Browsing by Author "Mengistu Girma"

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    Inventory Management Practices, Performances And Challenges Of Program Medicines in Primary Healthcare Facilities Of Hadiya Zone, Southern Ethiopia
    (Addis Ababa University, 2024-06) Mengistu Girma; Shiferaw Mitiku (PhD)
    Background: Effective inventory management which is heart of supply chain management is vital for ensuring availability of tracer healthcare products. However, inventory managementpractice and performance in public health facilities is often overwhelmed by various challenges that hinder the efficient healthcare services delivery. Hence, this study was aimed at assessingthe current inventory management practices, operational performance, and identifying the challenges faced in public health facilities in Hadiya Zone Primary Healthcare FacilitiesSouthern Ethiopia. Facility-based cross-sectional descriptive research design was used involving both quantitative and qualitative research methods. Quantitative data were collected throughsemi-structured questionnaires and observational checklists and analyzed using the SPSS version 26. The qualitative data were gathered through key informant interviews. The interview was transcribed, summarized manually, and analyzed using thematic analysis. The study revealed that 74.3% of facilities have tracer program medicines on the day of thesurvey. Stock out of tracer program medicines encountered in 47.1% of facilities with average stock out days of 33.38 days. Inventory accuracy was 17.14% and average order fill lead time ofthe past six months in those facilities was 35.57 days. Data quality of the RRF report assessed indicated that 74 (88.1%) of the RRF reports were timely, 47(60.)% of RRF reports wascomplete and 25 (54.7%) reports were accurate. About 64.3 percent of health facilities metsuitable storage conditions. The respondents agreed with financial, Behavioural, Humanresource, demand-supply, and logistic challenges with a grand mean of 3.67, 3.66, 3.92, 3.68, 4.19, and 4.25 respectively. KIs responses also indicated by default similar responses onchallenges of inventory management. The study revealed that there is poor inventorymanagement performance and control system of tracer program medicines in primary healthcarefacilities of the Hadiya zone. It is recommended that sufficient amount budget allocation,technological support, resupply lead time be shortening, and appropriate staff members trainingshould be considered. Keywords: Inventory management performances, public primary healthcare facilities, tracerprogram Medicines, challenges
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    Leadership Effectiveness of School Leaders in Implementing School Improvement Program in Government Secondary Schools in East Wollega Zone of Oromia Regional State
    (Addis Ababa University, 2019-06) Mengistu Girma; Befekadu Zeleke
    The objective of this study was to assess the school leadership effectiveness in implementing school improvement programs in secondary schools of East Wollega Zone .In this study descriptive survey design was used. Among the 12 government secondary schools found in the Five Woredas of the Zone, 8(66.7) were taken as a sample by using multi stage sampling technique. A total of teachers 116 were selected using multistage sampling techniques. Additionally, 8 secondary school internal supervisors, 8 school principals and 8 vice principals were selected by availability sampling techniques. Finally, 8 PTA representatives were included by using purposive sampling techniques. The instruments of data collection were questionnaires, semi structured interview, observation and document analysis. The data were analyzed using mean and standard deviation. The data gathered through open–ended questions, interviews, observation and document analysis were analyzed qualitatively through narration for the purpose of triangulation. The findings of the study unveiled low performance of secondary school leaders in implementing school improvement program domains such as, school leadership and community participation. The findings further indicated low performance in the preparation stage of SIP. As the finding of the study revealed the domains, secondary school leaders of East wollega Zone did at an average level were ‘teaching and learning’ and ‘safe and healthy school environment’. Thus, secondary school leaders were not adequately prepared themselves and other responsible stakeholders with important financial and material resources before implementation of SIP and these problems in turn affected the implementation of SIP in the secondary schools of the zone. In general, as the findings of the study revealed secondary school leaders of East Wollega zone were not effective in implementing some domains of school improvement program. Therefore, it is recommended that Woreda education Offices in collaboration with Zone Education Offices and Regional Education Bureau should give sustainable technical assistance including training for school leaders. Woreda education offices in collaboration with school leaders need to enhance community participation. Finally, the REB is advised to promote and sustain the upgrading training system of secondary school leaders to capacitate them with adequate technical and administrative skills