Browsing by Author "Addissie, Mesfin (MD, MPH)"

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    Assessment of SERO Status Disclosure and Sexual Behavior Among PLWHA who are on art in Assela town Health Facilities ,Arsi Zone,Oromiya Region.
    (Addis Ababa University, 2013-06) Fekadu, Hailu; Addissie, Mesfin (MD, MPH)
    Background: It has been three decades since HIV started its speared across the globe with a devastating impact on populations and economies of countries and regions, some more than others. Sub-Saharan Africa continues to bear an inordinate share of the global HIV burden, though epidemics across countries in Africa vary considerably, Ethiopia is one of the sub-Saharan countries worst affected by the HIV/AIDS pandemic. There are concerns that increased use of ART may be associated with increased sexual risk taking. There fore it is essential to see sero status disclosure and sexual behavior of PLWHAS who are taking ART as this has implication for prevention of HIV epidemic. Objective: To assess sero status disclosure and sexual behavior among PLWHA who are on ART in Assela town health facilities, Arsi Zone, Oromiya Region. Methodology: An institution based cross sectional study was conducted using both quantitative and qualitative methods from February to April 2013 among 324 PLWHAs who are taking ART from Assela hospital and Assela health center. Systematic random sampling method was used to select the study participant. Structured and pretested questionnaire was used for data collection.To collect qualitative data in-depth interview was conducted. The data were summarized in percentages, table and graphs; crude and adjusted odds ratios, logistic regression analysis were used to explore associations between different variables and HIV disclosure and sexual behavior. Result: More than half of the respondents 167(51.5%) were females. The mean age of the study population was 36.33 (+7.79) years. The majority 264(81.5%) were married. Over all 94.1% of the respondents had disclosed their HIV positive result to their regular partner and the rest (5.9%) did not disclosed. Knowledge of partners’ sero status, prior discussion about HIV, type of relation ship with partner, living in the same home and duration of HIV test were found to be determinants of sero status disclosure. Respondents whose duration of test is greater than two years were found to have eight fold increased odds of disclosure compared to those who had less than two years (AOR:8.4; 95% CI: 1.21, 57.7). The proportion of multiple partners in this study was (6%) and consistent condom use was (60.8%). The main reason reported for not using condom were partner’s refusal (37.4%). Conclusion: Although the magnitude of HIV positive status disclosure to regular partner found in this study was encouraging, lack of disclosure by a minority resulted in a limited ability to engage in preventive behaviors. There fore HIV prevention programs and counseling efforts should focus on disclosure of HIV test results to all type of partner and consistent condom use with all type of partners.
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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 (MD, MPH); H/Silassie, Worissaw (MPH, PhD candidate)
    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 selfadministered 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.