Browsing by Author "Mindaye, Tedla (PhD)"

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    Assessment of Knowledge, Attitude and Practice Towards Occupational Health and Safety Among Medical Laboratory Personnel In Selected Governmental Teaching Hospitals Of Ethiopia
    (Addis Ababa University, 2015-10) Kassa, Wondwossen; Mindaye, Tedla (PhD)
    Background: Medical laboratory is one of the most at risk place where a range of occupational hazards can occur. Workplace related health impairments, injuries and illnesses which cause great human suffering and incur high costs of capital as a whole intended to identify and prevented by the establishment of Occupational Health and Safety. To avoid these occupational hazards individuals who are working in the laboratory should be aware of safety practice, monitored and evaluated employees information gap, knowledge as well as attitudinal behavior. Objective: To assess knowledge, attitude and practices towards occupational health and safety among Medical laboratory professionals in selected government teaching hospitals in Ethiopia. Method: A cross sectional study was conducted between March and May 2015 among 173 Medical laboratory professionals working in government teaching hospitals. Data was collected using self-administered structured questionnaire; it was also supported by in-depth interview and physical observation checklist. Data entry, analysis and quality of data were maintained by SPSS version 20 software. Level of statistical significance was set at p<0.05. Result: Of 173 total respondents, 112(64.7%) were male and the age of participant’s lies between18 - ≥ 46. The overall mean knowledge score of participant was 6.0 ± (SD 1.29), mean attitude score was 18.7± (SD 4.2) and mean practice score was 20.4 ± (SD 2.31). There were strong association between occupational health & safety training, risk assessment training and knowledge score (p=0.000). Similarly, orientation on occupational health & safety was significantly associated with attitude score (p= 0.002). In addition, work experience (p= 0.000), training on occupational health and safety (p=0.000) and risk assessment (p=0.004) were significantly associated with practice score of laboratory professionals. Conclusion: Training on occupational health & safety as well as risk assessment training were significantly associated with level of knowledge and practice. Moreover, orientation was statistically associated with attitude. Thus intervention that should focus on training occupational health & safety, risk assessment and positive attitude creation are required to strengthen occupational health and safety knowledge, attitude and practice in medical laboratory professionals
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    Assessment of Medical Laboratory request form Completeness and non- Communicated Result to Clinicians in the two public Hospitals Found in Hawassa city, Southern Ethiopia
    (Addis Ababa University, 2015-06) Ali, Muluberhan; Mindaye, Tedla (PhD)
    Back ground: Long years ago, history and physical examinations have been the most important part of patient's assessment. However, in recent years, the care of patients has become increasingly dependent on the results of laboratory investigations, and clinical laboratories have become a major component in the delivery of health care.Correctly designed and properly completed request forms are vital for the performance of all laboratory tests to the benefit and satisfaction of users.Results that never reach the physician affect the quality of patient care and unnecessarily wastage of financial health resources. Objective-The objective of this study was to evaluate the content of empty request form to the standard and to assess completeness of filled information on medical laboratory request form and communication of results to users in two public Hospitals of Hawassa city, southern Ethiopia. Methods– ACross-sectional descriptive study design was employed. We collected all request forms submitted to the laboratory during March 15-30, 2015. Data was collected and information was recorded on the data collection sheet and cheeked for its completeness. To assess non-communicated requested result.we reviewed patient medical record. Furthermore to asses factors contributed to improper completion and failed collection, clinicians were asked using pre structured questionnaire. Finally data were analyzed using SPSS version 16.0. Result -The content of HURH empty medical laboratory request form to the standard was 16(72.7%) and Adare hospital 9(40.9%) A total of one thousand nine hundred request forms were studied. Our assessment revealed that, none of the request form was completely filled. All of the request forms 100% studied revealed that three or more gaps in the completion of the items assessed. From reviewed requests 23.8% was uncollected and from this 83(33.1%) was CBC. Conclusion -This study demonstrates that, the standard of completion of request forms was poor. Essential information required on the forms was often missing. This can lead to limited advice given by laboratory personnel and may increase the potential for errors. Conversely, provision of all the information needed on the forms will aid laboratory diagnosis and enhance patient care and save time and resource
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    Assessment on Factors Influencing the Job Satisfaction Level of Medical Laboratory Professionals Working in Addis Ababa Government Hospitals
    (Addis Ababa University, 2014-06) Mekonnen, Tesfaye; Mindaye, Tedla (PhD)
    Background: Medical Laboratory professionals have an important role to play in assuring the quality of laboratory test results are accurate, reliable and provided in a timely manner – for better patient care. Job satisfaction level of these professionals is one of the most important factors to deliver quality laboratory services, reduce staff turnover, increase motivation of employee, and active engagement in their current assigned responsibilities. Objective: To assess the factors influencing the job satisfaction level of medical laboratory professionals working in Addis Ababa government hospitals. Method: The study has a total of 26 questions with in the questionnaire and expected to measure qualitatively and semi quantitatively the job satisfaction level of medical laboratory professionals in government hospital laboratory in Addis Ababa. Self-administered questionnaire were distributed to laboratory professionals working in Addis Ababa government hospitals. The results were entered and interpreted by using SPSS version 16 analysis and statistical software (SPSS INC, Chicago, IL, USA) quantitatively. Result: Employees are not satisfied with their job working hour and work environment and the finding further indicates that absence of professional career and presence of job stress are making them dissatisfied. The competency assessment and the lab set up are the other variables that employees are not contented with. The study also identifies that employees working in laboratory are not pleased with work relationship they have and they feel that there is no transparent way to communicate their idea which ultimately is making them dissatisfied. In contrast, the area that employees are satisfied includes relationship with leaders, appraisal policy, recognition and rewards. The study identifies that the existing salary structure, compensation, and the benefit packages are not capable enough to keep the employees satisfied. The study identifies that employees’ satisfaction in relation to benefit package policy and the equipment currently working varies with the age group of employees. The test further indicates that all the variables are independent of the work experience group except three variables which are recognition and rewards, employee benefit package policy and growing professionally that employees’ satisfaction varies with the work experience of employees against in relation to these variables Conclusion: The level of employees’ satisfaction is high in terms of relationship with leaders, availability of work equipment, workload and quality of result, and the recognition and reward provided. In contrast, they are dissatisfied with the working hour, work relationship and benefit packages. The study also identifies some job satisfaction variables that are dependent on age, work experience, and level of education which provides information to employers to develop customized strategies to keep the employees satisfied according to their needs. The study further provides recommendations which are triggered from the findings that employers should consider in their human resource activities. Hence, measuring laboratory professional’s job satisfaction level regularly with standard checklist is one of the most important approaches to tackle job related problems on timely bases with in the organization
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    Assessment on Implementation of Quality Management System and Their Challenges In Tikur Anbessa Specialized Hospital Laboratory. Addis Ababa, Ethiopia
    (Addis Ababa University, 2014-06) Beshah, Daniel; Mindaye, Tedla (PhD)
    Background: Quality laboratory services and systems constitute the foundation for strengthening health care systems. Including Ethiopia, developing countries are on the way of establishing laboratory standards that are affordable and easy to implement and monitor in their facilities. This study was conducted to assess the laboratory starting from implementation of Quality Management System (IQMS), up to the final assessment. Objective: The Objectives of the study is to assess implementation of quality management system and associated challenges in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Method: Exploratory study was done by using available information, assessment data, questionnaire, in-depth interview and observational assessment from February 14/2013 – May 5/2014. All willing laboratory staffs were included in the research and non-probability purposive sampling technique was applied. Statistical analysis was carried out by using SPSS version 20. Result: The progress of quality management system implementation after one year and three month from baseline assessment result of 41/250(16.4%) to final assessment result 95/250(38.0%) were 54(21.6%) with the mean value of 7.9 for12 QSE (P = 0.001).The identified challenges were staff Job dissatisfaction leads to staff demotivation, shortage of supportive staffs, lack of proper laboratory management, lack of Hospital management commitment, weakness of supporting (management) departments finance, purchasing, budget and maintenance departments, lack of budgets allocation for the laboratory, delay on purchasing system are critical challenges affecting the laboratory. Weakness in pharmacy supply chain management system, very poor store management, lack of mini store, lack of backup equipment and lack of equipment maintenance system are other challenging issues of laboratory. In appropriateness of sample collection area benches and sinks to keep samples and documents
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    Assessment on the Stepwise Laboratory Improvement Process Towards Accreditation (SLIPTA) Implementation in Selected Public Hospital Laboratories in Ethiopia
    (Addis Ababa University, 2015-10) Beyene, Kefelegn; Mindaye, Tedla (PhD)
    Background; Strengthening Laboratory Improvement Process Towards Accreditation recognizes laboratories where they are in the process of quality improvement; through audits and direct on technical assistance. Objective: The aim of this study was to assess the implementation status of SLIPTA in selected public hospital laboratories in Ethiopia. Methods: Hospital based cross sectional study design was used to assess the implementation status of SLIPTA in four public hospital laboratories in Ethiopia. The facilities were selected using purposive technique. Their implementation status was assessed using SLIPTA standard checklist, and a semi-structured questioner to identify factors during the implementation phases. The current and the last audit scores of the facilities had compared against the SILPTA score level. Interview based exploratory discussion for the key informants were used. This study was conducted from April to October 2015. Results: This finding indicated that two laboratories (lab.3 and lab.4) were improved from zero stars [82(31.78%) and 102(39.5%) points] in pervious audit result to two stars [175(67.8%) and 182(70.5%) points] in current audit result respectively. The other two laboratories (Lab.1 and Lab. 2) had no changes that score zero stars with pervious audit result [94 (36.4%) and 82 (32.56%)] to current audit result [95 (36.8%) and 104 (40.31%)] respectively. All (16/16) key informants responded that they had no written plan, follow up, report of the SLIPTA program; and with staff attrition rate, no written duties and responsibilities. Conclusion: Improvements were seen with Lab.3 and Lab.4 which reaching two stars from zero stars at the WHO SLIPTA audit result within one year. These laboratories had better partnership support that initiate or drive the laboratories and better management style when it is compare to the other two laboratories. The factors that affect the SLIPTA program were mainly in human resources and development part that corresponding to lack of concern, commitment, dedication, managerial skill; and resistance to new approach, staff attrition rate, no written duties and responsibilities and demotivation. Key Words: SLIPTA, WHO-AFRO, Transcription, Key Informants, Quality Management System
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    Assessment On the Storage Condition of Medical Laboratory Commodities In Medical Stores And Knowledge, Attitude and Practice of The Store Managers On The Appropriate Storage of Medical Laboratory Commodities in Government Hospitals in Addis Ababa, Ethiopia
    (Addis Ababa University, 2014-06) Hussien, Kelemework; Mindaye, Tedla (PhD)
    Background: Medical laboratory commodity management system especially storage system of laboratory supplies is a challenge for health professionals. Since absence of proper storage condition for laboratory supplies is leading to damaging and out of stock for essential supplies, the need of proper store management have gained a great attention. Methods: A Cross sectional study was conducted in eleven government hospitals’ medical stores in Addis Ababa from January, 1, 2014 -February, 1, 2014. Data was collected using structured questionnaires. Data was entered by EPI INFO version 3.1statistical software and analyzed with SPSS version 20 statistical analysis software. Frequencies were used to express the assessment on the storage condition of medical laboratory commodities and Knowledge, Attitude and Practice (KAP) of store managers on the appropriate storage of medical laboratory commodities. Results: Data was collected from eleven governmental hospitals found in Addis Ababa. Ten storage. Lack of adequate space and infrastructures to store medical laboratory commodities were challenges in half of the facilities. Adequate and regular training should be given to the responsible personnel for better storage of medical laboratory commodities (91%) hospitals’ medical stores didn’t have frozen storage of either -200C or -700C but all of the medical stores had cold storage of 2-80C. All hospital medical stores, except one, had guidelines for storing cold chain items. Only 4 (36.4%) of the hospitals were separate flammable chemicals whereas 6(54.5%) of them did separate hazardous chemicals and majority 10 (91%) did separate damaged and expired supplies from the non-expired and non-damaged commodities. All of the sore managers were responded that, they knew the appropriate storage of cold chain items while 2(18.2%) of them did not know how to properly store cold items. Seven (63.6%) of the store managers thought that monitoring store temperature is necessary and 6(54.5%) them thought that the quality of their store was in compliance with the standard storage guideline. Conclusion: The storage condition of majority of the facilities was in compliance with the standard storage guideline. Knowledge, Attitude and Practice of majority of the store managers on the appropriate storage of medical laboratory commodities, were adequate on all laboratory
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    Assessments of Patients’ Satisfaction Towards Clinical Laboratory Services Received at Uniformed Service Hospitals in Addis Ababa, Ethiopia
    (Addis Ababa University, 2014-05) Tesfaye, Tadesse; Mindaye, Tedla (PhD)
    Back ground: The patients experience the services in another way than the laboratory staff and management, and may indicate weak elements in laboratory services that the laboratory was not aware of. Therefore, the clients of the laboratory are a very good source to discover elements of Key words: Satisfaction, Patients’ satisfaction, Clinical laboratory services laboratory service that can be improved. Objective: To assess patients’ satisfaction towards clinical laboratory services received at Uniformed Service Hospitals in Addis Ababa, April to May 2014. Methods: A cross sectional, hospital based, descriptive study was conducted between April and May, 2014, on a sample of 422 service users of the laboratory using systematic random sampling technique. Data was collected using structured questionnaire, through face to face interview and analyzed by SPSS windows version 15.0. Satisfaction score was calculated by using Likert’s five Scale giving a value of 1 for very dissatisfied up to a value of 5 for very satisfied. Median of the summary score of satisfaction was used to classify as satisfied and dissatisfied since the distribution of summary scores was skewed. Logistic regression model was also used to examine the effect of selected variables on patients’ satisfaction with laboratory services. P-Value less than 0.05 were taken as statistically significant. Results: The respondent’s age range was between 18 and 66 years. 34.4% and 65.6% were from Armed Forces Referral and Teaching Hospital and Federal Police Referral Hospital, respectively. The overall satisfaction level of patients towards clinical laboratory services was 51.7% with the response rate of 422 (100%). Among the different indicators, patients were highly satisfied with courtesy/respect by laboratory workers (84.6%) while patients were highly dissatisfied with unavailability of laboratory workers on working hours (48.6%). The major determinants for dissatisfaction were long waiting time to give laboratory specimen (AOR=1.99, 95% CI 1.10 – 3.58, P=0.02), lack of place in blood drawing room to put personal thing (AOR= 6.83, 95%CI 3.07 – 15.20, P=0.00), lack of place in latrine room to put personal things (AOR=21.95, 95% CI 5.38-89.51, P=0.00), unavailability of ordered laboratory tests (AOR=2.98, 95% CI 1.68-5.34, P=0.00) and dissatisfaction of patients towards pre-laboratory services (AOR= 7.99, 95% CI 4.47- 12.28, P=0.00). Conclusion: Of 422 respondents only 51.7 % of patient was satisfied with clinical laboratory services. Long waiting time to give laboratory specimen, availability of place in latrine and blood drawing rooms to put personal things, unavailability of ordered laboratory tests and dissatisfaction of patients towards pre-laboratory services were found to have statistically significant association with the overall satisfaction of patients towards clinical laboratory services. Therefore, these might be the possible determinants for the dissatisfaction of patients with clinical laboratory services.
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    Genetic diversity of Plasmodium falciparum field isolates based on two PCR markers Merozoite Surface Protein 1 and 2 from kolla-shelle area, Arbaminch Zuria district, South West Ethiopia
    (Addis Ababa University, 2014-06) Mohammed, Hussein; Mindaye, Tedla (PhD)
    Background: The population structure of the causative agents of human malaria, Plasmodium species including the most serious agent Plasmodium falciparum ( P.falciparum), depends on the local epidemiological and demographic situations, such as the incidence of infected people, the vector transmission intensity and migration of inhabitants (i.e. exchange between sites).One of the major characteristics of malaria parasites is their genetic diversity and an increasing number of studies have been reported on the population structure variation of P. falciparum based on the polymorphism of merozoite surface protein (MSP) 1 and 2. Limited data however are available from Ethiopia. Objective: To evaluate the extent of genetic diversity of P falciparum in Kola-Shele in South West of Ethiopia. Methods: Health facility based cross sectional study design was employed to determine the prevalence of genetic diversity of P.falciparum in Kola-Shele area. Eighty-eight stored dried blood spot samples which were collected between September and December, 2008 were used. Parasite DNA was extracted from the blood spot on to filter paper and analyzed by length polymorphism following gel electrophoresis of DNA products from nested polymerase chain reactions targeted block 2 of msp-1 and block 3 of msp-2,including their allelic families: K1,MAD20,RO33 and FC27,3D7/IC1, respectively. Data entry was done using Microsoft Excel sheet and was double entered to verify accuracy; data was analyzed using SPSS for windows 16 soft ware (SPSS INC, Chicago, IL, USA). Results: The total number of alleles identified in MSP1 block 2 was 11, while 12 alleles were observed in MSP2 block 3.In MSP1, K1was found to be the predominant allelic type, carried alone, with MAD20 and RO33 type. In MSP2, 3D7/IC was the most identified. Forty- three and sixty nine percent of isolates MSP1 and MSP2, respectively had high multiple genotypes and the overall mean multiplicity of infection was 1.8 (95% CI: 1.48-2.04). Conclusion: The Genetic diversity in P. falciparum field isolates in kolla-Shelle area were mixed and multiple infections were observed. K1 and 3D7/IC1 were the most predominant circulating allelic families