Browsing by Author "Kumie, Abera (PhD)"

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    Assessing the Prevalence of Occupational Injury and its Association With Utilization of Personal Protective Equipment Among Workers in Large Scale Metal Manufacturing Factories, Addis Ababa, Ethiopia
    (Addis Ababa University, 2017-03) Benti, Abate; Kumie, Abera (PhD)
    Background: The risk of occupational diseases and injury is increasing from time to time that has become the most prevalent and major public health problem in the world. Globally, there are 271 million work related injuries, and 2 million work-related deaths per year. Metal and engineering industries are identified as one of the five priorities sector by the government of Ethiopia, which is expanding in diversity and number. Work related injuries have become public health importance among industrial workers in Ethiopia. Personal protective equipment are belived to prevent the occurance of injuries. Studies on the prevalence of injury and its association with PPE utilization among metal workers in Ethiopia is limited. Objectives: The aim of this study was to assess the prevalence of injury and its association with the personal protective equipment among workers in large scale metal manufacturing factories in Addis Ababa, Ethiopia from Auguest to October, 2016. Methods: Institution based cross sectional study was carried out among 588 metal workers engaged in metal manufacturing factories in Addis Ababa. Five metal manufacturing factories were selected based on their long year service and existing total number of workers. Data was collected by trained data collectors using pretested Amharic version questionnaire through face to face interview. Observation and FGD was done by using Observation check list and FGD guide. The raw data was entered using Epi Info version7 then exported to SPSS version 20 for descriptive statsitcs, bivariate & multivariate analysis. Statistical signficance of 0.05 was considered. Results: The prevalence of occupational injury in one year was 49.9% [95%CI:45.8-53.9]. There were 18 reports with disability from one factory in one year. Respondents age range of 18 to 30 years [AOR=0.42; 95%CI:0.186-0.950], attending primary school [AOR=5.64; 95%CI: 3.049- 10.430] and secondary school [AOR=4.20; 95%CI: 2.567-6.883], work experience of less than 11 years [AOR=3.62; 95%CI: 1.214-10.824], those who had 11 to 20 years work experience [AOR=7.878; 95%CI: 2.596-23.904], workers with no job stress [AOR=0.38; 95%CI: 0.219- 0.668] and workers who didn’t use PPE were [AOR=4.84; 95%CI: 2.929-8.012] found to have a statistically significant association with work related injury as compared to their reference categories. Conclusion and recommendation: This study concludes that the prevalence of occupational injury among metal workers was high as compared with the studies done in Addis Ababa metal factories and Mekele small scale industries. The study also showed that respondent’s age, educational status, work experience, job stress and PPE use were the significant variables associated with work related injury. There should be quality and adequate supply of PPE for all metal workers. Safety education for metal workers and program based supervision in metal factories is essential.
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    Practices and Barriers on Deployment of Electronic Medical Record (Smart Care) in Addis Ababa City Administration Hospitals, Addis Ababa, Ethiopia
    (Addis Ababa University, 2013-06) Shamil, Kamil; Kumie, Abera (PhD)
    The deployment (implementation) of electronic medical record in Addis Ababa City Administration Health Bureau hospitals were done from in 2011. In five hospitals Practices such as utilization, perception, confidentiality and privacy and barriers during implementation are necessary to assess the deployment. Other studies gave emphasis on those. Objectives: To assess the practices and barriers on deployment of electronic medical record (smart care) in Addis Ababa regional hospitals. Methods A cross sectional survey using self-administered questionnaires and complemented by a qualitative data using interviews was conducted in April 2013 at Addis Ababa city administration health bureau hospitals in Addis Ababa Ethiopia. 422 Study subjects were selected by random sampling method for quantitative and 5 study subjects selected by purposive sampling for interviews. The collected data was cleaned, coded and fed to SPSS 20.0. Descriptive statistics on their perception, utilization, barriers and privacy and confidentiality issues were calculated. Finally results were presented in text, tables and graphs. Results: the study finding showed that users had good perception to use and the overall utilization of Smart Care was not good. Because the implementation practice was not similar in all hospitals means two of them interconnected and others used now for data entry. Also qualitative findings indicate that work flow interference, simplicity, training and quality of work were in good position on user perspective and barriers that hinder the implementation process these are connection problems, lack of single responsible body, technical and financial support problem, follow up from health bureau and venders. Conclusion and recommendation: from the finding perception is not a big problem in user’s side. The major problem were; functionality of system, unable to generate monthly report, common securing mechanism, connection, follow-up and support from concerned body, continues and planned training and structured and organized culture of a practice. Thus, it is essential to improve handling the strength and overcoming those challenges to make practice sustainable and adhere the smart care through users.
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    Predicting the Occurrence of Under Nutrition Status of Under- Five Children in Ethiopia
    (Addis Ababa University, 2015-06) Kumela, Chaluma; Kebede, Gashaw (PhD); Kumie, Abera (PhD)
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    Utilization of Telemedicine in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.
    (Addis Ababa University, 2013-06) Tamiru, Belay; Teferra, Solomon (PhD); Kumie, Abera (PhD)
    Background: The benefits of telemedicine services are very significant to the society for improving the quality and access of health in the health care delivery system. However, the number of service provision sites is limited, inaccessible and the service is underutilized by the majority of the community due to various factors in Ethiopia. Objective: The objective of this research is to explore the level of telemedicine utilization, in Tikur Anbessa Specialized Hospital. Methods: A cross sectional study was conducted in Tikur Anbessa Specialized Hospital from February to April 2013 among 422 health professionals. Quantitative data were collected through self-administered pre-tested questionnaires and complemented by a qualitative data using self interview questions and observation checklist. Quantitative data were initially entered in to EPi-3.5.1 version and exported to SPSS version 16.0 for analysis. Descriptive statistics, COR, AOR and 95% CI were calculated. Logistic regressions were carried out to identify the major predictors' of telemedicine underutilization. Qualitative data were analyzed thematically. Results: Majority of participants 65% were males and medical specialists were 56.3%. Of the total respondents only 40.6% used telemedicine services and 84.5% of them used the services less than five times a year. Among other factors technology (AOR=9.06 95%CI 3.08, 26.63) and administrative problems (AOR=3.52 95%CI 1.79, 6.95) and legal issues (AOR=2.21 95%CI 1.14, 4.26) were identified the major predictor for telemedicine underutilization. Lack of internet connectivity, system unreliability, system user un- friendly and lack of users' technical assistant were some of the technological barriers reported in both quantitative and qualitative findings. Conclusion and recommendation: This study revealed that telemedicine services are generally underutilized. Technology and administrative problems; and legal issues were identified as the major factors. Among technological barriers internet connectivity and system reliability are the major problems identified. Knowing and identifying the factors was vital for considering future in depth studies and taking appropriate measures to fix the problems faced in the portfolio. Key words: -- Telemedicine, Technological barriers, Telemedicine utilization, Tikur Anbessa Specialized Hospital.