Browsing by Author "Mesfin Addissie"

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    Assessment of Birth Preparedness and Complication Readiness in Robe Woreda, Oromia Region, Central Ethiopia
    (Addis Ababa University, 2012-06) Muhammedawel Kaso; Mesfin Addissie
    Background: Globally more than half a million women die annually as a result of complications of pregnancy and childbirth. Ninety-nine percent of these deaths occur in most developing countries like Ethiopia. Obstetric related complications cannot be reliably predicted and it is necessary to use birth preparedness and complication readiness strategies to overcome those problems when they arise. Objective: To assess the knowledge and practices towards birth preparedness and complication readiness and factors associated among women of reproductive age (15-49) in Robe Woreda, Oromia Region, Ethiopia. Method: A cross-sectional community-based study supplemented by qualitative design was conducted in January, 2012. A total of 575 women from 5 kebeles were selected using proportionally allocated to population size and interviewed using structured and semi-structured, pre-tested questionnaires. Univariate and bivariate analysis was performed. Multivariate analysis was also done to control for possible confounding variables. Results: Data were obtained from 575 mothers, yielding a response rate of 98.97%. Taking into account place of delivery identification, means of transportation, skilled attendant identification and saving money, about 16.5% of the respondents were prepared for birth and its complications. In multivariate analysis, preparation for birth and its complication was higher among educated mothers (AOR= 6.23, 95% CI= 1.5, 25.87), monthly income >716 ETBr (AOR= 1.94, 95% CI=1.01, 3.87), ANC visit (AOR= 5.68, 95% CI= 1.27, 25.4), knowledge of obstetric complications (AOR= 2.94, 95% CI= 1.61, 5.37) and those who had given birth at health facility before their last delivery (AOR= 3.9, 95% CI= 2.04, 7.46). Conclusion: The study identified poor knowledge and practices of preparation for birth and its complication. Community education about preparation for birth and its complication and empowerment of women through expansion of educational opportunities are important steps in improving birth preparedness. In all health facilities during antenatal care emphasis should given to preparation for birth and its complication and provide information and education to all pregnant women.
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    Assessment of SERO Status Disclosure and Sexual Behavior Among PLWHA Who are on Art in Assela Town Health Facilities ,Arsi Zone,Oromiya Region.
    (Addis Ababa University, 2013-06) Hailu Fekadu; Mesfin Addissie
    Background: It has been three decades since HIV started its speared across the globe with a devastating impact on populations and economies of countries and regions, some more than others. Sub-Saharan Africa continues to bear an inordinate share of the global HIV burden, though epidemics across countries in Africa vary considerably, Ethiopia is one of the sub-Saharan countries worst affected by the HIV/AIDS pandemic. There are concerns that increased use of ART may be associated with increased sexual risk taking. There fore it is essential to see sero status disclosure and sexual behavior of PLWHAS who are taking ART as this has implication for prevention of HIV epidemic. Objective: To assess sero status disclosure and sexual behavior among PLWHA who are on ART in Assela town health facilities, Arsi Zone, Oromiya Region. Methodology: An institution based cross sectional study was conducted using both quantitative and qualitative methods from February to April 2013 among 324 PLWHAs who are taking ART from Assela hospital and Assela health center. Systematic random sampling method was used to select the study participant. Structured and pretested questionnaire was used for data collection. To collect qualitative data in-depth interview was conducted. The data were summarized in percentages, table and graphs; crude and adjusted odds ratios, logistic regression analysis were used to explore associations between different variables and HIV disclosure and sexual behavior. Result: More than half of the respondents 167(51.5%) were females. The mean age of the study population was 36.33 (+7.79) years. The majority 264(81.5%) were married. Over all 94.1% of the respondents had disclosed their HIV positive result to their regular partner and the rest (5.9%) did not disclosed. Knowledge of partners’ sero status, prior discussion about HIV, type of relation ship with partner, living in the same home and duration of HIV test were found to be determinants of sero status disclosure. Respondents whose duration of test is greater than two years were found to have eight fold increased odds of disclosure compared to those who had less than two years (AOR:8.4; 95% CI: 1.21, 57.7). The proportion of multiple partners in this study was (6%) and consistent condom use was (60.8%). The main reason reported for not using condom were partner’s refusal (37.4%). Conclusion: Although the magnitude of HIV positive status disclosure to regular partner found in this study was encouraging, lack of disclosure by a minority resulted in a limited ability to engage in preventive behaviors. There fore HIV prevention programs and counseling efforts should focus on disclosure of HIV test results to all type of partner and consistent condom use with all type of partners.
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    Historical and Social Aspects of Leprosy in Ethiopia
    (Addis Abeba Universty, 1992-03) Mesfin Addissie; Dennis Carlson
    A qualitative study based on individual interview was carried out in Tekle Haimanot and adjacent Awrajas and at the All African Leprosy Rehabilitation and Training Centre (ALERT). A total of 54 respondents were interviewed out of whom 20 were leprosy patients and the rest were religious leaders, high school students, high school teachers, general health workers at Tekle Haimanot Health Centre, health workers at ALERT and non leprosy patients. In this study the patterns and trends of leprosy stigmata were reviewed. Through the in-depth interviews it was observed that the negative reactions to leprosy were very prevalent, including among tlle leprosy patients, and had a serious impact on the control of Lleprosy. Though not conclusive, it was found out that there were very strong, high similarities in the patterns and trends of social responses regarding leprosy over the last 35 years. Leprosy was perceived as a unique, chronic, non-fatal but progressively deforming disease with doubtful curability and especially a disease which could cause a disgrace to the victims and their families. The findings of this study strongly showed the importance of addressing the psychological and social issues of leprosy patients and the general perceptions of the society regarding leprosy before implementing or initiating integration of leprosy control program into the general health service. In-service training to health workers, health education about current knowledge of leprosy to the patients and studies on knowledge, attitude and behavior of leprosy patients and the public are recommended.
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    Improving Outpatient Medical Record Completeness in Enchini Primary Hospital, Oromia, Ethiopia
    (Addis Abeba University, 2019-06) Dereje Bokan; Mesfin Addissie; Adiam Nega
    Background: Medical records management is one of the components of health information system that documents information related to a patient generated during patient-to-health care provider encounters at a health care facility. A well-managed medical records system is critical to improve the provision of quality health care services to ensure safe medical practice, efficient and effective services and improve the patient’s experience and satisfaction with their medical encounter. Objective:-To improve outpatient medical record completion from 37% to 90% in Enchini Hospital at t he end of June 2019GC. Methods: A pre- post intervention design was used in this project to examine the completion rate of outpatient medical record. The pre-intervention assessment was conducted in the outpatient department of Enchini hospital. Base line data were collected between January and March 2019. The baseline data showed the completeness of outpatient medical records was low. Only 37% of the 50 audited patient folders were completed. A questionnaire was developed to assess knowledge gabs of all workers who were working at outpatient department such as nurses, general practitioners and medical record workers, whether supportive supervision was conducted by senior management team and availability of printing formats and materials. The root cause analysis was conducted to identify the root cause of the problem. Based on the verification, lack of awareness about outpatient medical record completeness was identified as a real root cause and a two day’s staff training on medical record completeness was conducted. Results: the outpatient medical record completion rate increased from 37% pre intervention to 89% post-intervention. Specifically, Summary sheet of all visit dates practice and International disease code practice were considerably improved by 90 and 80 percentage points respectively. Conclusion: The result of this project suggests that a simple set of intervention providing training on the awareness of medical record improves of outpatient medical record completeness. Recommendation: The hospital, the regional health bureau and FMoH need to give emphasis for the completeness of outpatient medical records as it contribute to good quality of healthcare.
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    Willingness to pay for Community Based Health Insurance and Its Determinants among Households in Wondo District, Oromia Region, South East Ethiopia.
    (Addis Abeba Universty, 2017-06) Abdella Gisha; Mesfin Addissie
    Background: Community based health insurance scheme is an effective financing mechanism to help people who are unable to use health care services due to financial problem. CBHI schemes is based on the premises of risk-pooling and community solidarity to risks of falling sick and designed to provide financial protection and reduce out-of-pocket health care expenditure. Objective: To assess willingness to pay for community based health insurance among households in the rural community of Wondo District, West Arsi Zone, Oromia region, south East Ethiopia, 2017. Methods: Community based Cross sectional study design was employed to collect the data. Two stage sampling technique was used to select 499 households as study units which were allocated to the kebeles proportionately.The study population was households that were not enrolled into community based health insurance scheme at the time of study. Data was collected from a total 499 respondents using a structured pre tested questionnaire. The data was cleaned, coded, entered into EPI-INFO version 7 software and transferred and analyzed using SPSS computer software package version 21. Results: Among 499 study participants, 439 (88%) were expressed their willingness to join the schemes, from these 292 (66.5%) were willingness to pay community based health insurance scheme. The mean amount of money household heads willing to pay was 209.65(+21) birr (10USD) per house hold per annual. Based on the logistic regression model, the odds of willingness to pay were likely to be significantly higher among those who attended at least primary education and those with higher income and elderly. Conclusion and Recommendation: The willingness to pay for the community-based health insurance scheme in the study area was high. The scheme may need to give special considerations for the young age group, low income and uneducated households.