Browsing by Author "Berhanu Demeke"

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    The Challenges of Home Based Care for Aids Patients in Ethiopia
    (Addis Ababa University, 1993-05) Berhanu Demeke; George Olwit
    This is a descriptive cross sectional study to determine factors which can influence and pose challenges for Home Based Care for AIDS Patients. The setting was Entoto Awraja North of Addis Ababa Ethiopia .Four hundred eighty five persons from the community members of Entoto Awrajai 37 AIDS patients attending counselling and follow up clinic i and 12 family members who were informed about their patients disease , were interviewed by structured questionnaires, while 127 health institution workers involved in the care of AIDS patients in different health institutions were given self administered questionnaires .The community's', patients, families and health institution workers ,Knowledge , attitude, beliefs and practices on AIDS , hospital care and home based care of patients was assessed More than 60% of respondents had good knowledge about transmission routes and means of preventions , although 70% of them mentioned non specific symptoms of the disease . 61% and 81% of the community and health institution workers respectively did not think the hospital would meet all the needs of AIDS patients , and 57% of the community prefrred Home Care compared to 40% of the patients , 25% of the family members and 43% of health institution workers. Majority of the the patients and families were afraid of social consequences by being exposed due to vests by home care team. 60% of the community responded they will be volunteers for home care team if asked while only 35% of the health institution workers responded similarly. The study reveals considerably good knowledge among the respondents on AIDS ,with bias towards clinical care and lees emphasis on the psychological support . The community displays less fear for AIDS and more positive attitude towards home care than health institution workers. Promotional and educational efforts are recommended , with emphasis on health workers for the success of Home Based Care.
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    Emerging Challenge of HIV/ AlDS Care to Health Institutions in Addis Ababa, Ethiopia
    (Addis Ababa University, 2000-12) Afework Mebratu; Berhanu Demeke
    This is a cross-sectional survey conducted to describe the challenges and needs of Region 14 HCWs and health institutions towards HIY/AIDS patient care. Self administered questionnaire was used to describe HCW's attitude, risk perception , practice and perceived needs & sources of Information knowledge on HIV/AIDS care and three other survey instruments were also used to assess the availability of diagnostic facilities and pharmaceutical supplies for HIV/AIDS patient care. The study was conducted in all the five hospital and half of the health centers under the Region 14 Health Bureau from August 1999 to 2000. Three hundred and one HCWs completed self administered questionnaires. Forty-two percent (127) of the study participants were physicians, while, 57.8 % (175) were nurses. Data were entered into and analyzed using EPI-info statistical software program. The majority of the HCWs perceive themselves to be at great risk of acquiring HIV-infection. But significant proportion of the staff working at the high-r isk zones reported not practicing the universal precaution. The majority of the HeWs were found to have favorable attitude towards patients with HIV\AIDS. But HCWs also expressed their discomfor1 in the different types of contact with HTV\AIDS patients care activities. Significant percentage of treating HCWs showed perceived needs & sources of informationl knowledge on HIV/AIDS .Tests for fungal infection were the least available and drugs for fungal infection, skin diseases and CNS conditions were also fowld to be scarce. Potent analgesics like codeine and other related drugs needed for terminally sick patients were also found to be low. In-service training of the HCWs and improving their access to sources of information/knowledge on HlV\AIDS care especially on areas of universal precaution, care is critically recommended. Improving the provision of equipment's and supplies for HIY-infection control especially protective clothing and the availability of anti fungal drugs, potent analgesics, drugs for skin diseases &CNS drugs needed for HIYIAIDS cases is also recommended,