Browsing by Author "Ayele, Gezahegn"

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    Economic Performance and Development of State Farms: A Case Study of the Middle Awash Cotton Producing State Farms
    (A.A.U, 1988-06) Ayele, Gezahegn; Suryani, S.(Dr)
    This thesis reports on a case study of the middle Awash cotton .. producing farms conducted with the objective of assessing the economic performance of Ethiopia’s state farms as well as identifying the factors affecting such performance. The financial rate of return of the farms as calculated in the study confirms the result of aggregative studies conducted earlier that state farms are heavy financial loosers.However it is also the study,s finding that the same farms have consistently generated ret economic returns over the post seven years.This is experessive of the farm,s contribution to the economy by meeting rat material requirements of domostinc industries and engaging elements of the actively job seeking rural underempoved. The contrast between the farms positive economic returns and Their poor financial performance is mainly expiained by market dis tortions due to the government pricing policy. It also indicates the conflicting nature of the objectives that the government wishes to attain throug!l state farms . It is a second finding of the study that in spite of the current pricing policy: the farms I financial as well as economic rate of return figures would :lave been higher ':hall is the case at present with a more rational use of resources.The current farm management policy is 0ne of excessive centralization and stands in the way of such rational use. The findings of the study should not suggest that state farms understudy are necessarily be the least cost means of obtaining the benefits the farms are current’y generating.
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    Patient Delay to Treatment and Associated Factors Among Women with Breast Cancer at Tikur Anbessa Specialized Hospital and St.paul Hospital Millennium Medical College Oncology Units,2021
    (Addis Ababa University, 2021-06) Ayele, Gezahegn; Yohannis, Tigistu Gebre(BSc, MSc, Assistant professor); Hailu, Aklil (BSc, MSc, lecturer)
    Unlike developed countries, there is high mortality of breast cancer cases in low and middle-income countries associated with prolonged patient delay and advanced stage presentations. This study aimed to assess patient delay to treatment and associated factors among women with breast cancer at Tikur Anbessa specialized hospital and St. Paul's hospital millennium medical college oncology units 2021. An institutional-based crosssectional study design was employed among 205 female breast cancer patients who attended oncology units from March 1 to April 1, 2021. Data was collected by using faceto-face structured interview questionnaires. The study participants were selected by the systematic random sampling method. The coded data were checked for completeness and consistency and entered into EPI-data version 4.6 then exported into statistical package for social sciences version 25 for analysis. Binary and multivariable logistic regression analysis was conducted to identify the factors associated with the outcome variables. Results: This study showed that 126 (61.46%) patients had a delay > 3 months to get treatment, and 165 (80.4%) of them were getting treatment at an advanced stage of the disease. Age ≥ 41 years, AOR=0.4, 95% CI 0.2-0.7, rural residence {AOR=2.4,95% CI (1.3-4.4)}, distance AOR=2.3,95% CI (1.3-1.9)}, first diagnosed health structure AOR=0.2, 95% CI (0.07-0.7), treatment modalities AOR=5.5, 95% CI 1.7-17.0, cancer stage, AOR=0.5, 95% CI 0.2-1.0) and appointment waiting time AOR=5.9, 95% CI (0.12.6) were main predictors for a long patient delay to treatment. Conclusion and recommendation: Delay to treatment among breast cancer patients in this study is high. Higher proportions of patients get their treatment at an advanced stage. Distance, place of residence, age, waiting time, treatment type, first diagnosed health facilities and disease stage were important predictors for a delay to treatment. The establishment of additional cancer diagnosis and treatment centers and early detection and treatment of breast cancer cases may improve patient’s problems.