Browsing by Author "Admassu, Azeb"
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Item Assessment of Quality of Midwifery Care in Teaching and non- Teaching Hospitals in Addis Ababa, Ethiopia(Addis Abeba Universty, 2016-06) Admassu, Azeb; Zergaw, Ababi (PhD)Background: Quality of midwifery care improves health outcomes by providing technically sound care for clients (1). This quality may affected by teaching and learning process. some literature says that teaching learning process has positive influence on quality of midwifery care (14) but others studies done in Iran says that quality of maternity care is poor in teaching hospital than non teaching hospital (20) . In our country Ethiopia no study is done on hospital teaching status affects quality of midwifery care. As this study is new and fill the evidence gap on issue. Objective: To assess the quality of midwifery care in teaching and non-teaching hospital by comparing the two types of hospitals and measuring satisfaction, Addis Ababa, Ethiopia. Methodology: Facility based cross-sectional comparative study was conducted on 416 mothers who had received labor and delivery service in St. Paul Hospital Millennium Medical College and All Africa Leprosy, Tuberculosis and Rehabilitation Training Hospital which are teaching and non- teaching hospitals respectively. A systematic random sampling technique was employed to select mothers who were admitted for delivery and gave birth in the study ward. Data collection was done by administrating structured questionnaire and using standard observation checklist. In the analysis, descriptive statistics was used and multivariate and bi variate analysis for significance and association were carried out. Ethical approval for the study was obtained from Addis Ababa University School of Public Health and St Paul Hospital millennium Medical Collage Ethical Review Committee and permission litter obtained from All Africa Leprosy, Tuberculosis and Rehabilitation Training Hospital. Results: It was found that mothers in the non-teaching hospital were 5.4 times more likely to be satisfied than in the teaching hospital (COR (C l) (5.46 (3.39, .8.31) p value 0.001)) and quality of midwifery care was 1.49 times more likely good in non-teaching hospital than in teaching; (COR (CI) (1.49 (1.018, 2.206) P value 0.040). Conclusion: In conclusion the quality of midwifery care is affected by teaching learning process which is quality carries higher in the non-teaching hospital compared with the teaching hospital. From bi variant logistic regression finding, mothers in the non-teaching hospital were 5.4 times more likely to be satisfied than in the teaching hospital.Item An Assessment of the Impact of Child Labor on Female Children Educational Opportunities, In The Case Of Kechene Community, Addis Ababa(Addis Ababa University, 2015-10-13) Admassu, Azeb; Ero, Debebe (PhD)Child labor is a very common global problem. There are about 250 million child laborers in the world, in sub-Saharan Africa, and around half of child laborers – 115 million children in total - are engaged in hazardous employment. About 7.5 million children are estimated to be found in Ethiopia. Most of the children have no educational opportunities because they are engaged in child labor (ILO 1996). Girls are more vulnerable than boys and they represent 54% of the out-of-school population. Girls work in the household, agricultural work and home-based work is often vital for survival although their work is largely invisible and unvalued. (Education International, October 2013) As kechene community is one of the communities from Gulele sub city in Addis Ababa which is large number of children laborers found on pottery and weaving activities. To explore the impact of child labor on the educational opportunity of female children at Kechene community Applying qualitative research method which is descriptive and exploratory. informants mentioned that many families do not send their female children to school for the purpose of using their labor. Though the root cause is their economic capacity, they elaborated that for some family children’s work is the main source of the whole family’s income. The response of the influence of female child labor on their education has been summarized in to eight basic themes: bargaining the opportunity to access school, Repeated absent from class every week Friday (it is the critical working day for pottery made family, ready for Saturdays market ) , low participation in the class, shortage of time to study, doing home work and participate in educational course work, create feeling of exhaustion, bullied by students and sometimes by the teacher, low in their academic performance and end with school dropout or class repetition . 6 From the summary of the research, it is clear that female children’s education is compromised of their labor. The researcher has come to see that female children students are more influenced through child labor because other than poetry and weaving activities, the female children are also expected to take on domestic activities