Browsing by Author "Belachew, Ayele (PhD)"

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    Automating an Integrated Management of Newborn and Childhood Illness (e-IMNCI): Optimize real-time clinical decision support system
    (Addis Ababa University, 2014-06) Mustefa, Tuha; Yifru, Martha (PhD); Belachew, Ayele (PhD)
    Background: Every year almost 10 million children die before reaching the age of five despite the fact that two-thirds of these deaths could be prevented by effective low-cost interventions. To combat this, the World Health Organization (WHO) and UNICEF developed the Integrated Management of Childhood Illness (IMCI) treatment guidelines. In Ethiopia, IMCI is used as a guideline for the treatment of childhood illness. Currently, health centers use paper based guideline of IMNCI. The e-IMNCI is the electronic version of IMNCI – a computer-based Decision Support System based on IMNCI. The eIMNCI follows the same protocol with the current paper based guidelines used. The e-IMNCI will serve as clinical decision supporting system, the aim of CDS is to assist, rather than to replacing the health professionals. Objective: The objective of this project is to automate IMNCI to improve the clinical decision making process. Methodology: To achieve the objective of this project, requirements was identified and collected by applying interview, observation and relevant document review techniques. Object oriented system analysis and design methodology is used to develop the system. Analysis, design and implementation of the system were performed by using the unified modeling language tools for analysis and design, and C# programming language and Microsoft Structured Query Language for implementation stage of the system. At the end of system development phase, pilot testing was done to check the performance and usability of the prototype system by using Morae TechSmith software. Discussion of Results: System analysis done by using functional, object and dynamic models. The functional model is described by use case diagrams, object model is described by class diagram, and the dynamic model is described by sequence diagrams. Both performance and usability test was conducted to measure the performance of the system and to describe to what extent the system is usable. The result of system usability testing shows 83.4% willingness to use the system easily. And also the accuracy of the system’s clinical decision supports module is 94.44%. Conclusion: Generally, the prototype system serve as a guideline, patient information management system and diagnosis assistant. The initial feedback from health works has been extremely positive. Hence the prototype system achieves a good performance and meets the objectives of the project. However, in order to make the system applicable in the domain area, some adjustments like including more disease and symptoms information in the rules of knowledge base of the system, and changing its passive mode to active mode of information delivery will be made to handle the limitation of the system.
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    Design and Development of a Records Management System for Immunization In Addis Ababa The Case of Nifase Silke Lafto Sub-City Woreda Health Center
    (Addis Ababa University, 2015-06) Yitayew, Abraham; Teferi, Dereje (PhD); Belachew, Ayele (PhD)
    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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    A Framework to Support Knowledge Sharing Practice among Health Care Professionals at Yekatit 12 Hospital Medical College
    (Addis Ababa University, 2017-06) Lema, Betelehem; Beshah, Tibebe (PhD); Belachew, Ayele (PhD)
    Background: - Knowledge is a prime asset of organizations especially in knowledge intensive organizations like health sector and its management is important for organizational success. Knowledge sharing is transferring task relevant ideas, information, knowledge and experiences with other members as well as its retrieval and reuse in the organization. Therefore, acknowledgement of the importance of knowledge sharing in healthcare organizations will improve the quality of health care service. Objective: - The purpose of this research project is to investigate the current knowledge sharing practice among health professionals so as to propose framework that support knowledge flow process in yekatit 12 Hospital medical college. Methods: - A facility based cross sectional mixed qualitative and quantitative study was conducted among 279 health workers using proportionally stratified random sampling technique. The data was collected using self-administered structured questionnaire and supplemented with a qualitative in-depth interviews. The quantitative data was entered and analyzed using SPSS version 20 while the qualitative data analyzed using thematic approach and presented in the form of narration. Result: - The study revealed that 53% of the study participants frequently share their knowledge. More than half of the participants report the absence of motivational schema or system and 60% of the respondents have high motivational level. Multivariate analysis result indicates that knowledge sharing of the health care professionals is by 2.87 score more in the presence of information communication technology with (AOR=2.87; 95% CI= (1.18, 7.007)). Therefore, information communication technology found to be an independent predictor for knowledge sharing. Based on the findings of the study a framework that support the knowledge flow process was proposed. Therefore, framework is designed to enable information technology plays its part in improving knowledge sharing practice in the hospital to improve the quality of health care service. Conclusion: - The study shows that most of the respondents were aware of the importance of knowledge sharing, engage in active knowledge sharing practice and use face to face communication and observation as knowledge sharing mechanism in the hospital. And also the study indicate availability of ICT as independent predictor of knowledge sharing.