Practice, Humans, Peer Group, Sexual Behavior, Acquired Immunodeficiency Syndrome, Reproductive Health
- Abstract
Objectives: This study examined the association between sexual and reproductive health (SRH) education in peer-group discussion and comprehensive knowledge of HIV among young adolescent girls in rural eastern Ethiopia., Design: The study analysed data from a large quasi-experimental study involving 3290 young adolescent girls aged 13-17 years. The intervention targeted adolescent girls aged 10-14 years. Data were collected using a comprehensive HIV knowledge tool adopted from the demographic and health survey questionnaire. Multi-level mixed-effect logistic regression analysis was employed to examine associations using STATA/SE V.14 statistical software., Setting: West Hararghe, rural Ethiopia., Participants: 3290 adolescent girls., Results: Magnitude of comprehensive knowledge of HIV among those who received SRH education and those who did not receive SRH education was 16.78% (95% CI 14.41% to 19.45%) and 14.01% (95% CI 12.38% to 15.81%), respectively. Overall, 14.84% (95% CI 13.4.% to 16.39%) of the adolescent girls aged 13-17 years had comprehensive knowledge of HIV. The odds of having comprehensive HIV knowledge were higher (1.36 times) among adolescent girls who received SRH education compared with those who did not receive SRH education (adjusted OR 1.36, 95% CI 1.01 to 1.84) after controlling for selected potential confounders. Odds of having comprehensive HIV knowledge were also higher (1.73 times) among older adolescent girls (adjusted OR 1.733 95% CI 1.098 to 2.735) and (3.89 times) among those who attended secondary school (adjusted OR=3.889 95% CI 1.836 to 8.235) compared with young adolescent girls and the uneducated, respectively., Conclusions: Comprehensive knowledge of HIV among young adolescent girls was very low. Providing SRH education for young adolescent girls improved their comprehensive knowledge of HIV in rural eastern Ethiopia. Initiating sexual education at an early age would benefit HIV prevention efforts., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2022
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29. Enhancing Nutrition and Antenatal Infection Treatment (ENAT) study: protocol of a pragmatic clinical effectiveness study to improve birth outcomes in Ethiopia.
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Lee AC, Abate FW, Mullany LC, Baye E, Berhane YY, Derebe MM, Eglovitch M, Fasil N, Olson IE, Kidane WT, Shiferaw T, Shiferie F, Tsegaye F, Tsegaye S, Yibeltal K, Chan GJ, Christian P, Isanaka S, Kang Y, Lu C, Mengistie MM, Molina RL, Stojanov MD, Van Dyk F, Tadesse AW, Wondale AT, Wylie BJ, Worku A, and Berhane Y
- Subjects
- Ethiopia epidemiology, Female, Folic Acid therapeutic use, Humans, Infant, Infant, Low Birth Weight, Infant, Newborn, Iron, Parturition, Pragmatic Clinical Trials as Topic, Pregnancy, Randomized Controlled Trials as Topic, Treatment Outcome, Premature Birth epidemiology
- Abstract
Introduction: The WHO Nutrition Target aims to reduce the global prevalence of low birth weight by 30% by the year 2025. The Enhancing Nutrition and Antenatal Infection Treatment (ENAT) study will test the impact of packages of pregnancy interventions to enhance maternal nutrition and infection management on birth outcomes in rural Ethiopia., Methods and Analysis: ENAT is a pragmatic, open-label, 2×2 factorial, randomised clinical effectiveness study implemented in 12 rural health centres in Amhara, Ethiopia. Eligible pregnant women presenting at antenatal care (ANC) visits at <24 weeks gestation are enrolled (n=2400). ANC quality is strengthened across all centres. Health centres are randomised to receive an enhanced nutrition package (ENP) or standard nutrition care, and within each health centre, individual women are randomised to receive an enhanced infection management package (EIMP) or standard infection care. At ENP centres, women receive a regular supply of adequately iodised salt and iron-folate (IFA), enhanced nutrition counselling and those with mid-upper arm circumference of <23 cm receive a micronutrient fortified balanced energy protein supplement (corn soya blend) until delivery. In standard nutrition centres, women receive routine counselling and IFA. EIMP women have additional screening/treatment for urinary and sexual/reproductive tract infections and intensive deworming. Non-EIMP women are managed syndromically per Ministry of Health Guidelines. Participants are followed until 1-month post partum, and a subset until 6 months. The primary study outcomes are newborn weight and length measured at <72 hours of age. Secondary outcomes include preterm birth, low birth weight and stillbirth rates; newborn head circumference; infant weight and length for age z-scores at birth; maternal anaemia; and weight gain during pregnancy., Ethics and Dissemination: ENAT is approved by the Institutional Review Boards of Addis Continental Institute of Public Health (001-A1-2019) and Mass General Brigham (2018P002479). Results will be disseminated to local and international stakeholders., Registration Number: ISRCTN15116516., Competing Interests: Competing interests: ACCL reports funding from the Bill & Melinda Gates Foundation, Eunice Kennedy Shriver National Institute of Child Health and Human Development and the WHO. YB reports funding from FORMAS, USAID, National Institute of Environmental Health Sciences and from the Bill & Melinda Gates Foundation. BJW reports funding from National Institute of Environmental Health Sciences and from the Bill & Melinda Gates Foundation., (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.)
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- 2022
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30. Market food diversity mitigates the effect of environment on women's dietary diversity in the Agriculture to Nutrition (ATONU) study, Ethiopia.
- Author
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Ambikapathi R, Gunaratna NS, Madzorera I, Passarelli S, Canavan CR, Noor RA, Madzivhandila T, Sibanda S, Abdelmenan S, Tadesse AW, Berhane Y, Sibanda LM, and Fawzi WW
- Subjects
- Adolescent, Adult, Cross-Sectional Studies, Ethiopia, Female, Humans, Middle Aged, Nutrition Surveys, Rural Population statistics & numerical data, Socioeconomic Factors, Young Adult, Diet statistics & numerical data, Food Supply statistics & numerical data
- Abstract
Objective: In Ethiopia, women's dietary diversity is low, primarily due to poor food availability and access, both at home and market level. The present study aimed to describe market access using a new definition called market food diversity (MFD) and estimate the impact of MFD, crop and livestock diversity on dietary diversity among women enrolled in the Agriculture to Nutrition (ATONU) trial., Design: Baseline cross-sectional data collected from November 2016 to January 2017 were used for the analysis. Availability of foods in markets was assessed at the village level and categorized into nine food groups similar to the dietary diversity index for women. Bivariate and multivariate mixed-effects regression analyses were conducted, adjusted for clustering at the village level., Setting: Chicken-producing farmers in rural Ethiopia.ParticipantsWomen (n 2117) aged 15-49 years., Results: Overall, less than 6 % of women met the minimum dietary diversity (≥5 food groups) and the most commonly consumed food groups were staples and legumes. Median MFD was 4 food groups (interquartile range: 2-8). Multivariate models indicated that women's dietary diversity differed by livestock diversity, food crop diversity and agroecology, with significant interaction effects between agroecology and MFD., Conclusions: Women's dietary diversity is poor in Ethiopia. Local markets are variable in food availability across seasons and agroecological zones. The MFD indicator captures this variability, and women who have access to higher MFD in the highland agroecological zone have better dietary diversity. Thus, MFD has the potential to mitigate the effects of environment on women's dietary diversity.
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- 2019
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31. Food Insecurity and Mental Distress among Mothers in Rural Tigray and SNNP Regions, Ethiopia.
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Birhanu TT and Tadesse AW
- Abstract
Access to safe and adequate food is a basic human right under Article 25 of the Universal Declaration of Human Rights. Globally, more than 870 million people consume less calories than they require, which can lead to disabling physical and mental health outcomes. This study was designed to investigate the association between household food insecurity and mental distress among mothers in the Tigray and SNNP regions of Ethiopia. A community based cross-sectional survey was completed on a total of 2,992 households. A linear multiple regression model was used to study the association between food insecurity and mental distress. More than half of the study participants, 57.9%, were experiencing food insecurity. The prevalence of mental distress among the mothers was 39%. Food insecurity was significantly associated with mental distress after controlling for socioeconomic covariates. Integrating screening and management of mental distress would result in a better health status of the mothers and those under their care.
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- 2019
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