Browsing by Author "Alemu, Meron"

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    Assessment of Causes of Distressed Project in Addis Ababa Water and Sanitation Authority: A Case of Package Wastewater Treatment Plant Electromechanical Supply and Civil Work Construction (Lot II)
    (Addis Ababa University, 2020-06) Alemu, Meron; Bogale, Mengistu (Ph.D)
    A distressed project is whenever the performance of a project falls outside nominal values. Project distress can occur at any time during the life of a project, which could make it difficult for the project to be completed successfully within project constraints. The objective of this research is to assess the cause and prevention project of distress management on wastewater treatment project in Addis Ababa Water Sanitation and Authority. This paper used qualitative approach and case study strategy by means of narrative qualitative analysis. The findings implied that the Package Wastewater Treatment Plant Electromechanical Supply and Civil Work construction (Lot II) project were distressed in its life time of the project. The main cause of distress was selection of inappropriate technology, lack of cash flow and economical inflation; poor planning; issue related with scope change management; issue related to resource management; improper risk management and issue to stakeholder management. The prevention management strategy used to avoid distress in the project was periodic reviews. Based on the findings, recommendations are given. Before the selection of technology it is necessary to conduct a feasibility study that incorporates the local condition of the city. The project planning should also be conducted by gathering the necessary primary data and secondary data to estimate the schedule according to the current market condition of the resource. Rectifying the above causes of project distress will help in minimizing the occurrence of distress however having an effective prevention management strategy will play a significant role. The several tools and process to prevent project (i.e. dynamic risk management; scope change management and others) must be in place which are the finest way to detect early warning signs of distress. The prevention management strategies is also important that the implementation of the tools and process to prevent distress must be strictly followed deliberately.
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    Assessment of Pattern of Admission and Outcome of Neonates Admitted to Neonatal Intensive Care Unit at Tikur Anbessa Sepecialized Teaching Hospital, Addis Ababa, Ethiopia, 2017.
    (Addis Ababa University, 2017-06) Alemu, Meron; Tefera, Muluworke (PhD)
    Background: In neonatal period, babies are very susceptible for many disease conditions. This susceptibility will double in neonates who are preterm or low-birth weight. Even if it is so, most of the causes of neonatal morbidity and mortality are avoidable. Objective: To assess pattern of admissions and treatment outcome of neonates in Neonatal Intensive Care Unit located at Tikur Anbessa specialized teaching hospital, Addis Ababa, Ethiopia Methodology: A hospital based retrospective cross sectional study was conducted at Tikur Anbessa Specialized Teaching Hospital from Dec. – June 2017. A total of 304 neonates were included in the study from NICU of the hospital. The collected data was checked for its completeness manually and then entered and analyzed using SPSS window version 20 statistical software package. bivariate and multivariate logistic regression was done to identify factors that were associated with the final treatment outcome of neonate. The odds ratio with 95% Confidence interval was used to determine the association. A statistical significance was declared at p value<0.05. Result: During the study period a total of 1000 neonates were admitted to NICU. This study considered taking 304 neonates by using correction formula, from this sample of neonate age from 1 up to 3days count 184(60.5%). Regarding sex 172(56.6%) of them were male and the rest 132(43.4%) were female. Majority of the neonates 198(67.8%) were born at term. The leading cause of admission was early onset neonatal sepsis(EONS)which accounts 152(50%) of the total population. About the outcome 253(83.2%) were improved and discharged. Conclusion: Neonatal Sepsis was the leading cause of admission in to TASH NICU. Majority of admitted neonates were discharged with satisfactory condition. Keywords: neonatal admission, neonatal sepsis, outcome, cause of death