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  1. Home
  2. Browse by Author

Browsing by Author "Belachew, Ayele(Dr.)"

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    Design and Development of a Records Management System for Immunization In Addis Ababa The Case of Nefase Silke Lafto Sub-City Woreda Health Center.
    (Addis Abeba University, 2015-06) Yitayew, Abraham; Teferi, Dereje(Dr.); Belachew, Ayele(Dr.)
    Keeping a record of immunizations helps make sure child gets all the vaccines they need at the right times. All child need a record of their immunizations before they go to child care, school, camp, long-term care facilities, or for travel abroad. The main purpose of this project is to design and develop a computerized record management system for immunization in case of Nifase Silek Lafto Sub-City Woreda One Health Center. The project will automate the entire process of immunization at the Health Centre by capturing all immunization details. Besides reducing paper work and use of immunization preformatted registry form. In a computerized record management system data was presented using business process modeling, use case diagram, use case description, sequence diagrams, class diagrams, deployment diagram.Hyper Text Markup Language(HTML) and Cascading Style Sheets(CSS) were used as the languages of preference for the design of user input and output interfaces and PHP(Hypertext Preprocessor) used as a scripting language for linking the interfaces to the SQL(Structured Query Language) database(s) The system is simple and easy to use. It has functionalities to facilitate registration of children and their parents, searching and data retrieval and report generation. This computerized record management system for immunization is therefore recommended for use not only in Nifase Silke Lafto Woreda One Health Center but also in all Woreda Health Center found in Addis Ababa City Administration.
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    Ethiopian Field Epidemiology and Laboratory Program: Compiled Body of Work in Field Epidemiology
    (Addis Abeba University, 2020-10) Gete, Dilnesaw Teshome; Belachew, Ayele(Dr.); Gizaw, Muluken; Hailemariam, Zegeye(Dr.)
    This compiled body of work consists a two year Field Epidemiology Training Program Outputs, which were done during the residency time. All these outputs are expected in the residency time which is submitted to graduate school of public health for partial fulfilment of master degree in Field Epidemiology. These are; diseases outbreak investigation, public health surveillance data analysis, surveillance system evaluation, Health profile description, manuscript, abstracts, and protocol/ proposal for epidemiologic research project and additional work like weekly bulletin. The document is organized in eight chapters. Chapter One: - The first chapter contains two outbreak investigation. The first was malaria outbreakm investigation conducted in Elu Gelan woreda of west shoa zone Oromia, Ethiopia from 24/2019 – 16/2020 WHO week in which 2099 malaria cases and no deaths were identified and the second was measles outbreak investigation occurred in Caliya woreda of west shoa zone Oromia, Ethiopia from 50 -1/2019 WHO weeks in which 16 cases and 2 deaths were identified. The second outbreak was confirmed at EPHI national reference laboratory. For both outbreaks. Case control study design was conducted to identify associated the risk factor. Recommendation was given for outbreaks based on the findings. Chapter Two: - this chapter contains meningococcal meningitis surveillance data analysis which is one of the core competency for field epidemiology training program and conducted in southern nation and nationalities and peoples region from 2012-2018. Seven years meningococcal meningitis data was analyzed retrospectively to describe epidemiology of the disease. Chapter Three: - malaria surveillance system evaluation conducted in Elu Gelan woreda west shoa zone,Oromia, Ethiopia in 2019 is presented in this chapter. The purpose and objective of malaria disease surveillance was clearly presented and we used descriptive cross sectional study design. It also addressed Public health emergency management surveillance system attributes like simplicity, flexibility,acceptability, representativeness, sensitivity and positive predictive value, timeliness and quality. Chapter Four: - contains health profile description conducted in Bona Zuria of Sidama zone, SNNPR, Ethiopia in 2019. Health and health related data of the woreda were presented in this chapter. Chapter Five: - Included scientific manuscript for peer reviewed journal on malaria outbreak investigation conducted in Elu Gelan woreda. Chapter Six: - Three abstracts were presented in this chapter. These are Abstracts of malaria outbreak investigation conducted in Elu Gelan woreda, meningitis surveillance data analysis conducted in SNNPR,and malaria surveillance system evaluation conducted in Elu Gelan woreda. Chapter Seven:- contains protocol/ proposal for epidemiologic research project namely assessment of long lasting insecticide net utilization and associated risk factors in under five children in Elu Gelan woreda of West shoa zone, Oromia, which is developed as one of the outputs. Assessment was not widely done in the district on the utilization of long lasting ITN especially for under five children. So the main purpose of this study is to assess ITN utilization and associated risk factors
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    Trauma Severity Scoring and its immediate outcome Measure among Patients with Trauma incident attending by Emergency Medical Services, the case of Tikur Anbessa and Yekatit12 Hospitals.
    (Addis Abeba University, 2010-08) Mengistu, Zuriyash; Azaj, Aklilu(Dr.); Teferi, Dereje(Dr.); Belachew, Ayele(Dr.)
    Trauma is the leading cause of morbidity and mortality all over the world Trauma can be a threat to life through damaging different body part that involve the most active group of society and can result in prolonged compensation.The severity of trauma and immediate outcome of trauma measure can enable to evaluate health care intervention for an emergency trauma patient.In this research, retrospective patient care record review design is used for trauma patients who attended the emergency department of Tikur Anbessa and Yekatit 12 Hospital. The research is conducted from August 2009 to June 2010, and the record review and data collection period was from March to April 2010. All identified trauma patient care record about patient with altered level of consciousness who attend emergency medical service throughout the previous year and those who fulfill inclusion criteria was reviewed. Data was analyzed using SPSS 15.0 statistical package.Indescriptive statistic frequency, median, and standard deviations were computed. The TRISS methodology was used to score trauma severity and to compare the data outcome. Among 328 trauma patients 72.9% were males and 27.1% were female. The median age was 30 years. 86.0 of them were below 54 years. From the total patient care record review the median of ISS and RTS were 25 and 7.84 with range 16 – 75 and 0.00 – 7.84 , and standard deviation of 12.60 and 1.54 respectively. Sustained penetrating trauma were accounted for 30(9.1%) of the total trauma incidents and sustained blunt trauma were accounted for 298(90.9%) of total trauma incidents. The majority of the trauma patients (49%) were sustained road traffic accident followed by strike by blunt object (18%)and fall > 5 meter (15%). Out of the total 328 trauma patients 18.3 % of them were died. The area under the curve at the ROC analysis was 0.967 for TRISS, 0.127 for ISS, and 0.903 for RTS (P < 0.0001 for each). Regarding actual survival status against TRISS, the use of a cut-off point of greater than 67.3 provided a sensitivity of 97.39% and a specificity of 65%. The overall severity rate, mortality rate and Hospital length of stay were higher in these two Hospitals with larger involvement of young adult and male. Head and groin region accident was more commonly altered anatomical region.

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