College of Health Sciences

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Browsing College of Health Sciences by Author "Ababi Zergaw"

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    Comparison of Factors Influencing Utilization of Modern Contraceptive Methods among Rural and Urban Women Currently using Family Planning Service in South Wollo Zone, Amhara National Regional State
    (Addis Abeba University, 2010-07) Jemal Ali; Ababi Zergaw
    Background: Utilization of modern contraceptive methods is related to sociodemographic, reproductive and fertility factors. Previous studies concentrated on identifying these and other determinant factors in rural or urban but it is unclear whether the magnitude of these factors in rural and big urban population similar or not. Objective: The objective of this study is to assess and compare factors influencing utilization of modern contraceptive methods among rural and urban women currently using family planning service in South Wollo Zone, Amhara Region. Methods and materials: Health facility based comparative cross-sectional study was conducted in Dessie town, Jamma and Wereilu Weredas of South Wollo Zone from February to March-2010.The Two rural Weredas were selected from the ten remote weredas located in the western part of the Zone by using simple random sampling methods. All health centres and one potential health post per weredas were the study unit. After obtaining permission to proceed from all level of relevant bodies, data were collected by trained health workers using pre-tested interviewer administered close ended questionnaires from 534 women who visit 12 health facilities as current MCM users. Data were entered and analyzed using SPSS Soft Ware. Result. Rural women use modern contraceptive methods for the first time on average after they had 3 children and only (4.5%) of users before the first child as compared to urban users after they had 1.4 children and (24.3%) before the first child. Desire to limit family size by rural users less (25.8%) than (31.5%) urban users. Decision making to use modern contraceptive by rural users less (21.7%) than urban users (25.5%).(90.3%) of rural and (86%) of urban users had past history of pregnancy. Rural women whose perceived economic status as average were three times more likely to practice modern contraceptive as compared to urban women. Conclusion: This study has clearly described that rural women use modern contraceptive methods after they had higher number of children and less desire to limit family size as compared to urban women. It is recommended that strong behavioral change intervention targeting the high fertility desire of rural women and modern contraceptive methods utilization is needed.
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    Cost of Major Mental Illnesses to the Public Health Service Provider, Amanuel Hospital, Ethiopia
    (Addis Abeba University, 2013-10) Mideksa Adugna; Ababi Zergaw
    Background: Mental health is about enhancing competencies of individuals and communities and enabling them to achieve their self-determined goals. Since mental illness is problem of society as a whole, it is a major challenge to global development. Objectives: To estimate the economic cost of major mental illnesses and determinants of cost from the public health service provider’s perspective. Methods: The design of the research was hospital based cross sectional quantitative survey. The costing method that the research used was prevalence based bottom-up costing approach. The cost identified is direct costs incurred by the health service provider for providing mental health service during one year period for major mental illnesses. Using this method cost was estimated by calculating average costs of major mental illnesses (Schizophrenia and Bi-polar). The average cost of treatment was identified by adding together the various pieces of cost of treatment. Cost items identified from outpatient, inpatient and emergency departments and laboratory units. Additionally physical resources of the hospital used were also added. Results: The hospital incurred a unit cost of 1,204.2 ETB to provide mental health services for major mental illnesses. The marginal cost of providing health care for each additional patient at the hospital was 118 ETB. The hospital incurred a unit cost of 229.3 ETB to provide emergency health service, 23,016.1 ETB to provide inpatient health and 611.4 ETB to provide outpatient health service for major mental illnesses. Among the total hospital cost the drugs cost amount was 31.5 ETB, 220.4 ETB and 496.6 ETB for providing emergency, inpatient and outpatient mental health service respectively. Conclusion: Distribution of the hospital cost significantly differs by the residence area of the patients. Distribution of the hospital outpatient cost significantly differs by the number of visits made to the outpatient department of the hospital. Providing inpatient mental health service is more costly than outpatient and emergency mental health services.
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    Enhancing the Completeness of Medical Records at Inpatient Department of Karat Primary Hospital KonsoWoreda, SNNPR
    (Addis Ababa Universty, 2018-06) Kafita Katusa; Ababi Zergaw
    Background: The completeness of medical records is key performance indicator that is related with delivery of healthcare services in the hospital and assessed with minimum set of indictors such as physician note, physician order sheet, Nursing care plan, medication administration sheet, discharge summary, progress note and clinical pharmacist record form. Objective: The objective of the study was to enhance the completeness of inpatient medical records from 22% to 60% in time period from Feb to June, 2018 at In-patient department of Karat Primary Hospital, KonsoWoreda, SNNPR Design: before-after interventional study was carried from Feb to June, 2018 using document review, observation, inpatient medical record review form and focus group discussions. Setting: Karat primary hospital, SNNPR, Ethiopia Participants: SMT, Medical director, matron and all IPD clinical staffs. Result: the overall completeness of medical records rose from 22% pre-intervention to 54% post-intervention in in-patient department of Karat primary hospital from Feb to June, 2018 with total budget of 25000.00 Ethiopian Birr.
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    Improving the Implementation Status of Nursing Care Standards Process at Medical& Surgical Wards in Jogel General Hospital, Harar,Ethiopia.
    (Addis Abeba University, 2019-06) Aynie Ali; Birhan Tasew; Ababi Zergaw
    Background: Despite the important role of nursing care standard practice plays for the betterment of the health care, its implementation status is far below expected, particularly in developing countries. Similarly, the baseline assessment in this study showed that the implementation of Nursing Care Process in Jogel general hospital is poor. Thus, in light of the national and regional efforts to improve health care deliver y& improve a health care Quality. it is critically important to improve the implementation status of the Nursing care Process in Jogel General Hospital. Objectives: To improve implementation of Nursing/midwifery Care Standard Practice from 42 % to 70% in Medical & surgical wards of Jogel Hospital, by the end of June, 2019. Methodology: A facilit y based pre- post interventional study will be conducted from March to June, 2019 in Jogel General Hospital, Harar, Ethiopia. The interventions include give in service training for ward nurses; strengthening internal supportive supervision, nursing audit committee, and provide the update nursing care format preparation .observational questionnaires about the challenges in implementation of the standards for a total of 80 staff nurse(40 pre-40post).A total of 60 Medical Records (MR) have been reviewed ( 30 at baseline and 30 will be at the end of the study) to assess & compare the medical record completeness about t he at t ached & complete document at i on of necessary format s during pre and post-intervention periods respectively. The proportion of standard checklists which will me et Nursing Care Standard Practice with complete services, and observational self prepared questionnaires with10 item total of 100 inpatient admitted(50 pre-50 post intervention) about the nursing care quality and client satisfactions documentation a addition reviews standard 10item contain checklists fill and conduct focus discussion with a total of 14 staff (CEO, Matron, 2director of nurses and 1 2 s t a f f n u r s e ) of formats, and Chi-square test is calculated to test the difference in the outcome of interest between the pre –and post –intervention periods. Result:- The percentage of patient cards with complete Nursing Care Process increased from 42% in baseline to 70% after intervention. This change was statistically significant at (df = 1.44, P =0.0403). Similarly, the implementation of all components of the Nursing Process has increased: Nursing Admission Assessment (from 56% to 82% / P =0.0201), Nursing Diagnosis (from 38% to 78%, P =.0.0301); Nursing Care Plan (from 54% to 66% / P =0.0225); Nursing Implementation (from 47% to 64% / P =0.0152) and Nursing Evaluation (from 31% to 59%/ P = 0.0173), with all changes showing statistically significant at P < 0.05. Conclusion and Recommendations: - continuous on job training continuous flow of related forms can improve the implementation of the Nursing Process followed by. Continuous internal Supportive Supervision of Nurses in wards. Jogel general hospital managers should consider strengthening the internal Supportive Supervision to improve their health facility.
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    Quality of Antenatal Care Services and Factors Influencing Maternal Satisfaction in Public Health Facilities of Wolkite Town, Gurage Zone, Southern Ethiopia
    (Addis Ababa University, 2023-06-23) Cheru Temesgen; Ababi Zergaw
    Back ground: Although antenatal care (ANC) coverage in Ethiopia is increasing, the quality of ANC remains low. It is believed that increasing number ANC contact by itself is not enough to change current maternal health status and that the quality of ANC service can have important impact in the heath of mothers and new born. Objective: To assess quality of antenatal care services and factors influencing maternal satisfaction in Wolkite town public health facilities. Methods: The study was carried out in Wolkite town the administrative center of the Gurage zone located 155 km west of capital city of the country, Addis Ababa. A facility-based cross sectional study design was conducted. The study populations were all pregnant women who attended the service in data collection period. Sample size was 409. A pretested structured questionnaire was used. Data entry, coding, cleaning was done by Epi-Info and the analysis was done by using SPSS version 26. Binomial and multinomial logistic regression analyses were conducted to examine the association between the socio-demographic, obstetric factors, process aspects of quality and maternal satisfaction. Ethical clearance was taken from the school of Public Health of Addis Ababa University research ethics committee Result: Out of 409 sampled pregnant women attending ANC clinic 398 (97.3%) were responded. About 48% % of respondent were satisfied with ANC services. Residence (AOR = 5.839 95%CI 3.175, 10.739), pregnancy status (AOR = 6.216 95% CI 2.943, 13.127), frequency of ANC visit (AOR = 1.804 95% CI 1.056, 3.082), counseling on nutrition (AOR = 2.875 95% CI 1.709, 4.835), prevention of mother to child transmission (PMTCT) of HIV(AOR = 2.337 95% CI 1.427, 3.827) and birth preparedness and complication readiness (BPCR) (AOR = 2.426 95% CI 1.341, 4.389)and provision of iron (AOR= 2.816 95% CI 1.249, 6.350) had an association with maternal satisfaction. Conclusion: Generally, maternal satisfaction with antenatal care services in this study was low. Absence of clean latrine & adequate water supply was the main reason stated by respondents. Effort should be made to improve accessibility of safe and potable water supply.