• Anaemia and its determinants among young children aged 6–23 months in Ethiopia (2005–2016) 

      Heinrichs, Helen; Endris, Bilal Shikur; Dejene, Tariku; Dinant, Geert-Jan; Spigt, Marcus (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-09-23)
      Anaemia in children remains a significant public health threat. Recent numbers from Ethiopia showed that more than two-thirds of children under the age of 2 years were anaemic. This study aimed to investigate the determinants of anaemia throughout Ethiopia over 11 years, making use of the Ethiopian Demographic and Health Survey (EDHS) rounds 2005, 2011 and 2016. The EDHS made it possible to use ...
    • C-reactive protein point-of-care testing and antibiotic prescribing for acute respiratory tract infections in rural primary health centres of North Ethiopia: A cross-sectional study 

      Yebyo, Henock; Medhanyie, Araya Abrha; Spigt, Marcus; Hopstaken, Rogier (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-01-14)
      Unjustified antibiotic prescribing for acute upper respiratory infections (URTIs) is probably more common in poor-resource settings where physicians are scarce. Introducing C-reactive protein (CRP) point-of-care testing in such settings could reduce the misuse of antibiotics, which could avert antibiotic resistance. However, information useful for the applicability of CRP test in resource-limited ...
    • The challenge of dealing with non-AIDS comorbidities for people living with HIV: Perspectives and experiences of patients and healthcare providers 

      van Koeveringe, Julia Maria; Liaño Callahan, Elizabeth; George, Mala; Russo, Teklu Teshome; Seifu, Biruk; Spigt, Marcus (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-03-13)
      As the cohort of People Living with HIV (PLHIV) ages, so does the spectrum and burden of non-AIDS define HIV-associated conditions (NARC). PLHIV are likely to need different and increased healthcare services. It requires health systems to adapt to this disease trend and conform to a chronic care model, which respects the distinct needs of the ageing population. In this article, we explore the ...
    • Designing mHealth for maternity services in primary health facilities in a low-income setting - Lessons from a partially successful implementation 

      Shiferaw, Solomon; Workneh, Andualem; Yirgu, Robel; Dinant, Geert-Jan; Spigt, Marcus (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-11-12)
      <p><i>Background</i>: Increasing mobile phone ownership, functionality and access to mobile-broad band internet services has triggered growing interest to harness the potential of mobile phone technology to improve health services in low-income settings. The present project aimed at designing an mHealth system that assists midlevel health workers to provide better maternal health care services by ...
    • Development of Hypertension and Diabetes Mellitus, and Associated Factors, Among Adult HIV Patients in Ethiopia 

      Tegene, Yadessa; Mengesha, Selamawit; Putman, Erin; Toma, Alemayehu; Spigt, Marcus (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-02-16)
      Background: Medical improvements and increased access to treatment have turned HIV from a highly fatal disease into a treatable and controllable disease. With the improvement in lifespan, HIV patients face increasing morbidity and mortality from chronic comorbidities (hypertension and diabetes mellitus). There is, nevertheless, a paucity of information on the scale of HIV noncommunicable disease ...
    • Drop in lung function during asthma and COPD exacerbations – can it be assessed without spirometry? 

      Melbye, Hasse; Al-ani, Salwan Tariq; Spigt, Marcus (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-12-08)
      Background: When assessing patients with exacerbation of asthma or COPD, it may be useful to know the drop in forced expiratory volume in 1 second (FEV1) compared with stable state, in particular when considering treatment with oral corticosteroids. The objective of the study was to identify indicators of drop in FEV1 during exacerbations. Methods: In this prospective multicenter study from primary ...
    • The Effects of a Locally Developed mHealth Intervention on Delivery and Postnatal Care Utilization; A Prospective Controlled Evaluation among Health Centres in Ethiopia 

      Shiferaw, Solomon; Spigt, Marcus; Tekie, Michael; Abdullah, Muna; Fantahun, Mesganaw; Dinant, Geert-Jan (Journal article; Tidsskriftartikkel; Peer reviewed, 2016)
      Background Although there are studies showing that mobile phone solutions can improve health service delivery outcomes in the developed world, there is little empirical evidence that demonstrates the impact of mHealth interventions on key maternal health outcomes in low income settings. Methods A non-randomized controlled study was conducted in the Amhara region, Ethiopia in 10 health ...
    • Family Practice substance use disorder theme issue: commentary 

      Spigt, Marcus; Scherrer, Jeffrey F. (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-02-02)
      Both substance use and substance use disorders (SUDs) are common problems suffered by patients seeking primary care. Since its second volume in 1985,1 Family Practice has continually highlighted research related to detecting and treating legal, illegal, and prescription substance use, abuse, and dependence. Twenty-five years later, many of the same research questions and clinical challenges still ...
    • Health workers' experiences, barriers, preferences and motivating factors in using mHealth forms in Ethiopia 

      Medhanyie, Araya Abrha; Little, Alex; Yebyo, Henock; Spigt, Marcus; Tadesse, Kidane; Blanco, Roman; Dinant, Geert-Jan (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-01-15)
      <p>Background: Mobile health (mHealth) applications, such as innovative electronic forms on smartphones, could potentially improve the performance of health care workers and health systems in developing countries. However, contextual evidence on health workers’ barriers and motivating factors that may influence large-scale implementation of such interfaces for health care delivery is ...
    • Interrater and intrarater agreement on heart murmurs 

      Andersen, Stian; Davidsen, Anne Herefoss; Schirmer, Henrik; Melbye, Hasse; Spigt, Marcus; Aviles Solis, Juan Carlos (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-01-04)
      Objective: To investigate interrater and intrarater agreement between physicians and medical students on heart sound classification from audio recordings, and factors predicting agreement with a reference classification.<p> <p>Design: Intra- and interrater agreement study. <p>Subjects: Seventeen GPs and eight cardiologists from Norway and the Netherlands, eight medical students from Norway. <p>Main ...
    • Knowledge and performance of the Ethiopian health extension workers on antenatal and delivery care: a cross-sectional study 

      Medhanyie, Araya; Spigt, Marcus; Dinant, GeertJan; Blanco, Roman (Journal article; Tidsskriftartikkel; Peer reviewed, 2012-11-21)
      Background: In recognition of the critical shortage of human resources within health services, community health workers have been trained and deployed to provide primary health care in developing countries. However, very few studies have investigated whether these health workers can provide good quality of care. This study investigated the knowledge and performance of health extension workers ...
    • Measuring Engagement with Mental Health and Behavior Change Interventions: an Integrative Review of Methods and Instruments 

      Bijkerk, Laura Esther; Oenema, Anke; Geschwind, Nicole; Spigt, Marcus (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-05-16)
      Background - Engagement is a complex construct consisting of behavioral, cognitive, and affective dimensions, making engagement a difficult construct to measure. This integrative review aims to (1) present a multidisciplinary overview of measurement methods that are currently used to measure engagement with adult mental health and behavior change interventions, delivered in-person, blended, or ...
    • Patients with psychological ICPC codes in primary care; a case-control study investigating the decade before presenting with problems 

      Gidding, Luc G; Spigt, Marcus; Dinant, Geert-Jan; Spigt (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-09-15)
      <p><i>Background</i>: Recognizing patients with psychological problems can be difficult for general practitioners (GPs). Use of information collected in electronic medical records (EMR) could facilitate recognition.</p> <p><i>Objectives</i>: To assess relevant EMR parameters in the decade before patients present with psychological problems.</p> <p><i>Methods</i>: Exploratory case-control study ...
    • Physical activity and survival in chronic comorbidity among adult HIV patients in Ethiopia: a prospective cohort study 

      Tegene, Yadessa; Mengesha, Selamawit; Kassa, Andargachew; Toma, Alemayehu; Spigt, Marcus (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-10-07)
      Background - Antiretroviral therapy enables people living with HIV to live long lives, and these advances have transformed HIV infection from an acute to a chronic disease. Many non-communicable diseases, including type 2 diabetes, heart disease, and stroke, are influenced by physical inactivity. Therefore, the aim of this study was to assess the level of physical activity and survival in chronic ...
    • Physical activity level and associated factors among adult HIV patients in Ethiopia 

      Tegene, Yadessa; Mengesha, Selamawit; van der Starre, Caroline; Lako, Stephanie; Toma, Alemayehu; Spigt, Marcus (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-02-04)
      Background: People living with HIV, who take antiretroviral therapy (ART), often enjoy long and healthy lives, but this therapy has well known metabolic adverse efects. Physical activity is found to be an important factor in improving these physiological parameters. This study aimed to determine physical activity level and associated factors among HIV patients in Ethiopia.<p> <p>Methods: An institutional ...
    • Predictors of exacerbations of asthma and COPD during one year in primary care 

      Al-ani, Salwan Tariq; Spigt, Marcus; Hofset, Per; Melbye, Hasse (Journal article; Tidsskriftartikkel; Peer reviewed, 2013-10-10)
      Aims. To investigate the incidence of asthma and chronic obstructive pulmonary disease (COPD) exacerbations in primary care during one year and to identify risk factors for such events.<p> <p>Methods. The study was carried out at seven general practice offices in Norway. Patients aged 40 years or more registered with a diagnosis of asthma and/or COPD the previous 5 years were included. After a ...
    • Predictors of treatment with antibiotics and systemic corticosteroids for acute exacerbations of asthma and chronic obstructive pulmonary disease in primary care 

      Al-ani, Salwan Tariq; Spigt, Marcus; Laue, Johanna; Melbye, Hasse (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-03-24)
      Background: Antibiotic and oral corticosteroid prescribing rate in patients suffering from acute exacerbations of chronic obstructive pulmonary disease (COPD) or asthma in general practice are only sparsely described. Our aim was to identify predictors for such prescribing when results from CRP testing, spirometry, and pulse oximetry are available. <p>Methods: Patients aged 40 years or more diagnosed ...
    • Prevalence of undernutrition among pregnant women and its differences across relevant subgroups in rural Ethiopia: a community-based cross-sectional study 

      Chea, Nana; Tegene, Yadessa; Astatkie, Ayalew; Spigt, Marcus (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-03-10)
      Background - Maternal undernutrition is one of the commonest public health problems in many low- and middle-income countries where generally more than 20% of women are undernourished. It is more common in rural areas due to unclear factors. Therefore, the aim of this study was to investigate the prevalence of undernutrition in general and in subgroups and determine risk factors among pregnant women ...
    • Quality of family planning counseling in Ethiopia: Trends and determinants of information received by female modern contraceptive users, evidence from national survey data, (2014- 2018) 

      Hrusa, Gili; Spigt, Marcus; Dejene, Tariku; Shiferaw, Solomon (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-02-10)
      <p><i>Background - </i>Family planning counseling is critical for women to make informed reproductive and sexual health decisions. Despite Ethiopia's success in expanding access to family planning services, information on the quality of family planning counseling is limited. The objectives of this study were to assess whether the quality of counseling from the female client´s perspective has changed ...
    • Risk factors of anemia among preschool children in Ethiopia: a Bayesian geo-statistical model 

      Endris, Bilal Shikur; Dinant, Geert-Jan; Hagos, Seifu; Spigt, Marcus (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-01-07)
      Background - The etiology and risk factors of anemia are multifactorial and varies across context. Due to the geospatial clustering of anemia, identifying risk factors for anemia should account for the geographic variability. Failure to adjust for spatial dependence whilst identifying risk factors of anemia could give spurious association. We aimed to identify risk factors of anemia using a Bayesian ...