Health Informatics

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Browsing Health Informatics by Author "Addissie Mesfin"

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    Assessment of Quality of Referral System among Health Centers in Eastern Zone of Tigray, Ethiopia, 2019.
    (Addis Abeba University, 2019-10) Gebremeskel Fre; Addissie Mesfin; Asrat Gashaye
    Background: Implementation of a well-managed and functional referral system leads to good health care quality. The referral system is an important public health issue. However, in Ethiopia, there is no available literature that assesses the quality of the referral system of Health Centers. So these results will help health managers as a baseline in decision making. Objective: To assess the quality of the referral system among Health Centers in Eastern Zone of Tigray, Northern Ethiopia, 2019. Method: Institutional based cross-sectional quantitative study was conducted. Eight Health Centers were selected using simple random sampling. A total of 422 sample size was calculated and allocated to each health center using probability allocation technique. Three data collection tool was used, data on the availability of inputs were collected through observation, patient interview questionnaire was used to assess patient satisfaction, and record review form was used to gather data from referral paper and feedback paper for the process part at the study period. Study participants were selected using the systematic sampling technique every kth value. Collected data were entered using epi info version 7 .2.0.1. Data were also cleaned and analyzed using SPSS version 25. Descriptive and, binary logistic regression was performed using SPSS version 25. Result: The response rate was 98.5%. Half (50%) of Health Centers had referral registry form, 22% of patients were provided ambulance, 63.6 % of patients were referred with referral paper and none of the health centers had a focal person (liaison). Concerning referral papers, 17 % of them were good in quality. Feedback to health centers was sent for 15% of referral; of those feedbacks 35 % were good in quality. Patient satisfaction was 47 % and there were no statically significant socio-demographic factors. Conclusion and recommendation: the quality of a referral system of Health Centers was poor. It needed to be strengthened by selecting a focal person at Health Centers, availing registry form and referral papers to health centers, and by strengthening feedback mechanism. Further study will be also helpful to assess the predictor of poor quality of referral system.
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    Assessment of Utilization of Routine Health Information for Pharmaceutical Procurement and Associated factors in Public Hospitals in Gamo and Gofa zone,SNNPR,Ethiopia.
    (Addis Abeba University, 2021-02) Bassa Bereket; Addissie Mesfin ; H/Silassie Worissaw
    Background: Availability of pharmaceuticals is a major issue in health care logistics as they play a critical role in improving delivery of health care services as well as gaining trust of clients.Utilizing routine health information is a mechanism that helps to achieve universal healthcare coverage by ensuring availability of essential pharmaceuticals by avoiding wastage and shortages. Objective: To assess utilization of routine health information for pharmaceutical procurement and associated factors in public hospitals in Gamo and Gofa zone, SNNPR, Ethiopia, 2020. Methods: Institution based cross-section study design using quantitative method was conducted in Gamo and Gofa zone public hospitals. By using simple random sampling method, 272 respondents were selected from simple randomly selected five public hospitals (two general and three district) and one Ethiopia pharmaceutical supply agency Arba Minch branch Structured self administered questionnaire was used after giving training for data collectors. The supervisor and data collectors were trained health information technician in each hospital. The collected data were checked for its completeness and consistency, then entered into Epi.Data 3.1 and exported to SPSS version 20 for further analysis. Result: Among the respondents, 192 (72.2%) were males and 112 (42.1%) respondents were pharmacy professionals. 186 (66.9%) were claimed to utilize routine health information and among those using routine health information, 130(69.9%) were uses the information for pharmaceutical procurement. In binary logistic regression analysis of utilization of routine health information for pharmaceutical procurement is statistically significant with variables (p-value<0.05, CI 95% and 0.05 margin of error) monitoring pharmaceutical procurement process, evaluation of pharmaceutical procurement, pharmaceutical procurement based on Ethiopia essential drug list, provision of training for pharmaceutical procurement committee and suppliers deliver right pharmaceutical at right time. Conclusion and recommendation: The study revealed that 69.9% used routine health information for pharmaceutical procurement, 70.7% pharmaceutical procurement were transparent and 51% of the reason for stock out was lack of integration of routine health information unit with pharmacy unit. Routine health information utilization for pharmaceutical procurement affected by different factors, 31.6% were lack motivation, 39.1% of procurement were not according to standards and regulation of federal minister of health. Federal minister of health, regional health bureau, and zonal health department strengthen monitoring and evaluating routine health information utilization for pharmaceutical procurement. The public hospitals encourage sock rotation and inventory management.
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    Awareness and Adherence to Health Care Facility Standards among Health Workers in Private Medium Clinics in Addis Ababa, Ethiopia.
    (Addis Abeba University, 2019) Gudina Ashebir; Nega Adiama; Addissie Mesfin
    Background: Health workers adherence to health care facility standards are complicated processes. So when health professionals comply with standards, they must first become aware of the standards, then intellectually agree with them, and then decide to adopt them in the care they provide, then regularly adhere to them at appropriate times.. Health workers can simply not be familiar with standards because they have not been communicated clearly. Commonly, providers are aware of standards but may hold beliefs or attitudes that inhibit them from adhering to standards.Nevertheless,evidence on awareness and adherence to healthcare facility standards among health workers working in private health facility in low income countries is poor. Objectives: The aim of this study was to assess level of awareness and adherence to healthcare facility standards among health workers in selected private medium clinics in Addis Ababa. Methods: A Facility based cross-sectional descriptive study design was used to conduct the study and the study units were selected using simple random sampling technique. Descriptive statistics including frequencies and percent were used in order to summarize variables. To determine the association between each variable binary logistic regression model was used and variables with p-value less than 0.05 were considered as statistically significant. OR and CI was used to see the strength of the association between the independent variables and awareness and adherence. Result: A total of 250 participants were included in the study which makes the response rate 89.6% with mean age of 26.82 years. The majority which 62.8% of them were female, 67.2 % were heard about Ethiopian medium clinic standards, even though 98.4% of them had no on job trainings on it. Further, 22.4% and 44.8% of the study participants had good level of awareness and adherence respectively. Factors such as being the age interval of 21-25 years (AOR 0.19, 95%CI (0.06, 0.60))and 26-30 years of old (AOR 0.06, 95% CI (0.01, 0.32)) had statistical significance association with level of adherence as compared to 20 years and below age group. But not participated in informing about Ethiopian medium clinic standard (AOR 1017.49, 95% CI (35.99, 28768.10)) was the only variable which had statistically significant association with level of awareness. Conclusion and recommendation: the current study result indicated that almost more than half of participants had poor level of awareness and adherence toward Ethiopian medium clinic standards. Therefore, providing continuous pre-recruitment and on job educational training on Ethiopian medium clinic standard by the health institutions is essential.