Browsing by Author "Endale, Hana"

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    Parental Satisfaction Concerning Their Neonatal Care and Associated Factors in Selected Governmental Hospital, Addis Ababa, Ethiopia, 2017
    (Addis Ababa University, 2017-06) Endale, Hana; Murugan, Rajalakshmi (PhD)
    Background The newborn period (neonate) is defined as beginning at birth and lasting through the 28th day. Following birth Neonatal intensive care units (NICUs) are those units that are specifically designed for premature and very ill newborns with different diagnoses. Measuring patient satisfaction has become an integral part of hospital management strategies for quality assurance and accreditation process in most countries. Therefore the aim of this study is to assess the parent satisfaction and associated factors in the neonatal intensive care unit. Objective to assess the level of satisfaction and associated factors concerning their neonatal care in NICU of selected governmental hospital, Addis Ababa, Ethiopia, 2017. Methodology An institutional based cross sectional study was conducted among parents of hospitalized neonate in selected government hospital. Data was collected by using interviewer - administered structured questionnaire. Then the collected data was entered and cleaned using Epi data versions 3.1 and then it was exported & analyzed using Statistical Package for Social Science (SPSS) version 20. To determine association between nominal variables such as socio- demographic variables and parents’ level of satisfaction bivariate and multiple logistic regressions were computed. Result: The overall proportion of parental satisfaction of admitted neonate was found to be 41.8%. Parents who disagreed with the chair in the waiting area were less likely to be satisfied than who agreed [AOR= 0.24(0.078-0.739)]. Those who disagreed with keep informed about their child condition were less likely to be satisfied than who agreed [AOR= 0.143(0.049-0.41)] and parents who agreed with information about NICU rules 4.57 times more likely satisfied than who disagreed [AOR=4.57(1.563-13.37)]. Conclusion and recommendations Among 400 Parents 41.8% were satisfied. Accessibility of enough chairs in the waiting area, keeping well informed parents concerning their neonatal condition and informed about NICU rules were determinant factors of parental satisfaction. As a recommendation, Prepare good waiting area which should include accessibility of drinking water, bathing rooms, enough chair and toilet. Make an effort to initiate family centered care in order to inform the child condition. Keywords: parental satisfaction NICU hospital care
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    Prevalence and risk factors of retinopathy of prematurity among infants in Minilik II hospital: a retrospective study, Addis Ababa, Ethiopia, 2020.
    (Addis Abeba University, 2020-06) Endale, Hana; Tsige, Yosief (Assistant Professor)
    Introduction: Retinopathy of prematurity is the growth of abnormal retinal vessels secondary to deficient vascularization of the retinal tissue as a result of hyperoxia causing reduces a regulation of vascular endothelial growth factor and death of endothelial cells. In developing countries, heavier and term infant develop ROP since there is inadequate awareness of the risk factors of the disease development. There are many risk factors of ROP; the major risk factors are low birth weight (BW), small gestational age (GA), and long term oxygen therapy. Objective: To assess the prevalence and risk factors of retinopathy of prematurity among infants in Minilik II Hospital, Addis Ababa, Ethiopia, 2020. Methodology: An institutional based retrospective cross sectional study was conducted from March to April 2020 at Minilik II hospital pediatrics outpatient referral eye clinic. A sample size (301) was determined by using single population proportion formula. And study subjects were selected using systematic random sampling method. Data was collected from medical records of all infants from January 2018 - December 2019 with a structured check list. The collected data was entered and cleaned using Epi data 6.4.2.0 and then exported & analyzed using SPSS version 25. Bivariate and multivariate analysis was used to recognize the associated factors. Result: Out of 301 infants enrolled in the study, 39(13%) developed ROP. Of these more than half (56.4%) of them who had ROP were on Zone II + Stage 1 followed by Zone II + stage 5 (12.8%) and Stage 5(10.2%). From those infants who had ROP, 16(41%) infants were regressed spontaneously with follow up. Univariate analysis showed that gestational age, birth weight, oxygen therapy, preeclampsia, apnea, RDS, anemia, blood transfusion and sepsis were a significant variable. But, birth weight, oxygen therapy and sepsis remained a significant factor in multivariate analysis. Conclusion and recommendation: The prevalence of ROP in this study was 13%. Birth weight, oxygen therapy and sepsis were a significant factor for the development of ROP. Preventing risk factors of ROP that are underweight at birth, sepsis and long term oxygen therapy are very important to reduce childhood blindness.