Browsing by Author "Asfaw, Getachew"

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    Antipsychotic Medications Switch and Contributing Factors among Ambulatory Patients with Schizophrenia at Amanuel Specialized Mental Hospital, Addis Ababa, Ethiopia
    (Addis Ababa Universty, 2017-12) Asfaw, Getachew; Nedi, Teshome (PhD, Associate professor)
    Antipsychotic medications switch and contributing factors among ambulatory patients with schizophrenia at Amanuel Specialized Mental Hospital, Addis Ababa, Ethiopia Getachew Asfaw December, 2017 Antipsychotic medications are the cornerstone of treatment for schizophrenia. Antipsychotic switching is a common practice in the treatment of schizophrenia. As there is limited current data on antipsychotics medication switch among patient with schizophrenia in Ethiopia; this study aimed to generate information on antipsychotics medication switch among patient with schizophrenia. Using a systematic random sampling a cross sectional patient interview and retrospective chart review of the same patients was conducted from 1 to 30, November 2016. A total of 411 study participants were included in the study. Three Focus Group Discussion was also conducted with 24 health care professionals from different departments. Descriptive and inferential statistics were computed for the quantitative part of the study and a thematic analysis was taken for the qualitative study. The result showed that, there has been medication switch in 42.8% of the study participants and in 64% of the participants the switch was shown to be within the same class of First Generation Antipsychotics. For more than half of the patients (55.68%) who had a medication switch, the reasons for initial antipsychotic medication switch were not documented. Side effects, relapse, admission history, high and very high dose of antipsychotic were significantly associated with antipsychotic medication switches. The Focus Group Discussion revealed that interrupted supply of antipsychotic medication was raised as the major reason for the switch. The practice of antipsychotic medications switch in the setting is within the range in terms of prevalence worldwide and reasons for medications switch were not recorded for majority of the patients. Clear and complete recording of the reasons should be maintained by clinicians whenever switching is considered.
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    Attitude of Grade Twelve Students and Teachers towards Civic and Ethical Education: The Case of Selected Preparatory Schools of Gamo-Gofa Zone
    (Addis Ababa University, 2009-06) Asfaw, Getachew; Eshete, Akalewoled (Assistant Professor)
    The pUlpose of the study was to know the altitude or like/dislike of grade-twelve teachers and students towards the subject civics and ethical education in some selected preparatOlY schools ofGamo Gofa zone, Region S.N.N.P.R. To this end a qualitative research of descriptive survey method was employed. Data was collected from all civics and ethical education teachers in sample schools, which were twenty-seven in number using available sampling technique. Two- hundred and eight grade-twelve students were selected as a source of information by using stratified random sampling technique. Instruments such as questionnaire, interview, class-room observation and document analysis were used to collect data. Data analysis was made using frequencies, tables, mean score values, percentage, rank order tables and descriptive statements. According to the findings of the study, both teachers and students' altitude toward the subject civics and ethical education found to be positive, and they responded to favor civics more if it was made free from politics. Teachers perceived character of good v citizen }i'om moral point of view where as students from political point of view. The study showed lack of student 's involvement in political and social participation due to awareness problem, lack of time and suitable condition. It disclosed teachers' tendency to deemphasize the pedagogical values of teaching methods such as debate dialogue learning through community service project, and panel discussion which were the prominent strategies in civics teaching.. Based on the findings, to improve students altitude the creation of participatory school environment, teachers' encouragement and organization of suitable teaching strategies, carefit! selection of co-curricular activities and community service projects, involving students in debate and dialogue, school leaders' relentless contact with local administration parents and stake holders were recommended.