Browsing by Author "Hussen Mekonnen"

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    Infection Prevention Compliance and Associated Factors Among Nurses Working at Dialysis Units for Chronic Kidney Disease Patients in Addis Ababa
    (Addis Ababa University, 2024-06) Tigle Nadew ; Hussen Mekonnen ; Abigiya Wondimagegnehu
    Background: Chronic kidney disease patients on hemodialysis have an increased risk of infection due to the nature of the disease and the type of treatment they receive. In many developing countries including Ethiopia, there is low level of compliance of infection prevention practice between medical professionals, despite the rise of highly contagious illnesses. Effective interventions can be developed by critically assessing the elements that contribute to this problem. Objective: To assess infection prevention compliance and associated factors among nurses working at dialysis units for chronic kidney disease patients in Addis Ababa. Methods: A facility-based cross-sectional study was carried out among nurses working at dialysis units for chronic kidney disease patients in Addis Ababa from Jan-March 2024. A total of 251 nurses were included. A structured self-administered questionnaire which has eight components and a checklist were used for data collection. Descriptive statistics and correlation estimates were used. For regression analysis, the study applies Principal Component Analysis to generate an index. Finally, logistic regression was done and adjusted odds ratio (AOR) with a 95% confidence interval was estimated in the final model. P-values of below 0.05 were regarded as significantly associated variables. Results: The result showed that 105 nurses 45.66% were non compliant to infection prevention and control practices. The multivariable logistic regression result indicates, monthly salary10,000.00-20,000.00) [(AOR:3.23 ,95%CI (1.20-8.70)], nurses who had duty [(AOR: 0.48 ,95%CI (0.25-0.93)], and work environment factor [(AOR: 6.57 ,95%CI (3.38-12.78)] were predictors of infection prevention compliance. Conclusion and recommendation: Infection prevention compliance was not sufficiently practiced among dialysis unit nurses. Monthly salary, frequency of duty and work environment factors were factors associated with infection prevention compliance. Thus, intervention should focus on encouraging nurses by giving competitive benefit through salary increment, decreasing workload and creating good work environmental factors by ensuring sufficient and sustainable resources.
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    Stigma Towards Tuberculosis Patients in Shasemene Town.
    (Addis Ababa University, 2004-03) Hussen Mekonnen; Mesfine Addisse
    A community based cross sectional survey was conducted from November 2003 to March 2004 to assess the magnitude of stigma towards tuberculosis patients among the residents of Shashemene town, age 18 years and above. A multistage sampling procedure was used to select 845 study subjects. Both quantitative and qualitative data collection methods were utilized. The study shows that there was a misconception about cause of tuberculosis and its transmission in which majority 90.2% of the respondents reported cold as the major cause of tuberculosis, and 397(48.6%) of the respondents reported that all TB patients are infected with HIV/AIDS. Four hundred ninety one (60.1%) and 400(49%) of respondents reported that eating together and shearing toilet with TB patients, respectively, could transmit TB. Most of the respondents reported the presence of stigma towards tuberculosis patients, in which , 612(74.9%) of the respondents were not willing to disclose their disease status and 364(44.6%) of the respondents also were not willing to allow their child to learn in the same School where a child who have tuberculosis is learning. Five hundred and three (61.6%) of the respondents were not willing a teacher who has got tuberculosis to teach in the school weather he/she has started the treatment. Further more, 391(47.9%) of the respondents were not willing to allow a marriage between their daughter/son with a person who has been cured from tuberculosis. Most participants of the Focus Group Discussion (FGD) sessions reported that all tuberculosis patients were considered to have HIV/AIDS. Thus, careful design and implementation of health education and incorporation of the issues of tuberculosis related stigma along with other programs of TB and HIV/AIDS and further studies to enrich the knowledge about stigma surrounding TB and TB patients are recommended.